The Neurological System (Part 1)
Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A nurse is assessing a client’s level of consciousness using the Glasgow Coma Scale. Which
response indicates the best motor response?
✔✔ A. Obeys verbal commands
B. Localizes pain
C. Flexes to pain
D. Extends to pain
Which cranial nerve is being tested when the nurse asks the client to smile and puff out their
cheeks?
✔✔ A. Cranial nerve VII (Facial)
B. Cranial nerve V (Trigeminal)
C. Cranial nerve IX (Glossopharyngeal)
D. Cranial nerve XII (Hypoglossal)
A nurse is caring for a client prescribed phenytoin. Which statement indicates a need for further
teaching?
1
,A. “I will brush and floss regularly.”
✔✔ B. “If I stop the drug suddenly, I will feel better.”
C. “I will take the medication at the same time daily.”
D. “I may need regular blood levels checked.”
Which finding is most concerning in a client with suspected increased intracranial pressure?
A. Nausea after eating
✔✔ B. Sudden change in level of consciousness
C. Mild headache
D. Occasional yawning
A client has received mannitol for increased intracranial pressure. Which of the following
indicates the medication is effective?
✔✔ A. Increased urine output
B. Decreased serum potassium
C. Elevated blood pressure
D. Reduced heart rate
2
, A nurse assesses a client who exhibits arm flexion, clenched fists, and legs extended. What is this
posturing called?
✔✔ A. Decorticate
B. Decerebrate
C. Flaccid
D. Spastic
Which of the following is an early sign of increased intracranial pressure?
✔✔ A. Restlessness
B. Seizures
C. Unequal pupils
D. Cushing’s triad
A client has been prescribed levetiracetam for seizure control. What should the nurse include in
client education?
✔✔ A. “Avoid driving until your response to the drug is known.”
B. “This medication causes weight gain.”
C. “You can stop it once you feel better.”
3
Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A nurse is assessing a client’s level of consciousness using the Glasgow Coma Scale. Which
response indicates the best motor response?
✔✔ A. Obeys verbal commands
B. Localizes pain
C. Flexes to pain
D. Extends to pain
Which cranial nerve is being tested when the nurse asks the client to smile and puff out their
cheeks?
✔✔ A. Cranial nerve VII (Facial)
B. Cranial nerve V (Trigeminal)
C. Cranial nerve IX (Glossopharyngeal)
D. Cranial nerve XII (Hypoglossal)
A nurse is caring for a client prescribed phenytoin. Which statement indicates a need for further
teaching?
1
,A. “I will brush and floss regularly.”
✔✔ B. “If I stop the drug suddenly, I will feel better.”
C. “I will take the medication at the same time daily.”
D. “I may need regular blood levels checked.”
Which finding is most concerning in a client with suspected increased intracranial pressure?
A. Nausea after eating
✔✔ B. Sudden change in level of consciousness
C. Mild headache
D. Occasional yawning
A client has received mannitol for increased intracranial pressure. Which of the following
indicates the medication is effective?
✔✔ A. Increased urine output
B. Decreased serum potassium
C. Elevated blood pressure
D. Reduced heart rate
2
, A nurse assesses a client who exhibits arm flexion, clenched fists, and legs extended. What is this
posturing called?
✔✔ A. Decorticate
B. Decerebrate
C. Flaccid
D. Spastic
Which of the following is an early sign of increased intracranial pressure?
✔✔ A. Restlessness
B. Seizures
C. Unequal pupils
D. Cushing’s triad
A client has been prescribed levetiracetam for seizure control. What should the nurse include in
client education?
✔✔ A. “Avoid driving until your response to the drug is known.”
B. “This medication causes weight gain.”
C. “You can stop it once you feel better.”
3
