2026 NCLEX REVIEW COMPLETE REVIEW
WITH PRACTICE QUESTIONS AND
VERIFIED ANSWERS | GRADED A+ |
GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,emesis without nausea, low O2, low resps and HR increased ICP; something neuro going on
low HR, RR w/ wide BP Cushing's triad
interventions for increased ICP (pharm and non pharm) - immobilize head and neck in neutral position
- logroll the client
- HOB in semi-fowlers
- no flexing or bending extremities, no blowing the nose
- want to decrease pressure everywhere in the body
- hyperventilate client to keep CO2 levels low (CO2 dilates blood vessels in the
brain)
- give stool softeners
- no turning and coughing
- want GCS score at 8, report any decreasing GCS score
- give steroids ending in -sone to decrease swelling
- give phenytoin to prevent seizures
- give mannitol to decrease pressure in brain
interventions for active seizure (pharm and non pharm) - assist to ground, side-lying position
- prepare for suctioning
- never insert anything into mouth, never restrain client
- remove restrictive clothing around client
- record time, do neuro checks, VS
drug to stop seizures: -pam, -lam (benzos)
CVA stroke S&S (FAST) - unilateral weakness
- new sudden arm drift
FAST
face or smile drooping
arm drift
speech impairment
time --> call CT STAT!
what is CVA cerebral vascular accident --> brain lacks O2, results in long term permanent
damaga
- commonly caused by blood clots, alsoo from atherosclerosis, ruptured blood
vessel (HTN)
CVA caused by blood clot --> interventions (pharm) - thrombolytics: TPA and -ase within 4.5 hours of onset of symptoms
hemorrhagic CVA stroke --> interventions - seizure precautions
- NO antiplatelets (aspirin and clopidogrel)
- NO anticoagulants (heparin and warfarin)
R-sided stroke R for Reckless
- client has lack of impulse control, behavioural changes, have to educate family
, client education after stroke - NPO until swallow screen
- HOB should be high fowlers during feeding
- promote independence
- during feeding, client should flex neck down during swallowing
- client on PUREE diet, not regular
open TBI bacillary skull fracture, see CSF leaking from eyes, nose, ears
--> any clear drainage is a deadly sign
closed TBI - FRONT TO BACK brain injury (COUP-CONTRECOUP)
- like whiplash
- frontal lobe (front office): speech and memory --> can experience expressive
aphasia (without speech)
- occipital lobe injury: ocular problems
- test CSF for glucose
any brain injury client we monitor, looking for signs of increased ICP
meningitis: what + S&S + interventions (kids too) - inflammation of meninges
- massive swelling = deadly ICP
- headache
- hard stiff neck: nuchal rigidity
- photophobia
- high temp
in kids
- high pitched cry
- bulging fontanelles
- place on droplet precautions
- quiet room away from nurse's station to decrease activity on brain
parkinsons: what + S&S + interventions - low dopamine, high acetylcholine
- "low dope in the park"
1. shuffling gait with decreased arm swing
2. pill rolling
3. tremors at rest
drugs: -dopa
- levodopa, carbidopa
- leaves more dopamine in the body
- have to teach client to leave protein because it blocks absorption (levodopa,
leave protein)
1. shuffling gait with decreased arm swing parkinsons
2. pill rolling
3. tremors at rest
WITH PRACTICE QUESTIONS AND
VERIFIED ANSWERS | GRADED A+ |
GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,emesis without nausea, low O2, low resps and HR increased ICP; something neuro going on
low HR, RR w/ wide BP Cushing's triad
interventions for increased ICP (pharm and non pharm) - immobilize head and neck in neutral position
- logroll the client
- HOB in semi-fowlers
- no flexing or bending extremities, no blowing the nose
- want to decrease pressure everywhere in the body
- hyperventilate client to keep CO2 levels low (CO2 dilates blood vessels in the
brain)
- give stool softeners
- no turning and coughing
- want GCS score at 8, report any decreasing GCS score
- give steroids ending in -sone to decrease swelling
- give phenytoin to prevent seizures
- give mannitol to decrease pressure in brain
interventions for active seizure (pharm and non pharm) - assist to ground, side-lying position
- prepare for suctioning
- never insert anything into mouth, never restrain client
- remove restrictive clothing around client
- record time, do neuro checks, VS
drug to stop seizures: -pam, -lam (benzos)
CVA stroke S&S (FAST) - unilateral weakness
- new sudden arm drift
FAST
face or smile drooping
arm drift
speech impairment
time --> call CT STAT!
what is CVA cerebral vascular accident --> brain lacks O2, results in long term permanent
damaga
- commonly caused by blood clots, alsoo from atherosclerosis, ruptured blood
vessel (HTN)
CVA caused by blood clot --> interventions (pharm) - thrombolytics: TPA and -ase within 4.5 hours of onset of symptoms
hemorrhagic CVA stroke --> interventions - seizure precautions
- NO antiplatelets (aspirin and clopidogrel)
- NO anticoagulants (heparin and warfarin)
R-sided stroke R for Reckless
- client has lack of impulse control, behavioural changes, have to educate family
, client education after stroke - NPO until swallow screen
- HOB should be high fowlers during feeding
- promote independence
- during feeding, client should flex neck down during swallowing
- client on PUREE diet, not regular
open TBI bacillary skull fracture, see CSF leaking from eyes, nose, ears
--> any clear drainage is a deadly sign
closed TBI - FRONT TO BACK brain injury (COUP-CONTRECOUP)
- like whiplash
- frontal lobe (front office): speech and memory --> can experience expressive
aphasia (without speech)
- occipital lobe injury: ocular problems
- test CSF for glucose
any brain injury client we monitor, looking for signs of increased ICP
meningitis: what + S&S + interventions (kids too) - inflammation of meninges
- massive swelling = deadly ICP
- headache
- hard stiff neck: nuchal rigidity
- photophobia
- high temp
in kids
- high pitched cry
- bulging fontanelles
- place on droplet precautions
- quiet room away from nurse's station to decrease activity on brain
parkinsons: what + S&S + interventions - low dopamine, high acetylcholine
- "low dope in the park"
1. shuffling gait with decreased arm swing
2. pill rolling
3. tremors at rest
drugs: -dopa
- levodopa, carbidopa
- leaves more dopamine in the body
- have to teach client to leave protein because it blocks absorption (levodopa,
leave protein)
1. shuffling gait with decreased arm swing parkinsons
2. pill rolling
3. tremors at rest
