Neuro NCLEX UPDATED SCRIPT 2026
PRACTICE SOLUTIONS GRADED A+
● D. Pupil changes can be caused by pressure on the ocular nerve..
Answer: When increased ICP is suspected, the nurse performs a
complete neurologic assessment. What does the pupillary response
indicate?
A. High pressure can cause blurred vision.
B. Hemorrhage can cause visual impairment.
C. Pupil dilation is the first sign of increased ICP.
D. Pupil changes can be caused by pressure on the ocular nerve.
● D. Touch his nose with his left index finger.. Answer: When rating a
patient using the Glasgow Coma Scale, what would be appropriate for
the LPN/LVN to ask the patient to do in order to test the patient's motor
response?
A. Roll his eyes in a circle.
B. Take a deep breath and exhale.
C. Describe the view from his window.
D. Touch his nose with his left index finger.
,● A. Decreasing level of consciousness (LOC). Answer: The nurse is
assessing a patient who has a brain tumor. What assessment finding is
most indicative of increased ICP in this patient?
A. Decreasing level of consciousness (LOC)
B. Elevated temperature
C. Agitation and hostility
D. Increasing blood pressure (BP)
● C. "Checking this reflex assesses involuntary muscular contractions.".
Answer: The nurse is assessing the patient's patellar reflex. The patient
asks what the purpose of this exam is. Which response by the nurse is
correct?
A. "I am checking the conscious nerve response in your leg."
B. "This assessment determines your hand-eye coordination."
C. "Checking this reflex assesses involuntary muscular contractions."
D. "The patellar reflex demonstrates large voluntary muscle
coordination."
● D. Determine whether the patient is able to move his legs and arms.
Answer: The nurse is performing a "neuro check" on a patient who has
demonstrated a decreased LOC. What is the best way to assess the
patient's neuromuscular status?
A. Measure the patient's vital signs.
B. Test the reaction of the patient's pupils to light.
, C. Check the patient's response to the stimulus of pinching.
D. Determine whether the patient is able to move his legs and arms
● B. "The procedure is safe and painless; you will hear a clicking noise
as the CT machine rotates.". Answer: A patient who is to have computed
tomography (CT scan) of the brain voices concern about the procedure.
The LPN/LVN can best allay the patient's fears by making which
statement?
A. "CT scans use only a small amount of radioactive material injected
into your brain."
B. "The procedure is safe and painless; you will hear a clicking noise as
the CT machine rotates."
C. "You will probably be given something to make you drowsy and
deaden the pain during the CT scan."
C. "CT scanning is a new procedure, and since it involves the brain, I
think the doctor can answer your questions better than I can."
● C. White blood cells (WBCs) 100/mm3. Answer: The nurse is caring
for a patient who has undergone a lumbar puncture in order to run tests
on the cerebrospinal fluid (CSF). The nurse knows which laboratory
value is abnormal?
A. Glucose 60 mg/100 mL
B. Clear, colorless appearance
C. White blood cells (WBCs) 100/mm3
D. Total protein 40 mg/100 mL
PRACTICE SOLUTIONS GRADED A+
● D. Pupil changes can be caused by pressure on the ocular nerve..
Answer: When increased ICP is suspected, the nurse performs a
complete neurologic assessment. What does the pupillary response
indicate?
A. High pressure can cause blurred vision.
B. Hemorrhage can cause visual impairment.
C. Pupil dilation is the first sign of increased ICP.
D. Pupil changes can be caused by pressure on the ocular nerve.
● D. Touch his nose with his left index finger.. Answer: When rating a
patient using the Glasgow Coma Scale, what would be appropriate for
the LPN/LVN to ask the patient to do in order to test the patient's motor
response?
A. Roll his eyes in a circle.
B. Take a deep breath and exhale.
C. Describe the view from his window.
D. Touch his nose with his left index finger.
,● A. Decreasing level of consciousness (LOC). Answer: The nurse is
assessing a patient who has a brain tumor. What assessment finding is
most indicative of increased ICP in this patient?
A. Decreasing level of consciousness (LOC)
B. Elevated temperature
C. Agitation and hostility
D. Increasing blood pressure (BP)
● C. "Checking this reflex assesses involuntary muscular contractions.".
Answer: The nurse is assessing the patient's patellar reflex. The patient
asks what the purpose of this exam is. Which response by the nurse is
correct?
A. "I am checking the conscious nerve response in your leg."
B. "This assessment determines your hand-eye coordination."
C. "Checking this reflex assesses involuntary muscular contractions."
D. "The patellar reflex demonstrates large voluntary muscle
coordination."
● D. Determine whether the patient is able to move his legs and arms.
Answer: The nurse is performing a "neuro check" on a patient who has
demonstrated a decreased LOC. What is the best way to assess the
patient's neuromuscular status?
A. Measure the patient's vital signs.
B. Test the reaction of the patient's pupils to light.
, C. Check the patient's response to the stimulus of pinching.
D. Determine whether the patient is able to move his legs and arms
● B. "The procedure is safe and painless; you will hear a clicking noise
as the CT machine rotates.". Answer: A patient who is to have computed
tomography (CT scan) of the brain voices concern about the procedure.
The LPN/LVN can best allay the patient's fears by making which
statement?
A. "CT scans use only a small amount of radioactive material injected
into your brain."
B. "The procedure is safe and painless; you will hear a clicking noise as
the CT machine rotates."
C. "You will probably be given something to make you drowsy and
deaden the pain during the CT scan."
C. "CT scanning is a new procedure, and since it involves the brain, I
think the doctor can answer your questions better than I can."
● C. White blood cells (WBCs) 100/mm3. Answer: The nurse is caring
for a patient who has undergone a lumbar puncture in order to run tests
on the cerebrospinal fluid (CSF). The nurse knows which laboratory
value is abnormal?
A. Glucose 60 mg/100 mL
B. Clear, colorless appearance
C. White blood cells (WBCs) 100/mm3
D. Total protein 40 mg/100 mL
