Neurological NcleX eXam latest 2026 actual QuestioNs aNd
VeriFied aNswers (latest update) a+ grade 100%
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B. 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.
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."
, C. White blood cells (WBCs) 100/mm3 - ANSWER-The nurse is caring for a patient who has
undergone a lumbar puncture in order to run tests on the cerebrospinal fluid (CSF). The nurse knows
which laboratory value is abnormal?
A. Glucose 60 mg/100 mL
B. Clear, colorless appearance
C. White blood cells (WBCs) 100/mm3
D. Total protein 40 mg/100 mL
A. CSF circulates within the subarachnoid space.
B. CSF cushions and protects the brain and spinal cord.
D. CSF is reabsorbed by the arachnoid villi at the same rate at which it is formed.
E. CSF is formed continuously within the ventricles of the brain as a filtrate from the blood. -
ANSWER-The nurse is measuring the pressure of the CSF. Which statement accurately describes CSF?
(Select all that apply.)
A. CSF circulates within the subarachnoid space.
B. CSF cushions and protects the brain and spinal cord.
C. CSF normal pressure is 90 to 150 cm water pressure (cm H2O).
D. CSF is reabsorbed by the arachnoid villi at the same rate at which it is formed.
E. CSF is formed continuously within the ventricles of the brain as a filtrate from the blood.
A. Proper treatment for hypertension
B. Adequate treatment of atherosclerosis
C. Avoiding the use of recreational drugs
E. Keeping serum cholesterol levels under control - ANSWER-The LPN/LVN discusses ways to prevent
a stroke with a patient. Which measures should the nurse include in her teaching? (Select all that
apply.)
A. Proper treatment for hypertension
B. Adequate treatment of atherosclerosis
C. Avoiding the use of recreational drugs
D. Encouraging the use of seat belts in vehicles
E. Keeping serum cholesterol levels under control
VeriFied aNswers (latest update) a+ grade 100%
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B. 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.
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."
, C. White blood cells (WBCs) 100/mm3 - ANSWER-The nurse is caring for a patient who has
undergone a lumbar puncture in order to run tests on the cerebrospinal fluid (CSF). The nurse knows
which laboratory value is abnormal?
A. Glucose 60 mg/100 mL
B. Clear, colorless appearance
C. White blood cells (WBCs) 100/mm3
D. Total protein 40 mg/100 mL
A. CSF circulates within the subarachnoid space.
B. CSF cushions and protects the brain and spinal cord.
D. CSF is reabsorbed by the arachnoid villi at the same rate at which it is formed.
E. CSF is formed continuously within the ventricles of the brain as a filtrate from the blood. -
ANSWER-The nurse is measuring the pressure of the CSF. Which statement accurately describes CSF?
(Select all that apply.)
A. CSF circulates within the subarachnoid space.
B. CSF cushions and protects the brain and spinal cord.
C. CSF normal pressure is 90 to 150 cm water pressure (cm H2O).
D. CSF is reabsorbed by the arachnoid villi at the same rate at which it is formed.
E. CSF is formed continuously within the ventricles of the brain as a filtrate from the blood.
A. Proper treatment for hypertension
B. Adequate treatment of atherosclerosis
C. Avoiding the use of recreational drugs
E. Keeping serum cholesterol levels under control - ANSWER-The LPN/LVN discusses ways to prevent
a stroke with a patient. Which measures should the nurse include in her teaching? (Select all that
apply.)
A. Proper treatment for hypertension
B. Adequate treatment of atherosclerosis
C. Avoiding the use of recreational drugs
D. Encouraging the use of seat belts in vehicles
E. Keeping serum cholesterol levels under control
