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1. Which assessment finding is most characteristic of increased
intracranial pressure?
A. Hypotension
B. Bradycardia
C. Increased urine output
D. Warm flushed skin
Answer: B. Bradycardia
Rationale: Increased intracranial pressure often produces Cushing’s
triad, which includes bradycardia, hypertension, and irregular
respirations. These findings indicate pressure on the brainstem and
require immediate intervention.
2. Which nursing intervention is most important for a patient
experiencing a seizure?
,A. Restrain the patient firmly
B. Insert an object into the mouth
C. Protect the patient from injury
D. Force the patient to remain awake
Answer: C. Protect the patient from injury
Rationale: During a seizure, the priority is maintaining patient safety.
The nurse should remove nearby hazards, lower the patient to the floor
if possible, and avoid restraining movements or inserting objects into
the mouth.
3. Which symptom is commonly associated with a
cerebrovascular accident (stroke)?
A. Sudden facial drooping
B. Gradual hair loss
C. Increased appetite
D. Bilateral hearing improvement
Answer: A. Sudden facial drooping
Rationale: Facial drooping is a common sign of stroke caused by
impaired blood flow to areas controlling facial muscles. Early
recognition improves the likelihood of successful treatment and
reduced disability.
4. Which cranial nerve is responsible for vision?
A. Cranial nerve II
B. Cranial nerve V
C. Cranial nerve VII
D. Cranial nerve X
Answer: A. Cranial nerve II
,Rationale: Cranial nerve II, the optic nerve, transmits visual
information from the retina to the brain. Damage to this nerve can
cause vision loss or visual field deficits.
5. Which position is most appropriate for a patient after a
lumbar puncture?
A. High Fowler’s position
B. Prone position
C. Flat or supine position
D. Trendelenburg position
Answer: C. Flat or supine position
Rationale: Lying flat after a lumbar puncture helps reduce
cerebrospinal fluid leakage and minimizes the risk of post-procedure
headache.
6. Which finding is most concerning in a patient with meningitis?
A. Neck stiffness
B. Fever
C. Positive Kernig’s sign
D. Decreased level of consciousness
Answer: D. Decreased level of consciousness
Rationale: A decreased level of consciousness may indicate worsening
cerebral involvement, increased intracranial pressure, or sepsis in
meningitis patients and requires immediate intervention.
7. Which disorder is characterized by progressive destruction of
myelin in the central nervous system?
A. Parkinson’s disease
B. Multiple sclerosis
, C. Myasthenia gravis
D. Bell’s palsy
Answer: B. Multiple sclerosis
Rationale: Multiple sclerosis is an autoimmune disorder that damages
the myelin sheath of neurons, disrupting nerve transmission and
causing neurologic deficits.
8. Which symptom is commonly associated with Parkinson’s
disease?
A. Resting tremors
B. Sudden paralysis
C. Hyperactivity
D. Increased reflexes
Answer: A. Resting tremors
Rationale: Parkinson’s disease commonly presents with resting
tremors, muscle rigidity, bradykinesia, and postural instability due to
dopamine deficiency.
9. Which nursing action is appropriate for a patient with
dysphagia after a stroke?
A. Offer thin liquids quickly
B. Place food on the unaffected side of the mouth
C. Encourage eating while lying flat
D. Avoid swallowing assessments
Answer: B. Place food on the unaffected side of the mouth
Rationale: Placing food on the stronger side of the mouth helps
improve chewing and swallowing while reducing aspiration risk.