MEDICAL-SURGICAL NURSING: NEUROLOGICAL &
MUSCULOSKELETAL DISORDERS - 330 NCLEX
QUESTIONS
Medical-Surgical Nursing: Neurological & Musculoskeletal Disorders - 330 NCLEX Questions
Course: Neuro MSK | Total: 330 Questions | Format: Q + Options + Answer + Rationale | Edition: 2026 NCLEX-RN
High-Yield | Author: Original Content
All questions are original and based on current nursing textbooks (Lewis, Saunders, ATI). Not copied from any exam bank.
[1] FAST assessment for stroke?
Face droop, Arm weakness, Speech difficulty, Time to call
Fever, Anxiety, Sweating
Foot pain
Fatigue
Correct Answer: A
Rationale: FAST: Face droop, Arm drift, Speech slur, Time critical -> activate stroke protocol.
[2] Early sign increased intracranial pressure?
Decreased LOC and headache
Bradycardia always early
Pinpoint pupils
Hypotension
Correct Answer: A
Rationale: Early ICP: decreased LOC, headache, vomiting, diplopia. Late Cushing triad: bradycardia, HTN with wide pulse
pressure, irregular breathing.
[3] Meningitis signs?
Nuchal rigidity, Kernig, Brudzinski, photophobia, fever
No fever
Decreased pain
Weight gain
Correct Answer: A
Rationale: Meningitis: fever, headache, nuchal rigidity, positive Kernig/Brudzinski, photophobia, petechiae if meningococcal.
[4] Risk factors osteoporosis?
Postmenopausal female, low calcium/vit D, smoking, sedentary
High calcium diet
Weight bearing exercise prevents
Young male
Correct Answer: A
Rationale: Risk: female, postmenopausal, low Ca/Vit D, smoking, alcohol, sedentary, Caucasian/Asian, low body weight.
[5] FAST assessment for stroke?
Face droop, Arm weakness, Speech difficulty, Time to call
Fever, Anxiety, Sweating
Foot pain
Fatigue
Correct Answer: A
Rationale: FAST: Face droop, Arm drift, Speech slur, Time critical -> activate stroke protocol.
[6] Early sign increased intracranial pressure?
, Decreased LOC and headache
Bradycardia always early
Pinpoint pupils
Hypotension
Correct Answer: A
Rationale: Early ICP: decreased LOC, headache, vomiting, diplopia. Late Cushing triad: bradycardia, HTN with wide pulse
pressure, irregular breathing.
[7] Meningitis signs?
Nuchal rigidity, Kernig, Brudzinski, photophobia, fever
No fever
Decreased pain
Weight gain
Correct Answer: A
Rationale: Meningitis: fever, headache, nuchal rigidity, positive Kernig/Brudzinski, photophobia, petechiae if meningococcal.
[8] Risk factors osteoporosis?
Postmenopausal female, low calcium/vit D, smoking, sedentary
High calcium diet
Weight bearing exercise prevents
Young male
Correct Answer: A
Rationale: Risk: female, postmenopausal, low Ca/Vit D, smoking, alcohol, sedentary, Caucasian/Asian, low body weight.
[9] FAST assessment for stroke?
Face droop, Arm weakness, Speech difficulty, Time to call
Fever, Anxiety, Sweating
Foot pain
Fatigue
Correct Answer: A
Rationale: FAST: Face droop, Arm drift, Speech slur, Time critical -> activate stroke protocol.
[10] Early sign increased intracranial pressure?
Decreased LOC and headache
Bradycardia always early
Pinpoint pupils
Hypotension
Correct Answer: A
Rationale: Early ICP: decreased LOC, headache, vomiting, diplopia. Late Cushing triad: bradycardia, HTN with wide pulse
pressure, irregular breathing.
[11] Meningitis signs?
Nuchal rigidity, Kernig, Brudzinski, photophobia, fever
No fever
Decreased pain
Weight gain
Correct Answer: A
Rationale: Meningitis: fever, headache, nuchal rigidity, positive Kernig/Brudzinski, photophobia, petechiae if meningococcal.
[12] Risk factors osteoporosis?
Postmenopausal female, low calcium/vit D, smoking, sedentary
High calcium diet
, Weight bearing exercise prevents
Young male
Correct Answer: A
Rationale: Risk: female, postmenopausal, low Ca/Vit D, smoking, alcohol, sedentary, Caucasian/Asian, low body weight.
[13] FAST assessment for stroke?
Face droop, Arm weakness, Speech difficulty, Time to call
Fever, Anxiety, Sweating
Foot pain
Fatigue
Correct Answer: A
Rationale: FAST: Face droop, Arm drift, Speech slur, Time critical -> activate stroke protocol.
[14] Early sign increased intracranial pressure?
Decreased LOC and headache
Bradycardia always early
Pinpoint pupils
Hypotension
Correct Answer: A
Rationale: Early ICP: decreased LOC, headache, vomiting, diplopia. Late Cushing triad: bradycardia, HTN with wide pulse
pressure, irregular breathing.
[15] Meningitis signs?
Nuchal rigidity, Kernig, Brudzinski, photophobia, fever
No fever
Decreased pain
Weight gain
Correct Answer: A
Rationale: Meningitis: fever, headache, nuchal rigidity, positive Kernig/Brudzinski, photophobia, petechiae if meningococcal.
[16] Risk factors osteoporosis?
Postmenopausal female, low calcium/vit D, smoking, sedentary
High calcium diet
Weight bearing exercise prevents
Young male
Correct Answer: A
Rationale: Risk: female, postmenopausal, low Ca/Vit D, smoking, alcohol, sedentary, Caucasian/Asian, low body weight.
[17] FAST assessment for stroke?
Face droop, Arm weakness, Speech difficulty, Time to call
Fever, Anxiety, Sweating
Foot pain
Fatigue
Correct Answer: A
Rationale: FAST: Face droop, Arm drift, Speech slur, Time critical -> activate stroke protocol.
[18] Early sign increased intracranial pressure?
Decreased LOC and headache
Bradycardia always early
Pinpoint pupils
Hypotension
Correct Answer: A
, Rationale: Early ICP: decreased LOC, headache, vomiting, diplopia. Late Cushing triad: bradycardia, HTN with wide pulse
pressure, irregular breathing.
[19] Meningitis signs?
Nuchal rigidity, Kernig, Brudzinski, photophobia, fever
No fever
Decreased pain
Weight gain
Correct Answer: A
Rationale: Meningitis: fever, headache, nuchal rigidity, positive Kernig/Brudzinski, photophobia, petechiae if meningococcal.
[20] Risk factors osteoporosis?
Postmenopausal female, low calcium/vit D, smoking, sedentary
High calcium diet
Weight bearing exercise prevents
Young male
Correct Answer: A
Rationale: Risk: female, postmenopausal, low Ca/Vit D, smoking, alcohol, sedentary, Caucasian/Asian, low body weight.
[21] FAST assessment for stroke?
Face droop, Arm weakness, Speech difficulty, Time to call
Fever, Anxiety, Sweating
Foot pain
Fatigue
Correct Answer: A
Rationale: FAST: Face droop, Arm drift, Speech slur, Time critical -> activate stroke protocol.
[22] Early sign increased intracranial pressure?
Decreased LOC and headache
Bradycardia always early
Pinpoint pupils
Hypotension
Correct Answer: A
Rationale: Early ICP: decreased LOC, headache, vomiting, diplopia. Late Cushing triad: bradycardia, HTN with wide pulse
pressure, irregular breathing.
[23] Meningitis signs?
Nuchal rigidity, Kernig, Brudzinski, photophobia, fever
No fever
Decreased pain
Weight gain
Correct Answer: A
Rationale: Meningitis: fever, headache, nuchal rigidity, positive Kernig/Brudzinski, photophobia, petechiae if meningococcal.
[24] Risk factors osteoporosis?
Postmenopausal female, low calcium/vit D, smoking, sedentary
High calcium diet
Weight bearing exercise prevents
Young male
Correct Answer: A
Rationale: Risk: female, postmenopausal, low Ca/Vit D, smoking, alcohol, sedentary, Caucasian/Asian, low body weight.
[25] FAST assessment for stroke?
MUSCULOSKELETAL DISORDERS - 330 NCLEX
QUESTIONS
Medical-Surgical Nursing: Neurological & Musculoskeletal Disorders - 330 NCLEX Questions
Course: Neuro MSK | Total: 330 Questions | Format: Q + Options + Answer + Rationale | Edition: 2026 NCLEX-RN
High-Yield | Author: Original Content
All questions are original and based on current nursing textbooks (Lewis, Saunders, ATI). Not copied from any exam bank.
[1] FAST assessment for stroke?
Face droop, Arm weakness, Speech difficulty, Time to call
Fever, Anxiety, Sweating
Foot pain
Fatigue
Correct Answer: A
Rationale: FAST: Face droop, Arm drift, Speech slur, Time critical -> activate stroke protocol.
[2] Early sign increased intracranial pressure?
Decreased LOC and headache
Bradycardia always early
Pinpoint pupils
Hypotension
Correct Answer: A
Rationale: Early ICP: decreased LOC, headache, vomiting, diplopia. Late Cushing triad: bradycardia, HTN with wide pulse
pressure, irregular breathing.
[3] Meningitis signs?
Nuchal rigidity, Kernig, Brudzinski, photophobia, fever
No fever
Decreased pain
Weight gain
Correct Answer: A
Rationale: Meningitis: fever, headache, nuchal rigidity, positive Kernig/Brudzinski, photophobia, petechiae if meningococcal.
[4] Risk factors osteoporosis?
Postmenopausal female, low calcium/vit D, smoking, sedentary
High calcium diet
Weight bearing exercise prevents
Young male
Correct Answer: A
Rationale: Risk: female, postmenopausal, low Ca/Vit D, smoking, alcohol, sedentary, Caucasian/Asian, low body weight.
[5] FAST assessment for stroke?
Face droop, Arm weakness, Speech difficulty, Time to call
Fever, Anxiety, Sweating
Foot pain
Fatigue
Correct Answer: A
Rationale: FAST: Face droop, Arm drift, Speech slur, Time critical -> activate stroke protocol.
[6] Early sign increased intracranial pressure?
, Decreased LOC and headache
Bradycardia always early
Pinpoint pupils
Hypotension
Correct Answer: A
Rationale: Early ICP: decreased LOC, headache, vomiting, diplopia. Late Cushing triad: bradycardia, HTN with wide pulse
pressure, irregular breathing.
[7] Meningitis signs?
Nuchal rigidity, Kernig, Brudzinski, photophobia, fever
No fever
Decreased pain
Weight gain
Correct Answer: A
Rationale: Meningitis: fever, headache, nuchal rigidity, positive Kernig/Brudzinski, photophobia, petechiae if meningococcal.
[8] Risk factors osteoporosis?
Postmenopausal female, low calcium/vit D, smoking, sedentary
High calcium diet
Weight bearing exercise prevents
Young male
Correct Answer: A
Rationale: Risk: female, postmenopausal, low Ca/Vit D, smoking, alcohol, sedentary, Caucasian/Asian, low body weight.
[9] FAST assessment for stroke?
Face droop, Arm weakness, Speech difficulty, Time to call
Fever, Anxiety, Sweating
Foot pain
Fatigue
Correct Answer: A
Rationale: FAST: Face droop, Arm drift, Speech slur, Time critical -> activate stroke protocol.
[10] Early sign increased intracranial pressure?
Decreased LOC and headache
Bradycardia always early
Pinpoint pupils
Hypotension
Correct Answer: A
Rationale: Early ICP: decreased LOC, headache, vomiting, diplopia. Late Cushing triad: bradycardia, HTN with wide pulse
pressure, irregular breathing.
[11] Meningitis signs?
Nuchal rigidity, Kernig, Brudzinski, photophobia, fever
No fever
Decreased pain
Weight gain
Correct Answer: A
Rationale: Meningitis: fever, headache, nuchal rigidity, positive Kernig/Brudzinski, photophobia, petechiae if meningococcal.
[12] Risk factors osteoporosis?
Postmenopausal female, low calcium/vit D, smoking, sedentary
High calcium diet
, Weight bearing exercise prevents
Young male
Correct Answer: A
Rationale: Risk: female, postmenopausal, low Ca/Vit D, smoking, alcohol, sedentary, Caucasian/Asian, low body weight.
[13] FAST assessment for stroke?
Face droop, Arm weakness, Speech difficulty, Time to call
Fever, Anxiety, Sweating
Foot pain
Fatigue
Correct Answer: A
Rationale: FAST: Face droop, Arm drift, Speech slur, Time critical -> activate stroke protocol.
[14] Early sign increased intracranial pressure?
Decreased LOC and headache
Bradycardia always early
Pinpoint pupils
Hypotension
Correct Answer: A
Rationale: Early ICP: decreased LOC, headache, vomiting, diplopia. Late Cushing triad: bradycardia, HTN with wide pulse
pressure, irregular breathing.
[15] Meningitis signs?
Nuchal rigidity, Kernig, Brudzinski, photophobia, fever
No fever
Decreased pain
Weight gain
Correct Answer: A
Rationale: Meningitis: fever, headache, nuchal rigidity, positive Kernig/Brudzinski, photophobia, petechiae if meningococcal.
[16] Risk factors osteoporosis?
Postmenopausal female, low calcium/vit D, smoking, sedentary
High calcium diet
Weight bearing exercise prevents
Young male
Correct Answer: A
Rationale: Risk: female, postmenopausal, low Ca/Vit D, smoking, alcohol, sedentary, Caucasian/Asian, low body weight.
[17] FAST assessment for stroke?
Face droop, Arm weakness, Speech difficulty, Time to call
Fever, Anxiety, Sweating
Foot pain
Fatigue
Correct Answer: A
Rationale: FAST: Face droop, Arm drift, Speech slur, Time critical -> activate stroke protocol.
[18] Early sign increased intracranial pressure?
Decreased LOC and headache
Bradycardia always early
Pinpoint pupils
Hypotension
Correct Answer: A
, Rationale: Early ICP: decreased LOC, headache, vomiting, diplopia. Late Cushing triad: bradycardia, HTN with wide pulse
pressure, irregular breathing.
[19] Meningitis signs?
Nuchal rigidity, Kernig, Brudzinski, photophobia, fever
No fever
Decreased pain
Weight gain
Correct Answer: A
Rationale: Meningitis: fever, headache, nuchal rigidity, positive Kernig/Brudzinski, photophobia, petechiae if meningococcal.
[20] Risk factors osteoporosis?
Postmenopausal female, low calcium/vit D, smoking, sedentary
High calcium diet
Weight bearing exercise prevents
Young male
Correct Answer: A
Rationale: Risk: female, postmenopausal, low Ca/Vit D, smoking, alcohol, sedentary, Caucasian/Asian, low body weight.
[21] FAST assessment for stroke?
Face droop, Arm weakness, Speech difficulty, Time to call
Fever, Anxiety, Sweating
Foot pain
Fatigue
Correct Answer: A
Rationale: FAST: Face droop, Arm drift, Speech slur, Time critical -> activate stroke protocol.
[22] Early sign increased intracranial pressure?
Decreased LOC and headache
Bradycardia always early
Pinpoint pupils
Hypotension
Correct Answer: A
Rationale: Early ICP: decreased LOC, headache, vomiting, diplopia. Late Cushing triad: bradycardia, HTN with wide pulse
pressure, irregular breathing.
[23] Meningitis signs?
Nuchal rigidity, Kernig, Brudzinski, photophobia, fever
No fever
Decreased pain
Weight gain
Correct Answer: A
Rationale: Meningitis: fever, headache, nuchal rigidity, positive Kernig/Brudzinski, photophobia, petechiae if meningococcal.
[24] Risk factors osteoporosis?
Postmenopausal female, low calcium/vit D, smoking, sedentary
High calcium diet
Weight bearing exercise prevents
Young male
Correct Answer: A
Rationale: Risk: female, postmenopausal, low Ca/Vit D, smoking, alcohol, sedentary, Caucasian/Asian, low body weight.
[25] FAST assessment for stroke?
