NURS 4534 - WEEK 7 PRACTICE EXAM
QUESTIONS AND ANSWERS 100% PASS
2026/2027
When performing a neurological physical exam, the nurse should begin assessment with which
area:
A) Reflexes
B) Motor function
C) Mental status
D) Sensory function - ANS C) Mental status
Which component of the neurological exam represents the lowest level of neurological
functioning:
A) Reflexes
B) Mental status
C) Cranial nerve function
D) Sensory function - ANS A) Reflexes
Which of the following is assessed immediately after mental status in a systematic neurological
exam:
A) Motor function
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,B) Sensory function
C) Reflexes
D) Cranial nerve function - ANS D) Cranial nerve function
Mental status assessment begins at which point during the nurse-patient interaction:
A) When testing reflexes
B) When observing and speaking with the patient
C) After completing cranial nerve testing
D) During sensory examination - ANS B) When observing and speaking with the patient
Which component is included in a mental status assessment:
A) Deep tendon reflexes
B) Pupillary response
C) Mood and affect
D) Gait coordination - ANS C) Mood and affect
When assessing mental status, which type of question should the nurse avoid:
A) Open-ended questions
B) Questions requiring explanation
C) Questions assessing cognition
D) Questions requiring yes or no responses - ANS D) Questions requiring yes or no responses
The nurse performs a quick mental status check. Which three parameters are primarily
assessed:
A) Reflexes, motor strength, sensation
B) LOC, speech, cognitive function
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,C) Cranial nerves, mood, gait
D) Sensory function, reflexes, balance - ANS B) LOC, speech, cognitive function
The Glasgow Coma Scale is primarily used for which purpose:
A) Assessing cranial nerve function
B) Conveying the level of consciousness of a patient
C) Measuring sensory deficits
D) Evaluating reflex integrity - ANS B) Conveying the level of consciousness of a patient
The Glasgow Coma Scale evaluates which three components:
A) Cognition, mood, reflexes
B) Sensory, motor, reflexes
C) Eyes, verbal, motor
D) LOC, balance, speech - ANS C) Eyes, verbal, motor
A patient scores 15/15 on the Glasgow Coma Scale. This indicates:
A) Severe neurological damage
B) The patient requires intubation
C) Moderate neurological impairment
D) The patient is alert and oriented - ANS D) The patient is alert and oriented
A GCS score of 8 or less indicates:
A) Mild confusion
B) Severe neurological damage and possible need for intubation
C) Normal neurological function
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, D) Reliable cognitive testing - ANS B) Severe neurological damage and possible need for
intubation
The Glasgow Coma Scale may be invalid in which situation:
A) When a baseline has been established
B) When monitoring neurological trends
C) When the patient is intoxicated
D) When reporting EVM components - ANS C) When the patient is intoxicated
Which component of the Glasgow Coma Scale is most predictive of neurological outcomes:
A) Eye opening
B) Verbal response
C) Orientation
D) Motor response - ANS D) Motor response
Due to poor inter-rater reliability of the GCS, the nurse should:
A) Report only the total score
B) Avoid using the tool
C) State the individual EVM components during handover
D) Round scores to the nearest even number - ANS C) State the individual EVM components
during handover
A patient does not respond when their name is called. Which method is ethically acceptable to
elicit a painful stimulus for central pain response:
A) Twisting the nipples
B) Applying nail bed pressure with a pen
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QUESTIONS AND ANSWERS 100% PASS
2026/2027
When performing a neurological physical exam, the nurse should begin assessment with which
area:
A) Reflexes
B) Motor function
C) Mental status
D) Sensory function - ANS C) Mental status
Which component of the neurological exam represents the lowest level of neurological
functioning:
A) Reflexes
B) Mental status
C) Cranial nerve function
D) Sensory function - ANS A) Reflexes
Which of the following is assessed immediately after mental status in a systematic neurological
exam:
A) Motor function
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,B) Sensory function
C) Reflexes
D) Cranial nerve function - ANS D) Cranial nerve function
Mental status assessment begins at which point during the nurse-patient interaction:
A) When testing reflexes
B) When observing and speaking with the patient
C) After completing cranial nerve testing
D) During sensory examination - ANS B) When observing and speaking with the patient
Which component is included in a mental status assessment:
A) Deep tendon reflexes
B) Pupillary response
C) Mood and affect
D) Gait coordination - ANS C) Mood and affect
When assessing mental status, which type of question should the nurse avoid:
A) Open-ended questions
B) Questions requiring explanation
C) Questions assessing cognition
D) Questions requiring yes or no responses - ANS D) Questions requiring yes or no responses
The nurse performs a quick mental status check. Which three parameters are primarily
assessed:
A) Reflexes, motor strength, sensation
B) LOC, speech, cognitive function
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,C) Cranial nerves, mood, gait
D) Sensory function, reflexes, balance - ANS B) LOC, speech, cognitive function
The Glasgow Coma Scale is primarily used for which purpose:
A) Assessing cranial nerve function
B) Conveying the level of consciousness of a patient
C) Measuring sensory deficits
D) Evaluating reflex integrity - ANS B) Conveying the level of consciousness of a patient
The Glasgow Coma Scale evaluates which three components:
A) Cognition, mood, reflexes
B) Sensory, motor, reflexes
C) Eyes, verbal, motor
D) LOC, balance, speech - ANS C) Eyes, verbal, motor
A patient scores 15/15 on the Glasgow Coma Scale. This indicates:
A) Severe neurological damage
B) The patient requires intubation
C) Moderate neurological impairment
D) The patient is alert and oriented - ANS D) The patient is alert and oriented
A GCS score of 8 or less indicates:
A) Mild confusion
B) Severe neurological damage and possible need for intubation
C) Normal neurological function
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, D) Reliable cognitive testing - ANS B) Severe neurological damage and possible need for
intubation
The Glasgow Coma Scale may be invalid in which situation:
A) When a baseline has been established
B) When monitoring neurological trends
C) When the patient is intoxicated
D) When reporting EVM components - ANS C) When the patient is intoxicated
Which component of the Glasgow Coma Scale is most predictive of neurological outcomes:
A) Eye opening
B) Verbal response
C) Orientation
D) Motor response - ANS D) Motor response
Due to poor inter-rater reliability of the GCS, the nurse should:
A) Report only the total score
B) Avoid using the tool
C) State the individual EVM components during handover
D) Round scores to the nearest even number - ANS C) State the individual EVM components
during handover
A patient does not respond when their name is called. Which method is ethically acceptable to
elicit a painful stimulus for central pain response:
A) Twisting the nipples
B) Applying nail bed pressure with a pen
@2026 ALLRIGHTS RESERVED 4
