Neurological Disorders NCLEX Questions 1-5

This is a 5-item Neurological Disorders NCLEX Questions covering topics about Degenerative Diseases. The questions below will help you understand more appropriate nursing management for neurological system. Good luck!

1. The nurse is teaching a client with myasthenia gravis about the prevention of myasthenic and cholinergic crises. Which client activity suggests that teaching is most effective?

a) Eating large, well-balanced meals
b) Doing muscle-strengthening exercises
c) Doing all chores early in the day while less fatigued
d) Taking medications on time to maintain therapeutic blood levels

2. The nurse has given instructions to a client with Parkinson’s disease about maintaining mobility. Which action demonstrates that the client understands the directions?

a) Sits in soft, deep chairs to promote comfort.
b) Exercises in the evening to combat fatigue.
c) Rocks back and forth to start movement with bradykinesia.
d) Buys clothes with many buttons to maintain finger dexterity.

3. Neurological Disorders NCLEX Questions about the nurse who has given suggestions to a client with trigeminal neuralgia about strategies to minimize episodes of pain. The nurse determines that the client needs further education if the client makes which statement?

a) “I will wash my face with cotton pads.”
b) “I’ll have to start chewing on my unaffected side.”
c) “I’ll try to eat my food either very warm or very cold.”
d) “I should rinse my mouth if toothbrushing is painful.”

4. The client is admitted to the hospital with a diagnosis of Guillain-Barré syndrome. Which past medical history finding makes the client most at risk for this disease?

a) Meningitis or encephalitis during the last 5 years
b) Seizures or trauma to the brain within the last year
c) Back injury or trauma to the spinal cord during the last 2 years
d) Respiratory or gastrointestinal infection during the previous month

5. A client with Guillain-Barré syndrome has ascending paralysis and is intubated and receiving mechanical ventilation. Which strategy should the nurse incorporate in the plan of care to help the client cope with this illness?

a) Giving client full control over care decisions and restricting visitors
b) Providing positive feedback and encouraging active range of motion
c) Providing information, giving positive feedback, and encouraging relaxation
d) Providing intravenously administered sedatives, reducing distractions, and limiting visitors

Neurological Disorders NCLEX Questions
Answers and Rationale

1) D
- Rationale: Clients with myasthenia gravis are taught to space out activities over the day to conserve energy and restore muscle strength. Taking medications correctly to maintain blood levels that are not too low or too high is important. Muscle-strengthening exercises are not helpful and can fatigue the client. Overeating is a cause of exacerbation of symptoms, as is exposure to heat, crowds, erratic sleep habits, and emotional stress.

- Test-Taking Strategy: Note the strategic words most effective. Recalling that the common causes of myasthenic and cholinergic crises are undermedication and overmedication, respectively, will assist you in eliminating each of the incorrect options. No other option would prevent both of those complications.

2) C
- Neurological Disorders NCLEX Questions Rationale: The client with Parkinson’s disease should exercise in the morning when energy levels are highest. The client should avoid sitting in soft deep chairs because they are difficult to get up from. The client can rock back and forth to initiate movement. The client should buy clothes with Velcro fasteners and slide-locking buckles to support the ability to dress self.

- Test-Taking Strategy: Focus on the subject, maintaining mobility in Parkinson’s disease. Option B is not useful to clients with fatigue from any disorder, so eliminate this option first. Knowing that the client with Parkinson’s has difficulty with movement and dexterity helps eliminate options A and D next.

3) C
- Rationale: Facial pain can be minimized by using cotton pads to wash the face and using room temperature water. The client should chew on the unaffected side of the mouth, eat a soft diet, and take in foods and beverages at room temperature. If toothbrushing triggers pain, an oral rinse after meals may be helpful instead.

- Test-Taking Strategy: Note the strategic words needs further education. These words indicate a negative event query and ask you to select an option that is incorrect. Recall that the pain of trigeminal neuralgia is triggered by mechanical or thermal stimuli. Very hot or cold foods are likely to trigger the pain, not relieve it.

4) D
- Rationale: Guillain-Barré syndrome is a clinical syndrome of unknown origin that involves cranial and peripheral nerves. Many clients report a history of respiratory or gastrointestinal infection in the 1 to 4 weeks before the onset of neurological deficits. On occasion, the syndrome can be triggered by vaccination or surgery.

- Neurological Disorders NCLEX Questions Test-Taking Strategy: Note the strategic word, most. Use knowledge regarding the causes related to this disorder. Remember that a recent history of respiratory or gastrointestinal infection is a predisposing factor.

5) C
- Rationale: The client with Guillain-Barré syndrome experiences fear and anxiety from the ascending paralysis and sudden onset of the disorder. The nurse can alleviate these fears by providing accurate information about the client’s condition, giving expert care and positive feedback to the client, and encouraging relaxation and distraction. The family can become involved with selected care activities and provide diversion for the client as well.

- Test-Taking Strategy: Focus on the subject, helping a client cope with illness. Option A should be eliminated first because it is not practical to think that the client would want full control over all care decisions. The client who is paralyzed cannot participate in active range of motion, which eliminates option B. From the remaining options, the correct option is more beneficial in helping the client cope than the remaining, incorrect option.

After you reviewed your answers through its rationale, you can go to the next page to continue your review: 

Neurological Disorders NCLEX Questions 6-10

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