NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
When documenting a seizure, which information is most important to include initially?
Correct Answer: A
Rationale: Documenting the time the seizure started is critical for tracking seizure patterns and guiding treatment.
Question 2 of 5
The nurse is monitoring clients for development of a brain abscess. Which client would be the nurse’s lowest priority for monitoring for a brain abscess?
Correct Answer: B
Rationale: The client with endocarditis has an infective process within the body’s circulation and is at risk for septic emboli, which could progress to a brain abscess. The client who has idiopathic epilepsy has the lowest risk of developing a brain abscess because epilepsy from an unknown cause does not have the risk factors of an active infectious process or an impaired immune system. The client with the liver transplant is at risk for brain abscess because immunosuppressant medications depress the immune system. The client with meningitis has an infective process in close proximity to the brain and should be monitored for a brain abscess.
Question 3 of 5
During the immediate postoperative assessment, the nurse notices the dressing is moist. Which action is most appropriate to take first?
Correct Answer: B
Rationale: Reinforcing the dressing controls minor drainage and maintains sterility while further assessment is conducted.
Question 4 of 5
The nurse is caring for a client diagnosed with encephalitis. Which is an expected outcome for the client?
Correct Answer: A
Rationale: The goal for encephalitis is to maximize neurological recovery (
A), as inflammation may cause deficits. No memory loss (
B) is unrealistic, renal function (
C) is unrelated, and hydrocortisone cream (
D) is not indicated.
Question 5 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.