Neurological disorders NCLEX COMPREHENSIVE
QUESTIONS WITH MULTIPLE CHOICES |VERIFIED
& REVISED ANSWERS (NEW) 2025
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Terms in this set (55)
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
B. CN II and CN III 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
When increased ICP is suspected, the nurse performs
a complete neurologic assessment. What does the
pupillary response indicate?
D. Pupil changes can be
A. High pressure can cause blurred vision.
caused by pressure on the
B. Hemorrhage can cause visual impairment.
ocular nerve.
C. Pupil dilation is the first sign of increased ICP.
D. Pupil changes can be caused by pressure on the
ocular nerve.
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,19/06/2025, 15:00 Neurological disorders NCLEX COMPREHENSIVE QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & REVISED ANSWERS…
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
D. Touch his nose with his response?
left index finger. 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.
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
A. Decreasing level of consciousness (LOC)
consciousness (LOC)
B. Elevated temperature
C. Agitation and hostility
D. Increasing blood pressure (BP)
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
C. "Checking this reflex your leg."
assesses involuntary B. "This assessment determines your hand-eye
muscular contractions." coordination."
C. "Checking this reflex assesses involuntary muscular
contractions."
D. "The patellar reflex demonstrates large voluntary
muscle coordination."
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?
D. Determine whether the A. Measure the patient's vital signs.
patient is able to move his B. Test the reaction of the patient's pupils to light.
legs and arms C. Check the patient's response to the stimulus of
pinching.
D. Determine whether the patient is able to move his
legs and arms
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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
B. "The procedure is safe
material injected into your brain."
and painless; you will hear
B. "The procedure is safe and painless; you will hear a
a clicking noise as the CT
clicking noise as the CT machine rotates."
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."
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
C. White blood cells laboratory value is abnormal?
(WBCs) 100/mm3 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 nurse is measuring the pressure of the CSF. Which
the subarachnoid space. statement accurately describes CSF? (Select all that
B. CSF cushions and apply.)
protects the brain and A. CSF circulates within the subarachnoid space.
spinal cord. B. CSF cushions and protects the brain and spinal
D. CSF is reabsorbed by cord.
the arachnoid villi at the C. CSF normal pressure is 90 to 150 cm water pressure
same rate at which it is (cm H2O).
formed. D. CSF is reabsorbed by the arachnoid villi at the
E. CSF is formed same rate at which it is formed.
continuously within the E. CSF is formed continuously within the ventricles of
ventricles of the brain as a the brain as a filtrate from the blood.
filtrate from the blood.
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