NEUROLOGICAL MED-SURG EXAM LATEST 2026
UPDATE 100 QUESTIONS AND DETAILED VERIFIED
ANSWERS FROM ACTUAL EXAMS TEST GRADE A+
1. A patient with increased intracranial pressure (ICP) is most likely to present
with which early sign?
A. Bradycardia
B. Decreased level of consciousness
C. Fixed dilated pupils
D. Cheyne-Stokes respiration
Answer: B
Rationale: Early sign of increased ICP is a change in level of consciousness due to
impaired cerebral perfusion.
2. The priority nursing action for a patient with suspected stroke is:
A. Give aspirin
B. Perform a swallow test
C. Maintain airway patency
D. Lower blood pressure immediately
Answer: C
Rationale: Airway is the priority in acute neurological events.
3. Which finding indicates right-sided stroke?
A. Aphasia
B. Left-sided weakness
C. Right-sided weakness
D. Memory loss only
,Answer: B
Rationale: Right brain injury causes left-sided motor deficits.
4. A patient with meningitis is placed on droplet precautions. Which PPE is
required?
A. Gown only
B. Mask only
C. Mask and gloves
D. N95 respirator
Answer: B
Rationale: Meningitis spreads via droplets; surgical mask is required.
5. Which medication is used to reduce cerebral edema?
A. Furosemide
B. Mannitol
C. Diazepam
D. Heparin
Answer: B
Rationale: Mannitol is an osmotic diuretic that reduces ICP.
6. A hallmark sign of Parkinson’s disease is:
A. Spastic paralysis
B. Resting tremor
C. Flaccid paralysis
D. Seizures
Answer: B
Rationale: Resting tremor is classic in Parkinson’s disease.
,7. The most common early symptom of multiple sclerosis (MS) is:
A. Sudden paralysis
B. Visual disturbances
C. Severe headache
D. Loss of consciousness
Answer: B
Rationale: Optic neuritis and visual changes are early MS signs.
8. Which is the priority for a patient during a seizure?
A. Restrain patient
B. Insert tongue blade
C. Protect from injury
D. Give oral medication
Answer: C
Rationale: Safety is priority during seizure activity.
9. A complication of lumbar puncture is:
A. Hypertension
B. Headache
C. Bradycardia
D. Hyperglycemia
Answer: B
Rationale: CSF leakage causes post-LP headache.
10. Decerebrate posturing indicates:
, A. Mild brain injury
B. Brainstem damage
C. Stroke recovery
D. Normal reflex
Answer: B
Rationale: Decerebrate posturing indicates severe brainstem injury.
11. Which cranial nerve controls facial movement?
A. CN I
B. CN V
C. CN VII
D. CN X
Answer: C
Rationale: Facial nerve (VII) controls facial expression.
12. The most sensitive indicator of neurological deterioration is:
A. Blood pressure
B. Pupillary response
C. Temperature
D. Respiratory rate
Answer: B
Rationale: Pupillary changes reflect brain herniation early.
13. A patient with myasthenia gravis should avoid:
A. Rest periods
B. Anticholinesterase drugs
C. Fatigue
D. High-protein meals only
UPDATE 100 QUESTIONS AND DETAILED VERIFIED
ANSWERS FROM ACTUAL EXAMS TEST GRADE A+
1. A patient with increased intracranial pressure (ICP) is most likely to present
with which early sign?
A. Bradycardia
B. Decreased level of consciousness
C. Fixed dilated pupils
D. Cheyne-Stokes respiration
Answer: B
Rationale: Early sign of increased ICP is a change in level of consciousness due to
impaired cerebral perfusion.
2. The priority nursing action for a patient with suspected stroke is:
A. Give aspirin
B. Perform a swallow test
C. Maintain airway patency
D. Lower blood pressure immediately
Answer: C
Rationale: Airway is the priority in acute neurological events.
3. Which finding indicates right-sided stroke?
A. Aphasia
B. Left-sided weakness
C. Right-sided weakness
D. Memory loss only
,Answer: B
Rationale: Right brain injury causes left-sided motor deficits.
4. A patient with meningitis is placed on droplet precautions. Which PPE is
required?
A. Gown only
B. Mask only
C. Mask and gloves
D. N95 respirator
Answer: B
Rationale: Meningitis spreads via droplets; surgical mask is required.
5. Which medication is used to reduce cerebral edema?
A. Furosemide
B. Mannitol
C. Diazepam
D. Heparin
Answer: B
Rationale: Mannitol is an osmotic diuretic that reduces ICP.
6. A hallmark sign of Parkinson’s disease is:
A. Spastic paralysis
B. Resting tremor
C. Flaccid paralysis
D. Seizures
Answer: B
Rationale: Resting tremor is classic in Parkinson’s disease.
,7. The most common early symptom of multiple sclerosis (MS) is:
A. Sudden paralysis
B. Visual disturbances
C. Severe headache
D. Loss of consciousness
Answer: B
Rationale: Optic neuritis and visual changes are early MS signs.
8. Which is the priority for a patient during a seizure?
A. Restrain patient
B. Insert tongue blade
C. Protect from injury
D. Give oral medication
Answer: C
Rationale: Safety is priority during seizure activity.
9. A complication of lumbar puncture is:
A. Hypertension
B. Headache
C. Bradycardia
D. Hyperglycemia
Answer: B
Rationale: CSF leakage causes post-LP headache.
10. Decerebrate posturing indicates:
, A. Mild brain injury
B. Brainstem damage
C. Stroke recovery
D. Normal reflex
Answer: B
Rationale: Decerebrate posturing indicates severe brainstem injury.
11. Which cranial nerve controls facial movement?
A. CN I
B. CN V
C. CN VII
D. CN X
Answer: C
Rationale: Facial nerve (VII) controls facial expression.
12. The most sensitive indicator of neurological deterioration is:
A. Blood pressure
B. Pupillary response
C. Temperature
D. Respiratory rate
Answer: B
Rationale: Pupillary changes reflect brain herniation early.
13. A patient with myasthenia gravis should avoid:
A. Rest periods
B. Anticholinesterase drugs
C. Fatigue
D. High-protein meals only
