NCLEX Questions on Neurological Disorders Quizlet

Extract:

Question 1 of 5

Which is a common cognitive problem associated with Parkinson’s disease?

Correct Answer: B

Rationale: Depression (
B) is a common cognitive/emotional problem in Parkinson’s due to dopamine dysregulation and chronic illness impact. Emotional lability (
A) is less common, memory deficits (
C) occur later, and paranoia (
D) is not typical.

Question 2 of 5

The nurse is assessing the client following a closed head injury. When applying nailbed pressure, the client’s body suddenly stiffens, the eyes roll upward, and there is an increase in salivation and loss of swallowing reflex. Which observation should the nurse document?

A. Decerebrate posturing observed B. Decorticate posturing observed C. Positive Kernig’s sign observed D. Seizure activity observed

Correct Answer: D

Rationale: Decerebrate posture involves rigid extension of the arms and legs, downward pointing of the toes, and backward arching of the head. Decorticate posture involves rigidity, flexion of the arms toward the body with the wrists and fingers clenched and held on the chest, and the legs extended. A positive Kernig’s sign is flexing the leg at the hip and then raising the leg into extension. Severe head and neck pain occurs. Body stiffening, eyes rolled upward, increase in salivation, and a loss of swallowing reflex are signs consistent with the tonic phase of a tonic-clonic seizure. This phase is followed by the clonic phase with violent muscle contractions.

Question 3 of 5

Which statement by a client with Alzheimer's disease indicates a need for further safety teaching?

A. I'll use a nightlight in my bedroom.' B. I can cook meals on the stove alone.' C. I'll keep my medications in a locked box.' D. I'll wear a medical alert bracelet.'

Correct Answer: B

Rationale: Cooking alone on the stove poses a fire risk for clients with Alzheimer's due to memory and judgment impairments.

Question 4 of 5

When a client is injured during a seizure, which fact is most important to document on the incident (accident) report to reduce the risk of liability?

A. The client was assigned to a licensed nurse. B. The signal cord was within the client's reach. C. The client's vital signs had been stable. D. The client was last observed reading.

Correct Answer: B

Rationale: Documenting that the signal cord was within reach indicates that safety measures were in place, reducing liability.

Question 5 of 5

When preparing the client for an EEG, which nursing action is most appropriate?

A. Administer a sedative 1 hour before the test. B. Withhold food and water after midnight on the day of the test. C. Assist with shampooing the client's hair. D. Take the client's blood pressure while lying and sitting.

Correct Answer: C

Rationale: Shampooing the client's hair ensures a clean scalp, improving electrode contact for an accurate EEG.

NCLEX Questions on Neurological Disorders Quizlet | Nurselytic

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