NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
Which intervention is most appropriate for a client with a cerebral aneurysm at risk for rupture?
Correct Answer: B
Rationale: A quiet, dimly lit environment reduces stimuli that could increase intracranial pressure and risk aneurysm rupture.
Question 2 of 5
Which discharge instruction is most appropriate following the positron emission tomography scan?
Correct Answer: B
Rationale: Increasing fluid intake helps flush the radioactive tracer used in the PET scan from the body.
Question 3 of 5
The nurse is caring for the client who is having difficulty walking. Which procedure should the nurse perform to test the cerebellar function of the client?
Correct Answer: D
Rationale: Detecting sharp or dull touch is a test for peripheral nerve function. Assessing for pronator drift is a test for muscle weakness due to cerebral or brainstem dysfunction. Assessment of hand grasps compares equality of muscle strength bilaterally. Repetitive alternating motion tests the client’s coordination, an indicator of cerebellar function.
Question 4 of 5
Which instruction is most applicable after symptoms are relieved?
Correct Answer: B
Rationale: Lifting with knees bent and back straight prevents re-injury to the lumbar spine after a herniated disk.
Question 5 of 5
The nurse is assessing the client diagnosed with bacterial meningitis. Which clinical manifestations would support the diagnosis of bacterial meningitis?
Correct Answer: C
Rationale: Kernig’s sign (pain with leg extension) and nuchal rigidity (
C) are hallmark signs of bacterial meningitis due to meningeal irritation. Other options include unrelated or less specific findings.