NCLEX Questions on Neurological Disorders Quizlet

Extract:

Question 1 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.

Question 2 of 5

When is the best time to clip the client's hair?

A. The night before surgery B. In the morning, after a shower C. Right before entering the operating room D. Before surgery, in the operating room area

Correct Answer: D

Rationale: Clipping hair in the operating room area minimizes infection risk by reducing the time the scalp is exposed.

Question 3 of 5

In assessing a client with a Thoracic SCI, which clinical manifestation would the nurse expect to find to support the diagnosis of neurogenic shock?

A. No reflex activity below the waist. B. Inability to move upper extremities. C. Complaints of a pounding headache. D. Hypotension and bradycardia.

Correct Answer: D

Rationale: Neurogenic shock in thoracic SCI results from loss of sympathetic tone, leading to hypotension and bradycardia (
D). No reflex activity (
A) indicates spinal shock, upper extremity paralysis (
B) occurs in cervical SCI, and headache (
C) is unrelated.

Question 4 of 5

Before requesting the clear liquids prescribed by the physician, which assessment information is essential for the nurse to know?

A. The client's ability to raise the head B. The client's preferences of clear liquids C. Whether the client's bowel sounds have returned D. The client's ability to swallow effectively

Correct Answer: D

Rationale: Assessing the ability to swallow ensures safety when initiating oral intake post-craniotomy.

Question 5 of 5

The client, who has type I DM, is scheduled for an MRI of the brain after an MVA. Which intervention should the nurse implement to prepare the client for the test?

A. Make the client NPO for six hours before the MRI and hold the morning insulin dose. B. Inform the client that the machine is noisy and that earplugs can be worn during the test. C. Explain that the extremity used for injection must remain straight for a few hours after MRI. D. Ensure that the serum BUN and creatinine levels are obtained and evaluated prior to the MRI.

Correct Answer: B

Rationale: Clients undergoing positron emission tomography (PET) scans are made NPO and have insulin held, but not those undergoing MRI. Clients are given earplugs to wear while undergoing the test because the machine makes a loud clanging noise that is unpleasant. Clients undergoing cerebral angiography, not MRI, must be on bedrest with the extremity used for injection straight for several hours after the test. Serum BUN and creatinine levels to assess renal function are required before CT scans or other tests involving contrast material to prevent renal complications.

NCLEX Questions on Neurological Disorders Quizlet | Nurselytic

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