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NCLEX Practice Questions Complete

The document discusses nursing interventions for patients with altered levels of consciousness and increased intracranial pressure, emphasizing the priority of regular neurological assessments. It consistently identifies assessing neurological function as the primary intervention over monitoring vital signs, providing oxygen therapy, or administering pain medication. The rationale highlights the importance of monitoring changes in consciousness to detect worsening conditions.
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
7 views54 pages

NCLEX Practice Questions Complete

The document discusses nursing interventions for patients with altered levels of consciousness and increased intracranial pressure, emphasizing the priority of regular neurological assessments. It consistently identifies assessing neurological function as the primary intervention over monitoring vital signs, providing oxygen therapy, or administering pain medication. The rationale highlights the importance of monitoring changes in consciousness to detect worsening conditions.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ALTERED LEVEL OF CONSCIOUSNESS

Q1. A patient is admitted with altered level of consciousness. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q2. A patient is admitted with altered level of consciousness. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q3. A patient is admitted with altered level of consciousness. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q4. A patient is admitted with altered level of consciousness. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q5. A patient is admitted with altered level of consciousness. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q6. A patient is admitted with altered level of consciousness. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q7. A patient is admitted with altered level of consciousness. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately
Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q8. A patient is admitted with altered level of consciousness. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q9. A patient is admitted with altered level of consciousness. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q10. A patient is admitted with altered level of consciousness. Which nursing intervention is
the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q11. A patient is admitted with altered level of consciousness. Which nursing intervention is
the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q12. A patient is admitted with altered level of consciousness. Which nursing intervention is
the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q13. A patient is admitted with altered level of consciousness. Which nursing intervention is
the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q14. A patient is admitted with altered level of consciousness. Which nursing intervention is
the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q15. A patient is admitted with altered level of consciousness. Which nursing intervention is
the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q16. A patient is admitted with altered level of consciousness. Which nursing intervention is
the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q17. A patient is admitted with altered level of consciousness. Which nursing intervention is
the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately
Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q18. A patient is admitted with altered level of consciousness. Which nursing intervention is
the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q19. A patient is admitted with altered level of consciousness. Which nursing intervention is
the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q20. A patient is admitted with altered level of consciousness. Which nursing intervention is
the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.
INCREASED INTRACRANIAL PRESSURE

Q1. A patient is admitted with increased intracranial pressure. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q2. A patient is admitted with increased intracranial pressure. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q3. A patient is admitted with increased intracranial pressure. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q4. A patient is admitted with increased intracranial pressure. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q5. A patient is admitted with increased intracranial pressure. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q6. A patient is admitted with increased intracranial pressure. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q7. A patient is admitted with increased intracranial pressure. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately
Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q8. A patient is admitted with increased intracranial pressure. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q9. A patient is admitted with increased intracranial pressure. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q10. A patient is admitted with increased intracranial pressure. Which nursing intervention is
the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q11. A patient is admitted with increased intracranial pressure. Which nursing intervention is
the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q12. A patient is admitted with increased intracranial pressure. Which nursing intervention is
the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q13. A patient is admitted with increased intracranial pressure. Which nursing intervention is
the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q14. A patient is admitted with increased intracranial pressure. Which nursing intervention is
the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q15. A patient is admitted with increased intracranial pressure. Which nursing intervention is
the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q16. A patient is admitted with increased intracranial pressure. Which nursing intervention is
the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q17. A patient is admitted with increased intracranial pressure. Which nursing intervention is
the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately
Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q18. A patient is admitted with increased intracranial pressure. Which nursing intervention is
the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q19. A patient is admitted with increased intracranial pressure. Which nursing intervention is
the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q20. A patient is admitted with increased intracranial pressure. Which nursing intervention is
the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.
HEAD INJURIES

Q1. A patient is admitted with head injuries. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q2. A patient is admitted with head injuries. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q3. A patient is admitted with head injuries. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q4. A patient is admitted with head injuries. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately
Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q5. A patient is admitted with head injuries. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q6. A patient is admitted with head injuries. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q7. A patient is admitted with head injuries. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q8. A patient is admitted with head injuries. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q9. A patient is admitted with head injuries. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q10. A patient is admitted with head injuries. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q11. A patient is admitted with head injuries. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q12. A patient is admitted with head injuries. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q13. A patient is admitted with head injuries. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q14. A patient is admitted with head injuries. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q15. A patient is admitted with head injuries. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately
Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q16. A patient is admitted with head injuries. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q17. A patient is admitted with head injuries. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q18. A patient is admitted with head injuries. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q19. A patient is admitted with head injuries. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q20. A patient is admitted with head injuries. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.
BRAIN INJURY

Q1. A patient is admitted with brain injury. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q2. A patient is admitted with brain injury. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q3. A patient is admitted with brain injury. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q4. A patient is admitted with brain injury. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately
Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q5. A patient is admitted with brain injury. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q6. A patient is admitted with brain injury. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q7. A patient is admitted with brain injury. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q8. A patient is admitted with brain injury. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q9. A patient is admitted with brain injury. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q10. A patient is admitted with brain injury. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q11. A patient is admitted with brain injury. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q12. A patient is admitted with brain injury. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q13. A patient is admitted with brain injury. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q14. A patient is admitted with brain injury. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q15. A patient is admitted with brain injury. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately
Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q16. A patient is admitted with brain injury. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q17. A patient is admitted with brain injury. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q18. A patient is admitted with brain injury. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q19. A patient is admitted with brain injury. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q20. A patient is admitted with brain injury. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.
INTRACRANIAL SURGERY

Q1. A patient is admitted with intracranial surgery. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q2. A patient is admitted with intracranial surgery. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q3. A patient is admitted with intracranial surgery. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q4. A patient is admitted with intracranial surgery. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately
Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q5. A patient is admitted with intracranial surgery. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q6. A patient is admitted with intracranial surgery. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q7. A patient is admitted with intracranial surgery. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q8. A patient is admitted with intracranial surgery. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q9. A patient is admitted with intracranial surgery. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q10. A patient is admitted with intracranial surgery. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q11. A patient is admitted with intracranial surgery. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q12. A patient is admitted with intracranial surgery. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q13. A patient is admitted with intracranial surgery. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q14. A patient is admitted with intracranial surgery. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q15. A patient is admitted with intracranial surgery. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately
Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q16. A patient is admitted with intracranial surgery. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q17. A patient is admitted with intracranial surgery. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q18. A patient is admitted with intracranial surgery. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q19. A patient is admitted with intracranial surgery. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q20. A patient is admitted with intracranial surgery. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.
SEIZURES

Q1. A patient is admitted with seizures. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q2. A patient is admitted with seizures. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q3. A patient is admitted with seizures. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q4. A patient is admitted with seizures. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately
Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q5. A patient is admitted with seizures. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q6. A patient is admitted with seizures. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q7. A patient is admitted with seizures. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q8. A patient is admitted with seizures. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q9. A patient is admitted with seizures. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q10. A patient is admitted with seizures. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q11. A patient is admitted with seizures. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q12. A patient is admitted with seizures. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q13. A patient is admitted with seizures. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q14. A patient is admitted with seizures. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q15. A patient is admitted with seizures. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately
Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q16. A patient is admitted with seizures. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q17. A patient is admitted with seizures. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q18. A patient is admitted with seizures. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q19. A patient is admitted with seizures. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q20. A patient is admitted with seizures. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.
STROKE

Q1. A patient is admitted with stroke. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q2. A patient is admitted with stroke. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q3. A patient is admitted with stroke. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q4. A patient is admitted with stroke. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately
Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q5. A patient is admitted with stroke. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q6. A patient is admitted with stroke. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q7. A patient is admitted with stroke. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q8. A patient is admitted with stroke. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q9. A patient is admitted with stroke. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q10. A patient is admitted with stroke. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q11. A patient is admitted with stroke. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q12. A patient is admitted with stroke. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q13. A patient is admitted with stroke. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q14. A patient is admitted with stroke. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q15. A patient is admitted with stroke. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately
Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q16. A patient is admitted with stroke. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q17. A patient is admitted with stroke. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q18. A patient is admitted with stroke. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q19. A patient is admitted with stroke. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q20. A patient is admitted with stroke. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.
MULTIPLE SCLEROSIS

Q1. A patient is admitted with multiple sclerosis. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q2. A patient is admitted with multiple sclerosis. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q3. A patient is admitted with multiple sclerosis. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q4. A patient is admitted with multiple sclerosis. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately
Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q5. A patient is admitted with multiple sclerosis. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q6. A patient is admitted with multiple sclerosis. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q7. A patient is admitted with multiple sclerosis. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q8. A patient is admitted with multiple sclerosis. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q9. A patient is admitted with multiple sclerosis. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q10. A patient is admitted with multiple sclerosis. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q11. A patient is admitted with multiple sclerosis. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q12. A patient is admitted with multiple sclerosis. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q13. A patient is admitted with multiple sclerosis. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q14. A patient is admitted with multiple sclerosis. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q15. A patient is admitted with multiple sclerosis. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately
Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q16. A patient is admitted with multiple sclerosis. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q17. A patient is admitted with multiple sclerosis. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q18. A patient is admitted with multiple sclerosis. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q19. A patient is admitted with multiple sclerosis. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q20. A patient is admitted with multiple sclerosis. Which nursing intervention is the priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.
GUILLAIN-BARRÉ SYNDROME

Q1. A patient is admitted with guillain-barré syndrome. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q2. A patient is admitted with guillain-barré syndrome. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q3. A patient is admitted with guillain-barré syndrome. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q4. A patient is admitted with guillain-barré syndrome. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q5. A patient is admitted with guillain-barré syndrome. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q6. A patient is admitted with guillain-barré syndrome. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q7. A patient is admitted with guillain-barré syndrome. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately
Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q8. A patient is admitted with guillain-barré syndrome. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q9. A patient is admitted with guillain-barré syndrome. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q10. A patient is admitted with guillain-barré syndrome. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q11. A patient is admitted with guillain-barré syndrome. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q12. A patient is admitted with guillain-barré syndrome. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q13. A patient is admitted with guillain-barré syndrome. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q14. A patient is admitted with guillain-barré syndrome. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q15. A patient is admitted with guillain-barré syndrome. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q16. A patient is admitted with guillain-barré syndrome. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q17. A patient is admitted with guillain-barré syndrome. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately
Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q18. A patient is admitted with guillain-barré syndrome. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q19. A patient is admitted with guillain-barré syndrome. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

Q20. A patient is admitted with guillain-barré syndrome. Which nursing intervention is the
priority?
A. Monitor vital signs every 2 hours
B. Assess neurological function regularly
C. Provide oxygen therapy as needed
D. Administer pain medication immediately

Correct Answer: B
Rationale: Regular neurological assessments are crucial in monitoring changes in
consciousness and detecting worsening conditions. Other options may be necessary but are
not the primary priority in this scenario.

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