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Kuwait MOH Neurological Nursing Practice Questions

What this topic covers

Stroke recognition, raised intracranial pressure, seizures, Glasgow Coma Scale, spinal cord injury and neuro observations.

Free Kuwait MOH neurological nursing questions

1. What is the 'halo sign' when checking drainage from a head-injured patient?
  1. A yellow ring around a blood spot on gauze, suggesting cerebrospinal fluid
  2. A pale ring around the pupil on light testing
  3. Bruising around both eyes after a skull fracture
  4. A ring of redness around a scalp laceration
Show answer and rationale

Answer: A. A yellow ring around a blood spot on gauze, suggesting cerebrospinal fluid

When blood mixed with CSF drips onto white gauze, the blood stays in the centre and a clear or yellowish ring of CSF spreads around it.

Reference: Lewis Medical-Surgical Nursing – head injury

2. A patient with a mild head injury is being discharged home with a family member. Which symptom should the family be taught to report immediately?
  1. A small bruise on the forehead
  2. Increasing drowsiness or difficulty waking
  3. Mild headache relieved by paracetamol
  4. Feeling tired in the evening
Show answer and rationale

Answer: B. Increasing drowsiness or difficulty waking

Increasing drowsiness, worsening headache, repeated vomiting, confusion, seizures, or weakness can signal intracranial bleeding and need emergency review.

Reference: Lewis Medical-Surgical Nursing – head injury

3. Which is a classic feature of Parkinson's disease?
  1. Resting tremor that lessens with purposeful movement
  2. Loss of sensation in a glove-and-stocking pattern
  3. Sudden onset of one-sided paralysis
  4. Intention tremor that worsens when reaching for objects
Show answer and rationale

Answer: A. Resting tremor that lessens with purposeful movement

Parkinson's disease features a resting ('pill-rolling') tremor, rigidity, bradykinesia and postural instability.

Reference: Lewis Medical-Surgical Nursing – Parkinson's disease

4. Which symptoms suggest a cholinergic crisis in a patient taking an anticholinesterase medication?
  1. Hypertension with a rash
  2. Dry mouth, dilated pupils and constipation
  3. Increased salivation, sweating, abdominal cramps and muscle twitching
  4. Fever with neck stiffness
Show answer and rationale

Answer: C. Increased salivation, sweating, abdominal cramps and muscle twitching

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. Autonomic dysreflexia most often occurs in patients with a spinal cord injury at or above which level?
  1. L4
  2. S2
  3. L1
  4. T6
Show answer and rationale

Answer: D. T6

Autonomic dysreflexia typically occurs with injuries at T6 or above, where sympathetic outflow below the lesion is uncontrolled.

Reference: Lewis Medical-Surgical Nursing – spinal cord injury

Questions are written with AI assistance. About 10% (150+) have been reviewed by a licensed nurse so far, and more are reviewed every month. Practice questions are for study only and may contain mistakes; verify with official study guides from your destination country. Report a question

Study tip

A falling GCS or a change in level of consciousness is the earliest and most important sign of neurological deterioration.

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