NCLEX-PN
NCLEX Questions on Neurological Disorders Quizlet Questions
Extract:
Question 1 of 5
Which collaborative intervention should the nurse implement when caring for the client with West Nile virus?
Correct Answer: D
Rationale: IV fluids (
D) support hydration in West Nile virus while monitoring for overload prevents complications. Neurovascular exams (
A) are less relevant, intake/output (
B) is routine, and symptom assessment (
C) is nursing-driven.
Question 2 of 5
The nurse is caring for the client with encephalitis. Which intervention should the nurse implement first if the client is experiencing a complication?
Correct Answer: B
Rationale: Level of consciousness (
B) is the first assessment for complications in encephalitis, indicating neurological status. Pupil reactions (
A), seizures (
C), and vital signs (
D) follow.
Question 3 of 5
If the client had been unresponsive except to painful stimuli, which new assessment finding indicates that the client is improving?
Correct Answer: C
Rationale: A Glasgow Coma Scale score of 12 indicates improved responsiveness compared to being unresponsive except to painful stimuli, suggesting neurological improvement.
Question 4 of 5
The nurse in the ED documents that the newly admitted client is 'postictal upon transfer.' What did the nurse observe?
Correct Answer: B
Rationale: Jaundice and icterus are terms for yellowing of the skin. The client had experienced a tonic-clonic seizure recently and is now in a state of deep relaxation and is breathing quietly. During this period the client may be unconscious or awaken gradually, but is often confused and disoriented. Often the client is amnesic regarding the seizure. Pruritus is a term for itching. Paresthesia is the term for abnormal sensations such as tingling and burning of the skin.
Question 5 of 5
The resident in a long-term care facility fell during the previous shift and has a laceration in the occipital area that has been closed with steristrips. Which signs/symptoms would warrant transferring the resident to the emergency department?
Correct Answer: B
Rationale: Signs of shock (weak pulse, shallow respirations, cool pale skin,
B) suggest internal bleeding or serious injury post-fall, warranting ED transfer. Minor drainage (
A) is expected, normal pupils (
C) are reassuring, and a resolving headache (
D) is not urgent.