Neurological Disorder NCLEX

Extract:

Question 1 of 5

When the client asks why fluids are being restricted, which explanation by the nurse is best?

Correct Answer: C

Rationale: Fluid restriction reduces intracranial volume, minimizing the risk of increased intracranial pressure post-craniotomy.

Question 2 of 5

The client is diagnosed with a metastatic brain tumor, and radiation therapy is scheduled. The client asks the nurse, 'Why not try chemotherapy first? It has helped my other tumors.' The nurse’s response is based on which scientific rationale?

A. Chemotherapy is only used as a last resort in caring for clients with brain tumors. B. The blood-brain barrier prevents medications from reaching the brain. C. Radiation therapy will have fewer side effects than chemotherapy. D. Metastatic tumors become resistant to chemotherapy and it becomes useless.

Correct Answer: B

Rationale: The blood-brain barrier (
B) limits chemotherapy penetration into the brain, making radiation more effective for brain metastases. Chemotherapy is used in some cases (
A), radiation side effects vary (
C), and resistance (
D) is not universally true.

Question 3 of 5

The nurse is discussing seizure prevention with a female client who was just diagnosed with epilepsy. Which statement indicates the client needs more teaching?

A. I will take calcium supplements daily and drink milk.' B. I will see my HCP to have my blood levels drawn Multiple Choicely.' C. I should not drink any type of alcohol while taking the medication.' D. I am glad that my periods will not affect my epilepsy.'

Correct Answer: D

Rationale: Menstrual hormonal changes can affect seizure frequency (
D), indicating a need for further teaching. Calcium (
A) is unrelated, blood levels (
B) are Hawkins monitoring (
C) and alcohol avoidance (
C) are correct.

Question 4 of 5

Which of the following indicates an autonomic nervous system manifestation of a seizure?

A. Numbness and tingling of the hands B. Changes in taste and speech C. Flushing and increased sweating D. A subjective aura or sensation

Correct Answer: C

Rationale: Flushing and increased sweating are autonomic nervous system manifestations that can occur during a seizure, reflecting involuntary physiological changes.

Question 5 of 5

The nurse is caring for several clients on a medical unit. Which client should the nurse assess first?

A. The client with ALS who is refusing to turn every two (2) hours. B. The client with abdominal pain who is complaining of nausea. C. The client with pneumonia who has a pulse oximeter reading of 90%. D. The client who is complaining about not receiving any pain medication.

Correct Answer: C

Rationale: A pulse oximetry of 90% (
C) indicates hypoxemia, requiring immediate assessment to prevent respiratory compromise. Refusing turning (
A), nausea (
B), and pain complaints (
D) are less urgent.

Neurological Disorder NCLEX | Nurselytic

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