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NURS 623 Exam 4 | 2025/2026 | 120+ Verified Q&A | Neuro, MSK, Stroke, Dementia, Parkinson’s | Maryville University | Advanced Practice Nursing

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This A+ graded document contains over 120 clinically relevant exam questions and answers for NURS 623 Exam 4 from Maryville University, updated for the 2025/2026 academic year. It serves as a focused review of neurological and musculoskeletal disorders, specifically designed for advanced practice nursing students enrolled in MSN, NP, or DNP programs. Core topics covered include: Neurological disorders: Alzheimer’s disease, delirium vs. dementia, Parkinson’s disease, Bell’s Palsy, Trigeminal Neuralgia, Multiple Sclerosis, Guillain-Barre Syndrome Stroke recognition & complications, including FAST exam, subarachnoid hemorrhage, and absence seizures Headache types and differentials: migraine, cluster, tension, temporal arteritis Musculoskeletal conditions: osteoporosis, osteoarthritis, herniated discs, sciatica, radiculopathy, meniscal injuries, carpal tunnel syndrome, De Quervain’s, medial epicondylitis Mobility and fall risk in elderly patients, including gait assessment, red flag signs in back pain, and fracture risks Gout, arthritis, and systemic inflammation (including polymyalgia rheumatica) Diagnostic tests: DEXA scan, straight leg raise, McMurray, Lachman, Finkelstein, Spurling, neurological imaging Treatment strategies and patient education: NSAIDs, corticosteroids, fall prevention, splinting, physical activity modification, non-pharmacological therapies Ethical and consent practices, especially in elderly populations This guide is best suited for: Nurse Practitioner and MSN/DNP students at Maryville University or similar programs Students preparing for end-of-course assessments, boards (ANCC/AANP), or clinical check-offs Advanced nursing faculty, tutors, or preceptors using real-world question frameworks Any learner requiring a comprehensive neuro-MSK review with a focus on functional application in clinical practice The material provides accurate clinical reasoning, patient education insights, and up-to-date management guidelines, making it ideal for independent study, test prep, or simulation review. Keywords: NURS 623, Maryville University, neurological disorders, Alzheimer’s, Parkinson’s, stroke assessment, Bell’s Palsy, migraine types, musculoskeletal exam, osteoporosis, radiculopathy, dementia vs delirium, DEXA scan, herniated disc, meniscal tear, NP exam prep, advanced practice nursing, falls in elderly, MSK diagnostics, carpal tunnel, cranial nerves

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Maryville NURS 623 Exam 4 2025/2026
Exam Questions and Verified Answers |
Already Graded A+



What is important to note when a patient has traumatic injury - 🧠 ANSWER

✔✔If taking Blood Thinners


Define delirium - 🧠 ANSWER ✔✔Underlying acute cause, abrupt onset,

hours to days, reversible, hallucinations, incoherent speech, confusion


Define Dementia - 🧠 ANSWER ✔✔Various causes, gradual change with

mental status, months to years, progressive to irreversible (speech,

memory, mood, judgment)

An older adult with delirium would present with what type of behaviors? - 🧠

ANSWER ✔✔Agitation and restlessness

,At the onset of alzheimers, what category of medications should be

initiated? - 🧠 ANSWER ✔✔Cholinesterase inhibitors


what factors contribute to a patient being high risk for falls? - 🧠 ANSWER

✔✔History of falls


medications

vision impairment

heart rate/rhythm abnormalities

footwear issues

home environment

gait/mobility issues

poor reflexes

What is the primary reason people have long term effects after a Stroke - 🧠

ANSWER ✔✔living at home and calling PCP instead of 911 leads to

prolonged stroke symptoms and long term effects


S/S of an Absense Seizure - 🧠 ANSWER ✔✔Blank stare (upward rotation

of eye)


Red Flags of back/neck pain - 🧠 ANSWER ✔✔Incontinence

, Fever

Cancers

Unexplained wt loss

Long term steroids

Trauma

IV drug abuse

Intense local pain

No comfy Position


Diagnosing of Alzheimer's - 🧠 ANSWER ✔✔Impaired ability to learn new

info along with a disturbance in language, function, or perception


S/S of Alzheimer's - 🧠 ANSWER ✔✔*C/O memory problems


* ↑ cognitive difficulty

* ↑ slow response to cognitive challenge

*Word-finding difficulty

* ↑ difficulty with simple tasks




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