NCLEX-PN
NCLEX Questions on Neurological Disorders Quizlet Questions
Extract:
Question 1 of 5
Which assessment data indicate that the client with a traumatic brain injury (TBI) exhibiting decorticate posturing on admission is responding effectively to treatment?
Correct Answer: B
Rationale: Purposeful movement (
B) indicates improved brain function compared to decorticate posturing. Flaccid paralysis (
A) or decerebrate posturing (
C) suggest worsening, and no movement (
D) is not an improvement.
Question 2 of 5
A family member brings the client to the emergency department reporting that the 78-year-old father has suddenly become very confused and thinks he is living in 1942, that he has to go to war, and that someone is trying to poison him. Which question should the nurse ask the family member?
Correct Answer: B
Rationale: Sudden confusion and delusions suggest delirium, often medication-related. Asking about medications (
B) identifies potential causes. Dementia (
A) causes gradual decline, blaming poison (
C) is untherapeutic, and movies (
D) are irrelevant.
Question 3 of 5
Which intervention should the nurse take with the client recently diagnosed with amyotrophic lateral sclerosis (Lou Gehrig's disease)?
Correct Answer: C
Rationale: ALS is progressive and terminal. Providing an advance directive (
C) ensures the client’s wishes are respected early. Gastrostomy (
A) is later, fistulas (
B) are unrelated, and leg braces (
D) are less urgent.
Question 4 of 5
The client is diagnosed with Wernicke-Korsakoff syndrome as a result of chronic alcoholism. For which symptoms would the nurse assess?
Correct Answer: D
Rationale: Wernicke-Korsakoff syndrome, due to thiamine deficiency in alcoholism, causes ataxia (unsteady gait) and confabulation (fabricated memories,
D). Insomnia/anxiety (
A), hallucinations (
B), and tremors/agitation (
C) are less specific.
Question 5 of 5
Which teaching topics should the nurse cover before discharge? Select all that apply.
Correct Answer: A,D,E,F
Rationale: Warfarin requires dietary consistency, instructions on missed doses, monitoring for bleeding (bruising/blood in urine), and frequent INR checks.