NCLEX Neurological Disorders | Nurselytic

Questions 85

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NCLEX Neurological Disorders Questions

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Question 1 of 5

When planning for the client's discharge after the diskectomy and spinal fusion, the nurse should include which instructions? Select all that apply.

Correct Answer: A,C,F

Rationale: Avoiding twisting, prolonged sitting, and monitoring for neurological changes (e.g., color changes) promote recovery and prevent complications.

Question 2 of 5

The client is reporting neck pain, fever, and a headache. The nurse elicits a positive Kernig's sign. Which diagnostic test procedure should the nurse anticipate the HCP ordering to confirm a diagnosis?

Correct Answer: D

Rationale: Neck pain, fever, headache, and positive Kernig’s sign suggest meningitis. A lumbar puncture (
D) confirms the diagnosis via CSF analysis. CT (
A) may precede LP, blood cultures (
B) are supportive, and EMG (
C) is unrelated.

Question 3 of 5

The home health nurse is caring for a 28-year-old client with a T10 SCI who says, 'I can’t do anything. Why am I so worthless?' Which statement by the nurse would be most therapeutic?

Correct Answer: A

Rationale: Reflecting the client’s feelings (
A) validates their emotions and encourages further discussion, promoting therapeutic communication. Other options dismiss feelings (
B), challenge the client inappropriately (
C), or assume solutions (
D).

Question 4 of 5

The nurse is admitting a client with the diagnosis of Parkinson’s disease. Which assessment data support this diagnosis?

Correct Answer: D

Rationale: Masklike facies and shuffling gait (
D) are hallmark signs of Parkinson’s due to bradykinesia and rigidity. Crackles and JVD (
A) suggest heart failure, weakness and ptosis (
B) indicate myasthenia gravis, and exaggerated arm swinging (
C) is opposite to Parkinson’s.

Question 5 of 5

Which diagnostic test is used to confirm the diagnosis of Amyotrophic Lateral Sclerosis (ALS)?

Correct Answer: A

Rationale: EMG (
A) detects abnormal muscle electrical activity characteristic of ALS, confirming the diagnosis. Muscle biopsy (
B) is less specific, CK (
C) may be elevated but isn’t diagnostic, and pulmonary tests (
D) assess complications, not diagnosis.

Similar Questions

The nurse is assisting the client who sustained a C5 SCI to cough using the quad coughing technique. The nurse correctly demonstrates quad coughing with which actions? Select all that apply.
Which type of precautions should the nurse implement for the client diagnosed with septic meningitis?
The client is diagnosed with expressive aphasia. Which psychosocial client problem would the nurse include in the plan of care?
Which response by the nurse would be best to prevent distress when the client repeatedly asks, 'Where is my mother?'
On the basis of the factors that cause the client to experience paroxysmal pain, which intervention is most appropriate to include in this client's care plan?

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