NCLEX Neurological Disorders

Extract:

Question 1 of 5

The wife of the client diagnosed with chronic alcoholism tells the nurse, 'I have to call his work just about every Monday to let them know he is ill or he will lose his job.' Which would be the nurse’s best response?

Correct Answer: A

Rationale: Reflecting and inviting discussion (
A) validates the wife’s feelings and encourages therapeutic communication. Assuming fear (
B) is less open-ended, questioning her actions (
C) may seem judgmental, and labeling enabling (
D) could alienate her.

Question 2 of 5

The client is being admitted to rule out a brain tumor. Which classic triad of symptoms supports a diagnosis of brain tumor?

A. Nervousness, metastasis to the lungs, and seizures. B. Headache, vomiting, and papilledema. C. Hypotension, tachycardia, and tachypnea. D. Abrupt loss of motor function, diarrhea, and changes in taste.

Correct Answer: B

Rationale: The classic triad for brain tumors is headache, vomiting, and papilledema (
B), due to increased ICP. Other options include unrelated or less specific symptoms.

Question 3 of 5

If the drug is administered every 3 to 4 hours, which nursing action is most appropriate at this time in response to the client's statement?

A. Administer another dose of the nonopioid analgesic immediately. B. Rearrange medication times so that the client receives pain medication hourly. C. Consult the physician about ordering an opioid analgesic. D. Use a nondrug intervention such as listening to a guided imagery tape.

Correct Answer: D

Rationale: Using a nondrug intervention like guided imagery is appropriate since it's too early for another dose, and it avoids escalating to opioids prematurely.

Question 4 of 5

Which priority goal would the nurse identify for a client diagnosed with Parkinson’s Disease (PD)?

A. The client will be able to maintain mobility and swallow without aspiration. B. The client will verbalize feelings about the diagnosis of Parkinson’s Disease. C. The client will understand the purpose of medications administered for PD. D. The client will have a home health agency for monitoring at home.

Correct Answer: A

Rationale: Maintaining mobility and safe swallowing (
A) are priority goals in Parkinson’s to prevent falls and aspiration. Verbalizing feelings (
B), understanding medications (
C), and home health (
D) are secondary.

Question 5 of 5

The client with PD has a new surgically implanted DBS. After the stimulator is operational, which criterion should the nurse use to evaluate that the DBS is effective?

A. The client has cogwheel rigidity when moving the upper extremities. B. The client has a decrease in the frequency and severity of tremors. C. The client has less facial pain and converses with more facial expression. D. The client no longer experiences auras or a severe frontal headache.

Correct Answer: B

Rationale: Cogwheel rigidity, a symptom of PD, is interrupted muscular movement and is not treated with the DBS. DBS is a treatment used for intractable tremors associated with PD. The electrical current interferes with the brain cells initiating the tremors. Severe facial pain is associated with trigeminal neuralgia, not PD rau. The DBS will not affect facial expression. Auras are unusual sensations experienced before a seizure occurs and are not associated with PD.

NCLEX Neurological Disorders | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN