NSG 6430 WEEK 7 COMPREHENSIVE TEST
PAPER 2026 TESTED QUESTIONS AND
SOLUTIONS GUARANTEED TO PASS
◉ Which assessment is appropriate when evaluating pupillary
response trends:
A) Only chart the left pupil
B) Darken the room and use a penlight to compare right and left
pupils separately
C) Assess once daily
D) Use any light source without darkening the room. Answer: B)
Darken the room and use a penlight to compare right and left pupils
separately
◉ Unilateral dilated non-reactive pupil ≥ 4 mm may indicate which
life-threatening condition:
A) Mild concussion
B) Uncal herniation with CN III compression
C) Migraine headache
D) Sinus infection. Answer: B) Uncal herniation with CN III
compression
◉ Sluggish pupillary response (S) indicates:
,A) A normal finding
B) A worrisome sign requiring rapid assessment to prevent further
brain swelling
C) That the patient is fully alert
D) That there is no neurological concern. Answer: B) A worrisome
sign requiring rapid assessment to prevent further brain swelling
◉ Which of the following is a recommended practical tip for nurses
assessing pupils:
A) Bring your own penlight to work
B) Use only overhead lights for assessment
C) Assess pupils once a week
D) Only check pupils if the patient complains of vision changes.
Answer: A) Bring your own penlight to work
◉ Bilateral dilated non-reactive pupils ≥ 4 mm may indicate which
of the following:
A) Mild concussion
B) Severe brain damage
C) Migraine headache
D) Ear infection. Answer: B) Severe brain damage
,◉ Which of the following can cause bilateral dilated non-reactive
pupils due to intoxication or poisoning:
A) Alcohol only
B) Sympathomimetic drugs (cocaine, methamphetamines) and
anticholinergic agents (atropine)
C) Acetaminophen overdose
D) Opioid overdose. Answer: B) Sympathomimetic drugs (cocaine,
methamphetamines) and anticholinergic agents (atropine)
◉ A patient presents with bilateral dilated non-reactive pupils and
no response to painful stimuli. What should the nurse recognize:
A) This is a normal age-related finding
B) This may indicate severe brain anoxia or ischemia
C) The patient is likely dehydrated
D) The patient is sleeping deeply. Answer: B) This may indicate
severe brain anoxia or ischemia
◉ Which statement about brain death testing is correct:
A) A single nurse can confirm brain death at bedside
B) Brain death testing is performed by specialized physicians and
includes multiple exams such as corneal reflexes, apnea tests, and
EEG
C) Only pupillary assessment is needed to declare brain death
, D) Brain death can be determined immediately after a severe head
trauma. Answer: B) Brain death testing is performed by specialized
physicians and includes multiple exams such as corneal reflexes,
apnea tests, and EEG
◉ Bilateral dilated non-reactive pupils are considered:
A) A late sign of severe brain injury
B) An early sign of mild concussion
C) Normal in elderly patients
D) Indicative of mild ICP elevation. Answer: A) A late sign of severe
brain injury
◉ Bilateral, small, pinpoint pupils ≤ 1 mm that are non-reactive may
indicate:
A) Lesions of the pons, often associated with hemorrhage
B) Mild concussion
C) Sympathomimetic intoxication
D) Anticholinergic poisoning. Answer: A) Lesions of the pons, often
associated with hemorrhage
◉ A unilateral small non-reactive pupil measuring approximately 1.5
mm may indicate:
A) Lesion of the pons
PAPER 2026 TESTED QUESTIONS AND
SOLUTIONS GUARANTEED TO PASS
◉ Which assessment is appropriate when evaluating pupillary
response trends:
A) Only chart the left pupil
B) Darken the room and use a penlight to compare right and left
pupils separately
C) Assess once daily
D) Use any light source without darkening the room. Answer: B)
Darken the room and use a penlight to compare right and left pupils
separately
◉ Unilateral dilated non-reactive pupil ≥ 4 mm may indicate which
life-threatening condition:
A) Mild concussion
B) Uncal herniation with CN III compression
C) Migraine headache
D) Sinus infection. Answer: B) Uncal herniation with CN III
compression
◉ Sluggish pupillary response (S) indicates:
,A) A normal finding
B) A worrisome sign requiring rapid assessment to prevent further
brain swelling
C) That the patient is fully alert
D) That there is no neurological concern. Answer: B) A worrisome
sign requiring rapid assessment to prevent further brain swelling
◉ Which of the following is a recommended practical tip for nurses
assessing pupils:
A) Bring your own penlight to work
B) Use only overhead lights for assessment
C) Assess pupils once a week
D) Only check pupils if the patient complains of vision changes.
Answer: A) Bring your own penlight to work
◉ Bilateral dilated non-reactive pupils ≥ 4 mm may indicate which
of the following:
A) Mild concussion
B) Severe brain damage
C) Migraine headache
D) Ear infection. Answer: B) Severe brain damage
,◉ Which of the following can cause bilateral dilated non-reactive
pupils due to intoxication or poisoning:
A) Alcohol only
B) Sympathomimetic drugs (cocaine, methamphetamines) and
anticholinergic agents (atropine)
C) Acetaminophen overdose
D) Opioid overdose. Answer: B) Sympathomimetic drugs (cocaine,
methamphetamines) and anticholinergic agents (atropine)
◉ A patient presents with bilateral dilated non-reactive pupils and
no response to painful stimuli. What should the nurse recognize:
A) This is a normal age-related finding
B) This may indicate severe brain anoxia or ischemia
C) The patient is likely dehydrated
D) The patient is sleeping deeply. Answer: B) This may indicate
severe brain anoxia or ischemia
◉ Which statement about brain death testing is correct:
A) A single nurse can confirm brain death at bedside
B) Brain death testing is performed by specialized physicians and
includes multiple exams such as corneal reflexes, apnea tests, and
EEG
C) Only pupillary assessment is needed to declare brain death
, D) Brain death can be determined immediately after a severe head
trauma. Answer: B) Brain death testing is performed by specialized
physicians and includes multiple exams such as corneal reflexes,
apnea tests, and EEG
◉ Bilateral dilated non-reactive pupils are considered:
A) A late sign of severe brain injury
B) An early sign of mild concussion
C) Normal in elderly patients
D) Indicative of mild ICP elevation. Answer: A) A late sign of severe
brain injury
◉ Bilateral, small, pinpoint pupils ≤ 1 mm that are non-reactive may
indicate:
A) Lesions of the pons, often associated with hemorrhage
B) Mild concussion
C) Sympathomimetic intoxication
D) Anticholinergic poisoning. Answer: A) Lesions of the pons, often
associated with hemorrhage
◉ A unilateral small non-reactive pupil measuring approximately 1.5
mm may indicate:
A) Lesion of the pons
