NCLEX Neurological Disorders | Nurselytic

Questions 85

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NCLEX Neurological Disorders Questions

Extract:


Question 1 of 5

Which sign or symptom in the client's medical history would most likely indicate a manifestation of the client's disease?

Correct Answer: C

Rationale: Drooping eyelids (ptosis) is a common symptom of myasthenia gravis due to muscle weakness affecting the ocular muscles.

Question 2 of 5

The significant other of a client diagnosed with a brain tumor asks the nurse for help identifying resources. Which would be the most appropriate referral for the nurse to make?

Correct Answer: A

Rationale: A social worker (
A) can connect the family with community resources, financial aid, and support services. Chaplains (
B) address spiritual needs, providers (
C) focus on medical care, and occupational therapists (
D) address functional deficits.

Question 3 of 5

Which intervention should the nurse implement when caring for the client diagnosed with encephalitis? Select all that apply.

Correct Answer: A,D,E

Rationale: Turning every 2 hours (
A) prevents pressure ulcers, assessing DVT (
D) addresses immobility risks, and monitoring elimination (E) ensures bowel/bladder function. Increased fluids (
B) depend on status, and supine positioning (
C) may increase ICP.

Question 4 of 5

The friend of an 18-year-old male client brings the client to the emergency department (ED). The client is unconscious and his breathing is slow and shallow. Which action should the nurse implement first?

Correct Answer: C

Rationale: Slow, shallow breathing in an unconscious client indicates respiratory depression, a life-threatening condition. Calling for a ventilator (
C) ensures immediate airway support. Asking about drugs (
A), starting an IV (
B), and applying oxygen (
D) follow airway management.

Question 5 of 5

When implementing seizure precautions, which nursing action is most appropriate?

Correct Answer: C

Rationale: Maintaining the bed in the lowest position minimizes the risk of injury from falls during a seizure.

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