NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
Which client would the nurse identify as being most at risk for experiencing a cerebrovascular accident (CVA)?
Correct Answer: B
Rationale: Risk factors for CVA include advanced age, hypertension, diabetes, and ethnicity, with African Americans and Asians at higher risk. An 84-year-old Japanese female is at the highest risk due to her age and potential for comorbidities like hypertension, which is prevalent in older populations. A 55-year-old African American male is also at risk, but age is a stronger factor. Pregnancy increases risk but is less significant compared to advanced age.
Question 2 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.
Question 3 of 5
The nurse is working with several clients in a substance abuse clinic. Client A tells the nurse that another client, Client B, has 'started using again.' Which action should the nurse implement?
Correct Answer: D
Rationale: Allegations of relapse require direct assessment. Contacting Client B (
D) allows the nurse to evaluate the situation respectfully. Discussing Client B with Client A (
A) or probing Client A (
B) breaches confidentiality, and informing the HCP (
C) is premature without verification.
Question 4 of 5
If the client begins to have a seizure after the EEG, which action should the nurse take first?
Correct Answer: D
Rationale: Placing the client in a side-lying position prevents aspiration and maintains airway patency during a seizure.
Question 5 of 5
Which response by the nurse is most appropriate?
Correct Answer: C
Rationale: Clipping avoids microscopic cuts from shaving, reducing infection risk, which is critical for craniotomy.