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NSG 620 Exam 3 Questions and Answers
Which of the following drugs used for Parkinsonism mimics
dopamine?
A. Anticholinergics
B. Levodopa (L-dopa)
C. Bromocriptine
D. Tolcapone
Ans: C. Bromocriptine
Lynne, age 72, presents for the first time with her daughter. Her
daughter describes some recent disturbing facts about her mother.
How can you differentiate between depression and dementia?
A. You might be able to pinpoint the onset of dementia, but the
onset of depression is difficult to identify.
B. A depressed person has wide mood swings, whereas a person
with dementia demonstrates apathetic behavior.
C. The person with dementia tries to hide problems concerning his
or her memory, whereas the person with depression complains
about memory.
D. The person with dementia has a poor self-image, whereas the
person with depression does not have a change in self-image.
Ans: C. The person with dementia tries to hide problems concerning his
or her memory, whereas the person with depression complains about
memory.
Mark, age 29, tells you that he has thought about suicide. Which
should you say next?
A. "How long have you felt this way?"
B. "Tell me more about it."
C. "Do you have a plan?"
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D. "Have you told anyone else?"
Ans: C. "Do you have a plan?"
You assess for cogwheel rigidity in Sophia, age 76. What is
cogwheel rigidity a manifestation of?
A. Alzheimer's disease
B. Parkinson's disease
C. Brain attack
D. Degenerative joint disease
Ans: B. Parkinson's disease
During a mental status examination, which question would be the
most helpful to assess remote memory?
A. "How long have you been here?"
B. "What time did you get here today?"
C. "What did you eat for breakfast?"
D. "What was your mother's maiden name?"
Ans: D. "What was your mother's maiden name?"
Urine drug screening tests, often performed in the workplace, are
frequently effective in finding a person who smokes marijuana,
because a urine test will be positive for marijuana for up to how
long after a person stops smoking the drug?
A. 24 hours
B. 1 week
C. 2 weeks
D. 30 days
Ans: D. 30 days
Which of the following gaits in older adults includes brusque
movements of the legs and stamping of the feet?
A. Gait of sensory ataxia
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B. Parkinsonian gait
C. Antalgic gait
D. Cerebellar gait
Ans: A. Gait of sensory ataxia
Don, age 62, calls to complain of a severe headache. Which of his
following statements most concerns you?
A. "It hurts when I turn my head a specific way."
B. "It's the worst headache I've ever had."
C. "Nothing I do seems to help this constant ache."
D. "I'm so worried. Can you do a CT scan?"
Ans: B. "It's the worst headache I've ever had."
The typical perpetrator in a domestic violence situation is one
who:
A. Has a history of being a victim of abuse.
B. Has a criminal record.
C. Is involved in a new relationship.
D. Is on a lower socioeconomic scale.
Ans: A. Has a history of being a victim of abuse.
Clients with senile dementia of the Alzheimer's type often die of:
A. Pneumonia.
B. Suicide.
C. Pressure sores.
D. Malnutrition.
Ans: A. Pneumonia.
Bob, age 49, is complaining of recurrent, intrusive dreams since
returning from his Marine combat training. You suspect:
A. Depersonalization.
B. Schizophrenia.
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C. Post-traumatic stress disorder.
D. Anxiety.
Ans: C. Post-traumatic stress disorder.
Sarah comes into the office with a severe headache, fever,
delirium, nausea, vomiting, and a stiff neck. Which physical
maneuver will you perform to help determine a diagnosis?
A. Kernig's sign
B. Hoover's sign
C. Hoffman's sign
D. Babinski's reflex
Ans: A. Kernig's sign
What is the main overall goal of therapy for the client with
Parkinson's disease?
A. To halt the progression of the disease
B. To keep the client functioning independently as long as possible
C. To control the symptoms of the disease
D. To ease the depression associated with the disease
Ans: B. To keep the client functioning independently as long as possible
What is the most common cause of cerebellar disease?
A. Hypothyroidism
B. Use of drugs such as 5-fluorouracil or phenytoin
C. Cerebellar neoplasm
D. Alcoholism
Ans: D. Alcoholism
Dave, age 76, is brought in by his wife who states that within the
past 2 days, Dave has become agitated and restless, had few lucid
moments, slept very poorly last night, and can remember only
recent events. Of the following differential diagnoses, which seems
the most logical from this brief history?
© 2025 All rights reserved
NSG 620 Exam 3 Questions and Answers
Which of the following drugs used for Parkinsonism mimics
dopamine?
A. Anticholinergics
B. Levodopa (L-dopa)
C. Bromocriptine
D. Tolcapone
Ans: C. Bromocriptine
Lynne, age 72, presents for the first time with her daughter. Her
daughter describes some recent disturbing facts about her mother.
How can you differentiate between depression and dementia?
A. You might be able to pinpoint the onset of dementia, but the
onset of depression is difficult to identify.
B. A depressed person has wide mood swings, whereas a person
with dementia demonstrates apathetic behavior.
C. The person with dementia tries to hide problems concerning his
or her memory, whereas the person with depression complains
about memory.
D. The person with dementia has a poor self-image, whereas the
person with depression does not have a change in self-image.
Ans: C. The person with dementia tries to hide problems concerning his
or her memory, whereas the person with depression complains about
memory.
Mark, age 29, tells you that he has thought about suicide. Which
should you say next?
A. "How long have you felt this way?"
B. "Tell me more about it."
C. "Do you have a plan?"
© 2025 All rights reserved
, 2 | Page
D. "Have you told anyone else?"
Ans: C. "Do you have a plan?"
You assess for cogwheel rigidity in Sophia, age 76. What is
cogwheel rigidity a manifestation of?
A. Alzheimer's disease
B. Parkinson's disease
C. Brain attack
D. Degenerative joint disease
Ans: B. Parkinson's disease
During a mental status examination, which question would be the
most helpful to assess remote memory?
A. "How long have you been here?"
B. "What time did you get here today?"
C. "What did you eat for breakfast?"
D. "What was your mother's maiden name?"
Ans: D. "What was your mother's maiden name?"
Urine drug screening tests, often performed in the workplace, are
frequently effective in finding a person who smokes marijuana,
because a urine test will be positive for marijuana for up to how
long after a person stops smoking the drug?
A. 24 hours
B. 1 week
C. 2 weeks
D. 30 days
Ans: D. 30 days
Which of the following gaits in older adults includes brusque
movements of the legs and stamping of the feet?
A. Gait of sensory ataxia
© 2025 All rights reserved
, 3 | Page
B. Parkinsonian gait
C. Antalgic gait
D. Cerebellar gait
Ans: A. Gait of sensory ataxia
Don, age 62, calls to complain of a severe headache. Which of his
following statements most concerns you?
A. "It hurts when I turn my head a specific way."
B. "It's the worst headache I've ever had."
C. "Nothing I do seems to help this constant ache."
D. "I'm so worried. Can you do a CT scan?"
Ans: B. "It's the worst headache I've ever had."
The typical perpetrator in a domestic violence situation is one
who:
A. Has a history of being a victim of abuse.
B. Has a criminal record.
C. Is involved in a new relationship.
D. Is on a lower socioeconomic scale.
Ans: A. Has a history of being a victim of abuse.
Clients with senile dementia of the Alzheimer's type often die of:
A. Pneumonia.
B. Suicide.
C. Pressure sores.
D. Malnutrition.
Ans: A. Pneumonia.
Bob, age 49, is complaining of recurrent, intrusive dreams since
returning from his Marine combat training. You suspect:
A. Depersonalization.
B. Schizophrenia.
© 2025 All rights reserved
, 4 | Page
C. Post-traumatic stress disorder.
D. Anxiety.
Ans: C. Post-traumatic stress disorder.
Sarah comes into the office with a severe headache, fever,
delirium, nausea, vomiting, and a stiff neck. Which physical
maneuver will you perform to help determine a diagnosis?
A. Kernig's sign
B. Hoover's sign
C. Hoffman's sign
D. Babinski's reflex
Ans: A. Kernig's sign
What is the main overall goal of therapy for the client with
Parkinson's disease?
A. To halt the progression of the disease
B. To keep the client functioning independently as long as possible
C. To control the symptoms of the disease
D. To ease the depression associated with the disease
Ans: B. To keep the client functioning independently as long as possible
What is the most common cause of cerebellar disease?
A. Hypothyroidism
B. Use of drugs such as 5-fluorouracil or phenytoin
C. Cerebellar neoplasm
D. Alcoholism
Ans: D. Alcoholism
Dave, age 76, is brought in by his wife who states that within the
past 2 days, Dave has become agitated and restless, had few lucid
moments, slept very poorly last night, and can remember only
recent events. Of the following differential diagnoses, which seems
the most logical from this brief history?
© 2025 All rights reserved
