Neurological Disorder NCLEX | Nurselytic

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Neurological Disorder NCLEX Questions

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Question 1 of 5

The intensive care nurse is caring for the client who has had intracranial surgery. Which interventions should the nurse implement? Select all that apply.

Correct Answer: A,C,E

Rationale: Assessing DVT (
A), monitoring intake/output (
C), and passive ROM (E) prevent complications. Anticoagulants (
B) increase bleeding risk, and warm compresses (
D) are not indicated.

Question 2 of 5

The client is prescribed phenytoin (Dilantin), an anticonvulsant, for a seizure disorder. Which statement indicates the client understands the discharge teaching concerning this medication?

Correct Answer: A

Rationale: Phenytoin can cause gingival hyperplasia, so good oral hygiene (
A) is essential and indicates understanding. Dilantin levels (
B) are checked periodically by providers, not daily. Urine color change (
C) is not typical, and seizures may still occur (
D) if not fully controlled.

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

Which nursing action would be most appropriate if the client develops anorexia and nausea while taking interferon beta-1a (Avonex)?

Correct Answer: D

Rationale: Providing small, easy-to-digest meals helps manage nausea and encourages nutritional intake without altering the medication schedule.

Question 5 of 5

The nurse is caring for several clients. Which client would the nurse assess first after receiving the shift report?

Correct Answer: C

Rationale: A GCS score of 6 (
C) indicates severe neurological impairment, requiring immediate assessment for potential life-threatening conditions. Waking every 2 hours (
A) is standard for concussion, left-sided weakness (
B) is concerning but less acute, and expressive aphasia (
D) is stable.

Similar Questions

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The nurse identifies the concept of intracranial regulation disturbance in a client diagnosed with Parkinson’s Disease. Which priority intervention should the nurse implement?

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