Neurological Disorder NCLEX

Extract:

Question 1 of 5

Which laboratory result is most concerning for a client with suspected meningitis?

Correct Answer: B

Rationale: Decreased glucose in cerebrospinal fluid is a hallmark of bacterial meningitis, indicating infection and requiring urgent treatment.

Question 2 of 5

The client diagnosed with a brain tumor was admitted to the intensive care unit with decorticate posturing. Which indicates that the client’s condition is becoming worse?

A. The client has purposeful movement with painful stimuli. B. The client has assumed adduction of the upper extremities. C. The client is aimlessly thrashing in the bed. D. The client has become flaccid and does not respond to stimuli.

Correct Answer: D

Rationale: Flaccid paralysis and unresponsiveness (
D) indicate severe brain dysfunction or progression to brain death, worse than decorticate posturing. Purposeful movement (
A) or thrashing (
C) suggest improvement, and adduction (
B) is not a standard indicator.

Question 3 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 4 of 5

The nurse is caring for several clients. Which client would the nurse assess first after receiving the shift report?

A. The 22-year-old male client diagnosed with a concussion who is complaining someone is waking him up every two (2) hours. B. The 36-year-old female client admitted with complaints of left-sided weakness who is scheduled for a magnetic resonance imaging (MRI) scan. C. The 45-year-old client admitted with blunt trauma to the head after a motorcycle accident who has a Glasgow Coma Scale (GCS) score of 6. D. The 62-year-old client diagnosed with a cerebrovascular accident (CVA) who has expressive aphasia.

Correct Answer: C

Rationale: A GCS score of 6 (
C) indicates severe neurological impairment, requiring immediate assessment for potential life-threatening conditions. Waking every 2 hours (
A) is standard for concussion, left-sided weakness (
B) is concerning but less acute, and expressive aphasia (
D) is stable.

Question 5 of 5

The public health department nurse is preparing a lecture on prevention of West Nile virus. Which information should the nurse include?

A. Change water daily in pet dishes and birdbaths. B. Wear thick, dark clothing when outside to avoid bites. C. Apply insect repellent over face and arms only. D. Explain that mosquitoes are more prevalent in the morning.

Correct Answer: A

Rationale: Changing water daily in pet dishes and birdbaths (
A) prevents mosquito breeding, reducing West Nile virus risk. Thick clothing (
B) should be light-colored, repellent (
C) should cover all exposed areas, and mosquitoes are more active at dusk (
D).

Neurological Disorder NCLEX | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN