MED SURG NEURO FINAL TEST PAPER
2026 COMPLETE QUESTIONS AND
CORRECT ANSWERS ALREADY PASSED
●● The nurse is performing a neurologic exam on an elderly patient.
Which finding is normal?
a. Balance problems
b. Absent reflexes
c.Dilated pupils
d. Jerky eye movements.
Answer: d. Jerky eye movements
●● A patient is experiencing decreased responsiveness and lack of
spontaneous motor activity. What term would the nurse use to describe
the patient's level of conscious?
a. Stupor
b. Somnolence
c. Lethargy
d. Comatose.
Answer: a. Stupor
●● Which symptom is the earliest indication of increased intracranial
pressure (ICP)?
,a. Changes in level of consciousness
b. Change from normal to dilated pupil
c. Altered motor function on side opposite from mass
d. Increasing systolic blood pressure without change in diastolic reading.
Answer: a. Changes in level of consciousness
●● A patient returned to the nursing unit after a lumbar puncture. In
which position should the patient be placed after the procedure to avoid
complications?
a. Prone
b. Supine
c. Mid-Fowler
d. High-Fowler.
Answer: b. Supine
●● What is the most accurate reliable indicator of neurologic status?
a. Vital signs
b. Patient blood flow
c. Pupillary evaluation
d. Level of consciousness.
Answer: d. Level of consciousness
,●● The nurse is evaluating the patient using the Romberg test. What is
the nurse assessing?
a. Level of consciousness
b. Cranial nerve function
c. Coordination and balance
d. Muscle strength.
Answer: c. Coordination and balance
●● The patient is suspected to have a cerebral aneurysm. Which
diagnostic test does the nurse anticipate will be ordered?
a. Lumbar puncture
b. Electroencephalogram (EEG)
c. Myelogram
d. Cerebral angiography.
Answer: d. Cerebral angiography
●● A patient returned to the unit 3 hours after having a lumbar puncture.
Which findings would be of concern if noted on the postprocedure
assessment? (Select all that apply.)
a. Tingling in the extremities
b. Bright red blood oozing from the puncture site
c. Requests pain medication for severe headache
d. Lab result of cerebral spinal fluid at pH level 7.35
, e. Cerebrospinal fluid noted as clear and colorless.
Answer: a. Tingling in the extremities
b. Bright red blood oozing from the puncture site
c. Requests pain medication for severe headache
●● A patient underwent cranial surgery and now has an external
ventricular drainage system. Which intervention should the nurse
question? (Select all that apply.)
a. Use sterile technique when changing the insertion site dressing.
b. Keep the zero reference point of the drip chamber of the drainage bag
above the head.
c. Clamp the drainage tube during patient repositioning.
d. Keep the head of the bed at 30 degrees..
Answer: a. Use sterile technique when changing the insertion site
dressing.
b. Keep the zero reference point of the drip chamber of the drainage bag
above the head.
c. Clamp the drainage tube during patient repositioning.
d. Keep the head of the bed at 30 degrees.
●● The patient with a history of seizures experiences an episode of brief
stiffening. What type of seizure is the patient most likely having?
a. Tonic-clonic
b. Myoclonic
2026 COMPLETE QUESTIONS AND
CORRECT ANSWERS ALREADY PASSED
●● The nurse is performing a neurologic exam on an elderly patient.
Which finding is normal?
a. Balance problems
b. Absent reflexes
c.Dilated pupils
d. Jerky eye movements.
Answer: d. Jerky eye movements
●● A patient is experiencing decreased responsiveness and lack of
spontaneous motor activity. What term would the nurse use to describe
the patient's level of conscious?
a. Stupor
b. Somnolence
c. Lethargy
d. Comatose.
Answer: a. Stupor
●● Which symptom is the earliest indication of increased intracranial
pressure (ICP)?
,a. Changes in level of consciousness
b. Change from normal to dilated pupil
c. Altered motor function on side opposite from mass
d. Increasing systolic blood pressure without change in diastolic reading.
Answer: a. Changes in level of consciousness
●● A patient returned to the nursing unit after a lumbar puncture. In
which position should the patient be placed after the procedure to avoid
complications?
a. Prone
b. Supine
c. Mid-Fowler
d. High-Fowler.
Answer: b. Supine
●● What is the most accurate reliable indicator of neurologic status?
a. Vital signs
b. Patient blood flow
c. Pupillary evaluation
d. Level of consciousness.
Answer: d. Level of consciousness
,●● The nurse is evaluating the patient using the Romberg test. What is
the nurse assessing?
a. Level of consciousness
b. Cranial nerve function
c. Coordination and balance
d. Muscle strength.
Answer: c. Coordination and balance
●● The patient is suspected to have a cerebral aneurysm. Which
diagnostic test does the nurse anticipate will be ordered?
a. Lumbar puncture
b. Electroencephalogram (EEG)
c. Myelogram
d. Cerebral angiography.
Answer: d. Cerebral angiography
●● A patient returned to the unit 3 hours after having a lumbar puncture.
Which findings would be of concern if noted on the postprocedure
assessment? (Select all that apply.)
a. Tingling in the extremities
b. Bright red blood oozing from the puncture site
c. Requests pain medication for severe headache
d. Lab result of cerebral spinal fluid at pH level 7.35
, e. Cerebrospinal fluid noted as clear and colorless.
Answer: a. Tingling in the extremities
b. Bright red blood oozing from the puncture site
c. Requests pain medication for severe headache
●● A patient underwent cranial surgery and now has an external
ventricular drainage system. Which intervention should the nurse
question? (Select all that apply.)
a. Use sterile technique when changing the insertion site dressing.
b. Keep the zero reference point of the drip chamber of the drainage bag
above the head.
c. Clamp the drainage tube during patient repositioning.
d. Keep the head of the bed at 30 degrees..
Answer: a. Use sterile technique when changing the insertion site
dressing.
b. Keep the zero reference point of the drip chamber of the drainage bag
above the head.
c. Clamp the drainage tube during patient repositioning.
d. Keep the head of the bed at 30 degrees.
●● The patient with a history of seizures experiences an episode of brief
stiffening. What type of seizure is the patient most likely having?
a. Tonic-clonic
b. Myoclonic
