NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 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 2 of 5
Of the following nursing observations, which is most important to discuss the client's condition?
Correct Answer: A
Rationale: A chronic cough increases intrathoracic pressure, which can elevate intracranial pressure and risk aneurysm rupture.
Question 3 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 4 of 5
Which client response depicts normal function of cranial nerve XI?
Correct Answer: D
Rationale: Cranial nerve XI (spinal accessory) innervates the trapezius and sternocleidomastoid muscles, enabling shoulder shrugging.
Question 5 of 5
A 20-year-old female client who tried lysergic acid diethylamide (LSD) as a teen tells the nurse that she has bad dreams that make her want to kill herself. Which is the explanation for this occurrence?
Correct Answer: B
Rationale: LSD can cause flashbacks (
B), where users re-experience effects like bad dreams years later, especially from a 'bad trip.' Holdover reactions (
A) is not a term, LSD is not stored long-term (
C), and suicidal ideation (
D) requires assessment but is not the explanation.