NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which preoperative assessment is most important to document as a basis for postoperative comparison?
Correct Answer: A
Rationale: Motor strength assessment provides a baseline to detect postoperative neurological deficits from brain tumor surgery.
Question 2 of 5
The nurse is caring for a client diagnosed with encephalitis. Which is an expected outcome for the client?
Correct Answer: A
Rationale: The goal for encephalitis is to maximize neurological recovery (
A), as inflammation may cause deficits. No memory loss (
B) is unrealistic, renal function (
C) is unrelated, and hydrocortisone cream (
D) is not indicated.
Question 3 of 5
The client is admitted to the intensive care unit (ICU) experiencing status epilepticus. Which collaborative intervention should the nurse anticipate?
Correct Answer: C
Rationale: Status epilepticus is a life-threatening continuous seizure requiring immediate IV anticonvulsants (
C), such as lorazepam or phenytoin, to stop the seizure. Neurological assessment (
A) and telemetry (
B) are supportive, and glucocorticoids (
D) are not indicated.
Question 4 of 5
The spouse of a recently retired man tells the nurse, 'All my husband does is sit around and watch television all day long. He is so irritable and moody. I don't want to be around him.' Which action should the nurse implement?
Correct Answer: C
Rationale: Irritability and mood changes post-retirement may indicate depression. Recommending an HCP evaluation for antidepressants (
C) is appropriate. Leaving alone (
A) ignores the issue, Alzheimer’s (
B) is premature, and crafts (
D) may not address mood.
Question 5 of 5
The client is diagnosed with ALS. As the disease progresses, which intervention should the nurse implement?
Correct Answer: C
Rationale: ALS progression leads to significant disability, making advance directives (
C) critical to ensure the client’s wishes are respected. Long-term care (
A) is premature, colostomy (
B) is unrelated, and wheelchair use (
D) is secondary.