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NR 509 EXAM – NEUROLOGY 2020

NR 509 EXAM – NEUROLOGY Question 1: Sudden, brief, rapid jerks, involving the trunk or limbs may be consistent with: Question 2: Which of the following neurological assessment findings indicate the need for further evaluation? Question 3: An example of proximal weakness is: Question: A female patient complains of weakness in her hand when opening a jar. This finding could be suggestive of which type of weakness pattern? Question: A patient presents with an altered level of consciousness. He/she is considered in a stuporous state if he/she: Question: One way to assess cerebellar function would be to have the patient: Question: Hypesthesia refers to: Question: When conducting a neurologic exam, which one of the following assessments is not considered part of the mental status assessment? Question: A mother reports to the nurse practitioner that her teenager might be taking drugs because earlier today the teenager had a mild seizure and now has an unstable gait and is beginning to complain of shortness of breath. These symptoms might be consistent with a possible overdose of: Question: An ischemic stroke is: Question: By placing the patient in the supine position, the nurse practitioner raises the patient's relaxed and straightened leg while flexing the leg at the hip, then dorsiflexes the foot. This maneuver is known as: Question: The level of consciousness that refers to the patient that appears drowsy but can open his eyes, respond to questions, then fall back to sleep is known as: Question: When assessing coordination of muscle movement, four areas of the nervous system function in an integrated way. These areas include the motor, cerebellar, the vestibular, and the sensory systems. Which system coordinates a steady posture? Question: An older adult presenting with signs of undernourishment, slowed motor performance, and loss of muscle mass or weakness suggests: Question: Postural tremors appear when the affected part is: Question: A discriminative sensation that describes the ability to identify an object by feeling it is: Question: When evaluating a patient for weakness of the upper extremities, bilateral distal weakness is noted. This finding could be suggestive of: Question: When observing for thenar atrophy of the hands, a typical observation is: Question: Fasciculations in atrophic muscles suggest: Question: The part of the brain that controls most functions in the body and is responsible for breathing, heart rate, and articulate speech is the: Question: Assessing the neurological status of a child with a ventriculoperitoneal shunt should include: Question: What geriatric condition is characterized by normal alertness but progressive global deterioration of cognition in multiple domains? Question: An abnormal or unpleasant sense of touch is termed: Question: When eliciting deep tendon reflexes in the knee, the nurse practitioner notes an abnormal reflex in the right knee. This abnormality is probably consistent with a pathological lesion in which segmented level of the spine? Question: When evaluating a patient for weakness of the upper extremities, bilateral proximal limb weakness without sensory loss is noted. This finding could be suggestive of: Question: The term used to describe involuntary muscle spasms and twisting of the limbs is: Question: A 40-year-old male presents with complaints of headaches. History reveals headaches that occurred daily for about 4-6 weeks. He had relief for 6 months but now they are recurring. These are most likely: Question: Which of the following symptoms may be associated with a tumor of the eighth cranial nerve? Question: When trying to determine the level of consciousness in a patient whose level of consciousness is altered, a comatose patient: Question: A female patient complaints of weakness in both arms when transferring the wet clothes from the washer and placing them in the dryer. This finding could be suggestive of which type of weakness pattern? Question: Which developmental area is predominantly affected by lead poisoning? Question: A form of aphasia in which the person has word-finding difficulties for speaking and writing is known as: Question: A patient presents with an altered level of consciousness. He/she is considered in an obtunded state if he/she: Question: With the patient lying supine, the nurse practitioner places her hands behind the patient's head while flexing his neck forward until his chin touches his chest. Neck stiffness with resistance to flexion is noted. This is a positive: Question: Which of the following procedures should NOT be performed in a comatose patient? Question: The term used to describe a distortion of any sense, especially that of touch, is: Question: Winging of the scapula can be noted in patients with all of the following conditions except: Question: Resting tremors refer to those tremors that disappear: Question: A patient is instructed to stand, close both eyes, and extend both arms forward with the palms facing upward for 20-30 seconds. If the forearm drifts downward, this would indicate: Question: A progressive disorder of the nervous system that affects movement is known as: Question: While assessing the trigeminal nerve V (CN V) for sensory function, the patient reports a pain sensation on the right cheek. This finding could be consistent with a: Question: When assessing the cranial nerves, the nurse practitioner uses the tongue blade to gently stimulate the back of the throat on each side. A unilateral absence of the gag reflex is noted. This finding could be suggestive of a unilateral lesion in which cranial nerve? Question: On examination of the adult patient, symptoms of flexed posture, tremor, rigidity, and shuffling gait are observed. These findings are consistent with: Question: Brief, repetitive, stereotyped, coordinated movements occurring at irregular intervals are consistent with: Question: A sudden brief lapse of consciousness with momentary blinking, staring, or movements of the lips and hands but no falling is consistent with: Question: Physical exam of a well two-week-old infant reveals a little dimple with a small amount of hair just above the sacral area. This could be: Question: Persistent blinking after glabellar tap and difficulty walking heel-to- toe are common in:

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