NR 509 APEA Exam – Neurology

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NR 509 APEA Exam Neurology – Question and Answers with Explanation

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?

3: An example of proximal weakness is:

4: A female patient complains of weakness in her hand when opening a jar. This finding could be suggestive of which type of weakness pattern?

5: A patient presents with an altered level of consciousness. He/she is considered in a stuporous state if he/she:

6: One way to assess cerebellar function would be to have the patient:

7: Hypesthesia refers to:

8: When conducting a neurologic exam, which one of the following assessments is not considered part of the mental status assessment?

9: 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:

10: An ischemic stroke is:

11: 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 12: 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 ….

Question 13: 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?

14: An older adult presenting with signs of undernourishment, slowed motor performance, and loss of muscle mass or weakness suggests:

15: Postural tremors appear when the affected part is:

16: A discriminative sensation that describes the ability to identify an object by feeling it is:

17: When evaluating a patient for weakness of the upper extremities, bilateral distal weakness is noted. This finding could be suggestive of:

18: When observing for thenar atrophy of the hands, a typical observation is:

19: Fasciculations in atrophic muscles suggest:

20: The part of the brain that controls most functions in the body and is responsible for breathing, heart rate, and articulate speech is the:

21: Assessing the neurological status of a child with a ventriculoperitoneal shunt should include:

22: What geriatric condition is characterized by normal alertness but progressive global deterioration of cognition in multiple domains?

23: An abnormal or unpleasant sense of touch is termed:

24: 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?

25: 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:

26: The term used to describe involuntary muscle spasms and twisting of the limbs is:

27: 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:

28: Which of the following symptoms may be associated with a tumor of the eighth cranial nerve?

29: When trying to determine the level of consciousness in a patient whose level of consciousness is altered, a comatose patient:

30 : 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?

31: Which developmental area is predominantly …..by lead poisoning?

32: A form of aphasia in which the person has word-finding difficulties for speaking and writing is …..

33: A patient presents with an altered level of consciousness. He/she is …..in an obtunded state if he/she:

34: 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:

35: Which of the following procedures should NOT be performed in a comatose patient?

36: The term used to describe a distortion of any sense, especially that of touch, is:

37: Winging of the scapula can be noted in patients with all of the following conditions except:

38: Resting tremors refer to those tremors that disappear:

39: 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:

40: A progressive disorder of the nervous system that affects movement is known as:

41: 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:

42: 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?

43: On examination of the adult patient, symptoms of flexed posture, tremor, rigidity, and shuffling gait are …… These findings are consistent with:

44: Brief, repetitive, stereotyped, coordinated movements occurring at irregular intervals are consistent with:

45: A sudden brief lapse of consciousness with momentary blinking, staring, or movements of the lips and hands but no falling is consistent with:

46: 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:

47: Persistent blinking after glabellar tap and difficulty walking heel-to- toe are common in:

48: An example of distal weakness is:

49: A teenager presents with signs of being gleeful, somewhat drowsy, and unable to focus. On examination , B/P 90/65, pupils constricted, and speech slurred. These symptoms are consistent with:

50: An 8-month-old with a significant head lag would suggest the need for:

51: Symptoms of a subdural hematoma include:

52: Assessment findings in an infant with increased intracranial pressure would include:

53: When evaluating the sensory system, testing the posterior columns tract would include assessing sensations of:

54: The term used to describe low back pain with nerve pain that radiates down the leg is:

55: A form of aphasia in which the speech is confluent, slow, with few words and laborious effort and inflection and articulation are impaired but words are meaningful, is …..

56: Symmetric weakness of the distal muscles of the legs suggests a:

57: Symmetric weakness of the proximal muscles of the legs suggests a:

58: Dysarthria refers to:

59: Walking on the toes and heels may reveal:

60: When upper motor neuron systems are damaged above the crossover of its tracts in the medulla, motor impairment develops on the opposite side. This term is:

61: An infant with fetal alcohol syndrome would:

62: Involuntary movements of the body that are slower and more twisting and writhing than choreiform movements, and have a larger amplitude are suggestive of:

63: An example of symmetric weakness is:

64: Anesthesia refers to:

65: When assessing an elderly patient for delirium, the recommended instrument with the best supportive data is the:

66: An indication that there is a malfunction of a ventriculoperitoneal (VP) shunt in an older child would be the presence of a:

67: When assessing abdominal cutaneous reflexes, the nurse practitioner strokes the lower abdomen, the localized twitch is absent. This finding could be suggestive of a pathologic lesion in which segmented level of the spine?

68: While assessing the cranial nerves, the nurse practitioner touches the cornea lightly with a wisp of cotton. This maneuver assesses which cranial nerve?

69: The level of consciousness that refers to the patient that arouses from sleep only after painful stimuli is ……

70: When evaluating the sensory system, testing the spinothalamic tracts would include assessing sensations of:

71: Hypalgesia refers to:

72: Which choice is least likely to be an example of asymmetric weakness?

73: 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 head movements?

74: When comparing two sides of the body for symmetric sensation a symmetrical distal sensory loss would be suggestive of : nr 509 apea exam

75: A 80 year old male visits the nurse practitioner for an annual well exam. History reveals two falls in the prior 12 months and difficulty with balance. The next step the nurse practitioner should take is:

76: The principal muscles ……when closing the mouth are …..by which Cranial nerve?

77: The best method of detecting cognitive impairment or mental retardation at an early age is by:

78: When trying to determine the level of consciousness in a patient whose level of consciousness is ….., a lethargic patient:

79: When eliciting deep tendon reflexes in the ankle, the nurse practitioner notes an abnormal reflex in the right ankle. This abnormality is probably consistent with a pathological lesion in which segmented level of the spine?

80: The term used to describe the absence or loss of control of voluntary muscle movements is:

81: With the adult patient lying supine, the nurse practitioner strokes the lateral aspect of the sole from the heel to the ball of the foot with the end of an applicator stick. Dorsiflexion of the big toe was ….. This is a positive:

82: The part of the peripheral nervous system that regulates muscle movement and response to the sensations of pain and touch is the:

83: The part of the brain that coordinates all movement and helps maintain the body upright in space is the: nr 509 apea exam

84: The part of the brain tissue that consists of neuronal axons that are …..with myelin is the:

85: A patient complains of experiencing symptoms of nausea, diaphoresis, and pallor triggered by a fearful or unpleasant event. These symptoms are most likely …..

86: The patient has his eyes ….and an area on his right leg is briefly …..by the nurse practitioner. The patient is i…..to open his eyes and point to the area that was …… This is an example of the discriminative sensation …….:

87: Hyperesthesia refers to:

88: A patient who is being …..for frequent headaches, mentions that the headache worsens with coughing, sneezing, or when changing positions. Increasing pain with these maneuvers may be suggestive of:

89: The term used to describe an abnormal tremor consisting of involuntary jerking movements, especially in the hands is: nr 509 apea exam

90: Which one of the following assesses pain, temperature, and sensation using the distal and proximal areas testing pattern?

91: The part of the brain that maintains homeostasis is the:

92: An example of tandem walking is having the patient:

93: The central nervous system extends from the medulla into the:

94: A patient is unable to identify the smell of an orange. This inability could reflect an abnormality in cranial nerves:

95: When assessing the patient’s sense of position, instruct the patient to first stand with his feet together and eyes open, then instruct him to close both eyes for 30-60 seconds. If he loses his balance with his eyes closed, this is:

96: When evaluating the six cardinal directions of gaze, a loss of conjugate movements is ….when the patient looks to his left. This finding could be consistent with damage to which cranial nerve?

97: Dysarthria refers to:

98: Disorders of speech fall into three groups that affect all of the following except the:

99: Unilateral weakness in cranial nerve V (CN V) would be suggestive of a: nr 509 apea exam

100: The most common cause of viral encephalitis in children is:

101: The principal muscles ….when closing the mouth are …..by which Cranial nerve?

102: Intention tremors appear with movement and:

103: 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?

104: Sudden, brief, rapid jerks, involving the trunk or limbs may be consistent with:  nr 509 apea exam

105: A patient experiences difficulty rising from a sitting position without arm support. This would be suggestive of:

106: Common physical findings in a young child with cerebral palsy include which one of the following?

107: A teenager is being ….for possible acute marijuana usage and appears intoxicated. Findings consistent with marijuana intoxication could include:

108: When eliciting deep tendon reflexes in the triceps, the nurse practitioner notes an abnormal reflex in the right triceps. This abnormality is probably consistent with a pathological lesion in which segmented level of the spine?

109: The central nervous system extends from the medulla into the: nr 509 apea exam

110: Which nerve runs from the spine through the neck, the axilla, and into the arm?nr 509 apea exam neurology

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