PN 4006 NEUROLOGICAL NURSING II 2026
ACTUAL EXAM PAPER QUESTIONS WITH
SOLUTIONS GRADED A+
◉ What are the learning objectives related to alterations in
neurologic function?
Answer: Explain pathophysiology, explore epidemiological and
etiological risk factors, describe the impact on overall health,
differentiate clinical presentations, explore the nurse's role, and
apply nursing processes.
◉ What are the classifications of headaches?
Answer: Primary headaches (migraines, cluster, tension-type) and
secondary headaches (caused by trauma, infections, intracranial
disorders, psychiatric conditions).
◉ What are the risk factors for tension-type headaches?
Answer: Stress, poor posture, and depression.
◉ What are the risk factors for cluster headaches?
Answer: Stress, allergens, environmental factors, medications, and
tobacco/alcohol use.
,◉ What are the risk factors for migraines?
Answer: Genetic predisposition, trauma, environmental triggers, and
certain foods/additives.
◉ What physiological impacts can headaches have on overall health?
Answer: Sleep disturbances, hormonal changes, and reactions to
certain foods and seasonal changes.
◉ What psychosocial impacts can migraines have?
Answer: Depression, hypersexuality, panic disorders, and fatigue.
◉ What special considerations should be taken for aging adults
regarding headaches?
Answer: Careful consideration of secondary causes and the risk of
medication side effects and drug interactions.
◉ What is the clinical presentation of tension-type headaches?
Answer: A band or vice-like squeezing sensation around the head.
◉ What is the clinical presentation of cluster headaches?
Answer: Sharp or stabbing pain usually located in, behind, or around
one eye.
,◉ What are the phases of a migraine?
Answer: Prodromal, aura, headache, and postdromal phases.
◉ What lab tests may be conducted for headaches?
Answer: CBC, ESR, glucose, BUN, and possibly TSH, T3, and T4 due to
associations with thyroid conditions.
◉ What environmental factors can trigger headaches?
Answer: Weather changes, strong smells, bright lights, and indoor
air quality.
◉ What individual factors can influence headache occurrence?
Answer: Genetic predisposition, lifestyle choices (diet and sleep),
environmental factors, and stress.
◉ What safety considerations should nurses keep in mind for
headache management?
Answer: Avoid potential triggers, manage symptoms effectively, and
recognize when to seek medical treatment.
◉ What client education should be provided regarding concerns
about an aneurysm?
, Answer: Educate clients on symptoms to watch for, the importance
of seeking medical attention, and lifestyle modifications to reduce
risk.
◉ What are common symptoms to assess for in a patient with an
aneurysm?
Answer: Nausea, vomiting, diarrhea, photophobia, weakness, and
sensitivity to strong smells.
◉ What medications are commonly used to treat headaches?
Answer: OTC Tylenol, Motrin, and sumatriptan (Imitrex).
◉ What are the steps involved in the clinical judgment process for
headaches?
Answer: Recognize cues, analyze cues, prioritize hypotheses,
generate solutions, take actions, evaluate outcomes.
◉ What does the Glasgow Coma Scale assess?
Answer: Eye opening, best verbal response, and best motor
response.
◉ What is the scoring range for mild, moderate, and severe
traumatic brain injury (TBI) on the Glasgow Coma Scale?
ACTUAL EXAM PAPER QUESTIONS WITH
SOLUTIONS GRADED A+
◉ What are the learning objectives related to alterations in
neurologic function?
Answer: Explain pathophysiology, explore epidemiological and
etiological risk factors, describe the impact on overall health,
differentiate clinical presentations, explore the nurse's role, and
apply nursing processes.
◉ What are the classifications of headaches?
Answer: Primary headaches (migraines, cluster, tension-type) and
secondary headaches (caused by trauma, infections, intracranial
disorders, psychiatric conditions).
◉ What are the risk factors for tension-type headaches?
Answer: Stress, poor posture, and depression.
◉ What are the risk factors for cluster headaches?
Answer: Stress, allergens, environmental factors, medications, and
tobacco/alcohol use.
,◉ What are the risk factors for migraines?
Answer: Genetic predisposition, trauma, environmental triggers, and
certain foods/additives.
◉ What physiological impacts can headaches have on overall health?
Answer: Sleep disturbances, hormonal changes, and reactions to
certain foods and seasonal changes.
◉ What psychosocial impacts can migraines have?
Answer: Depression, hypersexuality, panic disorders, and fatigue.
◉ What special considerations should be taken for aging adults
regarding headaches?
Answer: Careful consideration of secondary causes and the risk of
medication side effects and drug interactions.
◉ What is the clinical presentation of tension-type headaches?
Answer: A band or vice-like squeezing sensation around the head.
◉ What is the clinical presentation of cluster headaches?
Answer: Sharp or stabbing pain usually located in, behind, or around
one eye.
,◉ What are the phases of a migraine?
Answer: Prodromal, aura, headache, and postdromal phases.
◉ What lab tests may be conducted for headaches?
Answer: CBC, ESR, glucose, BUN, and possibly TSH, T3, and T4 due to
associations with thyroid conditions.
◉ What environmental factors can trigger headaches?
Answer: Weather changes, strong smells, bright lights, and indoor
air quality.
◉ What individual factors can influence headache occurrence?
Answer: Genetic predisposition, lifestyle choices (diet and sleep),
environmental factors, and stress.
◉ What safety considerations should nurses keep in mind for
headache management?
Answer: Avoid potential triggers, manage symptoms effectively, and
recognize when to seek medical treatment.
◉ What client education should be provided regarding concerns
about an aneurysm?
, Answer: Educate clients on symptoms to watch for, the importance
of seeking medical attention, and lifestyle modifications to reduce
risk.
◉ What are common symptoms to assess for in a patient with an
aneurysm?
Answer: Nausea, vomiting, diarrhea, photophobia, weakness, and
sensitivity to strong smells.
◉ What medications are commonly used to treat headaches?
Answer: OTC Tylenol, Motrin, and sumatriptan (Imitrex).
◉ What are the steps involved in the clinical judgment process for
headaches?
Answer: Recognize cues, analyze cues, prioritize hypotheses,
generate solutions, take actions, evaluate outcomes.
◉ What does the Glasgow Coma Scale assess?
Answer: Eye opening, best verbal response, and best motor
response.
◉ What is the scoring range for mild, moderate, and severe
traumatic brain injury (TBI) on the Glasgow Coma Scale?
