Neurological Disorder NCLEX

Extract:

Question 1 of 5

Which nursing action would be most appropriate if the client develops anorexia and nausea while taking interferon beta-1a (Avonex)?

Correct Answer: D

Rationale: Providing small, easy-to-digest meals helps manage nausea and encourages nutritional intake without altering the medication schedule.

Question 2 of 5

The nurse caring for a client diagnosed with Parkinson’s disease writes a problem of 'impaired nutrition.' Which nursing intervention would be included in the plan of care?

A. Consult the occupational therapist for adaptive appliances for eating. B. Request a low-fat, low-sodium diet from the dietary department. C. Provide three (3) meals per day that include nuts and whole-grain breads. D. Offer six (6) meals per day with a soft consistency.

Correct Answer: A

Rationale: PD can impair fine motor skills, making eating difficult. Consulting an occupational therapist (
A) for adaptive appliances supports nutritional intake. Low-fat diets (
B) are not specific, nuts/breads (
C) may be hard to chew, and six soft meals (
D) may not address motor issues.

Question 3 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).

Question 4 of 5

The nurse learns in report that the client admitted with a vertebral fracture has a halo external fixation device in place. Which intervention should the nurse plan?

A. Ensure the traction weight hangs freely B. Remove the vest from the device at bedtime C. Cleanse sites where the pins enter the skull D. Screw the pins in the skull daily to tighten.

Correct Answer: C

Rationale: Neither traction nor weights are part of the halo device. The halo external fixation device includes a vest that is worn continuously and should not be removed. The neurosurgeon will discontinue it when the injury has stabilized and sufficient healing has occurred. A halo external fixation device is a static device that consists of a “halo” that is screwed into the skull by four pins. It is attached to a vest that the client wears. The device provides immobilization and stability to the spinal cord while healing occurs with or without surgical intervention. Care includes inspection and cleansing of the pin sites. The nurse should not tighten the pins. These are secured in the skull to maintain alignment of the cervical vertebrae. If loose, the nurse should contact the HCP for tightening.

Question 5 of 5

The client diagnosed with delirium tremens when trying to quit drinking cold turkey is admitted to the medical unit. Which medications would the nurse anticipate administering?

A. Thiamine (vitamin B6) and librium, a benzodiazepine. B. Dilantin, an anticonvulsant, and Feosol, an iron preparation. C. Methadone, a synthetic narcotic, and Depakote, a mood stabilizer. D. Mannitol, an osmotic diuretic, and Ritalin, a stimulant.

Correct Answer: A

Rationale: Delirium tremens requires thiamine (vitamin B1, not B6) to prevent Wernicke’s encephalopathy and benzodiazepines like Librium (
A) to manage withdrawal symptoms. Other options are unrelated to delirium tremens management.

Neurological Disorder NCLEX | Nurselytic

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