Neurological System NCLEX Questions

Neurological System NCLEX Questions Related

Review Neurological System NCLEX Questions related questions and content

Select the correct etiology to complete this nursing diagnosis for a patient diagnosed with dissociative identity disorder: Disturbed personal identity, related to:

  • A. obsessive fears of harming self or others.
  • B. poor impulse control and lack of self-confidence.
  • C. depressed mood secondary to nightmares and intrusive thoughts.
  • D. cognitive distortions associated with unresolved childhood abuse issues.
Correct Answer: D

Rationale: The correct answer is D because dissociative identity disorder (DID) is often linked to unresolved childhood abuse issues, leading to fragmentation of identity as a coping mechanism. This is supported by research showing a high prevalence of childhood trauma among individuals with DID. Option A is incorrect because it relates more to anxiety disorders. Option B is incorrect as it describes traits more associated with personality disorders. Option C is incorrect as it pertains to mood disorders like depression, which are not the primary etiology of DID.

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A fatal infectious disease known as: 'Mad cow disease' is medically known as:

  • A. Spongiform meningitus.
  • B. Spongiform Spirilosis.
  • C. Meningial encephalopathy.
  • D. Spongiform encephalopathy.
Correct Answer: D

Rationale: Spongiform encephalopathy, commonly known as 'mad cow disease' or Variant Creutzfeldt-Jakob Disease (vCJD), is a fatal neurodegenerative disorder caused by abnormal prion proteins. These proteins induce the misfolding of normal cellular proteins in the brain, leading to brain damage and the characteristic spongy appearance of brain tissue. The disease is transmissible and has no known cure, making it a significant public health concern.

True statements about the aqueous include:

  • A. the production is about 2 ul/min
  • B. the endothelium contribute to the production of aqueous
  • C. its production decreases with age
  • D. all above
Correct Answer: D

Rationale: Aqueous humor is produced at a rate of about 2 µL/min, primarily by the ciliary epithelium. The endothelium does not contribute to its production. Aqueous production decreases with age, which can affect intraocular pressure regulation.

What would be an abnormal finding when assessing cranial nerve III (Oculomotor nerve)?

  • A. Pupil dilation or asymmetry.
  • B. Constricted pupils.
  • C. Equal and reactive pupils.
  • D. Normal eye movement.
Correct Answer: A

Rationale: Pupil dilation or asymmetry indicates dysfunction of cranial nerve III (Oculomotor nerve). Constricted pupils, equal and reactive pupils, and normal eye movement are normal findings.

A graduate nurse is taking a test on neurological conditions. Which of the following nursing interventions is used as a gastrointestinal preventative measure for the client with intracranial pressure?

  • A. Insertion of an NG tube
  • B. Administration of a histamine antagonist (Pepcid)
  • C. Sips of clear fluid
  • D. Insertion of a rectal tube
Correct Answer: B

Rationale: Histamine antagonists help prevent stress ulcers in clients with intracranial pressure.

During an acute exacerbation, a patient with SLE is treated with corticosteroids. The nurse would expect the corticosteroids to begin to be tapered when which serum laboratory results are evident?

  • A. Decreased anti-DNA
  • B. Increased complement
  • C. Increased red blood cells (RBCs)
  • D. Decreased erythrocyte sedimentation rate (ESR)
Correct Answer: B

Rationale: Increased complement indicates reduced disease activity.

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