NCLEX-PN
NCLEX Neurological Disorders Questions
Extract:
Question 1 of 5
Which priority goal would the nurse identify for a client diagnosed with Parkinson’s Disease (PD)?
Correct Answer: A
Rationale: Maintaining mobility and safe swallowing (
A) are priority goals in Parkinson’s to prevent falls and aspiration. Verbalizing feelings (
B), understanding medications (
C), and home health (
D) are secondary.
Question 2 of 5
The nurse is admitting a client with the diagnosis of Parkinson’s disease. Which assessment data support this diagnosis?
Correct Answer: D
Rationale: Masklike facies and shuffling gait (
D) are hallmark signs of Parkinson’s due to bradykinesia and rigidity. Crackles and JVD (
A) suggest heart failure, weakness and ptosis (
B) indicate myasthenia gravis, and exaggerated arm swinging (
C) is opposite to Parkinson’s.
Question 3 of 5
The client is at risk for septic emboli after being diagnosed with meningococcal meningitis. Which action by the nurse directly addresses this risk?
Correct Answer: D
Rationale: Monitoring VS is indicated but does not address the complication of septic emboli. Immunization with the meningococcal polysaccharide vaccine (Menomune) is a preventive measure against meningitis and would not be included in treatment. Frequent neurological assessments are indicated but do not address the complication of septic emboli. Frequent vascular assessments will detect vascular compromise secondary to septic emboli. Early detection allows for interventions that will prevent gangrene and possible loss of limb.
Question 4 of 5
Which method is most appropriate to provide adequate nutrition for the client at this time?
Correct Answer: B
Rationale: Nasogastric tube feedings are appropriate for providing nutrition in clients with Guillain-Barré syndrome who have difficulty swallowing, as they are less invasive than total parenteral nutrition or gastrostomy tubes.
Question 5 of 5
The client has undergone a craniotomy for a brain tumor. Which data indicate a complication of this surgery?
Correct Answer: B
Rationale: Significant output (3,500 mL) compared to intake (1,000 mL,
B) suggests diabetes insipidus, a complication of craniotomy due to pituitary dysfunction. Mild headache (
A), sore throat (
C), and orthostatic dizziness (
D) are less concerning.