NEUROLOGICAL
NURSING FULL EXAM
100 ORIGINAL QUESTIONS | ANSWERS + RATIONALES
Five sections of 20 | Print-friendly practice exam
RECOGNIZE CHANGE. PROTECT FUNCTION. SUPPORT RECOVERY.
Independent educational practice | Not an official exam
,Exam Instructions
Suggested time: 120 minutes. Select the single best answer. Complete all five sections before reviewing the answer key and
rationales.
Coverage: stroke and TIA, seizures, intracranial pressure and head injury, spinal cord injury, Parkinson disease, multiple sclerosis,
neuromuscular disorders, cognition, assessment, and rehabilitation.
This independently written practice resource is educational and is not an official licensing exam or publisher test bank. Follow current orders and
facility protocols.
CONTENTS
Section 1: Questions 1-20
Section 2: Questions 21-40
Section 3: Questions 41-60
Section 4: Questions 61-80
Section 5: Questions 81-100
Answer Key and Rationales: Questions 1-100
NEUROLOGICAL NURSING | FULL PRACTICE EXAM 2
, SECTION 1 | QUESTIONS 1-20
STROKE 1. A client suddenly develops facial droop and slurred speech. What is the priority?
A. Give food before assessment
B. Activate the stroke response and establish the time last known well
C. Offer oral fluids
D. Wait to see whether symptoms resolve
Answer: ______
STROKE 2. A client reports that one-sided weakness resolved after 10 minutes. Best action?
A. Treat this as a possible TIA and arrange emergency evaluation
B. Encourage driving home
C. Schedule routine review in six months
D. Reassure because symptoms resolved
Answer: ______
STROKE 3. Before giving a drink to a client with acute stroke, what should the nurse verify?
A. A validated swallowing screen has been completed
B. The client can lift both arms
C. The family approves
D. The client is thirsty
Answer: ______
STROKE 4. A client with aphasia becomes frustrated during assessment. What communication approach helps?
A. Ask several questions at once
B. Use short statements, allow time, and offer simple choices
C. Shout each question
D. Finish every sentence for the client
Answer: ______
STROKE 5. Which finding after stroke requires immediate escalation?
A. Chronic word-finding difficulty
B. New declining level of consciousness with vomiting
C. Stable unilateral weakness
D. Mild fatigue after therapy
Answer: ______
STROKE 6. A client with left-sided neglect is eating. Which action improves safety?
A. Remove the call bell from reach
B. Place all food on the neglected side without cueing
C. Leave the client alone
D. Cue scanning toward the neglected side and check the tray
Answer: ______
NEUROLOGICAL NURSING | FULL PRACTICE EXAM 3