NCLEX Neurological Disorders | Nurselytic

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NCLEX Neurological Disorders Questions

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Question 1 of 5

Which activity should the nurse encourage for a client with early Parkinson's disease to improve mobility?

Correct Answer: B

Rationale: Stretching and balance exercises improve mobility and reduce fall risk in early Parkinson's disease.

Question 2 of 5

The client with a closed head injury has clear fluid draining from the nose. Which action should the nurse implement first?

Correct Answer: C

Rationale: Clear nasal drainage post-head injury may indicate cerebrospinal fluid (CSF) leak, confirmed by testing for glucose (
C). This is the first step to guide further action. Notifying the provider (
A) follows confirmation, antihistamines (
B) are irrelevant, and gauze (
D) is a secondary measure.

Question 3 of 5

The client is undergoing post-thrombolytic therapy for a stroke. The health-care provider has ordered heparin to be infused at 1,000 units per hour. The solution comes as 25,000 units of heparin in 500 mL of D5W. At what rate will the nurse set the pump?

Correct Answer: 20 mL/hr

Rationale: Calculate: (1,000 units/hr ÷ 25,000 units) × 500 mL = 20 mL/hr. The pump should be set to 20 mL/hr.

Question 4 of 5

The client diagnosed with Parkinson’s disease (PD) is being admitted with a fever and patchy infiltrates in the lung fields on the chest x-ray. Which clinical manifestations of PD would explain these assessment data?

Correct Answer: B

Rationale: Difficulty swallowing and immobility (
B) in PD increase aspiration risk, leading to pneumonia, which presents as fever and lung infiltrates. Other manifestations are less directly related to pulmonary complications.

Question 5 of 5

Which client statement indicates understanding of trigeminal neuralgia management?

Correct Answer: B

Rationale: Avoiding chewing on the affected side reduces pain triggers in trigeminal neuralgia.

Similar Questions

The experienced nurse is instructing the new nurse on subarachnoid hemorrhage. The nurse evaluates that the new nurse understands the information when the new nurse makes which statements? Select all that apply.
The client is in the terminal stage of ALS. Which intervention should the nurse implement?
The nurse is caring for the client who, 6 weeks after an MVA, was diagnosed with a mild TBI. Which information in the client’s history of the injury should the nurse associate with the TBI? Select all that apply.
Which sign or symptom in the client's medical history would most likely indicate a manifestation of the client's disease?
The male client is sitting in the chair and his entire body is rigid with his arms and legs contracting and relaxing. The client is not aware of what is going on and is making guttural sounds. Which action should the nurse implement first?

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