Free Neuroscience Registered Nurse Certification Questions and Answers

Question 1

Symptoms of a fever, headaches, and confusion have been present for two days in a 33-year-old lady.
Her vital signs are normal.
It is typical for her to receive an immediate non-contrast head CT.
Her medical team believes she may have viral encephalitis.
What diagnostic procedure is most suitable?

Accepted Answer

Lumbar puncture

Answer

Brain MRI

Answer

Carotid artery doppler

Answer

Electroencephalography

Question 2

An elderly guy worries about his wife who has Alzheimer's disease and spends the entire day sitting in front of the TV without doing anything else. He's looking for things they can both do together. What exercise should the nurse advise the patient to do?

Accepted Answer

Stringing beads or winding yarn

Answer

Traveling new places

Answer

Making brownies

Answer

Doing crossword puzzles together

Question 3

A 36-year-old man complains of low back pain when he visits the pain clinic. His symptoms started suddenly two weeks ago after he attempted to raise a hefty piece of furniture. According to him, the discomfort "shoots down" his left leg. What physical examination signs are most indicative of L4 radiculopathy?

Accepted Answer

Left foot drop

Answer

Positive Babinski sign on the left

Answer

Bilateral wasting of extensor digitorum brevis

Answer

Diminished left Achilles reflex

Question 4

A 65-year-old woman and her son arrive at the clinic complaining of recent mental and personality changes. Her lack of social interaction, her slowness when executing manual jobs, and her tendency to forget things have all been noted by the son. The patient reports having the occasional headaches but denies having experienced any head trauma. What CT scan finding in this patient might point to a chronic subdural hematoma?

Accepted Answer

Hypodense crescent-shaped lesion in the subdural space

Answer

Hyperdense crescent-shaped lesion in the subdural space

Answer

Hyperdense biconcave shaped lesion in the subdural space

Answer

Isodense biconcave shaped lesion in the subdural space

Question 5

A patient with pain behind the right eye and around the right temple attends the clinic. On the same side, he also experiences rhinorrhea and lacrimation. The client has previously experienced a handful of these episodes, which typically lasted 30 to 60 minutes and were labeled as cluster headaches. He took two ibuprofen tablets at home without any alleviation. What would a nurse consider the best course of action with the fewest adverse effects?

Accepted Answer

100% oxygen

Answer

Triptans

Answer

Acetaminophen

Answer

Antidopaminergic agents

Question 6

A 45-year-old man comes in with weak arms and legs that have been developing gradually. He is having trouble breathing as the weakness has now spread to his chest. He claims the weakness began in his extremities and has progressed to swallowing difficulties. Over the last three months, he has shed around 15 lbs (6.8 kg). His lower limbs have fasciculations, and an examination of his nervous system reveals hyperreflexia in his upper limbs. His gag reaction is lessened, but his jaw jerk is accentuated. Which of the following statements most accurately sums up the patient's clinical pathogenesis?

Accepted Answer

Degeneration and gliosis of axons within the anterior and lateral columns of the spinal cord

Answer

A retrovirus that targets CD4 T lymphocytes

Answer

A genetic mutation that causes degeneration of parts of the basal ganglia

Answer

Loss of dopamine in the basal ganglia that control muscle tone and movement

Question 7

A 65-year-old man comes in with a bad headache that started suddenly. His medical history is crucial for both diabetes and high blood pressure. The results of the cranial nerve evaluation are normal. There are no visible motor or sensory abnormalities, although there is bilateral Babinski sign and positive nuchal rigidity. The right Sylvian fissure and basal cisterns show hyperdensity on a brain CT scan. Which of the following, given the expected diagnosis, is the most frequent complication and the main reason for postponed morbidity and mortality?

Accepted Answer

Vasospasm

Answer

Hydrocephalus

Answer

Rebleeding

Answer

Seizure