NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which intervention has the highest priority for the client in the emergency department who has been in a motorcycle collision with an automobile and has a fractured left leg?
Correct Answer: A
Rationale: Trauma patients require a primary survey, prioritizing neurological status (
A) to detect head injuries, which are life-threatening. Immobilizing the leg (
B), monitoring output (
C), and IV access (
D) follow.
Question 2 of 5
The client who has expressive aphasia is having difficulty communicating with the nurse. Which action by the nurse would be most helpful?
Correct Answer: D
Rationale: Having the client face the nurse will not aid the client in expressing his or her needs. The nurse’s slow enunciation of directions will not aid the client in expressing his or her needs. Using gestures and body language will not aid the client in expressing his or her needs. Asking the client to point to needed objects would be most helpful when the client is having difficulty communicating with the nurse.
Question 3 of 5
While awaiting the diagnostic test results for a client with possible meningitis, which transmission-based precautions are the supplement?
Correct Answer: A
Rationale: Meningitis, especially bacterial, is often transmitted via respiratory droplets, necessitating droplet precautions.
Question 4 of 5
The client is scheduled for an MRI of the brain to confirm a diagnosis of Creutzfeldt-Jakob disease. Which intervention should the nurse implement prior to the procedure?
Correct Answer: A
Rationale: MRI involves a confined space, so assessing for claustrophobia (
A) ensures patient comfort and safety. Consent (
B) is required but secondary, egg yolk allergy (
C) is irrelevant, and bilateral IVs (
D) are unnecessary.
Question 5 of 5
The nurse educator is presenting an in-service on seizures. Which disease process is the leading cause of seizures in the elderly?
Correct Answer: C
Rationale: Stroke (CVA,
C) is the leading cause of seizures in the elderly due to brain tissue damage. Alzheimer’s (
A) and Parkinson’s (
B) may cause seizures but are less common, and brain atrophy (
D) is not a primary cause.