NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
Which client statement indicates a need for further teaching about post-craniotomy care?
Correct Answer: C
Rationale: Lifting heavy objects post-craniotomy can increase intracranial pressure; clients should avoid this for several weeks.
Question 2 of 5
The 85-year-old client diagnosed with a stroke is complaining of a severe headache. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: A severe headache in a stroke patient may indicate complications like hemorrhagic transformation or increased intracranial pressure. A neurological assessment (
D) is the first step to evaluate the cause and guide further actions. Analgesics (
A) may mask symptoms, MRI (
B) requires assessment first, and IV fluids (
C) are not urgent.
Question 3 of 5
The client with muscle weakness asks the nurse during the initial assessment if the symptoms suggest 'Lou Gehrig’s' disease. Which is the nurse’s most appropriate response?
Correct Answer: B
Rationale: There is no information that the client is working too much. Telling the client to avoid thinking the worst belittles the client’s concern. This is the most appropriate response because it focuses on the client’s concern, encourages verbalization, and solicits more information. ALS (Lou Gehrig’s disease) is a degenerative disease that affects the motor system and does not have a dementia component; thus, a question about memory is inappropriate. This response does not take the client seriously and does not address the client’s concern.
Question 4 of 5
Which instruction should be the nurse's priority in this situation?
Correct Answer: C
Rationale: Safety is the priority for clients with Parkinson's disease due to risks of falls and injury from motor symptoms.
Question 5 of 5
Which instruction is most applicable after symptoms are relieved?
Correct Answer: B
Rationale: Lifting with knees bent and back straight prevents re-injury to the lumbar spine after a herniated disk.