NCLEX Neurological Disorders

Extract:

Question 1 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 2 of 5

The nurse is preparing the male client for an electroencephalogram (EEG). Which intervention should the nurse implement?

A. Explain that this procedure is not painful. B. Premedicate the client with a benzodiazepine drug. C. Instruct the client to shave all facial hair. D. Tell the client it will cause him to see 'floaters.'

Correct Answer: A

Rationale: Explaining that the EEG is painless (
A) reduces anxiety. Benzodiazepines (
B) are not routine, shaving (
C) is unnecessary, and floaters (
D) are not associated.

Question 3 of 5

The client with PD has a new surgically implanted DBS. After the stimulator is operational, which criterion should the nurse use to evaluate that the DBS is effective?

A. The client has cogwheel rigidity when moving the upper extremities. B. The client has a decrease in the frequency and severity of tremors. C. The client has less facial pain and converses with more facial expression. D. The client no longer experiences auras or a severe frontal headache.

Correct Answer: B

Rationale: Cogwheel rigidity, a symptom of PD, is interrupted muscular movement and is not treated with the DBS. DBS is a treatment used for intractable tremors associated with PD. The electrical current interferes with the brain cells initiating the tremors. Severe facial pain is associated with trigeminal neuralgia, not PD rau. The DBS will not affect facial expression. Auras are unusual sensations experienced before a seizure occurs and are not associated with PD.

Question 4 of 5

The home health nurse is caring for a 28-year-old client with a T10 SCI who says, 'I can’t do anything. Why am I so worthless?' Which statement by the nurse would be most therapeutic?

A. This must be very hard for you. You’re feeling worthless?' B. You shouldn’t feel worthless—you are still alive.' C. Why do you feel worthless? You still have the use of your arms.' D. If you attended a work rehab program you wouldn’t feel worthless.'

Correct Answer: A

Rationale: Reflecting the client’s feelings (
A) validates their emotions and encourages further discussion, promoting therapeutic communication. Other options dismiss feelings (
B), challenge the client inappropriately (
C), or assume solutions (
D).

Question 5 of 5

Which method is most appropriate to provide adequate nutrition for the client at this time?

A. Crystalloid I.V. fluid B. Nasogastric tube feedings C. Total parenteral nutrition D. Gastrostomy tube feedings

Correct Answer: B

Rationale: Nasogastric tube feedings are appropriate for providing nutrition in clients with Guillain-BarrÃ© syndrome who have difficulty swallowing, as they are less invasive than total parenteral nutrition or gastrostomy tubes.

NCLEX Neurological Disorders | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN