Neurological Disorder NCLEX

Extract:

Question 1 of 5

Which information should be shared with the client diagnosed with stage I Alzheimer's disease who is prescribed donepezil (Aricept), a cholinesterase inhibitor?

Correct Answer: B

Rationale: Donepezil delays Alzheimer’s progression but does not cure it (
B). Lifelong use (
A) is not mandatory, serum levels (
C) are not routine, and muscle aches (
D) are not a primary concern.

Question 2 of 5

The client is scheduled for an electroencephalogram (EEG) to help diagnose a seizure disorder. Which preprocedure teaching should the nurse implement?

A. Tell the client to take any routine antiseizure medication prior to the EEG. B. Tell the client not to eat anything for eight (8) hours prior to the procedure. C. Instruct the client to stay awake for 24 hours prior to the EEG. D. Explain to the client that there will be some discomfort during the procedure.

Correct Answer: A

Rationale: Taking routine antiseizure medications (
A) ensures therapeutic levels during the EEG, avoiding seizures that could skew results. Fasting (
B) is unnecessary, sleep deprivation (
C) may be used in specific cases but not routinely, and EEGs are painless (
D).

Question 3 of 5

To correctly perform the eye irrigation, the nurse instills the eye irrigant in which direction?

A. In the lower conjunctiva toward the corneal surface B. From the outer canthus of the eye to the inner canthus C. From the nasal corner of the eye toward the temple D. From the margins of the eyelashes to the folds of the lids

Correct Answer: C

Rationale: Instilling irrigant from the inner canthus to the outer canthus follows the natural flow of tears, preventing contamination.

Question 4 of 5

When the client is observed wandering about the facility, the nurse modifies the client's care plan to provide for safety. Which nursing intervention is most appropriate at this time?

A. Keep the client confined to the room. B. Attach an identity tag to the client's clothes. C. Lock all the outside doors in the facility. D. Make sure the client knows the location of the facility.

Correct Answer: B

Rationale: An identity tag helps ensure the client can be identified and returned safely if they wander, promoting safety without restricting freedom.

Question 5 of 5

Which nursing task would be most appropriate for the nurse to delegate to the unlicensed assistive personnel?

A. Teach Credé’s maneuver to the client needing to void. B. Administer the tube feeding to the client who is quadriplegic. C. Assist with bowel training by placing the client on the bedside commode. D. Observe the client demonstrating self-catheterization technique.

Correct Answer: C

Rationale: Assisting with bowel training by placing the client on a commode (
C) is within the UAP’s scope, involving physical assistance. Teaching (
A), administering tube feedings (
B), and observing techniques (
D) require nursing judgment and are not delegable.

Neurological Disorder NCLEX | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN