COMPLETE QUESTIONS AND SOLUTIONS
GRADED A+
◉ 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. Answer: A) Reflexes
◉ Which of the following is assessed immediately after mental
status in a systematic neurological exam:
A) Motor function
B) Sensory function
C) Reflexes
D) Cranial nerve function. Answer: 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. Answer: 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. Answer: 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. Answer: 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
C) Cranial nerves, mood, gait
,D) Sensory function, reflexes, balance. Answer: 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. Answer: 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. Answer: 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. Answer: 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
D) Reliable cognitive testing. Answer: 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. Answer: 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. Answer: D) Motor response