Questions 551–575
Neurological Disorders
Question 551
A client with increased intracranial pressure (ICP) develops a decreasing level of consciousness. What is the
nurse's priority action?
A. Assess airway and neurological status
B. Encourage oral fluids
C. Lower the head of the bed flat
D. Delay assessment
Answer: A
Rationale: Changes in consciousness are often the earliest sign of worsening ICP.
Question 552
A client is admitted with a suspected stroke. What is the priority nursing assessment?
A. Time symptoms began
B. Dietary preferences
C. Bowel habits
D. Sleep patterns
Answer:
A
Rationale: Stroke treatment options depend heavily on symptom
onset time.
, Question
553
A client experiences a generalized tonic-clonic seizure. What should the nurse do first?
A. Protect the client from injury
B. Insert a tongue blade
C. Restrain the extremities
D. Offer water
Answer: A
Rationale: Safety is the primary concern during a seizure.
Question 554
A client with Parkinson disease has difficulty swallowing. What complication is the greatest concern?
A. Aspiration pneumonia
B. Hypertension
C. Hyperglycemia
D. Constipation
Answer: A
Rationale: Dysphagia significantly increases aspiration risk.
Question 555
A client with meningitis develops photophobia and nuchal rigidity. These findings indicate:
A. Meningeal irritation
B. Heart failure
C. Kidney failure
D. Pulmonary edema
Neurological Disorders
Question 551
A client with increased intracranial pressure (ICP) develops a decreasing level of consciousness. What is the
nurse's priority action?
A. Assess airway and neurological status
B. Encourage oral fluids
C. Lower the head of the bed flat
D. Delay assessment
Answer: A
Rationale: Changes in consciousness are often the earliest sign of worsening ICP.
Question 552
A client is admitted with a suspected stroke. What is the priority nursing assessment?
A. Time symptoms began
B. Dietary preferences
C. Bowel habits
D. Sleep patterns
Answer:
A
Rationale: Stroke treatment options depend heavily on symptom
onset time.
, Question
553
A client experiences a generalized tonic-clonic seizure. What should the nurse do first?
A. Protect the client from injury
B. Insert a tongue blade
C. Restrain the extremities
D. Offer water
Answer: A
Rationale: Safety is the primary concern during a seizure.
Question 554
A client with Parkinson disease has difficulty swallowing. What complication is the greatest concern?
A. Aspiration pneumonia
B. Hypertension
C. Hyperglycemia
D. Constipation
Answer: A
Rationale: Dysphagia significantly increases aspiration risk.
Question 555
A client with meningitis develops photophobia and nuchal rigidity. These findings indicate:
A. Meningeal irritation
B. Heart failure
C. Kidney failure
D. Pulmonary edema
