NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
The client underwent a lumbar laminectomy with spinal fusion 12 hours earlier. Which nursing assessment finding indicates that the client has a leakage of CSF?
Correct Answer: C
Rationale: Unrelieved back pain may be associated with another complication, not CSF leakage. A severe headache, rather than back pain, may be associated with CSF leakage. 50 mL of serosanguineous fluid in the bulb drain is a normal finding. Clear drainage on the surgical dressing is indicative of a CSF leak. The temperature elevation could indicate an infection.
Question 2 of 5
The client is scheduled for an electroencephalogram (EEG) to help diagnose a seizure disorder. Which preprocedure teaching should the nurse implement?
Correct Answer: A
Rationale: Taking routine antiseizure medications (
A) ensures therapeutic levels during the EEG, avoiding seizures that could skew results. Fasting (
B) is unnecessary, sleep deprivation (
C) may be used in specific cases but not routinely, and EEGs are painless (
D).
Question 3 of 5
The client with a C6 SCI is admitted to the emergency department complaining of a severe pounding headache and has a BP of 180/110. Which intervention should the emergency department nurse implement?
Correct Answer: C
Rationale: Severe headache and hypertension in C6 SCI suggest autonomic dysreflexia, often triggered by bladder distention (
C). Assessing and relieving the trigger is the priority. Flat positioning (
A) may worsen symptoms, dimming lights (
B) is not effective, and narcotics (
D) do not address the cause.
Question 4 of 5
The nurse identifies the concept of intracranial regulation disturbance in a client diagnosed with Parkinson’s Disease. Which priority intervention should the nurse implement?
Correct Answer: A
Rationale: Parkinson’s increases fall risk due to bradykinesia and rigidity. Keeping the bed low and call light in reach (
A) prioritizes safety. Diet (
B), home health (
C), and skin assessment (
D) are secondary.
Question 5 of 5
The nurse is caring for the client who has severe craniocerebral trauma. Which finding indicates that the client is developing DI?
Correct Answer: B
Rationale: Elevated glucose levels are not associated with DI. The lack of ADH that occurs in DI results in excreting a large amount of pale, dilute urine. The urine of clients with DI is very dilute and therefore has a very low, not high, specific gravity. Decrease in level of consciousness is not directly associated with DI but rather with craniocerebral swelling or bleeding from the trauma.