Neurological Disorder NCLEX

Extract:

Question 1 of 5

Which nursing intervention is most appropriate after the lumbar puncture has been performed?

Correct Answer: D

Rationale: Keeping the client flat for several hours post-lumbar puncture reduces the risk of cerebrospinal fluid leakage and subsequent headache.

Question 2 of 5

When planning care for this client, which equipment is most important for the nurse to keep at the bedside?

A. A cardiac defibrillator in case of cardiac arrest B. A suction machine in case of compromised swallowing C. A cooling blanket in case of hyperthermia D. An IV infusion pump for fluid administration

Correct Answer: B

Rationale: A suction machine is essential to clear secretions in myasthenia gravis clients with compromised swallowing, preventing aspiration.

Question 3 of 5

The male client diagnosed with a brain tumor is scheduled for a magnetic resonance imaging (MRI) scan in the morning. The client tells the nurse that he is scared. Which response by the nurse indicates an appropriate therapeutic response?

A. MRIs are loud but there will not be any invasive procedure done.' B. You’re scared. Tell me about what is scaring you.' C. This is the least thing to be scared about—there will be worse.' D. I can call the MRI tech to come and talk to you about the scan.'

Correct Answer: B

Rationale: Reflecting the client’s fear (
B) encourages expression of concerns, fostering therapeutic communication. Other options provide information (A,
D) or minimize feelings (
C).

Question 4 of 5

The nurse is caring for a client who has had a stroke. Which nursing intervention is most appropriate to prevent contractures in the affected limbs?

A. Perform passive range-of-motion exercises daily. B. Apply splints to the affected limbs continuously. C. Encourage the client to perform active exercises hourly. D. Massage the affected limbs every 4 hours.

Correct Answer: A

Rationale: Passive range-of-motion exercises prevent contractures by maintaining joint mobility in clients with stroke-related paralysis.

Question 5 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).

Neurological Disorder NCLEX | Nurselytic

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