NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which assessment finding in a client with myasthenia gravis indicates a need for immediate intervention?
Correct Answer: D
Rationale: A low respiratory rate indicates potential respiratory failure in myasthenia gravis, requiring immediate intervention.
Question 2 of 5
The client diagnosed with a brain abscess is experiencing a tonic-clonic seizure. Which interventions should the nurse implement? Rank in order of performance.
Order the Items
Source Container
Correct Answer: E,B,C,D,A
Rationale: 1. Protect the client’s head (E): Prevents injury during convulsions. 2. Loosen restrictive clothing (
B): Ensures airway and circulation. 3. Turn to the side (
D): Prevents aspiration post-seizure. 4. Administer phenytoin (
C): Stops the seizure after safety is ensured. 5. Assess the mouth (
A): Done post-seizure to check for injury.
Question 3 of 5
Which discharge teaching is essential for a client with a spinal cord injury to prevent respiratory complications?
Correct Answer: A
Rationale: Deep breathing exercises help prevent atelectasis and pneumonia in clients with spinal cord injuries.
Question 4 of 5
The nurse is caring for a client diagnosed with encephalitis. Which is an expected outcome for the client?
Correct Answer: A
Rationale: The goal for encephalitis is to maximize neurological recovery (
A), as inflammation may cause deficits. No memory loss (
B) is unrealistic, renal function (
C) is unrelated, and hydrocortisone cream (
D) is not indicated.
Question 5 of 5
Which assessment finding is most important to consider before developing the client's care plan?
Correct Answer: A
Rationale: The ability to perform ADLs determines the level of assistance needed, guiding the care plan for a client with Parkinson's disease.