Neurological Disorder NCLEX

Extract:

Question 1 of 5

Which nursing task would be most appropriate for the nurse to delegate to the unlicensed assistive personnel?

Correct Answer: C

Rationale: Assisting with bowel training by placing the client on a commode (
C) is within the UAP’s scope, involving physical assistance. Teaching (
A), administering tube feedings (
B), and observing techniques (
D) require nursing judgment and are not delegable.

Question 2 of 5

The client diagnosed with substance abuse is being discharged from a drug and alcohol rehabilitation facility. Which information should the nurse teach the client?

A. Do not go anyplace where you can be tempted to use again.' B. It is important that you attend a 12-step meeting regularly.' C. Now that you are clean, your family will be willing to see you again.' D. You should explain to all your coworkers what has happened.'

Correct Answer: B

Rationale: 12-step programs (
B) provide ongoing support and accountability, critical for maintaining sobriety. Avoiding temptation (
A) is vague, family reconciliation (
C) is not guaranteed, and disclosing to coworkers (
D) may breach privacy.

Question 3 of 5

Which intervention should be added to the client's care plan in relation to this latest finding?

A. Have the client wear dark glasses when in bright light. B. Cover the client's affected eye with an eye patch. C. Approach the client from the unaffected side. D. Position food on the tray resembling the face of a clock.

Correct Answer: C

Rationale: Approaching from the unaffected side ensures the client with hemianopia can see the nurse, compensating for visual field loss.

Question 4 of 5

The client is prescribed phenytoin (Dilantin), an anticonvulsant, for a seizure disorder. Which statement indicates the client understands the discharge teaching concerning this medication?

A. I will brush my teeth after every meal.' B. I will check my Dilantin level daily.' C. My urine will turn orange while on Dilantin.' D. I won’t have any seizures while on this medication.'

Correct Answer: A

Rationale: Phenytoin can cause gingival hyperplasia, so good oral hygiene (
A) is essential and indicates understanding. Dilantin levels (
B) are checked periodically by providers, not daily. Urine color change (
C) is not typical, and seizures may still occur (
D) if not fully controlled.

Question 5 of 5

When assisting the client with activities of daily living (ADLs), which approach is best?

A. Limit the time for performing ADLs to 30 minutes. B. Eliminate whatever tasks the client cannot perform. C. Let the client rest between activities. D. Perform all of the client's ADLs at this time.

Correct Answer: C

Rationale: Allowing rest between activities conserves energy and supports the client's independence during an MS exacerbation.

Neurological Disorder NCLEX | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN