NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
When the medical history is reviewed, which finding is most likely related to the client's diagnosis?
Correct Answer: A
Rationale: Guillain-Barré syndrome is often preceded by a viral infection or immunization, such as an influenza vaccine, which can trigger an autoimmune response.
Question 2 of 5
The client with end-stage ALS requires a gastrostomy tube feeding. Which finding would require the nurse to hold a bolus tube feeding?
Correct Answer: A
Rationale: A gastric residual of 125 mL (
A) indicates delayed gastric emptying, requiring the feeding to be held to prevent aspiration. Soft abdomen (
B) is normal, diarrhea (
C) requires monitoring but not holding, and low potassium (
D) is unrelated.
Question 3 of 5
Which clinical manifestation will the nurse most likely observe first?
Correct Answer: B
Rationale: In the postictal phase, sleepiness and disorientation are typically observed first as the brain recovers from the seizure.
Question 4 of 5
The client, diagnosed with an ischemic stroke, is being evaluated for thrombolytic therapy. Which assessment finding should prompt the nurse to withhold thrombolytic therapy?
Correct Answer: B
Rationale: A negative CT scan is a criterion for administering the thrombolytic therapy. Contraindications to thrombolytic therapy for the client with an ischemic stroke include a serious head injury within the previous 3 months. This would put the client at risk of developing serious bleeding problems, specifically cerebral hemorrhage. History of type 1 DM is not a contraindication for thrombolytic therapy. The onset of neurological deficits within 3 hours is a criterion for administering thrombolytic therapy.
Question 5 of 5
Which discharge instruction is most appropriate following the positron emission tomography scan?
Correct Answer: B
Rationale: Increasing fluid intake helps flush the radioactive tracer used in the PET scan from the body.