Neurological Disorder NCLEX | Nurselytic

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Neurological Disorder NCLEX Questions

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Question 1 of 5

The nurse learns in report that the client admitted with a vertebral fracture has a halo external fixation device in place. Which intervention should the nurse plan?

Correct Answer: C

Rationale: Neither traction nor weights are part of the halo device. The halo external fixation device includes a vest that is worn continuously and should not be removed. The neurosurgeon will discontinue it when the injury has stabilized and sufficient healing has occurred. A halo external fixation device is a static device that consists of a “halo” that is screwed into the skull by four pins. It is attached to a vest that the client wears. The device provides immobilization and stability to the spinal cord while healing occurs with or without surgical intervention. Care includes inspection and cleansing of the pin sites. The nurse should not tighten the pins. These are secured in the skull to maintain alignment of the cervical vertebrae. If loose, the nurse should contact the HCP for tightening.

Question 2 of 5

When the client asks why fluids are being restricted, which explanation by the nurse is best?

Correct Answer: C

Rationale: Fluid restriction reduces intracranial volume, minimizing the risk of increased intracranial pressure post-craniotomy.

Question 3 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 4 of 5

The nurse asks the male client with epilepsy if he has auras with his seizures. The client says, 'I don’t know what you mean. What are auras?' Which statement by the nurse would be the best response?

Correct Answer: A

Rationale: Auras are sensory warnings preceding a seizure (
A), and this response accurately educates the client. Other options misdefine auras (B,
D) or fail to address the question (
C).

Question 5 of 5

Which laboratory result is most concerning for a client with suspected meningitis?

Correct Answer: B

Rationale: Decreased glucose in cerebrospinal fluid is a hallmark of bacterial meningitis, indicating infection and requiring urgent treatment.

Similar Questions

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The nurse is caring for the client diagnosed with West Nile virus. Which assessment data would require immediate intervention from the nurse?
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The client diagnosed with a gunshot wound to the head assumes decorticate posturing when the nurse applies painful stimuli. Which assessment data obtained three (3) hours later would indicate the client is improving?

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