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Exam (elaborations)

NCLEX Prep Neuro Questions & 100% Correct Answers

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  • Course
  • NCLEX
  • Institution
  • NCLEX

A client admitted to the hospital with a subarachnoid hemorrhage has complaints of severe headache, nuchal rigidity, and projectile vomiting. The nurse knows lumbar puncture (LP) would be contraindicated in this client in which of the following circumstances? a. Vomiting continues b. Intrac...

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  • September 12, 2024
  • 14
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NCLEX
  • NCLEX
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MASTER01
1 | P a g e | © copyright 2024/2025 | Grade A+




NCLEX Prep Neuro Questions & 100%
Correct Answers
1. A client admitted to the hospital with a subarachnoid hemorrhage has

complaints of severe headache, nuchal rigidity, and projectile vomiting. The

nurse knows lumbar puncture (LP) would be contraindicated in this client in

which of the following circumstances?

a. Vomiting continues

b. Intracranial pressure (ICP) is increased

c. The client needs mechanical ventilation

d. Blood is anticipated in the cerebralspinal fluid (CSF)

✓ ~~> 1. B. Sudden removal of CSF results in pressures lower in the

lumbar area than the brain and favors herniation of the brain;

therefore, LP is contraindicated with increased ICP. Vomiting may be

caused by reasons other than increased ICP; therefore, LP isn't strictly

contraindicated. An LP may be preformed on clients needing

mechanical ventilation. Blood in the CSF is diagnostic for subarachnoid

hemorrhage and was obtained before signs and symptoms of ICP.




2. A client with a subdural hematoma becomes restless and confused, with

dilation of the ipsilateral pupil. The physician orders mannitol for which of the

following reasons?



Master01 | September, 2024/2025 | Latest update

, 2 | P a g e | © copyright 2024/2025 | Grade A+



a. To reduce intraocular pressure

b. To prevent acute tubular necrosis

c. To promote osmotic diuresis to decrease ICP

d. To draw water into the vascular system to increase blood pressure

✓ ~~> 2. C. Mannitol promotes osmotic diuresis by increasing the

pressure gradient, drawing fluid from intracellular to intravascular

spaces. Although mannitol is used for all the reasons described, the

reduction of ICP in this client is a concern.




3. A client with subdural hematoma was given mannitol to decrease

intracranial pressure (ICP). Which of the following results would best show the

mannitol was effective?

a. Urine output increases

b. Pupils are 8 mm and nonreactive

c. Systolic blood pressure remains at 150 mm Hg

d. BUN and creatinine levels return to normal




Master01 | September, 2024/2025 | Latest update

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