NCLEX-PN
NCLEX Neurological Disorders Questions
Extract:
Question 1 of 5
The concept of intracranial regulation is identified for a client diagnosed with a brain tumor. Which intervention should the nurse include in the client’s plan of care?
Correct Answer: D
Rationale: Brain tumors increase seizure risk, so seizure precautions (
D) are essential. Bedrest (
A) is unnecessary unless indicated, IV rate (
B) depends on status, and diet (
C) is not specific to intracranial regulation.
Question 2 of 5
Which priority goal would the nurse identify for a client diagnosed with Parkinson’s Disease (PD)?
Correct Answer: A
Rationale: Maintaining mobility and safe swallowing (
A) are priority goals in Parkinson’s to prevent falls and aspiration. Verbalizing feelings (
B), understanding medications (
C), and home health (
D) are secondary.
Question 3 of 5
Which intervention should the nurse implement to decrease increased intracranial pressure (ICP) for a client on a ventilator? Select all that apply.
Correct Answer: A
Rationale: HOB at 30 degrees (
A) promotes venous drainage, reducing ICP. Clustering activities (
B) increases ICP, suctioning every 3 hours (
C) is excessive, enemas (
D) are irrelevant, and Trendelenburg (E) worsens ICP.
Question 4 of 5
The client comes to the clinic for treatment of a dog bite. Which intervention should the clinic nurse implement first?
Correct Answer: D
Rationale: Determining the animal’s vaccination status (
D) is the first step to assess rabies risk, guiding further interventions. Rabies injections (
A) are premature, animal control (
B) is secondary, and tetanus (
C) follows risk assessment.
Question 5 of 5
Which should be the nurse's first intervention with the client diagnosed with Bell's palsy?
Correct Answer: D
Rationale: Bell’s palsy impairs eye closure, risking corneal damage. Teaching eye protection (
D) is the priority. Resolution timeline (
A), heat (
B), and diet (
C) are secondary.