NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which client should the nurse assess first after receiving the shift report?
Correct Answer: C
Rationale: Projectile vomiting (
C) in a brain tumor suggests increased ICP, a life-threatening condition requiring immediate assessment. Paralysis (
A), photosensitivity (
B), and tender gums (
D) are less urgent.
Question 2 of 5
The client comes to the clinic and reports a sudden drooping of the left side of the face and complains of pain in that area. The nurse notes that the client cannot wrinkle the forehead or close the left eye. Which condition should the nurse suspect?
Correct Answer: A
Rationale: Bell’s palsy (
A) causes unilateral facial drooping, inability to wrinkle the forehead, and eye closure issues due to facial nerve paralysis. Right-sided stroke (
B) affects the opposite side, tetany (
C) involves muscle spasms, and mononeuropathy (
D) is less specific.
Question 3 of 5
When the nursing team discusses the client's plan of care, which has the highest priority?
Correct Answer: A
Rationale: Preventing skin breakdown is the highest priority to avoid complications like pressure ulcers in clients with spinal cord injuries.
Question 4 of 5
The client has had recurrent episodes of low back pain. Which statement indicates that the client has incorporated positive lifestyle changes to decrease the incidence of future back problems?
Correct Answer: A
Rationale: Stooping and avoiding bending and twisting motions when lifting objects lessen the likelihood of injury. The client should wear supportive shoes. The client should include regular daily exercise as a program (not excessive walking over 2 days on the weekend). Clients should avoid prolonged sitting or standing.
Question 5 of 5
The nurse is caring for clients on a medical unit. Which client would be most at risk for experiencing a stroke?
Correct Answer: D
Rationale: Atrial fibrillation (
D) increases stroke risk due to clot formation. Age (
A) is a factor but less specific, hepatitis (
B) is unrelated, and Greenfield filters (
C) prevent pulmonary embolism, not stroke.