NCLEX-PN
NCLEX Questions on Neurological Disorders Quizlet Questions
Extract:
Question 1 of 5
When planning a bowel retraining program for a client with a spinal cord injury, which nursing intervention is most appropriate?
Correct Answer: B
Rationale: A high-fiber diet promotes regular bowel movements, which is essential for bowel retraining in spinal cord injury clients.
Question 2 of 5
The nurse caring for a client who has been abusing amphetamines writes a problem of 'cardiovascular compromise.' Which nursing interventions should be implemented?
Correct Answer: A,C
Rationale: Amphetamine abuse can cause tachycardia and hypertension. Monitoring telemetry and vital signs (
A) detects cardiovascular changes, and a calm atmosphere (
C) reduces stimulation. Verbalizing reasons (
B) is psychosocial, and bedrest/low-sodium diet (
D) is not indicated.
Question 3 of 5
Which assessment data would indicate to the nurse that the client would be at risk for a hemorrhagic stroke?
Correct Answer: C
Rationale: Severe hypertension (BP 220/120 mm Hg,
C) is a major risk factor for hemorrhagic stroke due to vessel rupture. High blood glucose (
A) is more linked to ischemic stroke, a carotid bruit (
B) indicates atherosclerosis, and bronchogenic carcinoma (
D) is unrelated.
Question 4 of 5
The nurse is assessing the client admitted with encephalitis. Which data require immediate nursing intervention? The client has bilateral facial palsies.
Correct Answer: B
Rationale: A fever of 100.6°F (
B) in encephalitis may indicate worsening infection or inflammation, requiring immediate intervention. Decreased headache (
C) suggests improvement, and taste loss (
D) is less urgent. Facial palsies are noted but not an option.
Question 5 of 5
When planning a bowel retraining program for a client with a spinal cord injury, which nursing intervention is most appropriate?
Correct Answer: B
Rationale: A high-fiber diet promotes regular bowel movements, which is essential for bowel retraining in spinal cord injury clients.