Neurological Disorder NCLEX | Nurselytic

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Neurological Disorder NCLEX Questions

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Question 1 of 5

Which assessment data would make the nurse suspect that the client has amyotrophic lateral sclerosis?

Correct Answer: C

Rationale: ALS presents with fatigue, progressive muscle weakness, and fasciculations (twitching,
C). Recent illness (
A) is nonspecific, double vision/ptosis (
B) suggests myasthenia gravis, and sensory loss (
D) is not typical of ALS.

Question 2 of 5

Which intervention should be added to the client's care plan in relation to this latest finding?

Correct Answer: C

Rationale: Approaching from the unaffected side ensures the client with hemianopia can see the nurse, compensating for visual field loss.

Question 3 of 5

The client is scheduled for an electroencephalogram (EEG) to help diagnose a seizure disorder. Which preprocedure teaching should the nurse implement?

Correct Answer: A

Rationale: Taking routine antiseizure medications (
A) ensures therapeutic levels during the EEG, avoiding seizures that could skew results. Fasting (
B) is unnecessary, sleep deprivation (
C) may be used in specific cases but not routinely, and EEGs are painless (
D).

Question 4 of 5

The rehabilitation nurse caring for the client with an Lumbar SCI is developing the nursing care plan. Which intervention should the nurse implement?

Correct Answer: B

Rationale: Lumbar SCI affects lower extremities, increasing DVT risk. Low-dose anticoagulants (
B) prevent thromboembolism. Oxygen (
A) is unnecessary without respiratory issues, active ROM (
C) is not feasible due to paralysis, and speech therapy (
D) is irrelevant.

Question 5 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?

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.

Similar Questions

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The client, undergoing testing for a possible brain tumor, asks the nurse about treatment options. The nurse’s response should be based on knowing that treatment of a brain tumor depends on which factors? Select all that apply.
The client, diagnosed with an ischemic stroke, is being evaluated for thrombolytic therapy. Which assessment finding should prompt the nurse to withhold thrombolytic therapy?
The nurse is preparing a client diagnosed with rule-out meningitis for a lumbar puncture. Which interventions should the nurse implement? Select all that apply.

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