Neurological NCLEX Questions
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1. 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
2. D. Pupil changes can When increased ICP is suspected, the nurse performs a complete neuro-
be caused by pressure logic assessment. What does the pupillary response indicate?
on the ocular nerve. 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.
3. D. Touch his nose with When rating a patient using the Glasgow Coma Scale, what would be
his left index finger. 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.
4. A. Decreasing level of The nurse is assessing a patient who has a brain tumor. What assessment
consciousness (LOC) 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)
5. C. "Checking this re- The nurse is assessing the patient's patellar reflex. The patient asks what
flex assesses involun- the purpose of this exam is. Which response by the nurse is correct?
, Neurological NCLEX Questions
Study online at https://quizlet.com/_3kdmou
tary muscular contrac- A. "I am checking the conscious nerve response in your leg."
tions." 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."
6. D. Determine whether The nurse is performing a "neuro check" on a patient who has demon-
the patient is able to strated a decreased LOC. What is the best way to assess the patient's
move his legs and neuromuscular status?
arms 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
7. B. "The procedure is A patient who is to have computed tomography (CT scan) of the brain voices
safe and painless; you concern about the procedure. The LPN/LVN can best allay the patient's
will hear a clicking fears by making which statement?
noise as the CT ma- A. "CT scans use only a small amount of radioactive material injected into
chine rotates." 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."
8. C. White blood cells The nurse is caring for a patient who has undergone a lumbar puncture in
(WBCs) 100/mm3 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
Study online at https://quizlet.com/_3kdmou
1. 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
2. D. Pupil changes can When increased ICP is suspected, the nurse performs a complete neuro-
be caused by pressure logic assessment. What does the pupillary response indicate?
on the ocular nerve. 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.
3. D. Touch his nose with When rating a patient using the Glasgow Coma Scale, what would be
his left index finger. 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.
4. A. Decreasing level of The nurse is assessing a patient who has a brain tumor. What assessment
consciousness (LOC) 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)
5. C. "Checking this re- The nurse is assessing the patient's patellar reflex. The patient asks what
flex assesses involun- the purpose of this exam is. Which response by the nurse is correct?
, Neurological NCLEX Questions
Study online at https://quizlet.com/_3kdmou
tary muscular contrac- A. "I am checking the conscious nerve response in your leg."
tions." 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."
6. D. Determine whether The nurse is performing a "neuro check" on a patient who has demon-
the patient is able to strated a decreased LOC. What is the best way to assess the patient's
move his legs and neuromuscular status?
arms 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
7. B. "The procedure is A patient who is to have computed tomography (CT scan) of the brain voices
safe and painless; you concern about the procedure. The LPN/LVN can best allay the patient's
will hear a clicking fears by making which statement?
noise as the CT ma- A. "CT scans use only a small amount of radioactive material injected into
chine rotates." 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."
8. C. White blood cells The nurse is caring for a patient who has undergone a lumbar puncture in
(WBCs) 100/mm3 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
