SCHOOL OF NURSING AND HEALTH SCIENCES NEUROLOGICAL EXAMINATION
DEPARTMENT OF CLINICAL MEDICINE| NEUROLOGICAL EXAMINATION 2026
Comprehensive Assessment Test
Course Code: NSG 3130
Course Title: Neurological Assessment and Clinical Practice
Academic Year: 2025/2026
A client presents with a headache and complaining of vision difficulties. Which cranial nerve
might be defective in this client?
A) VIII (Vestibulocochlear)
B) VII (Facial)
C) XI (Accessory)
D) III (Oculomotor)
Answer: D
A client presents to the ED with loss of consciousness. The RN evaluates the client using the
Glasgow Coma Scale. The results are as follows:
Eyes open to speech
Abnormal flexion of extremities
Use of inappropriate words
,What would the RN estimate this client's GCS score to be?
A) 13
B) 9
C) 7
D) 4
Answer: B
Eyes open to speech = 3
Abnormal flexion = 3
Inappropriate words = 3
The RN is receiving report from the night-shift nurse about a patient on the neuro unit. The
night-shift nurse states that the client has had decreased proprioception throughout the night.
The RN knows tthis means that
A) The client has difficulty sensing their position and
posture.
B) The client's pupils are different sizes.
C) The client' has the inability to perform purposeful
movements.
D) The client is exhibiting symptoms on the opposite
side of the body from the brain injury.
Answer: A
, The RN is caring for a client on a neuro unit who has sustained a head injury. The RN knows that
if the pressure of either the brain, CSF, or blood goes up, the other two intracranial components
must go down to compensate. This is known as the
A) Orem's Self-Care Deficit theory
B) Monroe-Kellie hypothesis
C) Kolcaba's hypothesis
D) Peplau's Neurological Compensation theory
Answer: B
Which of the following can lead to cytotoxic edema? (SELECT ALL THAT APPLY)
A) Ischemia
B) Hyperglycemia
C) Hyponatremia
D) SIADH
E) Cardiac arrest
F) Cushing's triad
Answer: A, C, D, E
*Anything involving decreased oxygenation can lead to cytotoxic edema.
The RN is taking care of a patient on the neuro unit. The night-shift nurse indicates in the
morning report that the client has sustained a right midline shift during the night. The RN
interprets this to mean that the client
DEPARTMENT OF CLINICAL MEDICINE| NEUROLOGICAL EXAMINATION 2026
Comprehensive Assessment Test
Course Code: NSG 3130
Course Title: Neurological Assessment and Clinical Practice
Academic Year: 2025/2026
A client presents with a headache and complaining of vision difficulties. Which cranial nerve
might be defective in this client?
A) VIII (Vestibulocochlear)
B) VII (Facial)
C) XI (Accessory)
D) III (Oculomotor)
Answer: D
A client presents to the ED with loss of consciousness. The RN evaluates the client using the
Glasgow Coma Scale. The results are as follows:
Eyes open to speech
Abnormal flexion of extremities
Use of inappropriate words
,What would the RN estimate this client's GCS score to be?
A) 13
B) 9
C) 7
D) 4
Answer: B
Eyes open to speech = 3
Abnormal flexion = 3
Inappropriate words = 3
The RN is receiving report from the night-shift nurse about a patient on the neuro unit. The
night-shift nurse states that the client has had decreased proprioception throughout the night.
The RN knows tthis means that
A) The client has difficulty sensing their position and
posture.
B) The client's pupils are different sizes.
C) The client' has the inability to perform purposeful
movements.
D) The client is exhibiting symptoms on the opposite
side of the body from the brain injury.
Answer: A
, The RN is caring for a client on a neuro unit who has sustained a head injury. The RN knows that
if the pressure of either the brain, CSF, or blood goes up, the other two intracranial components
must go down to compensate. This is known as the
A) Orem's Self-Care Deficit theory
B) Monroe-Kellie hypothesis
C) Kolcaba's hypothesis
D) Peplau's Neurological Compensation theory
Answer: B
Which of the following can lead to cytotoxic edema? (SELECT ALL THAT APPLY)
A) Ischemia
B) Hyperglycemia
C) Hyponatremia
D) SIADH
E) Cardiac arrest
F) Cushing's triad
Answer: A, C, D, E
*Anything involving decreased oxygenation can lead to cytotoxic edema.
The RN is taking care of a patient on the neuro unit. The night-shift nurse indicates in the
morning report that the client has sustained a right midline shift during the night. The RN
interprets this to mean that the client
