REFRESHER PHASE

POST TEST
NEUROLOGIC NURSING
Prepared By: MR. VINZ TOMBOC
MAY 2025 Philippine Nurse Licensure Examination Review
1. A nurse is monitoring a patient with elevated intracranial B. Taking excess medication
pressure. Which of these changes in vital signs indicates that C. Skipping doses of medication
the intracranial pressure is increasing? D. Increasing intake of fatty foods
A. Increasing temperature, increasing pulse, 10. Which of the following cerebral lobes causes receptive
increasing respiration, decreasing blood pressure aphasia when damaged?
B. Increasing temperature, decreasing pulse, A. Occipital
decreasing respiration, increasing blood pressure B. Temporal
C. Decreasing temperature, decreasing pulse, C. Frontal
increasing respiration, decreasing blood pressure D. Parietal
D. Decreasing temperature, increasing pulse, 11. Which of the following cranial nerves is responsible for
decreasing respiration, increasing blood pressure muscles that move the eye and lids?
2. A client with a stroke has residual dysphagia. When starting A. CN III
a diet, what should the nurse avoid? B. CN VIII
A. Giving the client thin liquids C. CN VII
B. Thickening liquids to the consistency of oatmeal D. CN V
C. Placing food on the unaffected side of the mouth 12. The surgeon prescribes Dexamethasone (Decadron) after a
D. Allowing plenty of time for chewing and swallowing craniotomy for Severe Traumatic Brain Injury. The nurse
3. Which of the following health teachings will aid in mental understands that this medication:
stability for Alzheimer's Disease patients? A. Creates a feeling of euphoria, which is beneficial in
A. Establish a regular routine the early post-operative period.
B. Move to small apartment B. Promotes excretion of water which aids in reducing
C. Repaint or buy new furniture. ICP.
D. Correct bad behaviors gently C. Enhances venous return and thus reduce ICP
4. A patient is suspected of having multiple sclerosis. The D. Reduces cerebral edema thus reducing ICP
nurse expects the patient to report which common early 13. The nurse expects a thrombolytic agent to be ordered for
symptom of multiple sclerosis? ischemic attacks. Given the drug's action, what adverse
A. Diarrhea reaction should the nurse be especially vigilant for?
B. Headaches A. Formation of blood clots
C. Skin infection B. Bleeding
D. Visual disturbances C. Hemolysis
5. The nurse is conducting a neurological exam on a patient D. Allergies
with frontal cortex damage. Which deficit should the nurse 14. While the client is being interviewed, she had a seizure.
assess for? The initial intervention of the nurse must be directed towards:
A. Intentional tremors A. Protecting the client
B. Absence of movement below the waist B. Controlling the Seizure
C. The inability to maintain steady balance for the C. Reducing circulation to the brain
Romberg test D. Restraining the client
D. The inability to tell how a mouse and a cat are 15. The nurse is giving discharge instructions to a patient
alike prescribed phenytoin. What should the nurse include?
6. When providing care for a client with a disorder affecting A. Take an antacid with the medication
the CN V, which nursing action should be prioritized the most? B. Monitor for receding gums
A. Assisting with ambulation C. Take the medication at the same time daily
B. Encouraging the client to bathe with care D. Provide a urine sample to check therapeutic levels
C. Monitoring intake and output 16. What is the priority of care for patient diagnosed with
D. Providing emotional support while the client Guillain-Barre syndrome?
adjusts to changes in his physical appearance A. Maintenance of respiratory function
7. The nurse is assessing a patient's Glasgow Coma Scale. The B. Control of urinary tract infection
patient’s eyes open to speech, groans to questions, and C. Prevention of decubitus
attempts to move away from a central stimulus. What is the D. Replacement of fluid and electrolytes
patient's GCS score? 17. A stroke patient unable to breathe independently is
A. GCS 13 intubated and put on a ventilator. Which brain part is likely
B. GCS 9 impaired?
C. GCS 7 A. Frontal lobe
D. GCS 11 B. Parietal lobe
8. Which rationale would a nurse identify for giving levodopa C. Brain stem
(L-dopa) to a patient with Parkinson's disease? The drug: D. Occipital lobe
A. Activates enzymes to degrade dopamine 18. The nurse is taking health history from a client admitted to
B. Blocks the release of dopamine rule out Bell’s Palsy. An important question to ask related to
C. Provides the precursor of dopamine the diagnosis is which of the following?
D. Inhibits the synthesis of dopamine A. "Have you had any painful blisters on your genitals
9. A patient with Myasthenia gravis has experienced an in the past few weeks?"
episode of cholinergic crisis.The nurse needs to determine if B. "Have you experienced any hemiparesis in the last
the patient has any precipitating factors like: few weeks?"
A. Getting too little exercise

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 C. "Have you had difficulty with urination in the last 6
weeks?"
D. "Have you developed any new allergies in the last
year?"
19. Which activity should the nurse advise a patient to avoid
with an ICP of 28 mmHg?
A. Deep breathing
B. Turning
C. Coughing
D. Passive range-of-motion
20. A patient who recently had a stroke reports double vision
to the nurse. Which nursing intervention is most suitable?
A. Use artificial tears
B. Alternatively patch one eye every 2 hours.
C. Dim the room lights
D. Advise the patient to close their eyes
21. The nurse obtains history of a patient with Cerebrovascular
Accident from his family. What significant information can the
nurse gather from the patient’s family?
A. consistent hypertension and dizziness
B. palpitations and hypotension
C. family history about illness
D. emotional response to past illness
22. While talking to a patient, the nurse observes that the
patient stares blankly and then rapidly blinks before continuing
the conversation. This behavior suggests which type of
seizure?
A. Tonic-clonic
B. Petit mal
C. Grand mal
D. Akinetic
23. The nurse notices a patient's upper arm tremors stop when
unbuttoning his shirt. Which explanation best fits this
observation?
A. The tremors are likely psychological and
controllable at will
B. The tremors sometimes stop with intentional and
voluntary movements
C. The tremors stop when the patient's attention is
diverted
D. There is no clear explanation, it might be a
coincidence
24. The nurse is preparing to administer atropine, a
cholinergic-blocking agent. The nurse know to use the drug
with caution on the patient with ______
A. irritable colon
B. tachycardia
C. severe bronchospasms
D. diarrhea
25. When planning care for a patient at risk for tonic-clonic
seizures, the nurse identifies seizure precautions. Which of the
following should be at the child's bedside?
A. Emergency cart and vasopressors
B. Tracheotomy set and ventilator
C. Padded tongue blade and restraints
D. Suctioning equipment and oxygen

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