NEUROLOGICAL NCLEX QUESTIONS WITH DETAILED
VERIFIED AND 100% ACCURATE ANSWERS
The nurse is caring for a patient who suffered massive head trauma, and
suspected increased intracranial pressure (ICP) from an automobile
accident. Which cranial nerves are most appropriate to check at this
time?
A. CN I and CN II
B. CN II and CN III
C. CN III and CN IV
D .CN IV and CN V Correct Answers B. CN II and CN III
When increased ICP is suspected, the nurse performs a complete
neurologic assessment. What does the pupillary response indicate?
A. High pressure can cause blurred vision.
B. Hemorrhage can cause visual impairment.
C. Pupil dilation is the first sign of increased ICP.
D. Pupil changes can be caused by pressure on the ocular nerve.
Correct Answers D. Pupil changes can be caused by pressure on the
ocular nerve.
When rating a patient using the Glasgow Coma Scale, what would be
appropriate for the LPN/LVN to ask the patient to do in order to test the
patient's motor response?
A. Roll his eyes in a circle.
B. Take a deep breath and exhale.
C. Describe the view from his window.
, D. Touch his nose with his left index finger. Correct Answers D. Touch
his nose with his left index finger.
The nurse is assessing a patient who has a brain tumor. What assessment
finding is most indicative of increased ICP in this patient?
A. Decreasing level of consciousness (LOC)
B. Elevated temperature
C. Agitation and hostility
D. Increasing blood pressure (BP) Correct Answers A. Decreasing level
of consciousness (LOC)
The nurse is assessing the patient's patellar reflex. The patient asks what
the purpose of this exam is. Which response by the nurse is correct?
A. "I am checking the conscious nerve response in your leg."
B. "This assessment determines your hand-eye coordination."
C. "Checking this reflex assesses involuntary muscular contractions."
D. "The patellar reflex demonstrates large voluntary muscle
coordination." Correct Answers C. "Checking this reflex assesses
involuntary muscular contractions."
The nurse is performing a "neuro check" on a patient who has
demonstrated a decreased LOC. What is the best way to assess the
patient's neuromuscular status?
A. Measure the patient's vital signs.
B. Test the reaction of the patient's pupils to light.
, C. Check the patient's response to the stimulus of pinching.
D. Determine whether the patient is able to move his legs and arms
Correct Answers D. Determine whether the patient is able to move his
legs and arms
A patient who is to have computed tomography (CT scan) of the brain
voices concern about the procedure. The LPN/LVN can best allay the
patient's fears by making which statement?
A. "CT scans use only a small amount of radioactive material injected
into your brain."
B. "The procedure is safe and painless; you will hear a clicking noise as
the CT machine rotates."
C. "You will probably be given something to make you drowsy and
deaden the pain during the CT scan."
C. "CT scanning is a new procedure, and since it involves the brain, I
think the doctor can answer your questions better than I can." Correct
Answers B. "The procedure is safe and painless; you will hear a clicking
noise as the CT machine rotates."
The nurse is caring for a patient who has undergone a lumbar puncture
in order to run tests on the cerebrospinal fluid (CSF). The nurse knows
which laboratory value is abnormal?
A. Glucose 60 mg/100 mL
B. Clear, colorless appearance
C. White blood cells (WBCs) 100/mm3
D. Total protein 40 mg/100 mL Correct Answers C. White blood cells
(WBCs) 100/mm3
VERIFIED AND 100% ACCURATE ANSWERS
The nurse is caring for a patient who suffered massive head trauma, and
suspected increased intracranial pressure (ICP) from an automobile
accident. Which cranial nerves are most appropriate to check at this
time?
A. CN I and CN II
B. CN II and CN III
C. CN III and CN IV
D .CN IV and CN V Correct Answers B. CN II and CN III
When increased ICP is suspected, the nurse performs a complete
neurologic assessment. What does the pupillary response indicate?
A. High pressure can cause blurred vision.
B. Hemorrhage can cause visual impairment.
C. Pupil dilation is the first sign of increased ICP.
D. Pupil changes can be caused by pressure on the ocular nerve.
Correct Answers D. Pupil changes can be caused by pressure on the
ocular nerve.
When rating a patient using the Glasgow Coma Scale, what would be
appropriate for the LPN/LVN to ask the patient to do in order to test the
patient's motor response?
A. Roll his eyes in a circle.
B. Take a deep breath and exhale.
C. Describe the view from his window.
, D. Touch his nose with his left index finger. Correct Answers D. Touch
his nose with his left index finger.
The nurse is assessing a patient who has a brain tumor. What assessment
finding is most indicative of increased ICP in this patient?
A. Decreasing level of consciousness (LOC)
B. Elevated temperature
C. Agitation and hostility
D. Increasing blood pressure (BP) Correct Answers A. Decreasing level
of consciousness (LOC)
The nurse is assessing the patient's patellar reflex. The patient asks what
the purpose of this exam is. Which response by the nurse is correct?
A. "I am checking the conscious nerve response in your leg."
B. "This assessment determines your hand-eye coordination."
C. "Checking this reflex assesses involuntary muscular contractions."
D. "The patellar reflex demonstrates large voluntary muscle
coordination." Correct Answers C. "Checking this reflex assesses
involuntary muscular contractions."
The nurse is performing a "neuro check" on a patient who has
demonstrated a decreased LOC. What is the best way to assess the
patient's neuromuscular status?
A. Measure the patient's vital signs.
B. Test the reaction of the patient's pupils to light.
, C. Check the patient's response to the stimulus of pinching.
D. Determine whether the patient is able to move his legs and arms
Correct Answers D. Determine whether the patient is able to move his
legs and arms
A patient who is to have computed tomography (CT scan) of the brain
voices concern about the procedure. The LPN/LVN can best allay the
patient's fears by making which statement?
A. "CT scans use only a small amount of radioactive material injected
into your brain."
B. "The procedure is safe and painless; you will hear a clicking noise as
the CT machine rotates."
C. "You will probably be given something to make you drowsy and
deaden the pain during the CT scan."
C. "CT scanning is a new procedure, and since it involves the brain, I
think the doctor can answer your questions better than I can." Correct
Answers B. "The procedure is safe and painless; you will hear a clicking
noise as the CT machine rotates."
The nurse is caring for a patient who has undergone a lumbar puncture
in order to run tests on the cerebrospinal fluid (CSF). The nurse knows
which laboratory value is abnormal?
A. Glucose 60 mg/100 mL
B. Clear, colorless appearance
C. White blood cells (WBCs) 100/mm3
D. Total protein 40 mg/100 mL Correct Answers C. White blood cells
(WBCs) 100/mm3
