Free Neurological Nursing MCQs with Answers
50 Neurological Nursing MCQs from Medical Surgical Nursing, each with the correct answer and a written explanation of why it is correct. Free and unlimited, with no account needed.
Covers nursing assessment and management of stroke, epilepsy, meningitis, raised intracranial pressure, head injury, spinal cord disorders, Parkinson disease and multiple sclerosis. Key areas include level of consciousness, pupil responses, motor and sensory findings, seizure precautions and distinguishing upper motor neuron from lower motor neuron signs.
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50 questions · page 3 of 3
- A. Eye opening, verbal response and motor response
- B. Pupil size, limb power and reflex response
- C. Blood pressure, pulse rate and respiratory pattern
- D. Memory, concentration and cranial nerve function
Explanation: The Glasgow Coma Scale measures eye opening, verbal response and motor response.
Correct answer: Eye opening, verbal response and motor response- A. Battle sign indicating a basilar skull fracture
- B. Mastoid tenderness indicating a middle-ear infection
- C. Periorbital oedema indicating an allergic reaction
- D. Neck stiffness indicating a cervical muscle strain
Explanation: Battle sign is bruising over the mastoid area and may indicate a basilar skull fracture.
Correct answer: Battle sign indicating a basilar skull fracture- A. I will stop the medicine when I feel seizure-free
- B. I will take the medicine regularly as prescribed
- C. I will double the next dose after missing one dose
- D. I will discontinue treatment when mild nausea develops
Explanation: Antiseizure medicines should be taken regularly and must not be stopped suddenly because abrupt withdrawal can trigger seizures or status…
Correct answer: I will take the medicine regularly as prescribed- A. Provide a quiet, dimly lit room and limit unnecessary stimulation
- B. Keep the room brightly lit to assess pupil responses frequently
- C. Encourage vigorous activity to prevent complications of immobility
- D. Apply a warm compress over the eyes to relieve meningeal irritation
Explanation: Meningeal inflammation commonly causes headache and sensitivity to light, so reducing noise and light promotes comfort.
Correct answer: Provide a quiet, dimly lit room and limit unnecessary stimulation- A. Logroll the patient while maintaining spinal alignment
- B. Pull the patient by the arms while keeping the legs straight
- C. Ask the patient to twist the trunk during the turn
- D. Raise the head of the bed and allow the patient to turn alone
Explanation: Logrolling keeps the head, neck and trunk aligned and reduces twisting of the injured spine.
Correct answer: Logroll the patient while maintaining spinal alignment- A. Take each dose at consistent times as prescribed
- B. Stop each dose when involuntary movements first appear
- C. Take extra doses before walking to prevent all symptoms
- D. Change the dose independently when symptoms fluctuate
Explanation: Consistent timing helps maintain therapeutic control of Parkinson symptoms and prevents avoidable fluctuations.
Correct answer: Take each dose at consistent times as prescribed- A. Neurological deficits appear, improve partly or fully, and recur later
- B. Neurological deficits steadily worsen without periods of improvement
- C. Neurological deficits occur only during bacterial infections
- D. Neurological deficits resolve permanently after one acute episode
Explanation: Relapsing-remitting multiple sclerosis has episodes of new or worsening neurological deficits followed by periods of partial or complete…
Correct answer: Neurological deficits appear, improve partly or fully, and recur later- A. Decorticate posturing suggesting serious brain dysfunction
- B. Decerebrate posturing suggesting isolated peripheral nerve damage
- C. Flaccid paralysis suggesting an uncomplicated muscle injury
- D. Typical flexor withdrawal suggesting normal protective movement
Explanation: Flexion of the arms with extension of the legs is decorticate posturing and indicates severe dysfunction above the brainstem.
Correct answer: Decorticate posturing suggesting serious brain dysfunction- A. Measure the bladder volume with a portable bladder scanner
- B. Offer large amounts of oral fluid before checking the bladder
- C. Insert an indwelling catheter without assessing the cause
- D. Apply pressure over the lower abdomen to express urine
Explanation: A bladder scanner helps identify urinary retention without immediately using an invasive procedure.
Correct answer: Measure the bladder volume with a portable bladder scanner- A. Use short sentences and allow adequate time for a response
- B. Speak loudly and repeat the same question without pausing
- C. Complete every sentence to avoid causing communication stress
- D. Ask several questions together so the patient can answer quickly
Explanation: Short, simple sentences and sufficient response time support communication while preserving the patient's independence.
Correct answer: Use short sentences and allow adequate time for a response