Maryville NURS 612 Final Exam
Questions and Answers 100% Pass
Which of the Following disorders is known to be heredity?
Peripheral neuropathy
Meningitis
Huntington Chorea
Seizure disorder - ✔✔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? -
✔✔Primary sensory function
Multiple sclerosis - ✔✔Fatigue, bowel and bladder dysfunction, sexual dysfunction,
sensory changes, muscle weakness
Myasthenia gravis - ✔✔An autoimmune disorder of neuromuscular junction involved
with muscle activation.
Whisper Test - ✔✔CN V111 acoustic
Katelyn Whitman, All Rights Reserved © 2025 1
,Patient sticks out tongue and moves it from side to side - ✔✔CN X11 Hypoglossal
Taste test with sugar, salt, and lemon - ✔✔CN V11 and CN 1X Facial and
glossopharyngeal
Patient puffs out cheeks and shows teeth - ✔✔CN V11 facial
Patient shrugs shoulders against examiner's hands - ✔✔CN X1 Spinal accessary
Smell test with coffee, orange and cloves - ✔✔CN 1 Olfactory
Eyes constrict and dilate in response to light - ✔✔CN 111 oculomotor
patient clinches teeth (temporal muscles contracted) - ✔✔CN V Trigeminal
positive Babinski sign be considered a normal finding in what ages? - ✔✔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? - ✔✔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? - ✔✔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
Katelyn Whitman, All Rights Reserved © 2025 2
, 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? - ✔✔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? - ✔✔Thoracic
Which change is most commonly observed in aging patients? - ✔✔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? - ✔✔Testing for ballottement is a test to detect
fluid in the joint
Which assessment finding is associated with lumbar stenosis? - ✔✔Pain associated with
prolonged standing
Katelyn Whitman, All Rights Reserved © 2025 3
Questions and Answers 100% Pass
Which of the Following disorders is known to be heredity?
Peripheral neuropathy
Meningitis
Huntington Chorea
Seizure disorder - ✔✔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? -
✔✔Primary sensory function
Multiple sclerosis - ✔✔Fatigue, bowel and bladder dysfunction, sexual dysfunction,
sensory changes, muscle weakness
Myasthenia gravis - ✔✔An autoimmune disorder of neuromuscular junction involved
with muscle activation.
Whisper Test - ✔✔CN V111 acoustic
Katelyn Whitman, All Rights Reserved © 2025 1
,Patient sticks out tongue and moves it from side to side - ✔✔CN X11 Hypoglossal
Taste test with sugar, salt, and lemon - ✔✔CN V11 and CN 1X Facial and
glossopharyngeal
Patient puffs out cheeks and shows teeth - ✔✔CN V11 facial
Patient shrugs shoulders against examiner's hands - ✔✔CN X1 Spinal accessary
Smell test with coffee, orange and cloves - ✔✔CN 1 Olfactory
Eyes constrict and dilate in response to light - ✔✔CN 111 oculomotor
patient clinches teeth (temporal muscles contracted) - ✔✔CN V Trigeminal
positive Babinski sign be considered a normal finding in what ages? - ✔✔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? - ✔✔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? - ✔✔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
Katelyn Whitman, All Rights Reserved © 2025 2
, 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? - ✔✔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? - ✔✔Thoracic
Which change is most commonly observed in aging patients? - ✔✔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? - ✔✔Testing for ballottement is a test to detect
fluid in the joint
Which assessment finding is associated with lumbar stenosis? - ✔✔Pain associated with
prolonged standing
Katelyn Whitman, All Rights Reserved © 2025 3
