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NCLEX PN· Neurological · Neurological Disorders NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which intervention has the highest priority for the client in the emergency department who has been in a motorcycle collision with an automobile and has a fractured left leg?

A. Assessing the neurological status.

B. Immobilizing the fractured leg.

C. Monitoring the client's output.

D. Starting an 18-gauge saline lock.

Expert Explanatory Rationale

Correct Answer: Assessing the neurological status.

Question 2 of 5

The nurse is assessing the client diagnosed with meningococcal meningitis. Which assessment data would warrant notifying the HCP?

A. Purpuric lesions on the face.

B. Complaints of light hurting the eyes.

C. Dull, aching, frontal headache.

D. Not remembering the day of the week.

Expert Explanatory Rationale

Correct Answer: Purpuric lesions on the face.

Question 3 of 5

When documenting a seizure, which information is most important to include initially?

A. The time the seizure started

B. The duration of the seizure

C. The client's mood just before the seizure

D. The client's comments after the seizure

Expert Explanatory Rationale

Correct Answer: The time the seizure started

Question 4 of 5

The client is diagnosed with arboviral encephalitis. Which priority intervention should the nurse implement?

A. Place the client in strict isolation.

B. Administer IV antibiotics.

C. Keep the client in the supine position.

D. Institute seizure precautions.

Expert Explanatory Rationale

Correct Answer: Institute seizure precautions.

Question 5 of 5

The client has sustained a severe closed head injury and the neurosurgeon is determining if the client is 'brain dead.' Which data support that the client is brain dead?

A. When the client's head is turned to the right, the eyes turn to the right.

B. The electroencephalogram (EEG) has identifiable waveforms.

C. No eye activity is observed when the cold caloric test is performed.

D. The client assumes decorticate posturing when painful stimuli are applied.

Expert Explanatory Rationale

Correct Answer: No eye activity is observed when the cold caloric test is performed.

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