NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which client statement indicates a need for further teaching about warfarin therapy?
Correct Answer: C
Rationale: Ibuprofen increases bleeding risk with warfarin; the client should use acetaminophen instead.
Question 2 of 5
The client diagnosed with a right-sided cerebrovascular accident is admitted to the rehabilitation unit. Which interventions should be included in the nursing care plan? Select all that apply.
Correct Answer: A,C,D
Rationale: For a right-sided CVA, the left side is affected. Positioning to prevent shoulder adduction (
A) supports the weak left arm to prevent contractures. Encouraging movement of the affected side (
C) promotes neuroplasticity and recovery. Quadriceps exercises (
D) strengthen the affected leg. Turning every shift (
B) is too infrequent; every 2 hours is standard to prevent pressure ulcers. Instructing to hold fingers in a fist (E) risks contractures and is not therapeutic.
Question 3 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.
Question 4 of 5
The nurse reviews the chart of the client who had a T12 SCI 12 years ago and is receiving baclofen through an intrathecal infusion pump. Which chart information in the exhibit is most important for the nurse to discuss with the HCP?
Correct Answer: A
Rationale: Exaggerated spasticity, muscle rigidity, and tinnitus are adverse effects of baclofen (Lioresal) that the nurse should discuss with the HCP. The client had a minimal drop in BP from lying to standing and does not have orthostatic hypotension. The WBC and liver enzymes are WNL. The glucose is not significantly elevated and would not warrant notifying the HCP. All prescribed medications are appropriate for the client who has a T12 SCI.
Question 5 of 5
The client diagnosed with Parkinson's disease is prescribed carbidopa/levodopa (Sinemet). Which intervention should the nurse implement prior to administering the medication?
Correct Answer: A
Rationale: Carbidopa/levodopa can cause orthostatic hypotension. Discussing prevention (
A) ensures safety. Pulse (
B) is not routine, the medication is long-term (
C), and it can be taken with food (
D) to reduce nausea.