NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is working with clients and their families regarding substance abuse. Which statement is the scientific rationale for teaching the children new coping mechanisms?
Correct Answer: C
Rationale: Children often mimic parental behaviors (
C), including unhealthy coping mechanisms. Teaching new strategies helps break this cycle. Other options misrepresent the child’s role or focus.
Question 2 of 5
The client diagnosed with a brain abscess is experiencing a tonic-clonic seizure. Which interventions should the nurse implement? Rank in order of performance.
Order the Items
Source Container
Correct Answer: E,B,C,D,A
Rationale: 1. Protect the client’s head (E): Prevents injury during convulsions. 2. Loosen restrictive clothing (
B): Ensures airway and circulation. 3. Turn to the side (
D): Prevents aspiration post-seizure. 4. Administer phenytoin (
C): Stops the seizure after safety is ensured. 5. Assess the mouth (
A): Done post-seizure to check for injury.
Question 3 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.
Question 4 of 5
The nurse is assessing the client diagnosed with meningococcal meningitis. Which assessment data would warrant notifying the HCP?
Correct Answer: A
Rationale: Purpuric lesions (
A) indicate possible meningococcemia, a life-threatening complication requiring immediate HCP notification. Photophobia (
B), headache (
C), and confusion (
D) are expected but less urgent.
Question 5 of 5
When the nursing team discusses the client's plan of care, which has the highest priority?
Correct Answer: A
Rationale: Preventing skin breakdown is the highest priority to avoid complications like pressure ulcers in clients with spinal cord injuries.