NEUROLOGICAL NCLEX QUESTIONS
B. CN II and CN III ✔✔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 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
D. Pupil changes can be caused by pressure on the ocular nerve. ✔✔When increased ICP is suspected,
the nurse performs a complete neurologic assessment. What does the pupillary response indicate?
A. High pressure can cause blurred vision.
B. Hemorrhage can cause visual impairment.
C. Pupil dilation is the first sign of increased ICP.
D. Pupil changes can be caused by pressure on the ocular nerve.
D. Touch his nose with his left index finger. ✔✔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
response?
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.
A. Decreasing level of consciousness (LOC) ✔✔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 consciousness (LOC)
B. Elevated temperature
C. Agitation and hostility
D. Increasing blood pressure (BP)
C. "Checking this reflex assesses involuntary muscular contractions." ✔✔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 your leg."
B. "This assessment determines your hand-eye coordination."
C. "Checking this reflex assesses involuntary muscular contractions."
D. "The patellar reflex demonstrates large voluntary muscle coordination."
D. Determine whether the patient is able to move his legs and arms ✔✔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?
A. Measure the patient's vital signs.
B. Test the reaction of the patient's pupils to light.
C. Check the patient's response to the stimulus of pinching.
