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NSG 3250 Chapter 61 Neurologic Dysfunction Exam – 45 NCLEX Questions and Answers | Increased ICP, Seizures, Brain Tumors, Craniotomy & Neurologic ICU Review | Chamberlain University

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This comprehensive NSG 3250 Chapter 61 study guide contains 45 high-yield NCLEX-style questions and detailed answers focused on the management of patients with neurologic dysfunction. The document thoroughly reviews essential neurologic and critical care nursing concepts including increased intracranial pressure (ICP), cerebral edema, seizures, status epilepticus, traumatic brain injury, craniotomy care, Glasgow Coma Scale (GCS), ventriculostomy complications, meningitis, SIADH, diabetes insipidus, pituitary tumors, cluster headaches, migraine management, seizure precautions, cerebral perfusion pressure (CPP), and postoperative neurologic assessment. The material is specifically designed to strengthen clinical reasoning, neurologic assessment skills, ICU nursing knowledge, and evidence-based nursing interventions for students preparing for Adult Health Nursing, Medical-Surgical Nursing, ATI examinations, and NCLEX-RN success. This review resource emphasizes emergency neurologic interventions, airway protection, intracranial pressure management, seizure safety, fluid and electrolyte monitoring, postoperative neurosurgical care, headache assessment, and critical care nursing priorities. Students will gain a deeper understanding of mannitol administration, dexamethasone therapy for cerebral edema, status epilepticus management with intravenous diazepam, early signs of increased ICP, cerebral perfusion monitoring, seizure documentation, Glasgow Coma Scale interpretation, transsphenoidal pituitary surgery care, pseudobulbar affect, and complications associated with ventriculostomy devices. The exam-style questions reflect realistic clinical scenarios commonly encountered in neurologic intensive care units, emergency departments, neurosurgical units, rehabilitation settings, and acute medical-surgical nursing environments. The content aligns with major nursing and neuroscience references including: Lewis’s Medical-Surgical Nursing: Assessment and Management of Clinical Problems Brunner & Suddarth’s Textbook of Medical-Surgical Nursing Ignatavicius & Workman: Medical-Surgical Nursing American Association of Neuroscience Nurses (AANN) Clinical Practice Guidelines Brain Trauma Foundation Recommendations Neurocritical Care Society Standards National Council of State Boards of Nursing (NCSBN) NCLEX-RN Test Plan Journal of Neuroscience Nursing This resource is highly relevant for: BSN nursing students ADN nursing students Adult Health Nursing students Medical-Surgical Nursing students Neuroscience Nursing students Critical Care Nursing students Emergency and Trauma Nursing students Neurologic ICU nursing students ATI examination preparation NCLEX-RN preparation Nursing remediation and revision courses Keywords NSG 3250, neurologic dysfunction nursing, increased intracranial pressure, ICP nursing care, cerebral edema management, seizure precautions, status epilepticus treatment, Glasgow Coma Scale, craniotomy postoperative care, ventriculostomy complications, meningitis nursing assessment, SIADH nursing care, diabetes insipidus management, cerebral perfusion pressure, traumatic brain injury nursing, seizure disorder nursing questions, neurologic ICU nursing, dexamethasone cerebral edema, mannitol nursing considerations, transsphenoidal pituitary surgery, cluster headache treatment, migraine nursing care, pseudobulbar affect, seizure documentation, airway management neurologic patient, NCLEX neurologic questions, ATI neurologic review, neuroscience nursing, critical care nursing, Chamberlain University

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NSG 3250. Chapter 61
Management of Patients With
Neurologic Dysfunction 2026
EXAM QUESTIONS AND
ANSWERS | 100% PASS



A client is being admitted to the neurologic ICU following an acute head

injury that has resulted in cerebral edema. When planning this client's

care, the nurse would expect to administer what priority medication?




A. Hydrochlorothiazide

,B. Furosemide

C. Mannitol


D. Spironlactone - ANSWER ✔✔c. Mannitol


The nurse is providing care for a client who is unconscious. What

nursing intervention takes highest priority?




A. Maintaining accurate records of intake and output

B. Maintaining a patent airway

C. Inserting a nasogastric (NG) tube as prescribed


D. Providing appropriate pain control - ANSWER ✔✔B) Maintaining a

patent airway

The nurse is caring for a client in the ICU who has a brain stem

herniation and who is exhibiting an altered level of consciousness.

Monitoring reveals that the client's mean arterial pressure (MAP) is 60

mm Hg with an intracranial pressure (ICP) reading of 5 mm Hg. What is

the nurse's most appropriate action?

A. Position the client the high Fowler position as tolerated.

B. Administer osmotic diuretics as prescribed.

, C. Participate in interventions to increase cerebral perfusion pressure

(CPP).


D. Prepare the client for craniotomy. - ANSWER ✔✔C. Participate in

interventions to increase cerebral perfusion pressure (CPP).

The nurse is caring for a client who is postoperative following a

craniotomy. When writing the plan of care, the nurse identifies a

diagnosis of "deficient fluid volume related to fluid restriction and osmotic

diuretic use." What is the nurse's most appropriate intervention for this

diagnosis?




A. Change the client's position as indicated.

B. Monitor serum electrolytes.

C. Maintain NPO status.


D. Monitor arterial blood gas (ABG) values. - ANSWER ✔✔B) Monitor

serum electrolytes.

A client with a documented history of seizure disorder experiences a

generalized seizure. What nursing action is most appropriate?




A. Restrain the client to prevent injury.

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