Neurological Disorders NCLEX Questions

Extract:

Question 1 of 5

Which nursing intervention is most effective in helping a client with aphasia communicate?

Correct Answer: B

Rationale: A communication board or pictures aids communication for clients with aphasia by providing visual cues to express needs.

Question 2 of 5

A hospitalized client diagnosed with seizures has a vagus nerve stimulation (VNS) device implanted. The nurse determines that the VNS is working properly when making which observation?

A. It stimulated a heartbeat when bradycardia occurred during a seizure. B. It defibrillated a lethal rhythm that occurred during the client’s seizure. C. The client activates the VNS device to stop a seizure from occurring. D. The client activates the device at seizure onset to prevent aspiration.

Correct Answer: C

Rationale: A VNS device does not stimulate the heart to beat as a pacemaker. A VNS device does not defibrillate the heart as an implantable cardioverter/defibrillator does. A VNS is a medical device that is implanted in the chest and stimulates the vagus nerve to control seizures unresponsive to medical treatment. Clients who experience auras before a seizure use a magnet to activate the VNS to stop the seizure. The device does not have an effect on the airway or secretions.

Question 3 of 5

The nurse is caring for clients on a medical-surgical floor. Which clients should be assessed first?

A. The 65-year-old client diagnosed with seizures who is complaining of a headache that is a '2' on a 1-to-10 scale. B. The 24-year-old client diagnosed with a T10 spinal cord injury who cannot move his toes. C. The 58-year-old client diagnosed with Parkinson’s disease who is crying and worried about her facial appearance. D. The 62-year-old client diagnosed with a cerebrovascular accident who has a resolving left hemiparesis.

Correct Answer: B

Rationale: Inability to move toes in a T10 SCI (
B) may indicate neurological deterioration or edema, requiring immediate assessment. Mild headache (
A), emotional distress (
C), and resolving hemiparesis (
D) are less urgent.

Question 4 of 5

The client is diagnosed with a pituitary tumor and is scheduled for a transsphenoidal hypophysectomy. Which preoperative instruction is important for the nurse to teach?

A. There will be a large turban dressing around the skull after surgery. B. The client will not be able to eat for four (4) or five (5) days postop. C. The client should not blow the nose for two (2) weeks after surgery. D. The client will have to lie flat for 24 hours following the surgery.

Correct Answer: C

Rationale: Blowing the nose (
C) risks disrupting the surgical site and causing CSF leaks after transsphenoidal surgery. Turban dressings (
A) are not used, eating resumes sooner (
B), and flat positioning (
D) is not required.

Question 5 of 5

Which client should the nurse assess first after receiving the shift report?

A. The client diagnosed with a stroke who has right-sided paralysis. B. The client diagnosed with meningitis who complains of photosensitivity. C. The client with a brain tumor who has projectile vomiting. D. The client with epilepsy who complains of tender gums.

Correct Answer: C

Rationale: Projectile vomiting (
C) in a brain tumor suggests increased ICP, a life-threatening condition requiring immediate assessment. Paralysis (
A), photosensitivity (
B), and tender gums (
D) are less urgent.

Neurological Disorders NCLEX Questions | Nurselytic

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