Neurological Disorders Nursing
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1. A nurse is assessing a patient for signs of increased intracranial pressure
(ICP). Which finding is most concerning?
A. Bradycardia
B. Hypotension
C. Tachypnea
D. Increased appetite
Answer: A. Bradycardia
Rationale: Bradycardia is part of Cushing’s triad, a late sign of increased
intracranial pressure.
2. Which assessment tool is commonly used to evaluate level of
consciousness?
A. Braden Scale
B. Glasgow Coma Scale
C. Morse Fall Scale
D. APGAR Score
Answer: B. Glasgow Coma Scale
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Rationale: The Glasgow Coma Scale evaluates eye opening, verbal
response, and motor response to assess neurological status.
3. A patient suddenly develops facial drooping and arm weakness. Which
condition should the nurse suspect?
A. Myocardial infarction
B. Stroke
C. Asthma
D. Appendicitis
Answer: B. Stroke
Rationale: Sudden facial drooping and unilateral weakness are classic signs
of stroke.
4. Which intervention is the priority for a patient having an active seizure?
A. Insert oral airway immediately
B. Restrain the patient
C. Protect the patient from injury
D. Give food and water
Answer: C. Protect the patient from injury
Rationale: During a seizure, the priority is maintaining safety and
preventing injury.
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5. Which cranial nerve is responsible for vision?
A. Cranial nerve II
B. Cranial nerve V
C. Cranial nerve VII
D. Cranial nerve X
Answer: A. Cranial nerve II
Rationale: The optic nerve (cranial nerve II) controls visual function.
6. A patient with meningitis may exhibit which assessment finding?
A. Nuchal rigidity
B. Bradycardia only
C. Hyperactive bowel sounds
D. Increased appetite
Answer: A. Nuchal rigidity
Rationale: Neck stiffness is a common symptom of meningeal irritation.
7. Which symptom is commonly associated with Parkinson disease?
A. Tremors at rest
B. Hyperactivity
C. Severe hypertension
D. Sudden weight gain
Answer: A. Tremors at rest
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Rationale: Resting tremors are characteristic of Parkinson disease.
8. A nurse should place a patient recovering from a seizure in which
position?
A. Supine
B. Prone
C. Side-lying
D. Trendelenburg
Answer: C. Side-lying
Rationale: Side-lying positioning helps maintain airway patency and
prevents aspiration.
9. Which assessment finding suggests a possible stroke?
A. Bilateral equal strength
B. Slurred speech
C. Normal gait
D. Reactive pupils only
Answer: B. Slurred speech
Rationale: Slurred speech is a common neurological deficit associated with
stroke.
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