Neurological Disorder NCLEX

Extract:

Question 1 of 5

Which response by the nurse is most appropriate?

Correct Answer: C

Rationale: Clipping avoids microscopic cuts from shaving, reducing infection risk, which is critical for craniotomy.

Question 2 of 5

The client recently has been diagnosed with trigeminal neuralgia. Which intervention is most important for the nurse to implement with the client?

A. Assess the client's sense of smell and taste. B. Teach the client how to care for the eyes. C. Instruct the client to have carbamazepine (Tegretol) levels monitored Multiple Choicely. D. Assist the client to identify factors that trigger an attack.

Correct Answer: C

Rationale: Carbamazepine is a primary treatment for trigeminal neuralgia, and Multiple
Choice monitoring of levels (
C) prevents toxicity and ensures efficacy. Smell/taste (
A) are unaffected, eye care (
B) is relevant for Bell’s palsy, and triggers (
D) are secondary to medication management.

Question 3 of 5

The nurse is conducting a support group for clients diagnosed with Parkinson’s disease and their significant others. Which information regarding psychosocial needs should be included in the discussion?

A. The client should discuss feelings about being placed on a ventilator. B. The client may have rapid mood swings and become easily upset. C. Pill-rolling tremors will become worse when the medication is wearing off. D. The client may automatically start to repeat what another person says.

Correct Answer: B

Rationale: Rapid mood swings and emotional upset (
B) are common in Parkinson’s due to dopamine fluctuations, addressing psychosocial needs. Ventilator discussions (
A) are irrelevant, tremors (
C) are physical, and echolalia (
D) is not typical.

Question 4 of 5

Which nursing action would be most appropriate if the client develops anorexia and nausea while taking interferon beta-1a (Avonex)?

A. Withhold the medication. B. Offer frequent mouth care. C. Administer the drug after meals. D. Provide small, easy to digest meals.

Correct Answer: D

Rationale: Providing small, easy-to-digest meals helps manage nausea and encourages nutritional intake without altering the medication schedule.

Question 5 of 5

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

A. Teach Credé’s maneuver to the client needing to void. B. Administer the tube feeding to the client who is quadriplegic. C. Assist with bowel training by placing the client on the bedside commode. D. Observe the client demonstrating self-catheterization technique.

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.

Neurological Disorder NCLEX | Nurselytic

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NCLEX-PN

NCLEX-PN