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Saunders NCLEX-RN Neurological Disorders | 80+ Verified Q&A | Stroke, ICP, Seizures, Head Injury – 2025

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This Saunders NCLEX-RN Neurological 2025 review set includes 80+ carefully selected NCLEX-style questions and rationales focused entirely on neurological system disorders. The questions are derived from trusted Saunders NCLEX resources and are designed to help students master complex neurological content likely to appear on the NCLEX-RN or related nursing exams. Key topics include stroke (ischemic and hemorrhagic), increased intracranial pressure (ICP), seizure types and management, head injuries, Cushing’s triad, Glasgow Coma Scale (GCS), and nursing interventions for neurological deterioration. Students are also tested on medications (e.g., phenytoin, mannitol), safety precautions during seizures, and cranial nerve assessment. Each question comes with a rationale explaining the correct answer to reinforce learning and improve clinical judgment. This resource is highly valuable for: – BSN and ADN students studying for the NCLEX-RN, HESI, or institutional exams – Courses in Neurological Nursing, Critical Care, Medical-Surgical Nursing, and Pathophysiology – Focused review on high-acuity neurological disorders and emergency interventions This document offers a focused and high-yield neurological systems review, ideal for students preparing to handle neurologically compromised patients both in clinical practice and on national licensure exams. Keywords: NCLEX neurology, Saunders review, increased ICP, stroke care, seizures, GCS scale, head injury, neuro nursing, Cushing’s triad, phenytoin, mannitol, cranial nerves, neuro assessment, seizure precautions, nursing interventions

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Saunders Neurological 2025/2026 Exam
Questions and Verified Answers |
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A prescription reads phenytoin 0.2 g orally twice daily. The medication label

states that each capsule is 100 mg. The nurse prepares how many

capsule(s) to administer 1 dose? Fill in the blank. - 🧠 ANSWER ✔✔Answer:

2 capsule(s)

Rationale: You must convert 0.2 mg. After conversion from grams to

milligrams, use the formula to calculate the correct dose. Desired/Available

× Capsule(s) = capsule(s)/dose

200mg/100mg × 1 capsule = 2 capsules

Test-Taking Strategy(ies): Focus on the subject, a dosage calculation. In

this medication calculation problem, first you must convert grams to

milligrams. Once you have done the conversion and reread the medication

,calculation problem, you will know that 2 capsules is the correct answer.

Recheck your work using a calculator and make sure that the answer

makes sense.

The nurse is caring for a client who begins to experience seizure activity

while in bed. Which actions should the nurse take? Select all that apply.

1. Loosening restrictive clothing.

2. Restraining the client's limbs.

3. Removing the pillow and raising padded side rails.

4. Positioning the client to the side, if possible, with the head flexed

forward.

5. Keeping the curtain around the client and the room door open so when

help arrives they can quickly enter to assist. - 🧠 ANSWER ✔✔Answer: 1.

Loosening restrictive clothing.

3. Removing the pillow and raising padded side rails.

4. Positioning the client to the side, if possible, with the head flexed

forward.

Rationale: Nursing actions during a seizure include providing for privacy,

loosening restrictive clothing, removing the pillow and raising padded side

,rails in the bed, and placing the client on 1 side with the head flexed

forward, if possible, to allow the tongue to fall forward and facilitate

drainage. The limbs are never restrained because the strong muscle

contractions could cause the client harm. If the client is not in bed when

seizure activity begins, the nurse lowers the client to the floor, if possible;

protects the head from injury; and moves furniture that may injure the

client.

Test-Taking Strategy(ies): Focus on the subject, interventions during a

seizure. Think about ethical and legal issues to eliminate option 5. Next,

evaluate this question from the perspective of causing possible harm. No

harm can come to the client from any of the options except for restraining

the limbs. Remember to avoid restraints.

The nurse is instructing a client with Parkinson's disease about preventing

falls. Which client statement reflects a need for further teaching?

1. "I can sit down to put on my pants and shoes."

2. "I try to exercise every day and rest when I'm tired."

3. "My son removed all loose rugs from my bedroom."




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STATEMENT. ALL RIGHTS RESERVED
3

, 4. "I don't need to use my walker to get to the bathroom." - 🧠 ANSWER

✔✔Answer: 4. "I don't need to use my walker to get to the bathroom."


Rationale: The client with Parkinson's disease should be instructed

regarding safety measures in the home. The client should use her or his

walker as support to get to the bathroom because of bradykinesia. The

client should sit down to put on pants and shoes to prevent falling. The

client should exercise every day in the morning when energy levels are

highest. The client should have all loose rugs in the home removed to

prevent falling.

Test-Taking Strategy(ies): Note the strategic words, need for further

teaching. These words indicate a negative event query and the need to

select the incorrect client statement as the answer. Recall that clients with

Parkinson's disease are at risk for falls.

The nurse is instituting seizure precautions for a client who is being

admitted from the emergency department. Which measures should the

nurse include in planning for the client's safety? Select all that apply.

1. Padding the side rails of the bed.

2. Placing an airway at the bedside.

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