Neurological Disorders
(Stroke, Seizures, CVA) NCLEX
Exam Questions And Correct
Answers (Verified Answers)
Plus Rationales 2025/2026
Q&A | Instant Download Pdf
1. A nurse is assessing a client suspected of having a stroke.
Which symptom requires immediate action?
A. Headache rated 3/10
B. Slurred speech
C. Sudden unilateral weakness
D. Mild dizziness
Answer: C. Sudden unilateral weakness
Rationale: Sudden unilateral weakness is a hallmark sign of
stroke and requires immediate intervention to prevent
permanent neurological damage.
2. A client arrives with stroke symptoms that began 1 hour
ago. Which medication is anticipated?
,A. Heparin
B. Aspirin
C. Alteplase (tPA)
D. Warfarin
Answer: C. Alteplase (tPA)
Rationale: tPA is administered within 3–4.5 hours of
ischemic stroke onset to dissolve clots.
3. Which assessment finding suggests increased intracranial
pressure (ICP)?
A. Tachycardia
B. Decreased level of consciousness
C. Hypotension
D. Warm skin
Answer: B. Decreased level of consciousness
Rationale: A decreasing LOC is the earliest sign of increased
ICP.
4. Which intervention has priority for a client experiencing a
tonic-clonic seizure?
A. Insert oral airway
B. Turn client to the side
C. Restrain the client
D. Provide water
,Answer: B. Turn client to the side
Rationale: Turning the client to the side prevents aspiration
during seizure activity.
5. Which type of stroke results from rupture of a blood
vessel?
A. Ischemic stroke
B. Hemorrhagic stroke
C. Embolic stroke
D. Thrombotic stroke
Answer: B. Hemorrhagic stroke
Rationale: Hemorrhagic strokes occur due to rupture of a
blood vessel causing bleeding into brain tissue.
6. A nurse identifies right-sided weakness in a stroke
patient. Which brain hemisphere is affected?
A. Right
B. Left
C. Cerebellum
D. Brainstem
Answer: B. Left
Rationale: Motor function is controlled by the opposite
hemisphere.
7. Which position is best for a client with increased ICP?
, A. Supine
B. Trendelenburg
C. Head elevated 30 degrees
D. Prone
Answer: C. Head elevated 30 degrees
Rationale: Elevating the head promotes venous drainage
and reduces ICP.
8. A client is post-stroke with dysphagia. What is the nurse’s
priority?
A. Offer water
B. Perform swallow evaluation
C. Give oral medications
D. Encourage fast eating
Answer: B. Perform swallow evaluation
Rationale: A swallow assessment prevents aspiration risk.
9. Which electrolyte imbalance is associated with seizures?
A. Hypernatremia
B. Hyponatremia
C. Hyperkalemia
D. Hypercalcemia
Answer: B. Hyponatremia
Rationale: Low sodium levels increase neuronal excitability
leading to seizures.
(Stroke, Seizures, CVA) NCLEX
Exam Questions And Correct
Answers (Verified Answers)
Plus Rationales 2025/2026
Q&A | Instant Download Pdf
1. A nurse is assessing a client suspected of having a stroke.
Which symptom requires immediate action?
A. Headache rated 3/10
B. Slurred speech
C. Sudden unilateral weakness
D. Mild dizziness
Answer: C. Sudden unilateral weakness
Rationale: Sudden unilateral weakness is a hallmark sign of
stroke and requires immediate intervention to prevent
permanent neurological damage.
2. A client arrives with stroke symptoms that began 1 hour
ago. Which medication is anticipated?
,A. Heparin
B. Aspirin
C. Alteplase (tPA)
D. Warfarin
Answer: C. Alteplase (tPA)
Rationale: tPA is administered within 3–4.5 hours of
ischemic stroke onset to dissolve clots.
3. Which assessment finding suggests increased intracranial
pressure (ICP)?
A. Tachycardia
B. Decreased level of consciousness
C. Hypotension
D. Warm skin
Answer: B. Decreased level of consciousness
Rationale: A decreasing LOC is the earliest sign of increased
ICP.
4. Which intervention has priority for a client experiencing a
tonic-clonic seizure?
A. Insert oral airway
B. Turn client to the side
C. Restrain the client
D. Provide water
,Answer: B. Turn client to the side
Rationale: Turning the client to the side prevents aspiration
during seizure activity.
5. Which type of stroke results from rupture of a blood
vessel?
A. Ischemic stroke
B. Hemorrhagic stroke
C. Embolic stroke
D. Thrombotic stroke
Answer: B. Hemorrhagic stroke
Rationale: Hemorrhagic strokes occur due to rupture of a
blood vessel causing bleeding into brain tissue.
6. A nurse identifies right-sided weakness in a stroke
patient. Which brain hemisphere is affected?
A. Right
B. Left
C. Cerebellum
D. Brainstem
Answer: B. Left
Rationale: Motor function is controlled by the opposite
hemisphere.
7. Which position is best for a client with increased ICP?
, A. Supine
B. Trendelenburg
C. Head elevated 30 degrees
D. Prone
Answer: C. Head elevated 30 degrees
Rationale: Elevating the head promotes venous drainage
and reduces ICP.
8. A client is post-stroke with dysphagia. What is the nurse’s
priority?
A. Offer water
B. Perform swallow evaluation
C. Give oral medications
D. Encourage fast eating
Answer: B. Perform swallow evaluation
Rationale: A swallow assessment prevents aspiration risk.
9. Which electrolyte imbalance is associated with seizures?
A. Hypernatremia
B. Hyponatremia
C. Hyperkalemia
D. Hypercalcemia
Answer: B. Hyponatremia
Rationale: Low sodium levels increase neuronal excitability
leading to seizures.
