NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
When the nursing team plans the care of a client with Guillain-Barré syndrome, which assessment finding most accurately determines whether the client is developing ineffective breathing?
Correct Answer: D
Rationale: A pulse oximetry reading of 82% indicates significant hypoxemia, suggesting ineffective breathing, which is a critical concern in Guillain-Barré syndrome due to potential respiratory muscle weakness.
Question 2 of 5
Which preoperative assessment is most important to document as a basis for postoperative comparison?
Correct Answer: A
Rationale: Motor strength assessment provides a baseline to detect postoperative neurological deficits from brain tumor surgery.
Question 3 of 5
Which assessment finding post-craniotomy requires immediate reporting to the physician?
Correct Answer: A
Rationale: Clear drainage may indicate a cerebrospinal fluid leak, a serious complication requiring immediate intervention.
Question 4 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?
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 5 of 5
The nurse in the neurointensive care unit is caring for a client with a new Cervical SCI who is breathing independently. Which nursing interventions should be implemented? Select all that apply.
Correct Answer: A,C,D
Rationale: Cervical SCI risks respiratory compromise and autonomic dysreflexia. Monitoring pulse oximetry (
A) ensures oxygenation, coughing/deep breathing (
C) prevents pneumonia, and assessing for autonomic dysreflexia (
D) detects dangerous BP spikes. Pureed foods (
B) are unnecessary without dysphagia, and corticosteroids (E) are not standard for acute SCI management.