NCLEX Questions on Neurological Disorders Quizlet | Nurselytic

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NCLEX Questions on Neurological Disorders Quizlet Questions

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Question 1 of 5

Which statement by a client with Alzheimer's disease indicates a need for further safety teaching?

Correct Answer: B

Rationale: Cooking alone on the stove poses a fire risk for clients with Alzheimer's due to memory and judgment impairments.

Question 2 of 5

The nurse is developing a plan of care for a client diagnosed with aseptic meningitis secondary to a brain tumor. Which nursing goal would be most appropriate for the client problem 'altered cerebral tissue perfusion'?

Correct Answer: B

Rationale: Altered cerebral perfusion in meningitis may lead to seizures. Protecting from injury during seizures (
B) addresses this risk. ADLs (
A), fever (
C), and tissue turgor (
D) are unrelated to perfusion.

Question 3 of 5

The nurse is assessing the client following a closed head injury. When applying nailbed pressure, the client’s body suddenly stiffens, the eyes roll upward, and there is an increase in salivation and loss of swallowing reflex. Which observation should the nurse document?

Correct Answer: D

Rationale: Decerebrate posture involves rigid extension of the arms and legs, downward pointing of the toes, and backward arching of the head. Decorticate posture involves rigidity, flexion of the arms toward the body with the wrists and fingers clenched and held on the chest, and the legs extended. A positive Kernig’s sign is flexing the leg at the hip and then raising the leg into extension. Severe head and neck pain occurs. Body stiffening, eyes rolled upward, increase in salivation, and a loss of swallowing reflex are signs consistent with the tonic phase of a tonic-clonic seizure. This phase is followed by the clonic phase with violent muscle contractions.

Question 4 of 5

The client diagnosed with PD is being discharged on carbidopa/levodopa (Sinemet), an antiparkinsonian drug. Which statement is the scientific rationale for combining these medications?

Correct Answer: C

Rationale: Carbidopa inhibits peripheral breakdown of levodopa, allowing more levodopa to cross the blood-brain barrier and convert to dopamine (
C). This enhances efficacy and reduces side effects. Other options are incorrect.

Question 5 of 5

Which statement by the female client indicates that the client understands factors that may precipitate seizure activity?

Correct Answer: C

Rationale: Stress can trigger seizures, so stress management classes (
C) indicate understanding of seizure precipitants. Coffee (
A) may increase seizure risk, menstrual cycles (
B) can affect seizures due to hormonal changes, and dark glasses (
D) are unrelated unless photosensitivity is a trigger.

Similar Questions

Which assessment data would indicate to the nurse that the client would be at risk for a hemorrhagic stroke?
Which teaching topics should the nurse cover before discharge? Select all that apply.
When a client is injured during a seizure, which fact is most important to document on the incident (accident) report to reduce the risk of liability?
The client diagnosed with a brain abscess has become lethargic and difficult to arouse. Which intervention should the nurse implement first?
Which assessment data indicate that the client with a traumatic brain injury (TBI) exhibiting decorticate posturing on admission is responding effectively to treatment?

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