REFRESHER PHASE
POST TEST
NEUROLOGIC NURSING
Prepared By: DR. ELENITA ARREGLO
NOV 2023 Philippine Nurse Licensure Examination Review
1. The doctor wrote in the chart that the client has ICP of 20
mmHg, the nurse knows that such reading is
A. Normal
B. Decreased
C. Increased
D. Impossible
2. An increasing intracranial pressure may lead to
A. Decrease cerebral perfusion pressure
B. Decrease mean arterial pressure
C. Compromised cerebral protection
D. Increase cerebrospinal fluid in the brain
3. A client after a traumatic brain injury has an ICP of 30
mmHg, the nurse elevate the head of the bed to a low fowlers
position to
A. Decrease venous drainage
B. Maintain Intracranial pressure
C. Increase Cerebral spinal fluid
D. Balance cerebral hemodynamics
4. What is the priority nursing diagnosis for a client with
stroke?
A. Impaired physical mobility
B. Altered thought process
C. Self - care deficit
D. Ineffective coping mechanisms
5. A client after a vehicular accident was being assessed for
increased ICP. The nurse knows that the initial manifestation of
increased ICP is
A. Widening of pulse pressure
B. Confusion
C. Bradycardia
D. Increased systolic BP
6. Mannitol was ordered for a client with increased ICP, the
nurse knows that the drug acts in the
A. Brain
B. Kidneys
C. Central nervous system
D. Blood vessels
7. A client with stroke suffers from injury to the right
optic tract, which of the following visual disturbances
occur?
A. Blind right eye
B. Bitemporal hemianopsia
C. Left Homonymous hemianopsia
D. Right homonymous hemianopsia
8. A client with stroke suffers from hemiplegia of the right
arm and leg, nursing intervention for this client include the
following, except
A. Turn the patient every 2 hours
B. Maintain intact skin
C. Active range of motion exercise
D. No exception
9. Craniotomy was done for a client with tumor, after surgery, an
indication of increased ICP would be
A. Patient cannot be aroused 4 hours after surgery
B. Patient is restless
TOP RANK REVIEW ACADEMY, INC.
C. Decreasing blood pressure and
hyperthermia
D. Bradycardia and bradypnes
10. The nurse knows that a major goal for nursing management of
the client with Parkinson’s disease is:
A. Skin Care
B. Disease remission
C. Weight gain
D. Symptom management
11. Which of the following nursing diagnoses has the highest
priority for a client newly diagnosed with tonic-clonic seizure
disorder beginning medication therapy?
A. Ineffective Sexuality Patterns
B. Deficient Knowledge
C. Pain related to headache
D. Impaired Thought Processes
12. The client has just been diagnosed with a seizure disorder.
The medication regimen has controlled the seizure for several
days. Prior to discharge, the nurse should place highest priority
on sharing which of the following information with the client?
A. Seizure disorders will often eventually stop on
their own.
B. Adherence to medication therapy is essential to
avoid recurrence of seizures
C. Urine will turn pink or brown from the
medication
D. The client can never drive a vehicle again.
13. A patient who has a Parkinson’s disease is admitted to
the hospital for medication control. In addition to presenting
with muscle rigidity, the nurse should expect that the patient
will have
A. Mask-like facial expression
B. Tremors of the knees while resting
C. Bilateral nystagmus
D. Long-term memory loss
14. The nurse observes a child starting to have a seizure.
After assessing airway, which is the highest priority of the
nurse?
A. Insert an artificial airway
B. Observe and record seizure activity
C. Administer diazepam
D. Restrain the extremities to protect child from
injury
15. The mode of inheritance of Huntington’s disease will
ensure
A. Both males and females will have equal
chances of getting the disease
B. Males are affected and females are carriers
C. Females are affected and males are carriers
D. All of the above
16. The offspring of a Huntington’s patient has
A. 100% chance of getting the disease
B. 75% chance of getting the disease
C. 50% chance of getting the disease
D. 25% chance of getting the disease
17. The symptoms of Huntington’s disease include
A. Cognitive dysfunction, emotional
Page 1 | 2
 disturbances, ptosis and diplopia treated for GBS?
B. Chorea, intellectual decline, mixed hearing loss A. Ineffective airway clearance
C. Dementia, bizarre behavior, uncontrolled movement B. Self-care deficit: feeding
D. Tremor, rigidity and bradykinesia C. Fluid volume deficit
18. Parkinson’s disease involves degeneration of cells in the D. Risk of injury
A. Basal ganglia 29. Which of the following questions would be most
B. Substantia nigra important for a nurse to ask when taking a history from a
C. Hypothalamus patient who is suspected of having Multiple Sclerosis (MS)?
D. Cerebellum A. Are you easily distracted?
19. Carbidopa was incorporated with levodopa. This combination B. Has your appetite decreased?
will C. Do you have problem in your optic nerve?
A. Decrease the entry of levodopa to the blood D. Do you have ringing in your ears?
brain barrier 30. Which of the following measures would a nurse include in the
B. Increase the breakdown of levodopa care plan of a patient who has a cereberal tumor?
C. Not necessitate an increase dose of levodopa A. Keep the room darkened
D. Destroys the dopamine excess in the brain B. Speak slowly and clearly
20. Definitive diagnosis of Alzheimer’s disease is made C. Provide memory aides
by D. Provide safety
A. CT scan
B. MRI
C. PET scan
D. None
E. A and B
21. Memory loss is characteristic of Alzheimer’s disease, such
function is confined in the
A. Basal ganglia
B. Occipital lobe
C. Hippocampus
D. Putamen
22. ALS results from degeneration of
A. Motor neurons
B. Afferent neurons
C. Cranial nerves
D. Basal ganglia
23. ALS patients may manifest
A. Skeletal muscle paralysis
B. Bulbar paralysis
C.Paresthesia and pain
D. A and B
E. All of the above
24. The client recently diagnosed with GBS is drooling and having
difficulty swallowing secretions. When the family asks why this
occurs, the nurse indicates that the cause is:
A. Affectation of nerves for swallowing
B. Demyelination of cranial nerves V and VI
C. Enlargement of the parotid and salivary glands
D. Deficiency in thiamine and pyridoxine in the CNS
25. A child is admitted with a head injury after being in a motor
vehicle accident. The nurse notes a clear drainage from the left
ear. The nurse would suspect
A. Nasal congestion
B. Otorrhea
C. Bleeding at the base of the skull
D. Epidural hematoma
26. The care plan of a patient who has Parkinson’s disease should
include which of the following measures?
A. Serving three balanced meals daily to the patient
B. Providing a full liquid diet for the patient
C. Let the patient eat by himself
D. Assigning an aide or family member to feed the
patient
27. A nurse is instructing a patient who has multiple sclerosis
having weakness of the body. Which of the following
instructions should the nurse stress to the family?
A. Provide safety
B. Eat red meat
C. Exercise vigorously daily
D. Avoid eating shellfish
28. To which of the following nursing diagnoses would a
nurse give priority in the care plan of a patient who is being

TOP RANK REVIEW ACADEMY, INC. Page 2 | 2