NS LM3 study materials
NS LM3 study resources

NS LM3 case studies

NS LM3 · Put your knowledge to work in context.

The NS LM3 is a neurology-focused certification examination for nurses and allied health professionals who want documented evidence of their knowledge of nervous system care. Candidates typically work in neurology units, stroke services, neurocritical care, rehabilitation, or general settings where neurological patients make up a large share of the caseload. The exam samples broadly across seven domains: fundamentals of the nervous system, neuroanatomy and neurophysiology, neurological assessment and examination, common neurological disorders, diagnostic testing and neuroimaging, pharmacology and neurological treatment, and patient safety and professional practice. Questions test applied clinical judgment rather than isolated recall, so expect scenarios that ask you to interpret a change in condition, prioritize an assessment finding, or choose the safest next action. The NS LM3 case studies are 5 cases and about 3,263 words.

1

Post-ictal Confusion or Something Worse?

A 68-year-old man with a 20-year history of focal epilepsy is brought to the emergency department 40 minutes after a witnessed generalized tonic-clonic seizure. His seizures are usually brief and he returns to baseline within 15 minutes.

672 words, about 3 min
2

A Fall, an Anticoagulant, and a Headache

An 82-year-old woman on apixaban for atrial fibrillation is brought in by her daughter after a mechanical fall at home 6 hours ago. She struck the back of her head but did not lose consciousness.

646 words, about 3 min
3

New Weakness on the Stroke Unit

A 59-year-old woman was admitted 36 hours ago with a left middle cerebral artery territory infarct. She initially had a dense right hemiparesis and expressive aphasia, with NIHSS 14.

779 words, about 4 min
4

The Patient Who Cannot Swallow Safely

A 74-year-old man is admitted after a right hemisphere stroke with left facial weakness, left arm weakness, and mild dysarthria. A bedside swallow screen on day 1 was failed because he coughed after a sip of water.

589 words, about 3 min
5

When the Treatment Causes the Problem

A 34-year-old woman with newly diagnosed generalized epilepsy is started on carbamazepine by her family doctor. Within two weeks she develops a widespread blistering rash involving the mouth and eyes, fever of 39.1 C, and painful skin peeling over 15% of her body surface.

577 words, about 3 min