NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse enters the room as the client is beginning to have a tonic-clonic seizure. What action should the nurse implement first?
Correct Answer: A
Rationale: Noting the first action (
A) helps identify the seizure type and focus, aiding diagnosis and treatment. Pupil size (
B), incontinence (
C), and privacy (
D) are secondary to ensuring safety and documenting the event.
Question 2 of 5
A 20-year-old female client who tried lysergic acid diethylamide (LSD) as a teen tells the nurse that she has bad dreams that make her want to kill herself. Which is the explanation for this occurrence?
Correct Answer: B
Rationale: LSD can cause flashbacks (
B), where users re-experience effects like bad dreams years later, especially from a 'bad trip.' Holdover reactions (
A) is not a term, LSD is not stored long-term (
C), and suicidal ideation (
D) requires assessment but is not the explanation.
Question 3 of 5
Which client statement indicates a need for further teaching about meningitis precautions?
Correct Answer: C
Rationale: Sharing a water bottle can transmit meningitis, indicating a misunderstanding of droplet precaution protocols.
Question 4 of 5
Which discharge teaching is essential for a client with a spinal cord injury to prevent respiratory complications?
Correct Answer: A
Rationale: Deep breathing exercises help prevent atelectasis and pneumonia in clients with spinal cord injuries.
Question 5 of 5
A client diagnosed with a subarachnoid hemorrhage has undergone a craniotomy for repair of a ruptured aneurysm. Which intervention will the intensive care nurse implement?
Correct Answer: A
Rationale: Post-craniotomy for subarachnoid hemorrhage, preventing increased intracranial pressure is critical. A stool softener (
A) prevents straining, which could raise ICP. Coughing (
B) increases ICP, neurological checks (
C) should be more frequent (e.g., hourly), and dopamine to maintain high BP (
D) risks re-bleeding.