NCLEX Neurological Disorders | Nurselytic

Questions 85

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NCLEX Neurological Disorders Questions

Extract:


Question 1 of 5

When the nurse monitors the client's neurologic status, which finding is most suggestive that the client's intracranial pressure is increasing?

Correct Answer: A

Rationale: Widening pulse pressure is a hallmark sign of increasing intracranial pressure, often accompanied by bradycardia (Cushing's triad).

Question 2 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 3 of 5

Which method is most appropriate to provide adequate nutrition for the client at this time?

Correct Answer: B

Rationale: Nasogastric tube feedings are appropriate for providing nutrition in clients with Guillain-Barré syndrome who have difficulty swallowing, as they are less invasive than total parenteral nutrition or gastrostomy tubes.

Question 4 of 5

The client is diagnosed with meningococcal meningitis. Which preventive measure would the nurse expect the health-care provider to order for the significant others in the home?

Correct Answer: B

Rationale: Close contacts of meningococcal meningitis patients require antimicrobial chemoprophylaxis (
B), such as rifampin, to prevent infection. Vaccines (
A) are not for immediate prophylaxis, corticosteroids (
C) treat inflammation, and gamma globulin (
D) is not indicated.

Question 5 of 5

When implementing seizure precautions, which nursing action is most appropriate?

Correct Answer: C

Rationale: Maintaining the bed in the lowest position minimizes the risk of injury from falls during a seizure.

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