NEURO - HESI (Evolve) Exam Questions With
Accurate Answers 2025\2026 A+ Grade
After sustaining a head trauma, a client reports hearing ringing noises. Which
area should the nurse assess further?
Frontal lobe
Occipital lobe
Sixth cranial nerve (abducens)
Eighth cranial nerve (vestibulocochlear)
- accurate answers-Eighth cranial nerve (vestibulocochlear)
A client is admitted to the hospital after sustaining a head injury. Which is the
most reliable sign of increased intracranial pressure the nurse can monitor
for?
Rise in respiratory rate
Narrowing of pulse pressure
Decrease in the level of consciousness
Increase in the diastolic blood pressure
- accurate answers-Decrease in the level of consciousness
In caring for the client with burr holes for a subdural hematoma
postoperatively on day 2, the nurse notes the client has an increased
temperature to 101.3 F° (38.5° C). What does the nurse understand about this
reaction?
This is a normal assessment for the client with a subdural hematoma.
This is a normal reaction day 2 postoperatively, and the nurse will administer
acetaminophen as prescribed by the healthcare provider.
Because the client has burr holes, this is not an accurate measurement.
,The client is exhibiting signs of an infection, and the healthcare provider
needs to be notified.
- accurate answers-The client is exhibiting signs of an infection, and the
healthcare provider needs to be notified.
A client who had a cerebrovascular accident (also known as a "brain attack")
becomes incontinent of feces. What is the most important nursing action to
support the success of a bowel training program?
Using medication to induce elimination
Adhering to a definite time for attempted evacuations
Considering previous habits associated with defecation
Timing of elimination to take advantage of the gastrocolic reflex
- accurate answers-Adhering to a definite time for attempted evacuations
A client sustains a vertebral fracture at the T1 level and is admitted to the
emergency department. During a detailed neurologic assessment, the nurse
expects to identify which clinical manifestation?
Difficulty breathing
Inability to move the lower arms
Normal biceps reflexes in the arms
Loss of pain sensation in the hands
- accurate answers-Normal biceps reflexes in the arms
Which cranial nerve damage may lead to a decrease in the client's olfactory
acuity?
Cranial nerve I
Cranial nerve X
, Cranial nerve V
Cranial nerve VIII
- accurate answers-Cranial nerve I
An older client is diagnosed with Alzheimer disease. For which clinical
manifestations should the nurse assess the client?
Loss of recent memory
Focused attention span
Perceptual disturbances
Willingness to accept change
Difficulty learning something new
- accurate answers-Loss of recent memory
Perceptual disturbances
Difficulty learning something new
After a cerebrovascular accident (also known as brain attack) a client is
unable to differentiate between heat or cold and sharp or dull sensory
stimulation. What lobe of the brain should the nurse conclude is likely
affected?
Frontal
Parietal
Occipital
Temporal
- accurate answers-Parietal
Accurate Answers 2025\2026 A+ Grade
After sustaining a head trauma, a client reports hearing ringing noises. Which
area should the nurse assess further?
Frontal lobe
Occipital lobe
Sixth cranial nerve (abducens)
Eighth cranial nerve (vestibulocochlear)
- accurate answers-Eighth cranial nerve (vestibulocochlear)
A client is admitted to the hospital after sustaining a head injury. Which is the
most reliable sign of increased intracranial pressure the nurse can monitor
for?
Rise in respiratory rate
Narrowing of pulse pressure
Decrease in the level of consciousness
Increase in the diastolic blood pressure
- accurate answers-Decrease in the level of consciousness
In caring for the client with burr holes for a subdural hematoma
postoperatively on day 2, the nurse notes the client has an increased
temperature to 101.3 F° (38.5° C). What does the nurse understand about this
reaction?
This is a normal assessment for the client with a subdural hematoma.
This is a normal reaction day 2 postoperatively, and the nurse will administer
acetaminophen as prescribed by the healthcare provider.
Because the client has burr holes, this is not an accurate measurement.
,The client is exhibiting signs of an infection, and the healthcare provider
needs to be notified.
- accurate answers-The client is exhibiting signs of an infection, and the
healthcare provider needs to be notified.
A client who had a cerebrovascular accident (also known as a "brain attack")
becomes incontinent of feces. What is the most important nursing action to
support the success of a bowel training program?
Using medication to induce elimination
Adhering to a definite time for attempted evacuations
Considering previous habits associated with defecation
Timing of elimination to take advantage of the gastrocolic reflex
- accurate answers-Adhering to a definite time for attempted evacuations
A client sustains a vertebral fracture at the T1 level and is admitted to the
emergency department. During a detailed neurologic assessment, the nurse
expects to identify which clinical manifestation?
Difficulty breathing
Inability to move the lower arms
Normal biceps reflexes in the arms
Loss of pain sensation in the hands
- accurate answers-Normal biceps reflexes in the arms
Which cranial nerve damage may lead to a decrease in the client's olfactory
acuity?
Cranial nerve I
Cranial nerve X
, Cranial nerve V
Cranial nerve VIII
- accurate answers-Cranial nerve I
An older client is diagnosed with Alzheimer disease. For which clinical
manifestations should the nurse assess the client?
Loss of recent memory
Focused attention span
Perceptual disturbances
Willingness to accept change
Difficulty learning something new
- accurate answers-Loss of recent memory
Perceptual disturbances
Difficulty learning something new
After a cerebrovascular accident (also known as brain attack) a client is
unable to differentiate between heat or cold and sharp or dull sensory
stimulation. What lobe of the brain should the nurse conclude is likely
affected?
Frontal
Parietal
Occipital
Temporal
- accurate answers-Parietal
