NEURO NCLEX EXAM 2025 QUESTIONS AND
CORRECT ANSWERS
The nurse caring for an older adult client understands that which of the following can
increase disorientation in this client? Select all that apply.
1. Sedatives
2. Anesthesia
3. Analgesics
4. Ambulation
5. Frequent visitors
6. Physical restraints
rationale Using sedatives, anesthesia, analgesics, physical restraints, and tranquilizers can
increase disorientation in the older adult client. Ambulation and frequent visitors can assist in
orientation of the client due to the stimulation these activities provide..
A nurse is assisting with caring for a client after a craniotomy. The nurse plans to position the
client in a:
1. Prone position
2. Supine position
3. Semi-Fowler's position
4. Dorsal recumbent position
rationale After a craniotomy, the head of the bed is elevated 30 to 45 degrees (semi-Fowler's to
,Fowler's position), and the client's head is maintained in a midline, neutral position to facilitate
venous drainage. Options 1, 2, and 4 are incorrect positions.
A nurse is turning a postoperative client who had extensive back surgery yesterday. What
turning intervention or position would be best for repositioning this client?
1. Logrolling
2. Semi-Fowler's
3. Sims' (semi-prone)
4. 30-degree lateral (side-lying)
rationale Logrolling is used to maintain neck and spinal alignment after injury or surgery. A
minimum of three to four staff members is recommended to prevent injury to the client, and a
draw or pull sheet is also suggested. Options 2, 3, and 4 do not maintain proper spinal
alignment and could be harmful.
The nurse is caring for a client after a supratentorial craniotomy in which a large tumor was
removed from the left side. Choose the positions in which the nurse can safely place the
client. Select all that apply.
1. On the left side
2. With the neck flexed
3. Supine on the left side
4. With extreme hip flexion
5. In a semi-Fowler's position
6. With the head in a midline position
,rationale Clients who have undergone supratentorial surgery 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
the displacement of the cranial contents.
A client is having a lumbar puncture (LP) performed. The nurse would place the client in
which position for the procedure?
1. Supine, in semi-Fowler's
2. Prone, in slight Trendelenburg's
3. Prone, with a pillow under the abdomen
4. Side-lying, with legs pulled up and head bent down onto the chest
rationale The client undergoing LP is positioned lying on the side, with the legs pulled up to the
abdomen and the head bent down onto the chest. This position helps open the spaces between
the vertebrae.
A client has just undergone computed tomography (CT) scanning with a contrast medium.
The nurse determines that the client understands postprocedure care if the client verbalizes
that he or she will:
1. Drink extra fluids for the day.
2. Hold medications for at least 4 hours.
3. Eat lightly for the remainder of the day.
4. Rest quietly for the remainder of the day.
, rationale After CT scanning, the client may resume all usual activities. The client should be
encouraged to take in extra fluids to replace those lost with diuresis from the contrast dye.
Options 2, 3, and 4 are unnecessary.
A nurse is caring for a client with increased intracranial pressure (ICP). The nurse should
monitor for which of the following trends in vital signs that would occur if ICP is rising?
1. Increasing temperature, decreasing pulse, decreasing respirations, increasing blood
pressure (BP)
2. Decreasing temperature, decreasing pulse, increasing respirations, decreasing BP
3. Decreasing temperature, increasing pulse, decreasing respirations, increasing BP
4. Increasing temperature, increasing pulse, increasing respirations, decreasing BP
rationale A change in vital signs may be a late sign of increased ICP. Trends include increasing
temperature and blood pressure and decreasing pulse and respirations. Respiratory
irregularities may also arise.
A nurse is positioning the client with increased intracranial pressure (ICP). Which position
should the nurse avoid?
1. Head midline
2. Head turned to the side
3. Neck in neutral position
4. Head of bed elevated 30 to 45 degrees
rationale The head of the client with increased ICP should be positioned so that the head is in a
neutral, midline position. The nurse should avoid flexing or extending the neck or turning the
CORRECT ANSWERS
The nurse caring for an older adult client understands that which of the following can
increase disorientation in this client? Select all that apply.
1. Sedatives
2. Anesthesia
3. Analgesics
4. Ambulation
5. Frequent visitors
6. Physical restraints
rationale Using sedatives, anesthesia, analgesics, physical restraints, and tranquilizers can
increase disorientation in the older adult client. Ambulation and frequent visitors can assist in
orientation of the client due to the stimulation these activities provide..
A nurse is assisting with caring for a client after a craniotomy. The nurse plans to position the
client in a:
1. Prone position
2. Supine position
3. Semi-Fowler's position
4. Dorsal recumbent position
rationale After a craniotomy, the head of the bed is elevated 30 to 45 degrees (semi-Fowler's to
,Fowler's position), and the client's head is maintained in a midline, neutral position to facilitate
venous drainage. Options 1, 2, and 4 are incorrect positions.
A nurse is turning a postoperative client who had extensive back surgery yesterday. What
turning intervention or position would be best for repositioning this client?
1. Logrolling
2. Semi-Fowler's
3. Sims' (semi-prone)
4. 30-degree lateral (side-lying)
rationale Logrolling is used to maintain neck and spinal alignment after injury or surgery. A
minimum of three to four staff members is recommended to prevent injury to the client, and a
draw or pull sheet is also suggested. Options 2, 3, and 4 do not maintain proper spinal
alignment and could be harmful.
The nurse is caring for a client after a supratentorial craniotomy in which a large tumor was
removed from the left side. Choose the positions in which the nurse can safely place the
client. Select all that apply.
1. On the left side
2. With the neck flexed
3. Supine on the left side
4. With extreme hip flexion
5. In a semi-Fowler's position
6. With the head in a midline position
,rationale Clients who have undergone supratentorial surgery 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
the displacement of the cranial contents.
A client is having a lumbar puncture (LP) performed. The nurse would place the client in
which position for the procedure?
1. Supine, in semi-Fowler's
2. Prone, in slight Trendelenburg's
3. Prone, with a pillow under the abdomen
4. Side-lying, with legs pulled up and head bent down onto the chest
rationale The client undergoing LP is positioned lying on the side, with the legs pulled up to the
abdomen and the head bent down onto the chest. This position helps open the spaces between
the vertebrae.
A client has just undergone computed tomography (CT) scanning with a contrast medium.
The nurse determines that the client understands postprocedure care if the client verbalizes
that he or she will:
1. Drink extra fluids for the day.
2. Hold medications for at least 4 hours.
3. Eat lightly for the remainder of the day.
4. Rest quietly for the remainder of the day.
, rationale After CT scanning, the client may resume all usual activities. The client should be
encouraged to take in extra fluids to replace those lost with diuresis from the contrast dye.
Options 2, 3, and 4 are unnecessary.
A nurse is caring for a client with increased intracranial pressure (ICP). The nurse should
monitor for which of the following trends in vital signs that would occur if ICP is rising?
1. Increasing temperature, decreasing pulse, decreasing respirations, increasing blood
pressure (BP)
2. Decreasing temperature, decreasing pulse, increasing respirations, decreasing BP
3. Decreasing temperature, increasing pulse, decreasing respirations, increasing BP
4. Increasing temperature, increasing pulse, increasing respirations, decreasing BP
rationale A change in vital signs may be a late sign of increased ICP. Trends include increasing
temperature and blood pressure and decreasing pulse and respirations. Respiratory
irregularities may also arise.
A nurse is positioning the client with increased intracranial pressure (ICP). Which position
should the nurse avoid?
1. Head midline
2. Head turned to the side
3. Neck in neutral position
4. Head of bed elevated 30 to 45 degrees
rationale The head of the client with increased ICP should be positioned so that the head is in a
neutral, midline position. The nurse should avoid flexing or extending the neck or turning the
