Maryville NURS 612 Final Questions With
Complete Solutions
Which of the Following disorders is known to be heredity?
Peripheral neuropathy
Meningitis
Huntington Chorea
Seizure disorder correct answer: Huntington Chorea
The Examiner asks the patient to close her eyes and then place a
vibrating tuning fork on the patients ankle and asks her to
indicate what is felt. What is being assessed? correct answer:
Primary sensory function
Multiple sclerosis correct answer: Fatigue, bowel and bladder
dysfunction, sexual dysfunction, sensory changes, muscle
weakness
Myasthenia gravis correct answer: An autoimmune disorder of
neuromuscular junction involved with muscle activation.
Whisper Test correct answer: CN V111 acoustic
Patient sticks out tongue and moves it from side to side correct
answer: CN X11 Hypoglossal
Taste test with sugar, salt, and lemon correct answer: CN V11
and CN 1X Facial and glossopharyngeal
,Patient puffs out cheeks and shows teeth correct answer: CN
V11 facial
Patient shrugs shoulders against examiner's hands correct
answer: CN X1 Spinal accessary
Smell test with coffee, orange and cloves correct answer: CN 1
Olfactory
Eyes constrict and dilate in response to light correct answer: CN
111 oculomotor
patient clinches teeth (temporal muscles contracted) correct
answer: CN V Trigeminal
positive Babinski sign be considered a normal finding in what
ages? correct answer: 0-24 months
The nurse observes the gait of a client as he enters the room. He
uses short steps, keeps his knees in contact, and walks with
considerable effort. What term is used to describe this gait?
correct answer: Scissors gait
A nurse observes very fine, rapid, continuous twitching of a
patient's finger while at rest. How should the nurse document
this finding? correct answer: Fasciculation
A fasciculation is a fine, rapid twitching that may occur with
some lower motor neuron disease. Paralysis is loss of motor
function. Spasticity is abnormally increased muscle tone. An
, intention tremor is an involuntary contraction of a muscle group
occurring with voluntary movement
Under what conditions should a patient be tested for clonus?
correct answer: When deep tendon reflexes are hyperactive
Clonus, repeated reflex muscle movement, is tested when a
patient has hyperactive reflexes. It is found with diseases of the
upper motor neuron. Nuchal rigidity, neck stiffness, is a sign of
meningeal irritation. Absent reflexes are associated with lower
motor neuron diseases. Decorticate positioning, a state of flexion
with the arms adducted, occurs with hemispheric lesion of the
cerebral cortex.
The abdominal reflexes are tested to assess functioning of the
nerves in which location of the spine? correct answer: Thoracic
Which change is most commonly observed in aging patients?
correct answer: Kyphosis, advanced posterior curvature of the
thoracic spine, occurs commonly with age. Lordosis, scoliosis,
and ankylosis are not as commonly associated with age.
While palpating the patient's knee, the nurse finds effusion in the
joint. What further assessment will support this finding? correct
answer: Testing for ballottement is a test to detect fluid in the
joint
Which assessment finding is associated with lumbar stenosis?
correct answer: Pain associated with prolonged standing
Lumbar stenosis, narrowing of the spinal canal, causes pain
associated with prolonged standing. Pain is improved by
bending forward.
Complete Solutions
Which of the Following disorders is known to be heredity?
Peripheral neuropathy
Meningitis
Huntington Chorea
Seizure disorder correct answer: Huntington Chorea
The Examiner asks the patient to close her eyes and then place a
vibrating tuning fork on the patients ankle and asks her to
indicate what is felt. What is being assessed? correct answer:
Primary sensory function
Multiple sclerosis correct answer: Fatigue, bowel and bladder
dysfunction, sexual dysfunction, sensory changes, muscle
weakness
Myasthenia gravis correct answer: An autoimmune disorder of
neuromuscular junction involved with muscle activation.
Whisper Test correct answer: CN V111 acoustic
Patient sticks out tongue and moves it from side to side correct
answer: CN X11 Hypoglossal
Taste test with sugar, salt, and lemon correct answer: CN V11
and CN 1X Facial and glossopharyngeal
,Patient puffs out cheeks and shows teeth correct answer: CN
V11 facial
Patient shrugs shoulders against examiner's hands correct
answer: CN X1 Spinal accessary
Smell test with coffee, orange and cloves correct answer: CN 1
Olfactory
Eyes constrict and dilate in response to light correct answer: CN
111 oculomotor
patient clinches teeth (temporal muscles contracted) correct
answer: CN V Trigeminal
positive Babinski sign be considered a normal finding in what
ages? correct answer: 0-24 months
The nurse observes the gait of a client as he enters the room. He
uses short steps, keeps his knees in contact, and walks with
considerable effort. What term is used to describe this gait?
correct answer: Scissors gait
A nurse observes very fine, rapid, continuous twitching of a
patient's finger while at rest. How should the nurse document
this finding? correct answer: Fasciculation
A fasciculation is a fine, rapid twitching that may occur with
some lower motor neuron disease. Paralysis is loss of motor
function. Spasticity is abnormally increased muscle tone. An
, intention tremor is an involuntary contraction of a muscle group
occurring with voluntary movement
Under what conditions should a patient be tested for clonus?
correct answer: When deep tendon reflexes are hyperactive
Clonus, repeated reflex muscle movement, is tested when a
patient has hyperactive reflexes. It is found with diseases of the
upper motor neuron. Nuchal rigidity, neck stiffness, is a sign of
meningeal irritation. Absent reflexes are associated with lower
motor neuron diseases. Decorticate positioning, a state of flexion
with the arms adducted, occurs with hemispheric lesion of the
cerebral cortex.
The abdominal reflexes are tested to assess functioning of the
nerves in which location of the spine? correct answer: Thoracic
Which change is most commonly observed in aging patients?
correct answer: Kyphosis, advanced posterior curvature of the
thoracic spine, occurs commonly with age. Lordosis, scoliosis,
and ankylosis are not as commonly associated with age.
While palpating the patient's knee, the nurse finds effusion in the
joint. What further assessment will support this finding? correct
answer: Testing for ballottement is a test to detect fluid in the
joint
Which assessment finding is associated with lumbar stenosis?
correct answer: Pain associated with prolonged standing
Lumbar stenosis, narrowing of the spinal canal, causes pain
associated with prolonged standing. Pain is improved by
bending forward.
