Neurological Disorders NCLEX Questions

Extract:

Question 1 of 5

The unlicensed assistive personnel (UAP) is caring for a client who is having a seizure. Which action by the UAP would warrant immediate intervention by the nurse?

Correct Answer: A

Rationale: Inserting an oral airway during a seizure (
A) risks injury and is contraindicated. Turning to the side (
B), padding rails (
C), and staying with the client (
D) are appropriate.

Question 2 of 5

The client is diagnosed with a pituitary tumor and is scheduled for a transsphenoidal hypophysectomy. Which preoperative instruction is important for the nurse to teach?

A. There will be a large turban dressing around the skull after surgery. B. The client will not be able to eat for four (4) or five (5) days postop. C. The client should not blow the nose for two (2) weeks after surgery. D. The client will have to lie flat for 24 hours following the surgery.

Correct Answer: C

Rationale: Blowing the nose (
C) risks disrupting the surgical site and causing CSF leaks after transsphenoidal surgery. Turban dressings (
A) are not used, eating resumes sooner (
B), and flat positioning (
D) is not required.

Question 3 of 5

When the nursing team discusses the client's plan of care, which has the highest priority?

A. Teaching the client about prevention of skin breakdown B. Strengthening the client's upper body muscles C. Confronting the client's denial of the prognosis D. Letting the client verbalize about the accident

Correct Answer: A

Rationale: Preventing skin breakdown is the highest priority to avoid complications like pressure ulcers in clients with spinal cord injuries.

Question 4 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?

A. Administer a stool softener bid. B. Encourage the client to cough hourly. C. Monitor neurological status every shift. D. Maintain the dopamine drip to keep BP at 160/90.

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 5 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?

A. The child needs to realize that the parent will be changing behaviors. B. The child will need to point out to the parent when the parent is not coping. C. Children tend to mimic behaviors of parents when faced with similar situations. D. Children need to feel like they are a part of the parent’s recovery.

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.

Neurological Disorders NCLEX Questions | Nurselytic

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