MED SURG/NEURO TEST EXAM 200 ACTUAL
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALE LATEST 2026 ALREADY GRADED A+
The Med Surg/Neuro Test Exam is a comprehensive assessment designed to
evaluate nursing knowledge and clinical judgment in caring for patients with
neurological disorders. This rigorous examination covers a wide spectrum of
topics including anatomy and physiology of the nervous system, neurological
assessment techniques (Glasgow Coma Scale, cranial nerve testing, motor and
sensory function), and management of acute and chronic neurological
conditions such as stroke, traumatic brain injury, spinal cord injury, brain
tumors, seizures, Parkinson's disease, Alzheimer's disease, multiple sclerosis,
myasthenia gravis, and Guillain-Barré syndrome. The exam emphasizes
critical thinking, prioritization, complication identification (increased
intracranial pressure, autonomic dysreflexia, status epilepticus), medication
management, and patient safety. Successful completion validates competency
in providing evidence-based neurologic nursing care across diverse healthcare
settings.
Question 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
Correct Answer: B
Rationale: The occipital lobe is the posterior lobe of the cerebral hemisphere and is
responsible for visual interpretation. Trauma to this area would result in vision
deficits. The temporal lobe contains auditory receptive areas, the parietal lobe
contains the primary sensory cortex, and the frontal lobe functions in
concentration, abstract thought, and motor function .
,Question 2
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
Correct Answer: B
Rationale: The MRI uses a strong magnetic field, making it essential to remove all
metal-containing objects from the patient to prevent injury or damage to the
equipment. This is the priority safety action before an MRI .
Question 3
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
Correct Answer: B
Rationale: Reduction in cerebral blood flow is a normal age-related change. Deep
tendon reflexes can be decreased or absent with aging. Cerebral metabolism
decreases, and reaction to painful stimuli may be blunted with age .
Question 4
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
Correct Answer: B
Rationale: Adrenergic medications stimulate the sympathetic nervous system,
leading to an increased heart rate. Other sympathetic effects include
,bronchodilation, not constriction. Blood pressure typically increases, and saliva is
thick .
Question 5
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."
Correct Answer: D
Rationale: Lower motor neuron lesions result in decreased or absent deep tendon
reflexes and flaccidity. Hyperactive reflexes and increased muscle tone are
characteristic of upper motor neuron lesions .
Question 6
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
Correct Answer: D
Rationale: Atrophy of the olfactory organs diminishes the sense of smell. This
places the patient at risk for not detecting smoke or gas leaks, making a smoke
detector essential for safety .
Question 7
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
Correct Answer: D
, Rationale: Cranial nerve VIII (vestibulocochlear nerve) is responsible for hearing
and equilibrium. Ménière's disease affects the inner ear, impacting this nerve's
function .
Question 8
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
C) Dysfunction of the medulla
D) A hemorrhage in the midbrain
Correct Answer: A
Rationale: The cerebellum is responsible for coordination and balance.
Uncoordinated gait (ataxia) is a classic sign of cerebellar dysfunction. The pons,
medulla, and midbrain have other primary functions such as respiration and
autonomic control .
Question 9
The nursing students are learning how to assess function of cranial nerve VIII. To
assess the function of cranial nerve VIII the students would be correct in
completing which of the following assessment techniques?
A) Have the patient identify familiar odors with the eyes closed
B) Assess papillary reflex.
C) Utilize the Snellen chart.
D) Test for air and bone conduction (Rinne test).
Correct Answer: D
Rationale: Cranial nerve VIII is assessed by testing hearing and balance. The Rinne
test compares air and bone conduction to evaluate hearing function. Identifying
odors is cranial nerve I, papillary reflex is cranial nerves II and III, and the Snellen
chart assesses cranial nerve II .
Question 10
A patient is being given a medication that stimulates her parasympathetic system.
Following administration of this medication, the nurse should anticipate what
effect?
A) Constricted pupils
B) Dilated bronchioles
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALE LATEST 2026 ALREADY GRADED A+
The Med Surg/Neuro Test Exam is a comprehensive assessment designed to
evaluate nursing knowledge and clinical judgment in caring for patients with
neurological disorders. This rigorous examination covers a wide spectrum of
topics including anatomy and physiology of the nervous system, neurological
assessment techniques (Glasgow Coma Scale, cranial nerve testing, motor and
sensory function), and management of acute and chronic neurological
conditions such as stroke, traumatic brain injury, spinal cord injury, brain
tumors, seizures, Parkinson's disease, Alzheimer's disease, multiple sclerosis,
myasthenia gravis, and Guillain-Barré syndrome. The exam emphasizes
critical thinking, prioritization, complication identification (increased
intracranial pressure, autonomic dysreflexia, status epilepticus), medication
management, and patient safety. Successful completion validates competency
in providing evidence-based neurologic nursing care across diverse healthcare
settings.
Question 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
Correct Answer: B
Rationale: The occipital lobe is the posterior lobe of the cerebral hemisphere and is
responsible for visual interpretation. Trauma to this area would result in vision
deficits. The temporal lobe contains auditory receptive areas, the parietal lobe
contains the primary sensory cortex, and the frontal lobe functions in
concentration, abstract thought, and motor function .
,Question 2
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
Correct Answer: B
Rationale: The MRI uses a strong magnetic field, making it essential to remove all
metal-containing objects from the patient to prevent injury or damage to the
equipment. This is the priority safety action before an MRI .
Question 3
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
Correct Answer: B
Rationale: Reduction in cerebral blood flow is a normal age-related change. Deep
tendon reflexes can be decreased or absent with aging. Cerebral metabolism
decreases, and reaction to painful stimuli may be blunted with age .
Question 4
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
Correct Answer: B
Rationale: Adrenergic medications stimulate the sympathetic nervous system,
leading to an increased heart rate. Other sympathetic effects include
,bronchodilation, not constriction. Blood pressure typically increases, and saliva is
thick .
Question 5
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."
Correct Answer: D
Rationale: Lower motor neuron lesions result in decreased or absent deep tendon
reflexes and flaccidity. Hyperactive reflexes and increased muscle tone are
characteristic of upper motor neuron lesions .
Question 6
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
Correct Answer: D
Rationale: Atrophy of the olfactory organs diminishes the sense of smell. This
places the patient at risk for not detecting smoke or gas leaks, making a smoke
detector essential for safety .
Question 7
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
Correct Answer: D
, Rationale: Cranial nerve VIII (vestibulocochlear nerve) is responsible for hearing
and equilibrium. Ménière's disease affects the inner ear, impacting this nerve's
function .
Question 8
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
C) Dysfunction of the medulla
D) A hemorrhage in the midbrain
Correct Answer: A
Rationale: The cerebellum is responsible for coordination and balance.
Uncoordinated gait (ataxia) is a classic sign of cerebellar dysfunction. The pons,
medulla, and midbrain have other primary functions such as respiration and
autonomic control .
Question 9
The nursing students are learning how to assess function of cranial nerve VIII. To
assess the function of cranial nerve VIII the students would be correct in
completing which of the following assessment techniques?
A) Have the patient identify familiar odors with the eyes closed
B) Assess papillary reflex.
C) Utilize the Snellen chart.
D) Test for air and bone conduction (Rinne test).
Correct Answer: D
Rationale: Cranial nerve VIII is assessed by testing hearing and balance. The Rinne
test compares air and bone conduction to evaluate hearing function. Identifying
odors is cranial nerve I, papillary reflex is cranial nerves II and III, and the Snellen
chart assesses cranial nerve II .
Question 10
A patient is being given a medication that stimulates her parasympathetic system.
Following administration of this medication, the nurse should anticipate what
effect?
A) Constricted pupils
B) Dilated bronchioles
