Neurological NCLEX Exam Questions And
Answers |Latest 2025 | Guaranteed Pass.
. CN II and CN III - Answer✔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
D. Pupil changes can be caused by pressure on the ocular nerve. - Answer✔When increased ICP
is suspected, the nurse performs a complete neurologic assessment. What does the pupillary
response indicate?
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.
D. Touch his nose with his left index finger. - Answer✔When rating a patient using the Glasgow
Coma Scale, what would be 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.
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A. Decreasing level of consciousness (LOC) - Answer✔The nurse is assessing a patient who has a
brain tumor. What assessment 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)
C. "Checking this reflex assesses involuntary muscular contractions." - Answer✔The nurse is
assessing the patient's patellar reflex. The patient asks what the purpose of this exam is. Which
response by the nurse is correct?
A. "I am checking the conscious nerve response in your leg."
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."
D. Determine whether the patient is able to move his legs and arms - Answer✔The nurse is
performing a "neuro check" on a patient who has demonstrated a decreased LOC. What is the
best way to assess the patient's neuromuscular status?
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
B. "The procedure is safe and painless; you will hear a clicking noise as the CT machine rotates."
- Answer✔A patient who is to have computed tomography (CT scan) of the brain voices concern
about the procedure. The LPN/LVN can best allay the patient's fears by making which
statement?
A. "CT scans use only a small amount of radioactive material injected into 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."
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