NCLEX-PN
NCLEX Neurological Disorders Questions
Extract:
Question 1 of 5
Which instruction should the nurse include for a client taking phenytoin (Dilantin)?
Correct Answer: A
Rationale: Phenytoin can cause gingival hyperplasia; gentle brushing helps prevent gum complications.
Question 2 of 5
The nurse is admitting the client for rule-out encephalitis. Which interventions should the nurse assess to support the diagnosis of encephalitis? Select all that apply.
Correct Answer: C
Rationale: Encephalitis is often viral, with herpes simplex virus (HSV-1,
C) a common cause, supporting the diagnosis. Recent immunizations (
A), colds (
B), travel (
D), and fungal exposure (E) are less directly linked to encephalitis.
Question 3 of 5
The nurse observes a coworker acting erratically. The clients assigned to this coworker don’t seem to get relief when pain medications are administered. Which action should the nurse implement?
Correct Answer: C
Rationale: Erratic behavior and ineffective pain relief suggest possible drug diversion. Reporting to the supervisor or peer review (
C) ensures proper investigation while protecting patients. Confronting (
A) may escalate, taking over medications (
B) doesn’t address the issue, and waiting for proof (
D) risks harm.
Question 4 of 5
Before the client undergoes the craniotomy, the nurse inserts a urinary catheter. How far should the catheter be inserted if the client is a male?
Correct Answer: D
Rationale: For a male, the urinary catheter should be inserted 8'' to 10'' to reach the bladder adequately.
Question 5 of 5
Which method is most appropriate to provide adequate nutrition for the client at this time?
Correct Answer: B
Rationale: Nasogastric tube feedings are appropriate for providing nutrition in clients with Guillain-Barré syndrome who have difficulty swallowing, as they are less invasive than total parenteral nutrition or gastrostomy tubes.