Med Surg/Neuro Test bank
Exam Study Guide – Practice
Questions with Answers.
GRADED A+. Latest 2026/2027
Update.
1. A patient is brought to the ER following a motor vehicle accident in which he
sustained head trauma. Preliminary assessment reveals a vision deficit in the
patient's left eye. The nurse should associate this abnormal finding with trauma
to which of the following cerebral lobes?
A) Temporal
B) Occipital
C) Parietal
D) Frontal - Ans✔✔-B) Occipital
.A patient scheduled for magnetic resonance imaging (MRI) at the radiology
department. The nurse who prepares the patient for the MRI should prioritize
which of the following actions?
,A) Withholding stimulants 24 to 48 hours prior to exam
B) Removing all metal-containing objects
C) Instructing the patient to void prior to the MRI
D) Initiating an IV line for administration of contrast - Ans✔✔-B) Removing all
metal-containing objects
A gerontologic nurse planning the neurologic assessment of an older adult is
considering normal, age-related changes. Of what phenomenon should the
nurse be aware?
A) Hyperactive deep tendon reflexes
B) Reduction in cerebral blood flow
C) Increased cerebral metabolism
D) Hypersensitivity to painful stimuli - Ans✔✔-B) Reduction in cerebral blood
flow
The nurse has admitted a new patient to the unit. One of the patient's
admitting orders is for an adrenergic medication. The nurse knows that this
medication will have what effect on the circulatory system?
A) Thin, watery saliva
B) Increased heart rate
C) Decreased BP
D) Constricted bronchioles - Ans✔✔-B) Increased heart rate
,A nurse is assessing reflexes in a patient with hyperactive reflexes. When the
patient's foot is abruptly dorsiflexed, it continues to "beat" two times before
settling into a resting position. How would the nurse document this finding?
A) Rigidity
B) Flaccidity
C) Clonus
D) Ataxia - Ans✔✔-C) Clonus
he nurse is doing an initial assessment on a patient newly admitted to the unit
with a diagnosis of cerebrovascular accident (CVA). The patient has difficulty
copying a figure that the nurse has drawn and is diagnosed with visual-
receptive aphasia. What brain region is primarily involved in this deficit?
A) Temporal lobe
B) Parietal-occipital area
C) Inferior posterior frontal areas
D) Posterior frontal area - Ans✔✔-B) Parietal-occipital area
The nurse is admitting a patient to the unit who is diagnosed with lower motor
neuron lesion. What entry in the patient's electronic record is most consistent
with this diagnosis?
A) "Patient exhibits increased muscle tone."
B) "Patient demonstrates normal muscle structure with no evidence of
atrophy."
C) "Patient demonstrates hyperactive deep tendon reflexes."
, D) "Patient demonstrates an absence of deep tendon reflexes." - Ans✔✔-D)
"Patient demonstrates an absence of deep tendon reflexes."
8. An elderly patient is being discharged home. The patient lives alone and has
atrophy of his olfactory organs. The nurse tells the patient's family its essential
that the patient have what installed in the home?
A) Grab bars
B) Nonslip mats
C) Baseboard heaters
D) A smoke detector - Ans✔✔-D) A smoke detector
A nurse is caring for a patient diagnosed with Ménière's disease. While
completing a neurologic examination on the patient, the nurse assesses cranial
nerve VIII. The nurse would be correct in identifying the function of this nerve
as what?
A) Movement of the tongue
B) Visual acuity
C) Sense of smell
D) Hearing and equilibrium - Ans✔✔-D) Hearing and equilibrium
. A patient exhibiting an uncoordinated gait has presented at the clinic. Which
of the following is the most plausible cause of this patient's health problems?
A) Cerebellar dysfunction
B) A lesion in the pons
Exam Study Guide – Practice
Questions with Answers.
GRADED A+. Latest 2026/2027
Update.
1. A patient is brought to the ER following a motor vehicle accident in which he
sustained head trauma. Preliminary assessment reveals a vision deficit in the
patient's left eye. The nurse should associate this abnormal finding with trauma
to which of the following cerebral lobes?
A) Temporal
B) Occipital
C) Parietal
D) Frontal - Ans✔✔-B) Occipital
.A patient scheduled for magnetic resonance imaging (MRI) at the radiology
department. The nurse who prepares the patient for the MRI should prioritize
which of the following actions?
,A) Withholding stimulants 24 to 48 hours prior to exam
B) Removing all metal-containing objects
C) Instructing the patient to void prior to the MRI
D) Initiating an IV line for administration of contrast - Ans✔✔-B) Removing all
metal-containing objects
A gerontologic nurse planning the neurologic assessment of an older adult is
considering normal, age-related changes. Of what phenomenon should the
nurse be aware?
A) Hyperactive deep tendon reflexes
B) Reduction in cerebral blood flow
C) Increased cerebral metabolism
D) Hypersensitivity to painful stimuli - Ans✔✔-B) Reduction in cerebral blood
flow
The nurse has admitted a new patient to the unit. One of the patient's
admitting orders is for an adrenergic medication. The nurse knows that this
medication will have what effect on the circulatory system?
A) Thin, watery saliva
B) Increased heart rate
C) Decreased BP
D) Constricted bronchioles - Ans✔✔-B) Increased heart rate
,A nurse is assessing reflexes in a patient with hyperactive reflexes. When the
patient's foot is abruptly dorsiflexed, it continues to "beat" two times before
settling into a resting position. How would the nurse document this finding?
A) Rigidity
B) Flaccidity
C) Clonus
D) Ataxia - Ans✔✔-C) Clonus
he nurse is doing an initial assessment on a patient newly admitted to the unit
with a diagnosis of cerebrovascular accident (CVA). The patient has difficulty
copying a figure that the nurse has drawn and is diagnosed with visual-
receptive aphasia. What brain region is primarily involved in this deficit?
A) Temporal lobe
B) Parietal-occipital area
C) Inferior posterior frontal areas
D) Posterior frontal area - Ans✔✔-B) Parietal-occipital area
The nurse is admitting a patient to the unit who is diagnosed with lower motor
neuron lesion. What entry in the patient's electronic record is most consistent
with this diagnosis?
A) "Patient exhibits increased muscle tone."
B) "Patient demonstrates normal muscle structure with no evidence of
atrophy."
C) "Patient demonstrates hyperactive deep tendon reflexes."
, D) "Patient demonstrates an absence of deep tendon reflexes." - Ans✔✔-D)
"Patient demonstrates an absence of deep tendon reflexes."
8. An elderly patient is being discharged home. The patient lives alone and has
atrophy of his olfactory organs. The nurse tells the patient's family its essential
that the patient have what installed in the home?
A) Grab bars
B) Nonslip mats
C) Baseboard heaters
D) A smoke detector - Ans✔✔-D) A smoke detector
A nurse is caring for a patient diagnosed with Ménière's disease. While
completing a neurologic examination on the patient, the nurse assesses cranial
nerve VIII. The nurse would be correct in identifying the function of this nerve
as what?
A) Movement of the tongue
B) Visual acuity
C) Sense of smell
D) Hearing and equilibrium - Ans✔✔-D) Hearing and equilibrium
. A patient exhibiting an uncoordinated gait has presented at the clinic. Which
of the following is the most plausible cause of this patient's health problems?
A) Cerebellar dysfunction
B) A lesion in the pons
