DEPARTMENT OF HEALTH ASSESSMENT NEUROLOGICAL ASSESSMENT
EXAMINATION- 2026
Comprehensive Assessment Test
Course Code: NSG 3130
Course Title: Neurological Assessment & Clinical Practice
Academic Year: 2025/2026
Time Allowed: 2 Hours
Total Marks: 100
Which assessment finding would be the earliest and most sensitive indicator that there is an
alteration in intracranial regulation?
A. Change in level of consciousness
B. Inability to focus visually
C. Loss of primitive reflexes
D. Unequal pupil size
A. Change in level of consciousness
What is the CNS comprised of?
,the brain and spinal cord
What is the peripheral nervous system?
all the nerve fibers (outside of the brain and spinal cord) including 12 pairs of cranial nerves, 31
pairs of spinal nerves and all of their branches
What does the thalamus do?
relays information for the cerebral cortex
What does the brain stem do?
controls breathing, heart rate, function
The nurse observes that a patient's gait is unsteady and assesses a positive Romberg sign.
Which area of the brain is most likely affected?
A. Hypothalamus
B. Medulla oblongata
C. Cerebellum
D. Left hemisphere
C. Cerebellum
What is the cerebral cortex involved in?
thoughts, memory, reasoning, sensation and voluntary movement
, What are the four lobes of the cerebrum?
frontal, parietal, occipital and temporal
Where is Wernicke's area and what does it do?
temporal lobe, language comprehension
Where is Broca's area and what does it do?
frontal lobe, motor speech
Damage to the cerebral cortex occurs when highly specialized neurologic cells are what? What is
an example?
deprived of blood supply, such as when a cerebral artery becomes occluded
What occurs in Wernicke's aphasia?
trouble associating words to situations
What occurs in Broca's aphasia?
know what they want to say but they cant get the words out