NEUROLOGICAL NURSING FINAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS)
Q&A 2026-2027 |INSTANT DOWNLOAD PDF
1. A nurse is assessing a patient with increased intracranial
pressure (ICP). Which assessment finding requires immediate
intervention?
A. Headache
B. Nausea
C. Unequal pupils
D. Mild confusion
Correct Answer: C. Unequal pupils
Rationale: Unequal pupils suggest brain herniation or cranial
nerve III compression, requiring immediate intervention.
2. Which Glasgow Coma Scale (GCS) score indicates severe
brain injury?
A. 13–15
B. 9–12
C. 3–8
D. 10–15
Correct Answer: C. 3–8
,Rationale: A GCS score of 3–8 indicates severe neurological
impairment and often requires airway protection.
3. Which intervention helps reduce intracranial pressure?
A. Flat positioning
B. Head elevated 30 degrees
C. Trendelenburg position
D. Frequent hip flexion
Correct Answer: B. Head elevated 30 degrees
Rationale: Elevating the head promotes venous drainage and
lowers ICP.
4. Which cranial nerve controls eye movement?
A. CN II
B. CN III
C. CN VIII
D. CN XII
Correct Answer: B. CN III
Rationale: The oculomotor nerve controls most extraocular
muscles.
5. Which assessment finding suggests Cushing's triad?
,A. Hypotension, tachycardia, fever
B. Hypertension, bradycardia, irregular respirations
C. Tachycardia, hypertension, tachypnea
D. Bradycardia, hypotension, apnea
Correct Answer: B. Hypertension, bradycardia, irregular
respirations
Rationale: Cushing's triad is a late sign of increased ICP.
6. A patient with bacterial meningitis should be placed on
which precautions?
A. Airborne
B. Contact
C. Droplet
D. Reverse isolation
Correct Answer: C. Droplet
Rationale: Droplet precautions prevent transmission of
bacterial meningitis.
7. Which symptom is classic for meningitis?
A. Polyuria
B. Nuchal rigidity
C. Bradycardia
D. Hematuria
, Correct Answer: B. Nuchal rigidity
Rationale: Neck stiffness is a hallmark sign of meningitis.
8. Which medication is commonly administered first for status
epilepticus?
A. Aspirin
B. Lorazepam
C. Acetaminophen
D. Digoxin
Correct Answer: B. Lorazepam
Rationale: Benzodiazepines rapidly stop seizure activity.
9. During an active seizure, the nurse should first:
A. Insert an oral airway
B. Restrain the patient
C. Protect the patient from injury
D. Give food
Correct Answer: C. Protect the patient from injury
Rationale: Safety is the priority during seizures.
10. Which medication treats Parkinson disease?
AND CORRECT ANSWERS (VERIFIED ANSWERS)
Q&A 2026-2027 |INSTANT DOWNLOAD PDF
1. A nurse is assessing a patient with increased intracranial
pressure (ICP). Which assessment finding requires immediate
intervention?
A. Headache
B. Nausea
C. Unequal pupils
D. Mild confusion
Correct Answer: C. Unequal pupils
Rationale: Unequal pupils suggest brain herniation or cranial
nerve III compression, requiring immediate intervention.
2. Which Glasgow Coma Scale (GCS) score indicates severe
brain injury?
A. 13–15
B. 9–12
C. 3–8
D. 10–15
Correct Answer: C. 3–8
,Rationale: A GCS score of 3–8 indicates severe neurological
impairment and often requires airway protection.
3. Which intervention helps reduce intracranial pressure?
A. Flat positioning
B. Head elevated 30 degrees
C. Trendelenburg position
D. Frequent hip flexion
Correct Answer: B. Head elevated 30 degrees
Rationale: Elevating the head promotes venous drainage and
lowers ICP.
4. Which cranial nerve controls eye movement?
A. CN II
B. CN III
C. CN VIII
D. CN XII
Correct Answer: B. CN III
Rationale: The oculomotor nerve controls most extraocular
muscles.
5. Which assessment finding suggests Cushing's triad?
,A. Hypotension, tachycardia, fever
B. Hypertension, bradycardia, irregular respirations
C. Tachycardia, hypertension, tachypnea
D. Bradycardia, hypotension, apnea
Correct Answer: B. Hypertension, bradycardia, irregular
respirations
Rationale: Cushing's triad is a late sign of increased ICP.
6. A patient with bacterial meningitis should be placed on
which precautions?
A. Airborne
B. Contact
C. Droplet
D. Reverse isolation
Correct Answer: C. Droplet
Rationale: Droplet precautions prevent transmission of
bacterial meningitis.
7. Which symptom is classic for meningitis?
A. Polyuria
B. Nuchal rigidity
C. Bradycardia
D. Hematuria
, Correct Answer: B. Nuchal rigidity
Rationale: Neck stiffness is a hallmark sign of meningitis.
8. Which medication is commonly administered first for status
epilepticus?
A. Aspirin
B. Lorazepam
C. Acetaminophen
D. Digoxin
Correct Answer: B. Lorazepam
Rationale: Benzodiazepines rapidly stop seizure activity.
9. During an active seizure, the nurse should first:
A. Insert an oral airway
B. Restrain the patient
C. Protect the patient from injury
D. Give food
Correct Answer: C. Protect the patient from injury
Rationale: Safety is the priority during seizures.
10. Which medication treats Parkinson disease?
