NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which diagnostic evaluation tool would the nurse use to assess the client’s cognitive functioning? Select all that apply.
Correct Answer: B,C
Rationale: SLUMS (
B) and MMSE (
C) directly assess cognitive functions like memory and orientation. GDS (
A) assesses depression, MDED (
D) is not standard, and FIMS (E) measures physical function.
Question 2 of 5
Which environmental modifications should the nurse implement? Select all that apply.
Correct Answer: B,C,F
Rationale: Lowering the bed, padding side rails, and ensuring suction equipment availability reduce injury risk and manage complications during a seizure.
Question 3 of 5
The 29-year-old client who was employed as a forklift operator sustains a traumatic brain injury (TBI) secondary to a motor-vehicle accident. The client is being discharged from the rehabilitation unit after three (3) months and has cognitive deficits. Which goal would be most realistic for this client?
Correct Answer: B
Rationale: Cognitive deficits post-TBI may limit complex tasks. Focusing for 10 minutes (
B) is a realistic short-term goal to build cognitive endurance. Returning to work (
A) may be unrealistic within 6 months, dressing independently (
C) requires motor and cognitive skills, and bowel/bladder control (
D) may be affected by physical deficits.
Question 4 of 5
The nurse is caring for a client diagnosed with an epidural hematoma. Which nursing interventions should the nurse implement? Select all that apply.
Correct Answer: B,C
Rationale: Stool softeners (
B) prevent straining, which could increase ICP. Maintaining pulse oximetry >93% (
C) ensures adequate oxygenation. High HOB elevation (
A) may reduce cerebral perfusion, deep suction (
D) risks increasing ICP, and sedatives (E) may mask neurological changes.
Question 5 of 5
The nurse is discussing psychosocial implications of Huntington's chorea with the adult child of a client diagnosed with the disease. Which psychosocial intervention should the nurse implement?
Correct Answer: D
Rationale: Huntington’s has a 50% genetic risk. Allowing the child to express fears (
D) addresses psychosocial needs therapeutically. Genetic counseling (
A) is appropriate but secondary, warming trays (
B) are irrelevant, and abandonment discussions (
C) may guilt-trip.