Neurological Disorders NCLEX Questions

Extract:

Question 1 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 2 of 5

Which client statement indicates a need for further teaching about meningitis precautions?

A. I'll wear a mask when visitors come.' B. My family should wash their hands frequently.' C. I can share my water bottle with my spouse.' D. I'll stay in my room to avoid spreading germs.'

Correct Answer: C

Rationale: Sharing a water bottle can transmit meningitis, indicating a misunderstanding of droplet precaution protocols.

Question 3 of 5

A 20-year-old female client who tried lysergic acid diethylamide (LSD) as a teen tells the nurse that she has bad dreams that make her want to kill herself. Which is the explanation for this occurrence?

A. These occurrences are referred to as 'holdover reactions' to the drug. B. These are flashbacks to a time when the client had a 'bad trip.' C. The drug is still in the client’s body and causing these reactions. D. The client is suicidal and should be on one-to-one precautions.

Correct Answer: B

Rationale: LSD can cause flashbacks (
B), where users re-experience effects like bad dreams years later, especially from a 'bad trip.' Holdover reactions (
A) is not a term, LSD is not stored long-term (
C), and suicidal ideation (
D) requires assessment but is not the explanation.

Question 4 of 5

The nurse and the unlicensed assistive personnel (UAP) are caring for clients on a medical-surgical unit. Which task should not be assigned to the UAP?

A. Feed the 69-year-old client diagnosed with Parkinson’s disease who is having difficulty swallowing. B. Turn and position the 89-year-old client diagnosed with a pressure ulcer secondary to Parkinson’s disease. C. Assist the 54-year-old client diagnosed with Parkinson’s disease with toilet-training activities. D. Obtain vital signs on a 72-year-old client diagnosed with pneumonia secondary to Parkinson’s disease.

Correct Answer: A

Rationale: Feeding a client with swallowing difficulty (
A) requires nursing judgment to assess aspiration risk, so it should not be delegated. Turning/positioning (
B), assisting with toileting (
C), and vital signs (
D) are within UAP scope.

Question 5 of 5

The nurse is caring for clients on a medical unit. Which client would be most at risk for experiencing a stroke?

A. A 92-year-old client who is an alcoholic. B. A 54-year-old client diagnosed with hepatitis. C. A 60-year-old client who has a Greenfield filter. D. A 68-year-old client with chronic atrial fibrillation.

Correct Answer: D

Rationale: Atrial fibrillation (
D) increases stroke risk due to clot formation. Age (
A) is a factor but less specific, hepatitis (
B) is unrelated, and Greenfield filters (
C) prevent pulmonary embolism, not stroke.

Neurological Disorders NCLEX Questions | Nurselytic

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