NCLEX Questions on Neurological Disorders Quizlet | Nurselytic

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NCLEX Questions on Neurological Disorders Quizlet Questions

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Question 1 of 5

Which potential pituitary complication should the nurse assess for in the client diagnosed with a traumatic brain injury (TBI)?

Correct Answer: C

Rationale: TBI can damage the pituitary, causing SIADH (
C), leading to fluid retention and hyponatremia. DM2 (
A) is unrelated, seizures (
B) are neurological, and Cushing’s (
D) is less common post-TBI.

Question 2 of 5

The nurse arrives at the scene of a motor-vehicle accident and the car is leaking gasoline. The client is in the driver's seat of the car complaining of not being able to move the legs. Which actions should the nurse implement? List in order of priority.

Order the Items

Source Container

Move the client safely out of the car.
Assess the client for other injuries.
Stabilize the client's neck.
Notify the emergency medical system.
Place the client in a functional anatomical position.

Correct Answer: C,B,A,D,E

Rationale: Stabilize the client’s neck (
C): Prevents spinal injury. 2. Assess for other injuries (
B): Identifies life-threatening issues. 3. Move the client safely (
A): Removes from gasoline danger. 4. Notify EMS (
D): Ensures professional help. 5. Place in anatomical position (E): Least urgent.

Question 3 of 5

The nurse is enjoying a day at the lake and witnesses a water skier hit the boat ramp. The water skier is in the water not responding to verbal stimuli. The nurse is the first health-care provider to respond to the accident. Which intervention should be implemented first?

Correct Answer: D

Rationale: In trauma with potential head or neck injury, stabilizing the cervical spine (
D) is the first priority to prevent spinal cord injury during movement. Assessing consciousness (
A), organizing removal (
B), or performing a full assessment (
C) follows.

Question 4 of 5

Which collaborative intervention should the nurse implement when caring for the client with West Nile virus?

Correct Answer: D

Rationale: IV fluids (
D) support hydration in West Nile virus while monitoring for overload prevents complications. Neurovascular exams (
A) are less relevant, intake/output (
B) is routine, and symptom assessment (
C) is nursing-driven.

Question 5 of 5

Which nursing approach for communication would be best if the client becomes confused?

Correct Answer: C

Rationale: Orienting the client to their surroundings and current situations helps reduce confusion and anxiety in clients with AIDS dementia complex.

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