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Kuwait MOH Neurological Nursing Practice Questions
Neurological questions test neuro observations and recognising emergencies such as stroke, raised intracranial pressure and seizures. Below are 5 free sample questions for the Kuwait MOH nursing exam, each with the answer and a rationale.
What this topic covers
- Glasgow Coma Scale and pupil checks
- Stroke recognition and swallow screening
- Raised ICP and Cushing's triad
- Seizure safety and status epilepticus
- Spinal cord injury and autonomic dysreflexia
- Meningitis and Guillain-Barré
The full bank has 80 neurological nursing questions, part of 1,500 questions across 16 nursing topics.
Free Kuwait MOH neurological nursing questions
1. A positive Brudzinski's sign is described as which of the following?
- A. Pain on extending the knee with the hip flexed
- B. Flexion of the neck causes involuntary flexion of the hips and knees
- C. Tapping the facial nerve causes twitching
- D. Dorsiflexion of the big toe when the sole is stroked
Show answer and rationale
Brudzinski's sign is involuntary hip and knee flexion when the neck is flexed; pain on knee extension with the hip flexed is Kernig's sign.
Reference: Lewis Medical-Surgical Nursing – meningitis
2. Which is a classic sign of meningeal irritation?
- A. Swelling of the hands and feet
- B. Pinpoint pupils
- C. Neck stiffness with pain on flexing the chin to the chest
- D. Unilateral facial droop
Show answer and rationale
Nuchal rigidity, together with positive Kernig's and Brudzinski's signs, reflects meningeal irritation seen in meningitis.
Reference: Lewis Medical-Surgical Nursing – meningitis
3. A patient with raised intracranial pressure requires endotracheal suctioning. Which approach is correct?
- A. Perform several passes in quick succession without rest
- B. Suction for at least 30 seconds to clear all secretions
- C. Suction every hour routinely whether or not secretions are present
- D. Pre-oxygenate and limit each suction pass to about 10 seconds
Show answer and rationale
Suctioning raises ICP and can cause hypoxia, so the patient is hyperoxygenated first and passes are brief (about 10 seconds) and limited in number, done only when needed.
Reference: Lewis Medical-Surgical Nursing – increased intracranial pressure
4. Which symptoms suggest a cholinergic crisis in a patient taking an anticholinesterase medication?
- A. Hypertension with a rash
- B. Dry mouth, dilated pupils and constipation
- C. Increased salivation, sweating, abdominal cramps and muscle twitching
- D. Fever with neck stiffness
Show answer and rationale
Excess anticholinesterase causes cholinergic effects such as secretions, sweating, cramps, diarrhoea, small pupils and fasciculations, along with weakness.
Reference: Lewis Medical-Surgical Nursing – myasthenia gravis
5. A patient has an acute spinal cord injury at the C4 level. Which assessment is the highest priority?
- A. Skin integrity over the sacrum
- B. Bowel sounds
- C. Range of motion in the legs
- D. Respiratory effort and oxygen saturation
Show answer and rationale
The phrenic nerve arises from C3–C5, so injuries at this level can impair diaphragm function and cause respiratory failure.
Reference: Lewis Medical-Surgical Nursing – spinal cord injury
Study tip
A falling GCS or new pupil change is almost always the finding to report first.
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