Neuro NCLEX Review Test Questions and Answers Rated A
The nurse is assisting with caring for a client after a cran-
iotomy. Which are the positions that can be used for the 3. Semi-Fowler's position 5.With the foot of the bed flat
client? Select all that apply.
A. Clients who have undergone craniotomy should have
the head of the bed elevated 30 degrees to promote
venous drainage from the head. The client is positioned
to avoid extreme hip or neck flexion and the head is
The nurse is caring for a client following a craniotomy in
maintained in a midline, neutral position. If a large tumor
which a large tumor was removed from the left side. In
has been removed, the client should be placed on the
which position can the nurse safely place the client? Refer
nonoperative side to prevent displacement of the cranial
to the Figure.
contents. A flat position or Trendelenburg's position would
increase intracranial pressure. A reverse Trendelenburg's
position would not be helpful and may be uncomfortable
for the client.
A client with a seizure disorder is being admitted to the 1.Pad the bed's side rails. 2.Place an airway at the bedside.
hospital. Which should the nurse plan to implement for 3.Place oxygen equipment at the bedside. 4.Place suction
this client? Select all that apply. equipment at the bedside.
The nurse is caring for a client with increased intracranial
Increasing temperature, decreasing pulse, decreasing
pressure (ICP). Which change in vital signs would occur if
respirations, increasing BP
ICP is rising?
The nurse observes the unlicensed assistive personnel
(UAP) positioning the client with increased intracranial
Head turned to the side
pressure (ICP). Which position would require intervention
by the nurse?
The client recovering from a head injury is arousable and
participating in care. The nurse determines that the client
understands measures to prevent elevations in intracra- Exhaling during repositioning
nial pressure (ICP) if the nurse observes the client doing
which activity?
,Neuro NCLEX Review Test Questions and Answers Rated A
The client has clear fluid leaking from the nose after a
Separates into concentric rings and tests positive for glu-
basilar skull fracture. The nurse determines that this is
cose
cerebrospinal fluid (CSF) if the fluid meets which criteria?
The client is admitted to the hospital for observation with
a probable minor head injury after an automobile crash. The primary health care provider (PHCP) reviews the x-ray
The nurse expects the cervical collar will remain in place results.
until which time?
The client was seen and treated in the emergency depart-
ment (ED) for a concussion. Before discharge, the nurse
explains the signs/symptoms of a worsening condition.
Minor headache
The nurse determines that the family needs further teach-
ing if they state they will return to the ED if the client
experiences which sign/symptom?
The nurse is caring for a client who has undergone cran-
Head of bed elevated 30 to 45 degrees, head and neck
iotomy with a supratentorial incision. The nurse should
midline
plan to place the client in which position postoperatively?
The client with a cervical spine injury has Crutchfield tongs
Comparing the amount of prescribed weights with the
applied in the emergency department. The nurse should
amount in use
perform which essential action when caring for this client?
The nurse has provided discharge instructions to a client
with an application of a halo device. The nurse determines
"I will drive only during the daytime."
that the client needs further teaching if which statement
is made?
The nurse is caring for the client who has suttered spinal
cord injury. The nurse further monitors the client for signs
Severe, throbbing headache
of autonomic dysreflexia and suspects this complication if
which sign/symptom is noted?
Limiting bladder catheterization to once every 12 hours
, Neuro NCLEX Review Test Questions and Answers Rated A
The client with spinal cord injury is prone to experiencing
autonomic dysreflexia. The least appropriate measure to
minimize the risk of autonomic dysreflexia is which action?
The client with spinal cord injury suddenly experiences
Raise the head of the bed and remove the noxious stimu-
an episode of autonomic dysreflexia. After checking vital
lus.
signs, which immediate action should the nurse take?
The nurse is assigned to care for an adult client who had 1.Face the client when talking. 2.Speak slowly and main-
a stroke and is aphasic. Which interventions should the tain eye contact. 3.Use gestures when talking to enhance
nurse use for communicating with the client? Select all that words.5.Give the client directions using short phrases and
apply. simple terms.
The nurse is admitting a client with Guillain-Barré syn-
drome to the nursing unit. The client has an ascending
Electrocardiographic monitoring electrodes and intuba-
paralysis to the level of the waist. Knowing the complica-
tion tray
tions of the disorder, the nurse should bring which items
into the client's room?
The nurse is caring for a client with an intracranial
aneurysm who was previously alert. Which findings are 1. Drowsiness 3.Less frequent speech 5.Slight slurring of
early indications that the level of consciousness (LOC) is speech
deteriorating? Select all that apply.
The nurse is planning to put aneurysm precautions in
place for the client with a cerebral aneurysm. Which item Maintaining the head of the bed at 15 degrees
should be included as part of the precautions?
The nurse is caring for a client who begins to experience
1. Restrain the client's limbs.3.Consider insertion of a
seizure activity while in bed. Which actions by the nurse
padded tongue blade.
would be contraindicated? Select all that apply.
The nurse is planning care for the client with hemiparesis
of the right arm and leg. Where should the nurse plan to Within the client's reach, on the left side
place objects needed by the client?
The nurse is assisting with caring for a client after a cran-
iotomy. Which are the positions that can be used for the 3. Semi-Fowler's position 5.With the foot of the bed flat
client? Select all that apply.
A. Clients who have undergone craniotomy should have
the head of the bed elevated 30 degrees to promote
venous drainage from the head. The client is positioned
to avoid extreme hip or neck flexion and the head is
The nurse is caring for a client following a craniotomy in
maintained in a midline, neutral position. If a large tumor
which a large tumor was removed from the left side. In
has been removed, the client should be placed on the
which position can the nurse safely place the client? Refer
nonoperative side to prevent displacement of the cranial
to the Figure.
contents. A flat position or Trendelenburg's position would
increase intracranial pressure. A reverse Trendelenburg's
position would not be helpful and may be uncomfortable
for the client.
A client with a seizure disorder is being admitted to the 1.Pad the bed's side rails. 2.Place an airway at the bedside.
hospital. Which should the nurse plan to implement for 3.Place oxygen equipment at the bedside. 4.Place suction
this client? Select all that apply. equipment at the bedside.
The nurse is caring for a client with increased intracranial
Increasing temperature, decreasing pulse, decreasing
pressure (ICP). Which change in vital signs would occur if
respirations, increasing BP
ICP is rising?
The nurse observes the unlicensed assistive personnel
(UAP) positioning the client with increased intracranial
Head turned to the side
pressure (ICP). Which position would require intervention
by the nurse?
The client recovering from a head injury is arousable and
participating in care. The nurse determines that the client
understands measures to prevent elevations in intracra- Exhaling during repositioning
nial pressure (ICP) if the nurse observes the client doing
which activity?
,Neuro NCLEX Review Test Questions and Answers Rated A
The client has clear fluid leaking from the nose after a
Separates into concentric rings and tests positive for glu-
basilar skull fracture. The nurse determines that this is
cose
cerebrospinal fluid (CSF) if the fluid meets which criteria?
The client is admitted to the hospital for observation with
a probable minor head injury after an automobile crash. The primary health care provider (PHCP) reviews the x-ray
The nurse expects the cervical collar will remain in place results.
until which time?
The client was seen and treated in the emergency depart-
ment (ED) for a concussion. Before discharge, the nurse
explains the signs/symptoms of a worsening condition.
Minor headache
The nurse determines that the family needs further teach-
ing if they state they will return to the ED if the client
experiences which sign/symptom?
The nurse is caring for a client who has undergone cran-
Head of bed elevated 30 to 45 degrees, head and neck
iotomy with a supratentorial incision. The nurse should
midline
plan to place the client in which position postoperatively?
The client with a cervical spine injury has Crutchfield tongs
Comparing the amount of prescribed weights with the
applied in the emergency department. The nurse should
amount in use
perform which essential action when caring for this client?
The nurse has provided discharge instructions to a client
with an application of a halo device. The nurse determines
"I will drive only during the daytime."
that the client needs further teaching if which statement
is made?
The nurse is caring for the client who has suttered spinal
cord injury. The nurse further monitors the client for signs
Severe, throbbing headache
of autonomic dysreflexia and suspects this complication if
which sign/symptom is noted?
Limiting bladder catheterization to once every 12 hours
, Neuro NCLEX Review Test Questions and Answers Rated A
The client with spinal cord injury is prone to experiencing
autonomic dysreflexia. The least appropriate measure to
minimize the risk of autonomic dysreflexia is which action?
The client with spinal cord injury suddenly experiences
Raise the head of the bed and remove the noxious stimu-
an episode of autonomic dysreflexia. After checking vital
lus.
signs, which immediate action should the nurse take?
The nurse is assigned to care for an adult client who had 1.Face the client when talking. 2.Speak slowly and main-
a stroke and is aphasic. Which interventions should the tain eye contact. 3.Use gestures when talking to enhance
nurse use for communicating with the client? Select all that words.5.Give the client directions using short phrases and
apply. simple terms.
The nurse is admitting a client with Guillain-Barré syn-
drome to the nursing unit. The client has an ascending
Electrocardiographic monitoring electrodes and intuba-
paralysis to the level of the waist. Knowing the complica-
tion tray
tions of the disorder, the nurse should bring which items
into the client's room?
The nurse is caring for a client with an intracranial
aneurysm who was previously alert. Which findings are 1. Drowsiness 3.Less frequent speech 5.Slight slurring of
early indications that the level of consciousness (LOC) is speech
deteriorating? Select all that apply.
The nurse is planning to put aneurysm precautions in
place for the client with a cerebral aneurysm. Which item Maintaining the head of the bed at 15 degrees
should be included as part of the precautions?
The nurse is caring for a client who begins to experience
1. Restrain the client's limbs.3.Consider insertion of a
seizure activity while in bed. Which actions by the nurse
padded tongue blade.
would be contraindicated? Select all that apply.
The nurse is planning care for the client with hemiparesis
of the right arm and leg. Where should the nurse plan to Within the client's reach, on the left side
place objects needed by the client?
