Neuro Exam Practice Questions
Neuro Exam Practice Questions.pdf answer keys
Study online at https://quizlet.com/_24dz3n
1. A client presents with a headache and complain- Answer: D
ing of vision difficulties. Which cranial nerve might
be defective in this client?
A) VIII (Vestibulocochlear)
B) VII (Facial)
C) XI (Accessory)
D) III (Oculomotor)
2. A client presents to the ED with loss of conscious- Answer: B
ness. The RN evaluates the client using the Glas-
gow Coma Scale. The results are as follows: Eyes open to speech = 3
Abnormal flexion = 3
Eyes open to speech Inappropriate words = 3
Abnormal flexion of extremities
Use of inappropriate words
What would the RN estimate this client's GCS score
to be?
A) 13
B) 9
C) 7
D) 4
3. The RN is receiving report from the night-shift Answer: A
nurse about a patient on the neuro unit. The
night-shift nurse states that the client has had
decreased proprioception throughout the night.
The RN knows tthis means that
A) The client has difficulty sensing their position
and
Actualstudy 1
, Neuro Exam Practice Questions
Neuro Exam Practice Questions.pdf answer keys
Study online at https://quizlet.com/_24dz3n
posture.
B) The client's pupils are different sizes.
C) The client' has the inability to perform purpose-
ful
movements.
D) The client is exhibiting symptoms on the oppo-
site
side of the body from the brain injury.
4. The RN is caring for a client on a neuro unit who Answer: B
has sustained a head injury. The RN knows that if
the pressure of either the brain, CSF, or blood goes
up, the other two intracranial components must
go down to compensate. This is known as the
A) Orem's Self-Care Deficit theory
B) Monroe-Kellie hypothesis
C) Kolcaba's hypothesis
D) Peplau's Neurological Compensation theory
5. Which of the following can lead to cytotoxic ede- Answer: A, C, D, E
ma? (SELECT ALL THAT APPLY)
*Anything involving decreased
A) Ischemia oxygenation can lead to cytotoxic
B) Hyperglycemia edema.
C) Hyponatremia
D) SIADH
E) Cardiac arrest
F) Cushing's triad
6. The RN is taking care of a patient on the neuro Answer: D
unit. The night-shift nurse indicates in the morn-
ing report that the client has sustained a right *A "midline shift" simply means
Actualstudy 2
, Neuro Exam Practice Questions
Neuro Exam Practice Questions.pdf answer keys
Study online at https://quizlet.com/_24dz3n
midline shift during the night. The RN interprets that fluid is putting pressure on
this to mean that the client one side of the brain, pushing it
in the opposite direction toward
A) Has fluid accumulating on the right side of the the "midline".
brain.
B) Has had a brain herniation through the fora- EX: A patient with a right-sided
men subdural hematoma will have a
magnum. left midline shift.
C) Has experienced right-sided vasogenic cerebral
edema.
D) Has fluid accumulating on the left side of the
brain.
7. Which of the following is an early indication of a Answer: B
central herniation?
A) Coma
B) Decreased level of consciousness
C) Temperature >100.4 degrees Fahrenheit
D) Decorticate posturing
8. A nurse is caring for a patient on the neuro unit Answer: B, C, D, E, F
with an uncal herniation. The nurse understands
that which of the following manifestations are
indications of an uncal herniation? (SELECT ALL
THAT APPLY)
A) Positive Kellog's sign
B) Ipsilateral pupil dilation
C) Decerebrate posturing
D) Positive Babinski reflex
E) Same side motor defects
F) Cheyne-Stokes respirations
Actualstudy 3
Neuro Exam Practice Questions.pdf answer keys
Study online at https://quizlet.com/_24dz3n
1. A client presents with a headache and complain- Answer: D
ing of vision difficulties. Which cranial nerve might
be defective in this client?
A) VIII (Vestibulocochlear)
B) VII (Facial)
C) XI (Accessory)
D) III (Oculomotor)
2. A client presents to the ED with loss of conscious- Answer: B
ness. The RN evaluates the client using the Glas-
gow Coma Scale. The results are as follows: Eyes open to speech = 3
Abnormal flexion = 3
Eyes open to speech Inappropriate words = 3
Abnormal flexion of extremities
Use of inappropriate words
What would the RN estimate this client's GCS score
to be?
A) 13
B) 9
C) 7
D) 4
3. The RN is receiving report from the night-shift Answer: A
nurse about a patient on the neuro unit. The
night-shift nurse states that the client has had
decreased proprioception throughout the night.
The RN knows tthis means that
A) The client has difficulty sensing their position
and
Actualstudy 1
, Neuro Exam Practice Questions
Neuro Exam Practice Questions.pdf answer keys
Study online at https://quizlet.com/_24dz3n
posture.
B) The client's pupils are different sizes.
C) The client' has the inability to perform purpose-
ful
movements.
D) The client is exhibiting symptoms on the oppo-
site
side of the body from the brain injury.
4. The RN is caring for a client on a neuro unit who Answer: B
has sustained a head injury. The RN knows that if
the pressure of either the brain, CSF, or blood goes
up, the other two intracranial components must
go down to compensate. This is known as the
A) Orem's Self-Care Deficit theory
B) Monroe-Kellie hypothesis
C) Kolcaba's hypothesis
D) Peplau's Neurological Compensation theory
5. Which of the following can lead to cytotoxic ede- Answer: A, C, D, E
ma? (SELECT ALL THAT APPLY)
*Anything involving decreased
A) Ischemia oxygenation can lead to cytotoxic
B) Hyperglycemia edema.
C) Hyponatremia
D) SIADH
E) Cardiac arrest
F) Cushing's triad
6. The RN is taking care of a patient on the neuro Answer: D
unit. The night-shift nurse indicates in the morn-
ing report that the client has sustained a right *A "midline shift" simply means
Actualstudy 2
, Neuro Exam Practice Questions
Neuro Exam Practice Questions.pdf answer keys
Study online at https://quizlet.com/_24dz3n
midline shift during the night. The RN interprets that fluid is putting pressure on
this to mean that the client one side of the brain, pushing it
in the opposite direction toward
A) Has fluid accumulating on the right side of the the "midline".
brain.
B) Has had a brain herniation through the fora- EX: A patient with a right-sided
men subdural hematoma will have a
magnum. left midline shift.
C) Has experienced right-sided vasogenic cerebral
edema.
D) Has fluid accumulating on the left side of the
brain.
7. Which of the following is an early indication of a Answer: B
central herniation?
A) Coma
B) Decreased level of consciousness
C) Temperature >100.4 degrees Fahrenheit
D) Decorticate posturing
8. A nurse is caring for a patient on the neuro unit Answer: B, C, D, E, F
with an uncal herniation. The nurse understands
that which of the following manifestations are
indications of an uncal herniation? (SELECT ALL
THAT APPLY)
A) Positive Kellog's sign
B) Ipsilateral pupil dilation
C) Decerebrate posturing
D) Positive Babinski reflex
E) Same side motor defects
F) Cheyne-Stokes respirations
Actualstudy 3
