NEURO NCLEX REVIEW EXAM (ACTUAL
EXAM) WITH 100+ QUESTIONS WITH VERY
ELABORATED ANSWERS CORRECTRY WELL
ORGANIZED LATEST 2024 – 2025 ALREADY
GRADED A+
The nurse is preparing a plan of care for a client with a brain attack (stroke) who
has global aphasia. The nurse incorporates communication strategies in the plan
of care, knowing that the client's speech should fit which characterization? -
ANSWERS-Associated with poor comprehension
The nurse is caring for a client with a diagnosis of brain attack (stroke) with
anosognosia. To meet the needs of the client with this deficit, which action does
the nurse plan? - ANSWERS-Increase the client's awareness of the affected side.
The nurse is caring for a client who sustained a spinal cord injury. While
administering morning care, the client developed signs and symptoms of
,autonomic dysreflexia. Which is the initial nursing action? - ANSWERS-Elevate the
head of the bed.
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
intracranial pressure (ICP) if the nurse observes the client doing which activity? -
ANSWERS-Exhaling during repositioning
The client has clear fluid leaking from the nose after a basilar skull fracture. The
nurse determines that this is cerebrospinal fluid (CSF) if the fluid meets which
criteria? - ANSWERS-Separates into concentric rings and tests positive for glucose
The client is admitted to the hospital for observation with a probable minor head
injury after an automobile crash. The nurse expects the cervical collar will remain
in place until which time? - ANSWERS-The primary health care provider (PHCP)
reviews the x-ray results.
The client was seen and treated in the emergency department (ED) for a
concussion. Before discharge, the nurse explains the signs/symptoms of a
worsening condition. The nurse determines that the family needs further teaching
if they state they will return to the ED if the client experiences which
sign/symptom? - ANSWERS-Minor headache
The nurse is assisting with caring for a client after a craniotomy. Which are the
positions that can be used for the client? Select all that apply. - ANSWERS-3. Semi-
Fowler's position 5.With the foot of the bed flat
,The nurse is caring for a client following a craniotomy in which a large tumor was
removed from the left side. In which position can the nurse safely place the
client? Refer to the Figure. - ANSWERS-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 maintained in a midline, neutral position. If a large
tumor has been removed, the client should be placed on the nonoperative side to
prevent displacement of the cranial 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 hospital. Which should
the nurse plan to implement for this client? Select all that apply. - ANSWERS-
1.Pad the bed's side rails. 2.Place an airway at the bedside. 3.Place oxygen
equipment at the bedside. 4.Place suction equipment at the bedside.
The nurse is caring for a client with increased intracranial pressure (ICP). Which
change in vital signs would occur if ICP is rising? - ANSWERS-Increasing
temperature, decreasing pulse, decreasing respirations, increasing BP
The nurse observes the unlicensed assistive personnel (UAP) positioning the client
with increased intracranial pressure (ICP). Which position would require
intervention by the nurse? - ANSWERS-Head turned to the side
The nurse is caring for a client who has undergone craniotomy with a
supratentorial incision. The nurse should plan to place the client in which position
, postoperatively? - ANSWERS-Head of bed elevated 30 to 45 degrees, head and
neck midline
The client with a cervical spine injury has Crutchfield tongs applied in the
emergency department. The nurse should perform which essential action when
caring for this client? - ANSWERS-Comparing the amount of prescribed weights
with the amount in use
The nurse has provided discharge instructions to a client with an application of a
halo device. The nurse determines that the client needs further teaching if which
statement is made? - ANSWERS-"I will drive only during the daytime."
The nurse is caring for the client who has suffered spinal cord injury. The nurse
further monitors the client for signs of autonomic dysreflexia and suspects this
complication if which sign/symptom is noted? - ANSWERS-Severe, throbbing
headache
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? - ANSWERS-Limiting bladder catheterization to once every 12 hours
The client with spinal cord injury suddenly experiences an episode of autonomic
dysreflexia. After checking vital signs, which immediate action should the nurse
take? - ANSWERS-Raise the head of the bed and remove the noxious stimulus.
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