NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 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 2 of 5
The nurse reviews the chart of the client who had a T12 SCI 12 years ago and is receiving baclofen through an intrathecal infusion pump. Which chart information in the exhibit is most important for the nurse to discuss with the HCP?
Correct Answer: A
Rationale: Exaggerated spasticity, muscle rigidity, and tinnitus are adverse effects of baclofen (Lioresal) that the nurse should discuss with the HCP. The client had a minimal drop in BP from lying to standing and does not have orthostatic hypotension. The WBC and liver enzymes are WNL. The glucose is not significantly elevated and would not warrant notifying the HCP. All prescribed medications are appropriate for the client who has a T12 SCI.
Question 3 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 4 of 5
The client diagnosed with breast cancer has developed metastasis to the brain. Which prophylactic measure should the nurse implement?
Correct Answer: C
Rationale: Brain metastases increase seizure risk, so seizure precautions (
C) are appropriate. Aspiration precautions (
A) are unrelated, Reach to Recovery (
B) supports breast cancer recovery, and mastectomy care (
D) is not relevant to brain metastases.
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.