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NCLEX PN· Neurological · NCLEX Neurological Disorders

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which intervention should the nurse implement to decrease increased intracranial pressure (ICP) for a client on a ventilator? Select all that apply.

A. Position the client with the head of the bed up 30 degrees.
B. Cluster activities of care.
C. Suction the client every three (3) hours.
D. Administer soapsuds enemas until clear.
E. Place the client in Trendelenburg position.

Expert Explanatory Rationale

Correct Answer: Position the client with the head of the bed up 30 degrees.

Question 2 of 5

The client, who has a deteriorating status after having a stroke, has a rectal temperature of 102.3°F (39.1°C). Which should be the nurse's rationale for initiating interventions to bring the temperature to a normal level?

A. A normal temperature will strengthen the client's immune system.
B. A hypothermic state may increase the client's chance of survival.
C. A normal temperature will decrease the Glasgow Coma Scale score.
D. Hyperthermia increases the likelihood of a larger area of brain infarct.

Expert Explanatory Rationale

Correct Answer: Hyperthermia increases the likelihood of a larger area of brain infarct.

Question 3 of 5

The client who just had a three (3)-minute seizure has no apparent injuries and is oriented to name, place, and time but is very lethargic and just wants to sleep. Which intervention should the nurse implement?

A. Perform a complete neurological assessment.
B. Awaken the client every 30 minutes.
C. Turn the client to the side and allow the client to sleep.
D. Interview the client to find out what caused the seizure.

Expert Explanatory Rationale

Correct Answer: Turn the client to the side and allow the client to sleep.

Question 4 of 5

Which activity should the nurse encourage for a client with early Parkinson's disease to improve mobility?

A. High-intensity aerobic exercise
B. Daily stretching and balance exercises
C. Weightlifting three times weekly
D. Complete bed rest during tremors

Expert Explanatory Rationale

Correct Answer: Daily stretching and balance exercises

Question 5 of 5

Which instruction should the nurse include for a client taking phenytoin (Dilantin)?

A. Brush teeth gently to prevent gum hyperplasia.
B. Avoid grapefruit juice.
C. Take the medication with milk.
D. Increase dietary sodium intake.

Expert Explanatory Rationale

Correct Answer: Brush teeth gently to prevent gum hyperplasia.

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