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Summary Neuro nclex review exam with 154Questions and Verified Answers | 100% Correct |2024 Grade A+
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Neuro nclex review exam with 154Questions and Verified Answers | 100% Correct |2024 Grade A+
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Neuro nclex review exam with 154Questionsand Verified Answers | 100% Correct |2024
Grade A+
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. - CORRECT
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. - CORRECT 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. - CORRECT 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? - CORRECT 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? - CORRECT ANSWERS Head turned to the side
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? -
CORRECT 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
,Neuro nclex review exam with 154Questions
and Verified Answers | 100% Correct |2024
Grade A+
criteria? - CORRECT 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? - CORRECT 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? -
CORRECT ANSWERS Minor headache
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?
- CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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
, Neuro nclex review exam with 154Questions
and Verified Answers | 100% Correct |2024
Grade A+
which action? - CORRECT 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? - CORRECT ANSWERS Raise the head of the bed and remove the noxious
stimulus.
The nurse is assigned to care for an adult client who had a stroke and is aphasic.
Which interventions should the nurse use for communicating with the client? Select
all that apply. - CORRECT ANSWERS 1.Face the client when talking. 2.Speak
slowly and maintain eye contact. 3.Use gestures when talking to enhance
words.5.Give the client directions using short phrases and simple terms.
The nurse is admitting a client with Guillain-Barré syndrome to the nursing unit. The
client has an ascending paralysis to the level of the waist. Knowing the
complications of the disorder, the nurse should bring which items into the client's
room? - CORRECT ANSWERS Electrocardiographic monitoring electrodes and
intubation tray
The nurse is caring for a client with an intracranial aneurysm who was previously
alert. Which findings are early indications that the level of consciousness (LOC) is
deteriorating? Select all that apply. - CORRECT ANSWERS 1.Drowsiness 3.Less
frequent speech 5.Slight slurring of speech
The nurse is planning to put aneurysm precautions in place for the client with a
cerebral aneurysm. Which item should be included as part of the precautions? -
CORRECT ANSWERS Maintaining the head of the bed at 15 degrees
The nurse is caring for a client who begins to experience seizure activity while in
bed. Which actions by the nurse would be contraindicated? Select all that apply. -
CORRECT ANSWERS 1.Restrain the client's limbs.3.Consider insertion of a
padded tongue blade.
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