NCLEX-PN
NCLEX Neurological Disorders Questions
Extract:
Question 1 of 5
The nurse arrives at the site of a one-car motor-vehicle accident and stops to render aid. The driver of the car is unconscious. After stabilizing the client's cervical spine, which action should the nurse take next?
Correct Answer: C
Rationale: After cervical spine stabilization, ensuring a patent airway (
C) is the next priority to support oxygenation. Removing the driver (
A) risks further injury, pupil assessment (
B) is secondary, and shaking (
D) could worsen spinal injury.
Question 2 of 5
The client is undergoing post-thrombolytic therapy for a stroke. The health-care provider has ordered heparin to be infused at 1,000 units per hour. The solution comes as 25,000 units of heparin in 500 mL of D5W. At what rate will the nurse set the pump?
Correct Answer: 20 mL/hr
Rationale: Calculate: (1,000 units/hr ÷ 25,000 units) × 500 mL = 20 mL/hr. The pump should be set to 20 mL/hr.
Question 3 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 4 of 5
The client diagnosed with a mild concussion is being discharged from the emergency department. Which discharge instruction should the nurse teach the client's significant other?
Correct Answer: A
Rationale: For a mild concussion, monitoring for worsening neurological status is key. Awakening every 2 hours (
A) allows assessment for altered consciousness. Monitoring ICP (
B) is complex and not feasible at home, hypervigilance (
C) is not typical, and frequent feeding (
D) is unnecessary.
Question 5 of 5
Which activity should the nurse encourage for a client with early Parkinson's disease to improve mobility?
Correct Answer: B
Rationale: Stretching and balance exercises improve mobility and reduce fall risk in early Parkinson's disease.