NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which problem is the highest priority for the client diagnosed with West Nile virus?
Correct Answer: A
Rationale: Fever (alteration in body temperature,
A) is a primary symptom of West Nile virus, requiring priority management to prevent complications. Perfusion (
B), fluid excess (
C), and skin integrity (
D) are less immediate.
Question 2 of 5
Which assessment data would make the nurse suspect that the client with a C7 spinal cord injury is experiencing autonomic dysreflexia?
Correct Answer: B
Rationale: Autonomic dysreflexia in SCI causes severe headache (
B) due to hypertensive crisis from a trigger like bladder distention. Diaphoresis (
A) is secondary, motor loss (
C) is expected, and spasticity (
D) is chronic.
Question 3 of 5
When the nursing team discusses the client's plan of care, which has the highest priority?
Correct Answer: A
Rationale: Preventing skin breakdown is the highest priority to avoid complications like pressure ulcers in clients with spinal cord injuries.
Question 4 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 5 of 5
The client who has expressive aphasia is having difficulty communicating with the nurse. Which action by the nurse would be most helpful?
Correct Answer: D
Rationale: Having the client face the nurse will not aid the client in expressing his or her needs. The nurse’s slow enunciation of directions will not aid the client in expressing his or her needs. Using gestures and body language will not aid the client in expressing his or her needs. Asking the client to point to needed objects would be most helpful when the client is having difficulty communicating with the nurse.