NUR2755 / NUR 2755 Exam 1 (Latest
): Multidimensional Care IV /
MDC 4 - Rasmussen
Section 1: Neurological Assessment (Questions 1–15)
1. What is included in a comprehensive neurological assessment? (Select all that apply)
A. Level of consciousness
B. Pupil response
C. Motor function
D. Blood glucose levels
E. Sensory function
Answer: Level of consciousness, Pupil response, Motor function, Sensory function
Rationale: A neurological assessment includes level of consciousness, pupil response,
motor function, and sensory function. Blood glucose is not a direct component but may
be assessed separately.
2. What does the Glasgow Coma Scale (GCS) evaluate?
A. Pain levels
B. Eye opening, verbal response, motor response
C. Blood pressure
D. Respiratory rate
Answer: Eye opening, verbal response, motor response
Rationale: The GCS assesses neurological status via eye opening, verbal response, and
motor response, with scores ranging from 3 to 15.
3. A patient with a GCS score of 7 indicates what level of consciousness?
A. Fully alert
B. Mild impairment
C. Severe impairment
D. Moderate impairment
Answer: Severe impairment
Rationale: A GCS score of 7 or lower indicates severe impairment, often requiring
urgent intervention.
4. What is a normal pupil response to light?
A. Fixed and dilated
B. Constriction
, C. Asymmetrical dilation
D. No response
Answer: Constriction
Rationale: Normal pupils constrict in response to light, indicating intact cranial nerve III
function.
5. A patient exhibits decerebrate posturing. What does this indicate?
A. Mild brain injury
B. Severe brainstem injury
C. Peripheral nerve damage
D. Normal neurological function
Answer: Severe brainstem injury
Rationale: Decerebrate posturing (extension of arms and legs) suggests severe brainstem
damage.
6. What is a priority nursing action during a neurological assessment?
A. Administer pain medication
B. Monitor airway and breathing
C. Check blood glucose first
D. Perform a full physical exam
Answer: Monitor airway and breathing
Rationale: Airway and breathing are priorities in neurological assessment due to the risk
of respiratory compromise.
7. What does a positive Babinski sign in an adult indicate?
A. Normal reflex
B. Upper motor neuron lesion
C. Peripheral neuropathy
D. Muscle weakness
Answer: Upper motor neuron lesion
Rationale: A positive Babinski sign (toes fanning upward) in adults indicates an upper
motor neuron lesion.
8. Which cranial nerve is assessed by checking pupil response?
A. Cranial nerve II
B. Cranial nerve III
C. Cranial nerve V
D. Cranial nerve VII
Answer: Cranial nerve III
Rationale: The oculomotor nerve (III) controls pupil constriction and eye movement.
): Multidimensional Care IV /
MDC 4 - Rasmussen
Section 1: Neurological Assessment (Questions 1–15)
1. What is included in a comprehensive neurological assessment? (Select all that apply)
A. Level of consciousness
B. Pupil response
C. Motor function
D. Blood glucose levels
E. Sensory function
Answer: Level of consciousness, Pupil response, Motor function, Sensory function
Rationale: A neurological assessment includes level of consciousness, pupil response,
motor function, and sensory function. Blood glucose is not a direct component but may
be assessed separately.
2. What does the Glasgow Coma Scale (GCS) evaluate?
A. Pain levels
B. Eye opening, verbal response, motor response
C. Blood pressure
D. Respiratory rate
Answer: Eye opening, verbal response, motor response
Rationale: The GCS assesses neurological status via eye opening, verbal response, and
motor response, with scores ranging from 3 to 15.
3. A patient with a GCS score of 7 indicates what level of consciousness?
A. Fully alert
B. Mild impairment
C. Severe impairment
D. Moderate impairment
Answer: Severe impairment
Rationale: A GCS score of 7 or lower indicates severe impairment, often requiring
urgent intervention.
4. What is a normal pupil response to light?
A. Fixed and dilated
B. Constriction
, C. Asymmetrical dilation
D. No response
Answer: Constriction
Rationale: Normal pupils constrict in response to light, indicating intact cranial nerve III
function.
5. A patient exhibits decerebrate posturing. What does this indicate?
A. Mild brain injury
B. Severe brainstem injury
C. Peripheral nerve damage
D. Normal neurological function
Answer: Severe brainstem injury
Rationale: Decerebrate posturing (extension of arms and legs) suggests severe brainstem
damage.
6. What is a priority nursing action during a neurological assessment?
A. Administer pain medication
B. Monitor airway and breathing
C. Check blood glucose first
D. Perform a full physical exam
Answer: Monitor airway and breathing
Rationale: Airway and breathing are priorities in neurological assessment due to the risk
of respiratory compromise.
7. What does a positive Babinski sign in an adult indicate?
A. Normal reflex
B. Upper motor neuron lesion
C. Peripheral neuropathy
D. Muscle weakness
Answer: Upper motor neuron lesion
Rationale: A positive Babinski sign (toes fanning upward) in adults indicates an upper
motor neuron lesion.
8. Which cranial nerve is assessed by checking pupil response?
A. Cranial nerve II
B. Cranial nerve III
C. Cranial nerve V
D. Cranial nerve VII
Answer: Cranial nerve III
Rationale: The oculomotor nerve (III) controls pupil constriction and eye movement.
