NCLEX-PN
NCLEX Neurological Disorders Questions
Extract:
Question 1 of 5
Which clinical manifestation is the educator most likely to include as the initial sign of Parkinson's disease?
Correct Answer: B
Rationale: Muscle tremors, particularly resting tremors, are often the initial sign of Parkinson's disease.
Question 2 of 5
Which finding in a brain-dead client confirms the diagnosis?
Correct Answer: B
Rationale: Apnea during an apnea test (no spontaneous breathing) is a key criterion for confirming brain death.
Question 3 of 5
When implementing this medical order, which nursing action is most appropriate?
Correct Answer: B
Rationale: Wrapping the cooling blanket in a light cloth cover prevents direct skin contact, reducing the risk of thermal injury while allowing effective cooling.
Question 4 of 5
Which intervention should the nurse implement when caring for the client diagnosed with encephalitis? Select all that apply.
Correct Answer: A,D,E
Rationale: Turning every 2 hours (
A) prevents pressure ulcers, assessing DVT (
D) addresses immobility risks, and monitoring elimination (E) ensures bowel/bladder function. Increased fluids (
B) depend on status, and supine positioning (
C) may increase ICP.
Question 5 of 5
Spinal precautions are ordered for the client who sustained a neck injury during an MVA. The client has yet to be cleared that there is no cervical fracture. Which action is the nurse’s priority when receiving the client in the ED?
Correct Answer: C
Rationale: The nurse should determine the neurological status using the GCS, but this is not the priority. The nurse should assess sensation status at intervals to determine neurological injury progression, but this is not the priority. Maintaining the correct placement of the cervical collar will keep the client’s head and neck in a neutral position and prevent further injury if a spinal fracture or SCI is present. Because ensuring that the cervical collar is correctly placed will prevent further injury, it is priority. Applying antiembolism hose is an intervention to prevent thromboembolic complications, but this is not the priority.