NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
A hospitalized client diagnosed with seizures has a vagus nerve stimulation (VNS) device implanted. The nurse determines that the VNS is working properly when making which observation?
Correct Answer: C
Rationale: A VNS device does not stimulate the heart to beat as a pacemaker. A VNS device does not defibrillate the heart as an implantable cardioverter/defibrillator does. A VNS is a medical device that is implanted in the chest and stimulates the vagus nerve to control seizures unresponsive to medical treatment. Clients who experience auras before a seizure use a magnet to activate the VNS to stop the seizure. The device does not have an effect on the airway or secretions.
Question 2 of 5
When changing the client's position postoperatively, which nursing action is best?
Correct Answer: B
Rationale: Logrolling maintains spinal alignment, preventing strain on the surgical site after diskectomy and spinal fusion.
Question 3 of 5
While awaiting the diagnostic test results for a client with possible meningitis, which transmission-based precautions are the supplement?
Correct Answer: A
Rationale: Meningitis, especially bacterial, is often transmitted via respiratory droplets, necessitating droplet precautions.
Question 4 of 5
The nurse enters the room as the client is beginning to have a tonic-clonic seizure. What action should the nurse implement first?
Correct Answer: A
Rationale: Noting the first action (
A) helps identify the seizure type and focus, aiding diagnosis and treatment. Pupil size (
B), incontinence (
C), and privacy (
D) are secondary to ensuring safety and documenting the event.
Question 5 of 5
Which measure for preventing impaired skin integrity is appropriate to add to the care plan at this time?
Correct Answer: B
Rationale: Changing position every 2 hours prevents pressure ulcers in clients with MS who have weakness and numbness.