Neurological NCLEX Questions And Correct
Answers 2023
B. CN II and CN III
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
D. Pupil changes can be caused by pressure on the ocular nerve.
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.
D. Touch his nose with his left index finger.
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.
A. Decreasing level of consciousness (LOC)
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)
C. "Checking this reflex assesses involuntary muscular contractions."
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."
D. Determine whether the patient is able to move his legs and arms
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
B. "The procedure is safe and painless; you will hear a clicking noise as the CT
machine rotates."
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."
C. White blood cells (WBCs) 100/mm3
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
A. CSF circulates within the subarachnoid space.
B. CSF cushions and protects the brain and spinal cord.
D. CSF is reabsorbed by the arachnoid villi at the same rate at which it is formed.
E. CSF is formed continuously within the ventricles of the brain as a filtrate from
the blood.
The nurse is measuring the pressure of the CSF. Which statement accurately describes
CSF? (Select all that apply.)
A. CSF circulates within the subarachnoid space.
B. CSF cushions and protects the brain and spinal cord.
C. CSF normal pressure is 90 to 150 cm water pressure (cm H2O).
D. CSF is reabsorbed by the arachnoid villi at the same rate at which it is formed.
E. CSF is formed continuously within the ventricles of the brain as a filtrate from the
blood.
A. Proper treatment for hypertension
B. Adequate treatment of atherosclerosis
C. Avoiding the use of recreational drugs
E. Keeping serum cholesterol levels under control
The LPN/LVN discusses ways to prevent a stroke with a patient. Which measures
should the nurse include in her teaching? (Select all that apply.)
A. Proper treatment for hypertension
B. Adequate treatment of atherosclerosis
C. Avoiding the use of recreational drugs
D. Encouraging the use of seat belts in vehicles
E. Keeping serum cholesterol levels under control
Answers 2023
B. CN II and CN III
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
D. Pupil changes can be caused by pressure on the ocular nerve.
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.
D. Touch his nose with his left index finger.
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.
A. Decreasing level of consciousness (LOC)
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)
C. "Checking this reflex assesses involuntary muscular contractions."
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."
D. Determine whether the patient is able to move his legs and arms
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
B. "The procedure is safe and painless; you will hear a clicking noise as the CT
machine rotates."
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."
C. White blood cells (WBCs) 100/mm3
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
A. CSF circulates within the subarachnoid space.
B. CSF cushions and protects the brain and spinal cord.
D. CSF is reabsorbed by the arachnoid villi at the same rate at which it is formed.
E. CSF is formed continuously within the ventricles of the brain as a filtrate from
the blood.
The nurse is measuring the pressure of the CSF. Which statement accurately describes
CSF? (Select all that apply.)
A. CSF circulates within the subarachnoid space.
B. CSF cushions and protects the brain and spinal cord.
C. CSF normal pressure is 90 to 150 cm water pressure (cm H2O).
D. CSF is reabsorbed by the arachnoid villi at the same rate at which it is formed.
E. CSF is formed continuously within the ventricles of the brain as a filtrate from the
blood.
A. Proper treatment for hypertension
B. Adequate treatment of atherosclerosis
C. Avoiding the use of recreational drugs
E. Keeping serum cholesterol levels under control
The LPN/LVN discusses ways to prevent a stroke with a patient. Which measures
should the nurse include in her teaching? (Select all that apply.)
A. Proper treatment for hypertension
B. Adequate treatment of atherosclerosis
C. Avoiding the use of recreational drugs
D. Encouraging the use of seat belts in vehicles
E. Keeping serum cholesterol levels under control
