NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The client with a cervical fracture is being discharged in a halo device. Which teaching instruction should the nurse discuss with the client?
Correct Answer: B
Rationale: Skin integrity under a halo device is critical. Instructing to report reddened or irritated skin (
B) prevents pressure ulcers. Removing pins (
A) is done by providers, the vest liner can be changed (
C), and prolonged recliner use (
D) risks immobility complications.
Question 2 of 5
Which environmental modifications should the nurse implement? Select all that apply.
Correct Answer: B,C,F
Rationale: Lowering the bed, padding side rails, and ensuring suction equipment availability reduce injury risk and manage complications during a seizure.
Question 3 of 5
The nurse is caring for clients on a medical-surgical floor. Which clients should be assessed first?
Correct Answer: B
Rationale: Inability to move toes in a T10 SCI (
B) may indicate neurological deterioration or edema, requiring immediate assessment. Mild headache (
A), emotional distress (
C), and resolving hemiparesis (
D) are less urgent.
Question 4 of 5
The husband of a client who is an alcoholic tells the nurse, 'I don’t know what to do. I don’t know how to deal with my wife’s problem.' Which response would be most appropriate by the nurse?
Correct Answer: C
Rationale: Alanon (
C) supports families of alcoholics, offering coping strategies. Suggesting leaving (
A) is judgmental, AA (
B) is for alcoholics, and accusing enabling (
D) may alienate.
Question 5 of 5
The nurse is monitoring clients for development of a brain abscess. Which client would be the nurse’s lowest priority for monitoring for a brain abscess?
Correct Answer: B
Rationale: The client with endocarditis has an infective process within the body’s circulation and is at risk for septic emboli, which could progress to a brain abscess. The client who has idiopathic epilepsy has the lowest risk of developing a brain abscess because epilepsy from an unknown cause does not have the risk factors of an active infectious process or an impaired immune system. The client with the liver transplant is at risk for brain abscess because immunosuppressant medications depress the immune system. The client with meningitis has an infective process in close proximity to the brain and should be monitored for a brain abscess.