NCLEX-PN
NCLEX Neurological Disorders Questions
Extract:
Question 1 of 5
Which client statement indicates understanding of trigeminal neuralgia management?
Correct Answer: B
Rationale: Avoiding chewing on the affected side reduces pain triggers in trigeminal neuralgia.
Question 2 of 5
Which sign or symptom in the client's medical history would most likely indicate a manifestation of the client's disease?
Correct Answer: C
Rationale: Drooping eyelids (ptosis) is a common symptom of myasthenia gravis due to muscle weakness affecting the ocular muscles.
Question 3 of 5
The client with PD has a new surgically implanted DBS. After the stimulator is operational, which criterion should the nurse use to evaluate that the DBS is effective?
Correct Answer: B
Rationale: Cogwheel rigidity, a symptom of PD, is interrupted muscular movement and is not treated with the DBS. DBS is a treatment used for intractable tremors associated with PD. The electrical current interferes with the brain cells initiating the tremors. Severe facial pain is associated with trigeminal neuralgia, not PD rau. The DBS will not affect facial expression. Auras are unusual sensations experienced before a seizure occurs and are not associated with PD.
Question 4 of 5
When the nurse monitors the client's neurologic status, which finding is most suggestive that the client's intracranial pressure is increasing?
Correct Answer: A
Rationale: Widening pulse pressure is a hallmark sign of increasing intracranial pressure, often accompanied by bradycardia (Cushing's triad).
Question 5 of 5
Which type of precautions should the nurse implement for the client diagnosed with septic meningitis?
Correct Answer: D
Rationale: Meningococcal meningitis is transmitted via respiratory droplets, requiring Droplet Precautions (
D) in addition to Standard Precautions. Airborne (
B) and Contact (
C) are not indicated.