NCLEX MUSCULOSKELETAL AND
NEUROLOGICAL DISORDERS WITH 180+
(ACTUAL EXAM) QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST 2024 ALREADY GRADED A+
A patient with Parkinson's disease has a nursing diagnosis of
impaired physical mobility related to bradykinesia. Which
action will the nurse include in the plan of care? - ANSWERS-
Suggest that the patient rock from side to side to initiate leg
movement.
rational: Rocking the body from side to side stimulates balance
and improves mobility. The patient will be encouraged to
continue exercising because this will maintain functional
abilities. Maintaining a wide base of support will help with
balance. The patient should lift the feet and avoid a shuffling
gait.
,A client undergoes cerebral angiography to evaluate for
neurologic deficits. Afterward, the nurse checks frequently for
signs and symptoms of complications associated with this
procedure. Which findings indicate spasm or occlusion of a
cerebral vessel by a clot? - ANSWERS-Hemiplegia, seizures, and
decreased level of consciousness (LOC)
The nurse is administering neostigmine to a client with
myasthenia gravis. Which nursing intervention should the nurse
implement? - ANSWERS-Schedule the medication before meals.
A client with amyotrophic lateral sclerosis (ALS) tells the nurse,
"Sometimes I feel so frustrated. I can't do anything without
help!" This comment best supports which nursing diagnosis? -
ANSWERS-Powerlessness
The nurse is planning care for a client with multiple sclerosis.
Which three problems should the nurse expect the client to
experience? - ANSWERS-Visual disturbances
Balance problems
,Mood disorders
A 78-year-old Alzheimer's client is being treated for
malnutrition and dehydration. The nurse decides to place him
closer to the nurses' station because of his tendency to: -
ANSWERS-wander.
A client with Guillain-Barré syndrome has paralysis affecting the
respiratory muscles and requires mechanical ventilation. What
should the nurse tell the client about the paralysis? - ANSWERS-
"The paralysis caused by this disease is temporary."
A client is sitting in a chair and begins having a tonic-clonic
seizure. The most appropriate nursing response is to: -
ANSWERS-carefully move him to a flat surface and turn him on
his side.
The nurse is caring for an elderly client who exhibits signs of
dementia. The most common cause of dementia in an elderly
client is: - ANSWERS-Alzheimer's disease.
, A client who's receiving phenytoin (Dilantin) to control seizures
is admitted to the health care facility for observation. The
physician orders measurement of the client's serum phenytoin
level. Which serum phenytoin level is therapeutic? - ANSWERS-
10 to 20 mcg/ml
A client is hospitalized with Guillain-Barré syndrome. Which
data collection finding is most significant? - ANSWERS-Even,
unlabored respirations
The nurse is teaching a client with multiple sclerosis. When
teaching the client how to reduce fatigue, the nurse should tell
the client to: - ANSWERS-rest in a room set at a comfortable
temperature.
A client with a tentative diagnosis of myasthenia gravis is
admitted for a diagnostic workup. Myasthenia gravis is
confirmed by: - ANSWERS-a positive edrophonium (Tensilon)
test.
NEUROLOGICAL DISORDERS WITH 180+
(ACTUAL EXAM) QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST 2024 ALREADY GRADED A+
A patient with Parkinson's disease has a nursing diagnosis of
impaired physical mobility related to bradykinesia. Which
action will the nurse include in the plan of care? - ANSWERS-
Suggest that the patient rock from side to side to initiate leg
movement.
rational: Rocking the body from side to side stimulates balance
and improves mobility. The patient will be encouraged to
continue exercising because this will maintain functional
abilities. Maintaining a wide base of support will help with
balance. The patient should lift the feet and avoid a shuffling
gait.
,A client undergoes cerebral angiography to evaluate for
neurologic deficits. Afterward, the nurse checks frequently for
signs and symptoms of complications associated with this
procedure. Which findings indicate spasm or occlusion of a
cerebral vessel by a clot? - ANSWERS-Hemiplegia, seizures, and
decreased level of consciousness (LOC)
The nurse is administering neostigmine to a client with
myasthenia gravis. Which nursing intervention should the nurse
implement? - ANSWERS-Schedule the medication before meals.
A client with amyotrophic lateral sclerosis (ALS) tells the nurse,
"Sometimes I feel so frustrated. I can't do anything without
help!" This comment best supports which nursing diagnosis? -
ANSWERS-Powerlessness
The nurse is planning care for a client with multiple sclerosis.
Which three problems should the nurse expect the client to
experience? - ANSWERS-Visual disturbances
Balance problems
,Mood disorders
A 78-year-old Alzheimer's client is being treated for
malnutrition and dehydration. The nurse decides to place him
closer to the nurses' station because of his tendency to: -
ANSWERS-wander.
A client with Guillain-Barré syndrome has paralysis affecting the
respiratory muscles and requires mechanical ventilation. What
should the nurse tell the client about the paralysis? - ANSWERS-
"The paralysis caused by this disease is temporary."
A client is sitting in a chair and begins having a tonic-clonic
seizure. The most appropriate nursing response is to: -
ANSWERS-carefully move him to a flat surface and turn him on
his side.
The nurse is caring for an elderly client who exhibits signs of
dementia. The most common cause of dementia in an elderly
client is: - ANSWERS-Alzheimer's disease.
, A client who's receiving phenytoin (Dilantin) to control seizures
is admitted to the health care facility for observation. The
physician orders measurement of the client's serum phenytoin
level. Which serum phenytoin level is therapeutic? - ANSWERS-
10 to 20 mcg/ml
A client is hospitalized with Guillain-Barré syndrome. Which
data collection finding is most significant? - ANSWERS-Even,
unlabored respirations
The nurse is teaching a client with multiple sclerosis. When
teaching the client how to reduce fatigue, the nurse should tell
the client to: - ANSWERS-rest in a room set at a comfortable
temperature.
A client with a tentative diagnosis of myasthenia gravis is
admitted for a diagnostic workup. Myasthenia gravis is
confirmed by: - ANSWERS-a positive edrophonium (Tensilon)
test.
