NCLEX-RN Neurological Disorders Exam
Practice Questions And Correct Answers
(Verified Answers) Plus Rationales 2026
Q&A Instant Download Pdf
1. A nurse is assessing a client who sustained a head injury. Which finding
requires immediate intervention?
A. Mild headache
B. Bruising around the eyes
C. Decreased level of consciousness
D. Nausea after the injury
Answer: Decreased level of consciousness
Rationale: A decreasing level of consciousness indicates possible increased
intracranial pressure or neurological deterioration and requires immediate
evaluation.
2. Which assessment finding is most consistent with increased intracranial
pressure (ICP)?
A. Hypotension and tachycardia
B. Change in level of consciousness
C. Increased appetite
D. Hyperactive bowel sounds
,Answer: Change in level of consciousness
Rationale: Changes in mental status are often the earliest indicators of increased
ICP.
3. A nurse is caring for a client with a seizure disorder. Which action should the
nurse take during a seizure?
A. Insert a tongue blade into the mouth
B. Restrain the client’s movements
C. Give oral medication immediately
D. Protect the client from injury and maintain safety
Answer: Protect the client from injury and maintain safety
Rationale: During a seizure, the priority is preventing injury by maintaining a
safe environment and protecting the airway.
4. Which medication is commonly prescribed to control seizure activity?
A. Furosemide
B. Metoprolol
C. Phenytoin
D. Warfarin
Answer: Phenytoin
Rationale: Phenytoin is an anticonvulsant used to prevent and control seizures.
5. A client arrives in the emergency department with symptoms of an acute
stroke. Which action should occur first?
A. Provide oral fluids
B. Obtain a complete dietary history
,C. Administer aspirin immediately
D. Activate the stroke response protocol
Answer: Activate the stroke response protocol
Rationale: Rapid assessment and treatment are essential in stroke care to
reduce neurological damage.
6. Which symptom is commonly associated with a left-sided stroke?
A. Impulsive behavior
B. Right-sided weakness
C. Left-sided neglect
D. Poor spatial awareness
Answer: Right-sided weakness
Rationale: The left cerebral hemisphere controls the right side of the body, so
damage may cause right-sided weakness.
7. A nurse is teaching a client with epilepsy about seizure precautions. Which
statement indicates understanding?
A. “I should avoid taking my medication when I feel well.”
B. “I can stop medication after one seizure-free month.”
C. “I should wear a medical alert identification bracelet.”
D. “I should avoid all physical activity.”
Answer: I should wear a medical alert identification bracelet.
Rationale: Medical alert identification helps others provide appropriate care
during emergencies.
8. Which finding is expected in a client with Parkinson’s disease?
, A. Hyperactive reflexes
B. Increased muscle strength
C. Resting tremors
D. Sudden hearing loss
Answer: Resting tremors
Rationale: Parkinson’s disease commonly causes resting tremors, rigidity,
bradykinesia, and postural instability.
9. Which medication is commonly used to treat Parkinson’s disease?
A. Insulin
B. Levodopa/carbidopa
C. Digoxin
D. Prednisone
Answer: Levodopa/carbidopa
Rationale: Levodopa is converted to dopamine in the brain, while carbidopa
improves its effectiveness.
10. A client with Parkinson’s disease has difficulty swallowing. What is the
nurse’s priority intervention?
A. Encourage rapid eating
B. Offer thin liquids
C. Place food at bedside
D. Assess swallowing ability before meals
Answer: Assess swallowing ability before meals
Rationale: Dysphagia increases aspiration risk, so swallowing ability should be
evaluated.
Practice Questions And Correct Answers
(Verified Answers) Plus Rationales 2026
Q&A Instant Download Pdf
1. A nurse is assessing a client who sustained a head injury. Which finding
requires immediate intervention?
A. Mild headache
B. Bruising around the eyes
C. Decreased level of consciousness
D. Nausea after the injury
Answer: Decreased level of consciousness
Rationale: A decreasing level of consciousness indicates possible increased
intracranial pressure or neurological deterioration and requires immediate
evaluation.
2. Which assessment finding is most consistent with increased intracranial
pressure (ICP)?
A. Hypotension and tachycardia
B. Change in level of consciousness
C. Increased appetite
D. Hyperactive bowel sounds
,Answer: Change in level of consciousness
Rationale: Changes in mental status are often the earliest indicators of increased
ICP.
3. A nurse is caring for a client with a seizure disorder. Which action should the
nurse take during a seizure?
A. Insert a tongue blade into the mouth
B. Restrain the client’s movements
C. Give oral medication immediately
D. Protect the client from injury and maintain safety
Answer: Protect the client from injury and maintain safety
Rationale: During a seizure, the priority is preventing injury by maintaining a
safe environment and protecting the airway.
4. Which medication is commonly prescribed to control seizure activity?
A. Furosemide
B. Metoprolol
C. Phenytoin
D. Warfarin
Answer: Phenytoin
Rationale: Phenytoin is an anticonvulsant used to prevent and control seizures.
5. A client arrives in the emergency department with symptoms of an acute
stroke. Which action should occur first?
A. Provide oral fluids
B. Obtain a complete dietary history
,C. Administer aspirin immediately
D. Activate the stroke response protocol
Answer: Activate the stroke response protocol
Rationale: Rapid assessment and treatment are essential in stroke care to
reduce neurological damage.
6. Which symptom is commonly associated with a left-sided stroke?
A. Impulsive behavior
B. Right-sided weakness
C. Left-sided neglect
D. Poor spatial awareness
Answer: Right-sided weakness
Rationale: The left cerebral hemisphere controls the right side of the body, so
damage may cause right-sided weakness.
7. A nurse is teaching a client with epilepsy about seizure precautions. Which
statement indicates understanding?
A. “I should avoid taking my medication when I feel well.”
B. “I can stop medication after one seizure-free month.”
C. “I should wear a medical alert identification bracelet.”
D. “I should avoid all physical activity.”
Answer: I should wear a medical alert identification bracelet.
Rationale: Medical alert identification helps others provide appropriate care
during emergencies.
8. Which finding is expected in a client with Parkinson’s disease?
, A. Hyperactive reflexes
B. Increased muscle strength
C. Resting tremors
D. Sudden hearing loss
Answer: Resting tremors
Rationale: Parkinson’s disease commonly causes resting tremors, rigidity,
bradykinesia, and postural instability.
9. Which medication is commonly used to treat Parkinson’s disease?
A. Insulin
B. Levodopa/carbidopa
C. Digoxin
D. Prednisone
Answer: Levodopa/carbidopa
Rationale: Levodopa is converted to dopamine in the brain, while carbidopa
improves its effectiveness.
10. A client with Parkinson’s disease has difficulty swallowing. What is the
nurse’s priority intervention?
A. Encourage rapid eating
B. Offer thin liquids
C. Place food at bedside
D. Assess swallowing ability before meals
Answer: Assess swallowing ability before meals
Rationale: Dysphagia increases aspiration risk, so swallowing ability should be
evaluated.
