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Prioritization, Delegation & Assignment:
Neurologic NCLEX questions
The nurse is assessing a client with a neurologic health problem and
discovers a change in level of consciousness from alert to lethargic. What
is the nurse's best action?
A.) Perform a complete neurologic assessment.
B.) Assess the cranial nerve functions.
C.) Contact the Rapid Response Team.
D.) Reassess the client in 30 minutes. - -Correct Answer --✔️C.) Contact
the Rapid Response Team.
A change in level of consciousness and orientation is the earliest and
most reliable indication that central neurologic function has declined. If a
decline occurs, contact the Rapid Response Team or health care provider
immediately. The nurse should also perform a focused assessment to
determine if there are any other changes.
The nurse on the neurologic acute care unit is assessing the orientation
of a client with severe headaches. Which questions would the nurse use
to determine orientation? Select all that apply.
1.)When did you first experience the headache symptoms?
2.)Who is the Mayor of Cleveland?
3.)What is your health care provider's name?
4.)What year and month is this?
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5.)What is your parents' address?
6.) What is the name of this health care facility? - -Correct Answer --
✔️1,3,4,6
1.)When did you first experience the headache symptoms?
3.)What is your health care provider's name?
4.)What year and month is this?
6.) What is the name of this health care facility?
After determining alertness in a client, the next step is to evaluate
orientation. When the client's attention is engaged, ask him or her
questions to determine orientation. Varying the sequence of questioning
on repeated assessments prevents the client from memorizing the
answers. Responses that indicate orientation include the ability to answer
questions about person, place, and time by asking for information such
as the client's ability to relate the onset of symptoms, the name of his or
her health care provider or nurse, the year and month, his or her address,
and the name of the referring physician or health care agency. Asking
about mayors' names or parents' address may be inappropriate to assess
orientation.
What is the priority nursing concern for a client experiencing a migraine
headache?
1.)Pain
2.)Anxiety
3.)Hopelessness
4.)Risk for brain injury - -Correct Answer --✔️1.)Pain
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Prioritization, Delegation & Assignment:
Neurologic NCLEX questions
The nurse is assessing a client with a neurologic health problem and
discovers a change in level of consciousness from alert to lethargic. What
is the nurse's best action?
A.) Perform a complete neurologic assessment.
B.) Assess the cranial nerve functions.
C.) Contact the Rapid Response Team.
D.) Reassess the client in 30 minutes. - -Correct Answer --✔️C.) Contact
the Rapid Response Team.
A change in level of consciousness and orientation is the earliest and
most reliable indication that central neurologic function has declined. If a
decline occurs, contact the Rapid Response Team or health care provider
immediately. The nurse should also perform a focused assessment to
determine if there are any other changes.
The nurse on the neurologic acute care unit is assessing the orientation
of a client with severe headaches. Which questions would the nurse use
to determine orientation? Select all that apply.
1.)When did you first experience the headache symptoms?
2.)Who is the Mayor of Cleveland?
3.)What is your health care provider's name?
4.)What year and month is this?
1
, 2
5.)What is your parents' address?
6.) What is the name of this health care facility? - -Correct Answer --
✔️1,3,4,6
1.)When did you first experience the headache symptoms?
3.)What is your health care provider's name?
4.)What year and month is this?
6.) What is the name of this health care facility?
After determining alertness in a client, the next step is to evaluate
orientation. When the client's attention is engaged, ask him or her
questions to determine orientation. Varying the sequence of questioning
on repeated assessments prevents the client from memorizing the
answers. Responses that indicate orientation include the ability to answer
questions about person, place, and time by asking for information such
as the client's ability to relate the onset of symptoms, the name of his or
her health care provider or nurse, the year and month, his or her address,
and the name of the referring physician or health care agency. Asking
about mayors' names or parents' address may be inappropriate to assess
orientation.
What is the priority nursing concern for a client experiencing a migraine
headache?
1.)Pain
2.)Anxiety
3.)Hopelessness
4.)Risk for brain injury - -Correct Answer --✔️1.)Pain
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