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SNLE 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 Saudi Nursing Licensure Exam (SNLE), 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 SNLE neurological nursing questions
1. Which pattern of disease is most common in multiple sclerosis at diagnosis?
- A. A single episode that never recurs
- B. Steadily progressive from onset in all patients
- C. Relapsing-remitting, with attacks followed by partial or full recovery
- D. Rapid death within weeks of diagnosis
Show answer and rationale
About 85% of people with MS initially have relapsing-remitting disease, with clear relapses and periods of remission.
Reference: Lewis Medical-Surgical Nursing – multiple sclerosis
2. Which environmental measure helps a patient with meningitis who has photophobia and headache?
- A. Opening curtains fully to let in sunlight
- B. Placing the patient near the nurses' station for noise
- C. Keeping the room dim and quiet
- D. Leaving the television on for distraction
Show answer and rationale
A darkened, quiet room reduces photophobia, headache and excess stimulation, which may also lower seizure risk.
Reference: Lewis Medical-Surgical Nursing – meningitis
3. A patient with moderate dementia becomes agitated in the late afternoon. What is the most appropriate nursing approach?
- A. Provide a calm, consistent routine and reduce stimulation
- B. Increase noise and activity to keep them awake
- C. Argue with the patient to correct false beliefs
- D. Change the patient's room frequently
Show answer and rationale
Late-day agitation (sundowning) is managed with structured routines, calm environments, adequate lighting and reducing overstimulation; arguing increases distress.
Reference: Lewis Medical-Surgical Nursing – dementia
4. A patient with fever, headache and neck stiffness develops a non-blanching purple rash on the legs. What is the priority action?
- A. Notify the doctor immediately so that antibiotics can be started urgently
- B. Apply a cool compress to the rash
- C. Give an oral antihistamine
- D. Document the rash and reassess at the next routine check
Show answer and rationale
A non-blanching petechial or purpuric rash with meningitis signs suggests meningococcal septicaemia, which is rapidly fatal without urgent antibiotics.
Reference: Lewis Medical-Surgical Nursing – meningitis
5. Soon after a cervical spinal cord injury, a patient has hypotension and bradycardia with warm, dry skin. Which condition does this suggest?
- A. Cardiac tamponade
- B. Neurogenic shock
- C. Anaphylactic shock
- D. Hypovolaemic shock
Show answer and rationale
Neurogenic shock results from loss of sympathetic tone, causing vasodilation, hypotension and bradycardia with warm skin, unlike the tachycardia of hypovolaemia.
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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