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SHADOW HEALTH NEUROLOGICAL
ASSESSMENT – SAMUEL GREEN
CASE STUDY
COMPREHENSIVE EXAM PREP |
LATEST UPDATE 2026
EXAM COVERAGE SUMMARY
This examination covers the complete neurological assessment of the Samuel Green case study,
including: admission assessment data collection, neurological history taking, cranial nerve
testing (CN I-XII), motor function assessment, sensory function evaluation, deep tendon reflex
testing, mental status examination, Glasgow Coma Scale application, end-of-life care
considerations, and identification of acute neurological changes requiring immediate
intervention.
1. The nurse is conducting an admission assessment on a client who experienced a syncopal
episode at home. Which assessment finding should the nurse prioritize as indicating a
potential neurological emergency?
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A. Client reports mild headache
B. Client demonstrates slurred speech and left-sided weakness
C. Client requests to notify family members
D. Client reports feeling dizzy when standing
Correct Answer: B
2. When assessing the client's ability to recognize objects by touch, the nurse places a
familiar object in the client's hand. What term describes this sensory function?
A. Graphesthesia
B. Stereognosis
C. Proprioception
D. Kinesthesia
Correct Answer: B
3. The nurse is testing the client's pupillary response to light. Which cranial nerve is
primarily responsible for pupil constriction?
A. Cranial nerve II
B. Cranial nerve III
C. Cranial nerve IV
D. Cranial nerve VI
Correct Answer: B
4. A client with suspected neurological impairment demonstrates difficulty forming words
and phrases but appears to understand questions asked. The nurse should document this
finding as which type of aphasia?
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A. Receptive aphasia
B. Expressive aphasia
C. Global aphasia
D. Conductive aphasia
Correct Answer: B
5. The nurse is assessing the client's deep tendon reflexes and observes a brisk, hyperactive
response. How should this finding be documented?
A. 1+
B. 2+
C. 3+
D. 4+
Correct Answer: D
6. When testing cranial nerve XI, the nurse asks the client to shrug shoulders against
resistance. What additional action should the nurse perform during this assessment?
A. Observe for facial asymmetry
B. Apply resistance bilaterally
C. Assess for nystagmus
D. Evaluate gag reflex
Correct Answer: B
7. The client reports experiencing vertigo prior to the syncopal episode. Which cranial
nerve assessment would be most relevant to evaluate this complaint?
A. Cranial nerve II
B. Cranial nerve V
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C. Cranial nerve VIII
D. Cranial nerve XII
Correct Answer: C
8. During the neurological assessment, the nurse notes the client is unable to identify a
tuning fork placed in the left hand. What action should the nurse take next?
A. Document left-sided astereognosis
B. Ask client to open eyes and identify the object
C. Place a more familiar object in the client's hand
D. Hold the tuning fork on the back of the hand
Correct Answer: C
9. The nurse is evaluating extraocular movements by assessing the six cardinal fields of
gaze. Which cranial nerves are being tested? Select all that apply.
A. Optic (CN II)
B. Facial (CN VII)
C. Trochlear (CN IV)
D. Trigeminal (CN V)
E. Abducens (CN VI)
F. Oculomotor (CN III)
Correct Answer: C, E, F
10. The client demonstrates left-sided upper extremity weakness during the admission
assessment. To validate this finding, the nurse should perform which additional test?
A. Romberg test
B. Palmar drift test
SHADOW HEALTH NEUROLOGICAL
ASSESSMENT – SAMUEL GREEN
CASE STUDY
COMPREHENSIVE EXAM PREP |
LATEST UPDATE 2026
EXAM COVERAGE SUMMARY
This examination covers the complete neurological assessment of the Samuel Green case study,
including: admission assessment data collection, neurological history taking, cranial nerve
testing (CN I-XII), motor function assessment, sensory function evaluation, deep tendon reflex
testing, mental status examination, Glasgow Coma Scale application, end-of-life care
considerations, and identification of acute neurological changes requiring immediate
intervention.
1. The nurse is conducting an admission assessment on a client who experienced a syncopal
episode at home. Which assessment finding should the nurse prioritize as indicating a
potential neurological emergency?
, Page 2 of 73
A. Client reports mild headache
B. Client demonstrates slurred speech and left-sided weakness
C. Client requests to notify family members
D. Client reports feeling dizzy when standing
Correct Answer: B
2. When assessing the client's ability to recognize objects by touch, the nurse places a
familiar object in the client's hand. What term describes this sensory function?
A. Graphesthesia
B. Stereognosis
C. Proprioception
D. Kinesthesia
Correct Answer: B
3. The nurse is testing the client's pupillary response to light. Which cranial nerve is
primarily responsible for pupil constriction?
A. Cranial nerve II
B. Cranial nerve III
C. Cranial nerve IV
D. Cranial nerve VI
Correct Answer: B
4. A client with suspected neurological impairment demonstrates difficulty forming words
and phrases but appears to understand questions asked. The nurse should document this
finding as which type of aphasia?
, Page 3 of 73
A. Receptive aphasia
B. Expressive aphasia
C. Global aphasia
D. Conductive aphasia
Correct Answer: B
5. The nurse is assessing the client's deep tendon reflexes and observes a brisk, hyperactive
response. How should this finding be documented?
A. 1+
B. 2+
C. 3+
D. 4+
Correct Answer: D
6. When testing cranial nerve XI, the nurse asks the client to shrug shoulders against
resistance. What additional action should the nurse perform during this assessment?
A. Observe for facial asymmetry
B. Apply resistance bilaterally
C. Assess for nystagmus
D. Evaluate gag reflex
Correct Answer: B
7. The client reports experiencing vertigo prior to the syncopal episode. Which cranial
nerve assessment would be most relevant to evaluate this complaint?
A. Cranial nerve II
B. Cranial nerve V
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C. Cranial nerve VIII
D. Cranial nerve XII
Correct Answer: C
8. During the neurological assessment, the nurse notes the client is unable to identify a
tuning fork placed in the left hand. What action should the nurse take next?
A. Document left-sided astereognosis
B. Ask client to open eyes and identify the object
C. Place a more familiar object in the client's hand
D. Hold the tuning fork on the back of the hand
Correct Answer: C
9. The nurse is evaluating extraocular movements by assessing the six cardinal fields of
gaze. Which cranial nerves are being tested? Select all that apply.
A. Optic (CN II)
B. Facial (CN VII)
C. Trochlear (CN IV)
D. Trigeminal (CN V)
E. Abducens (CN VI)
F. Oculomotor (CN III)
Correct Answer: C, E, F
10. The client demonstrates left-sided upper extremity weakness during the admission
assessment. To validate this finding, the nurse should perform which additional test?
A. Romberg test
B. Palmar drift test
