Neuro NCLEX Questions answers
Neuro NCLEX Questions
Study online at https://quizlet.com/_95vsik
1. The nurse is caring for the client with increased 2
intracranial pressure. The nurse would note which
trend in vital signs if the intracranial pressure is
rising?
1. Increasing temperature, increasing pulse, increas-
ing
respirations, decreasing blood pressure
2. Increasing temperature, decreasing pulse, decreas-
ing
respirations, increasing blood pressure
3. Decreasing temperature, decreasing pulse, increas-
ing
respirations, decreasing blood pressure
4. Decreasing temperature, increasing pulse, decreas-
ing
respirations, increasing blood pressure
2. A client recovering from a head injury is participating 4
in care. The nurse determines that the client
understands measures to prevent elevations in
intracranial pressure if the nurse observes the client
doing which activity?
1. Blowing the nose
2. Isometric exercises
3. Coughing vigorously
4. Exhaling during repositioning
3. A client has clear fluid leaking from the nose following 4
a basilar skull fracture. Which finding
would alert the nurse that cerebrospinal fluid is
present?
1. Fluid is clear and tests negative for glucose.
actualstudy Page 1
, Neuro NCLEX Questions answers
Neuro NCLEX Questions
Study online at https://quizlet.com/_95vsik
2. Fluid is grossly bloody in appearance and has a
pH of 6.
3. Fluid clumps together on the dressing and has a
pH of 7.
4. Fluid separates into concentric rings and tests
positive for glucose.
4. A client with a spinal cord injury is prone to 1
experiencing autonomic dysreflexia. The nurse 2
should include which measures in the plan of care 4
to minimize the risk of occurrence? Select all that
apply.
1. Keeping the linens wrinkle-free under the
client
2. Preventing unnecessary pressure on the
lower limbs
3. Limiting bladder catheterization to once
every 12 hours
4. Turning and repositioning the client at least
every 2 hours
5. Ensuring that the client has a bowel movement
at least once a week
5. The nurse is evaluating the neurological signs of 3
a client in spinal shock following spinal cord injury.
Which observation indicates that spinal
shock persists?
1. Hyperreflexia
2. Positive reflexes
3. Flaccid paralysis
4. Reflex emptying of the bladder
actualstudy Page 2
Neuro NCLEX Questions
Study online at https://quizlet.com/_95vsik
1. The nurse is caring for the client with increased 2
intracranial pressure. The nurse would note which
trend in vital signs if the intracranial pressure is
rising?
1. Increasing temperature, increasing pulse, increas-
ing
respirations, decreasing blood pressure
2. Increasing temperature, decreasing pulse, decreas-
ing
respirations, increasing blood pressure
3. Decreasing temperature, decreasing pulse, increas-
ing
respirations, decreasing blood pressure
4. Decreasing temperature, increasing pulse, decreas-
ing
respirations, increasing blood pressure
2. A client recovering from a head injury is participating 4
in care. The nurse determines that the client
understands measures to prevent elevations in
intracranial pressure if the nurse observes the client
doing which activity?
1. Blowing the nose
2. Isometric exercises
3. Coughing vigorously
4. Exhaling during repositioning
3. A client has clear fluid leaking from the nose following 4
a basilar skull fracture. Which finding
would alert the nurse that cerebrospinal fluid is
present?
1. Fluid is clear and tests negative for glucose.
actualstudy Page 1
, Neuro NCLEX Questions answers
Neuro NCLEX Questions
Study online at https://quizlet.com/_95vsik
2. Fluid is grossly bloody in appearance and has a
pH of 6.
3. Fluid clumps together on the dressing and has a
pH of 7.
4. Fluid separates into concentric rings and tests
positive for glucose.
4. A client with a spinal cord injury is prone to 1
experiencing autonomic dysreflexia. The nurse 2
should include which measures in the plan of care 4
to minimize the risk of occurrence? Select all that
apply.
1. Keeping the linens wrinkle-free under the
client
2. Preventing unnecessary pressure on the
lower limbs
3. Limiting bladder catheterization to once
every 12 hours
4. Turning and repositioning the client at least
every 2 hours
5. Ensuring that the client has a bowel movement
at least once a week
5. The nurse is evaluating the neurological signs of 3
a client in spinal shock following spinal cord injury.
Which observation indicates that spinal
shock persists?
1. Hyperreflexia
2. Positive reflexes
3. Flaccid paralysis
4. Reflex emptying of the bladder
actualstudy Page 2
