Neurological Disorders NCLEX Questions | Nurselytic

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Neurological Disorders NCLEX Questions Questions

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Question 1 of 5

Which measure for preventing impaired skin integrity is appropriate to add to the care plan at this time?

Correct Answer: B

Rationale: Changing position every 2 hours prevents pressure ulcers in clients with MS who have weakness and numbness.

Question 2 of 5

The nurse is administering mannitol IV to decrease the client’s ICP following a craniotomy. Which laboratory test result should the nurse monitor during the client’s treatment with mannitol?

Correct Answer: A

Rationale: Mannitol (Osmitrol), an osmotic diuretic, increases the serum osmolarity and pulls fluid from the tissues, thus decreasing cerebral edema postoperatively. Serum osmolarity levels should be assessed as a parameter to determine proper dosage. The WBC count is not affected by mannitol. Serum cholesterol is not affected by mannitol. ESR is not affected by mannitol.

Question 3 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 4 of 5

Which problem is the highest priority for the client diagnosed with West Nile virus?

Correct Answer: A

Rationale: Fever (alteration in body temperature,
A) is a primary symptom of West Nile virus, requiring priority management to prevent complications. Perfusion (
B), fluid excess (
C), and skin integrity (
D) are less immediate.

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.

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