NCLEX-PN
NCLEX Neurological Disorders Questions
Extract:
Question 1 of 5
Which nursing actions are essential when finding a client experiencing a tonic-clonic seizure? Select all that apply.
Correct Answer: D,E
Rationale: Rolling the client to the side prevents aspiration, and removing environmental hazards minimizes injury risk during a tonic-clonic seizure.
Question 2 of 5
On the basis of the factors that cause the client to experience paroxysmal pain, which intervention is most appropriate to include in this client's care plan?
Correct Answer: B
Rationale: Avoiding facial touch minimizes triggering paroxysmal pain in trigeminal neuralgia, which is sensitive to tactile stimuli.
Question 3 of 5
The client is diagnosed with a brain abscess. Which sign/symptom is the most common?
Correct Answer: C
Rationale: Brain abscesses cause increased ICP, leading to headaches worse in the morning (
C). Vomiting (
A) is less specific, disorientation (
B) is secondary, and petit mal seizures (
D) are less common.
Question 4 of 5
The significant other of a client diagnosed with a brain tumor asks the nurse for help identifying resources. Which would be the most appropriate referral for the nurse to make?
Correct Answer: A
Rationale: A social worker (
A) can connect the family with community resources, financial aid, and support services. Chaplains (
B) address spiritual needs, providers (
C) focus on medical care, and occupational therapists (
D) address functional deficits.
Question 5 of 5
The wife of the client diagnosed with chronic alcoholism tells the nurse, 'I have to call his work just about every Monday to let them know he is ill or he will lose his job.' Which would be the nurse’s best response?
Correct Answer: A
Rationale: Reflecting and inviting discussion (
A) validates the wife’s feelings and encourages therapeutic communication. Assuming fear (
B) is less open-ended, questioning her actions (
C) may seem judgmental, and labeling enabling (
D) could alienate her.