PN 4006 NEUROLOGICAL NURSING II 2026
CERTIFICATION EVALUATION EXAMS
COMPLETE QUESTIONS AND ANSWERS
◉ During the neurological component of the physical examination,
the nurse tests the function of the client's cranial nerves. In testing
cranial nerve III, the nurse determines the client's ability to do
which one of the following?
Select one:
a. Smile and frown
b. Read printed material
c. Identify sweet and sour tastes
d. React to light with changes in pupil size.
Answer: d. React to light with changes in pupil size
◉ A rapid infusion of blood has been given to the client. The nurse
assesses the client for which one of the following?
Select one:
a. Diaphoresis
b. Anxiety
,c. Hypertension and tachycardia
d. Nausea and vomiting.
Answer: c. Hypertension and tachycardia
◉ A client complains of a headache and chills during a blood
transfusion. Which one of the following actions should the nurse
take immediately?
Select one:
a. Check the vital signs.
b. Stop the blood transfusion.
c. Slow the rate of blood flow.
d. Notify the physician and blood bank personnel..
Answer: b. Stop the blood transfusion.
◉ Which of the following is an unexpected value that the nurse, in
reviewing the results of the client's blood work, should report to the
physician?
Select one:
a. Calcium, 1.9 mmol/L
b. Sodium, 140 mmol/L
c. Potassium, 3.5 mmol/L
,d. Magnesium, 1.8 mmol/L.
Answer: a. Calcium, 1.9 mmol/L
◉ A client has intravenous (IV) therapy for the administration of
antibiotics and is stating that the IV site "hurts and is swollen."
Which of the following information assessed on the client indicates
the presence of phlebitis, as opposed to infiltration?
Select one:
a. Intensity of the pain
b. Warmth of integument surrounding the IV site
c. Amount of subcutaneous edema
d. Skin discoloration of a bruised nature.
Answer: b. Warmth of integument surrounding the IV site
◉ Which of the following is the most common electrolyte
imbalance?
Select one:
a. Hypokalemia
b. Hyperkalemia
c. Hyponatremia
d. Hypernatremia.
, Answer: a. Hypokalemia
◉ The nurse will be starting a new intravenous (IV) infusion and
needs to select the site for the insertion. In selecting a site, the nurse
should do which of the following?
Select one:
a. Start with the most distal site.
b. Look for hard, cord-like veins.
c. Use the dominant arm.
d. Vigorously rub and tap the chosen vein..
Answer: a. Start with the most distal site.
◉ The client is receiving an epidural opioid infusion for pain relief.
Which one of the following is a priority nursing intervention when
caring for this client?
Select one:
a. Use aseptic technique.
b. Label the port as an IV catheter.
c. Monitor vital signs every 15 minutes.
d. Prepare the client for discomfort he or she may encounter..
Answer: c. Monitor vital signs every 15 minutes.
CERTIFICATION EVALUATION EXAMS
COMPLETE QUESTIONS AND ANSWERS
◉ During the neurological component of the physical examination,
the nurse tests the function of the client's cranial nerves. In testing
cranial nerve III, the nurse determines the client's ability to do
which one of the following?
Select one:
a. Smile and frown
b. Read printed material
c. Identify sweet and sour tastes
d. React to light with changes in pupil size.
Answer: d. React to light with changes in pupil size
◉ A rapid infusion of blood has been given to the client. The nurse
assesses the client for which one of the following?
Select one:
a. Diaphoresis
b. Anxiety
,c. Hypertension and tachycardia
d. Nausea and vomiting.
Answer: c. Hypertension and tachycardia
◉ A client complains of a headache and chills during a blood
transfusion. Which one of the following actions should the nurse
take immediately?
Select one:
a. Check the vital signs.
b. Stop the blood transfusion.
c. Slow the rate of blood flow.
d. Notify the physician and blood bank personnel..
Answer: b. Stop the blood transfusion.
◉ Which of the following is an unexpected value that the nurse, in
reviewing the results of the client's blood work, should report to the
physician?
Select one:
a. Calcium, 1.9 mmol/L
b. Sodium, 140 mmol/L
c. Potassium, 3.5 mmol/L
,d. Magnesium, 1.8 mmol/L.
Answer: a. Calcium, 1.9 mmol/L
◉ A client has intravenous (IV) therapy for the administration of
antibiotics and is stating that the IV site "hurts and is swollen."
Which of the following information assessed on the client indicates
the presence of phlebitis, as opposed to infiltration?
Select one:
a. Intensity of the pain
b. Warmth of integument surrounding the IV site
c. Amount of subcutaneous edema
d. Skin discoloration of a bruised nature.
Answer: b. Warmth of integument surrounding the IV site
◉ Which of the following is the most common electrolyte
imbalance?
Select one:
a. Hypokalemia
b. Hyperkalemia
c. Hyponatremia
d. Hypernatremia.
, Answer: a. Hypokalemia
◉ The nurse will be starting a new intravenous (IV) infusion and
needs to select the site for the insertion. In selecting a site, the nurse
should do which of the following?
Select one:
a. Start with the most distal site.
b. Look for hard, cord-like veins.
c. Use the dominant arm.
d. Vigorously rub and tap the chosen vein..
Answer: a. Start with the most distal site.
◉ The client is receiving an epidural opioid infusion for pain relief.
Which one of the following is a priority nursing intervention when
caring for this client?
Select one:
a. Use aseptic technique.
b. Label the port as an IV catheter.
c. Monitor vital signs every 15 minutes.
d. Prepare the client for discomfort he or she may encounter..
Answer: c. Monitor vital signs every 15 minutes.
