NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which client behavior during a seizure requires immediate intervention?
Correct Answer: D
Rationale:
Tongue biting during a seizure can cause airway obstruction or severe injury, requiring immediate intervention to protect the airway.
Question 2 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 3 of 5
The nurse is caring for a client diagnosed with an epidural hematoma. Which nursing interventions should the nurse implement? Select all that apply.
Correct Answer: B,C
Rationale: Stool softeners (
B) prevent straining, which could increase ICP. Maintaining pulse oximetry >93% (
C) ensures adequate oxygenation. High HOB elevation (
A) may reduce cerebral perfusion, deep suction (
D) risks increasing ICP, and sedatives (E) may mask neurological changes.
Question 4 of 5
When changing the client's position postoperatively, which nursing action is best?
Correct Answer: B
Rationale: Logrolling maintains spinal alignment, preventing strain on the surgical site after diskectomy and spinal fusion.
Question 5 of 5
The client diagnosed with a brain abscess is experiencing a tonic-clonic seizure. Which interventions should the nurse implement? Rank in order of performance.
Order the Items
Source Container
Correct Answer: E,B,C,D,A
Rationale: 1. Protect the client’s head (E): Prevents injury during convulsions. 2. Loosen restrictive clothing (
B): Ensures airway and circulation. 3. Turn to the side (
D): Prevents aspiration post-seizure. 4. Administer phenytoin (
C): Stops the seizure after safety is ensured. 5. Assess the mouth (
A): Done post-seizure to check for injury.