NCLEX Questions for Neurological System

NCLEX Questions for Neurological System Related

Review NCLEX Questions for Neurological System related questions and content

Acetylcholine is a neurotransmitter that provides for communication between muscles and nerves. When there is a problem with the interaction between acetylcholine and the acetylcholine receptor sites on the muscles, which condition(s) can occur?

  • A. Myasthenia gravis
  • B. Botulism
  • C. Multiple sclerosis
  • D. A and B
Correct Answer: D

Rationale: Myasthenia gravis and botulism are conditions that result from impaired acetylcholine function. Myasthenia gravis is an autoimmune disorder that blocks acetylcholine receptors, while botulism prevents acetylcholine release. Multiple sclerosis affects the myelin sheath, not acetylcholine. Understanding these conditions highlights the importance of acetylcholine in neuromuscular communication.

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A client with a disease of the bones is beginning to feel better. Which of the following critical instructions should a nurse provide this client at this stage?

  • A. Advise the client to reduce the dosage of the prescribed drugs
  • B. Caution the client against discontinuing the prescribed drugs
  • C. Encourage the client to resume heavy activity
  • D. Encourage the client to gain weight
Correct Answer: B

Rationale: Discontinuing medication prematurely can lead to worsening of the condition.

Testosterone is to ________ as estrogen is to ________.

  • A. thyroid, parathyroid
  • B. testes, ovaries
  • C. sympathetic, parasympathetic
  • D. pancreas, pituitary
Correct Answer: B

Rationale: Testosterone is primarily produced by the testes in males, while estrogen is primarily produced by the ovaries in females. Both hormones play crucial roles in reproductive development and function. Testosterone is associated with male secondary sexual characteristics, such as muscle mass and facial hair, while estrogen regulates the menstrual cycle and female secondary sexual characteristics. These hormones also have broader effects on mood, bone density, and overall health.

The vital centers for the control of visceral activities such as heart rate, breathing, blood pressure, swallowing, and vomiting are located in the:

  • A. pons
  • B. medulla oblongata
  • C. midbrain
  • D. cerebrum
Correct Answer: B

Rationale: The medulla oblongata contains vital centers for controlling heart rate, breathing, blood pressure, swallowing, and vomiting. The pons, midbrain, cerebrum, and hypothalamus are not primarily responsible for these functions. Therefore, B is the correct answer.

A new patient arrived in a physician's unit. He or she has been diagnosed with a brain tumor. The physician is told that the patient is unable to speak. Based on this sign, where is the tumor located?

  • A. Frontal lobe.
  • B. Occipital lobe.
  • C. Cerebellum.
  • D. Parietal lobe.
Correct Answer: A

Rationale: The frontal lobe controls speech and language functions.

What does a positive Babinski sign in an adult suggest?

  • A. Possible upper motor neuron dysfunction.
  • B. Normal plantar reflex.
  • C. Absence of neurological abnormalities.
  • D. Normal function of lower motor neurons.
Correct Answer: A

Rationale: A positive Babinski sign in an adult indicates possible upper motor neuron dysfunction, such as a stroke or spinal cord injury. A normal plantar reflex involves toe flexion, not extension.

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