NEURO SYSTEM NP CERTIFICATION,
FITZGERALD 4TH ED.|ACTUAL EXAM
QUESTIONS AND 100% CORRECT AND VERIFIED
ANSWERS |LATEST 2025/2026|GUARANTEED A+
You perform an extraocular movement test on a middle- aged pt. He is unable to
move his eyes upward and inward. This indicates a possibility of paralysis of CN:
A. II
B. III
C. V
D. VI - ANSWER b. III
Loss of corneal reflex is in part seen in dysfunction of CN:
A. III
B. IV
C. V
D. VI - ANSWER c. V
Assessing vision and vision fields involves testing CN:
A. I
B. II
C. III
D. IV - ANSWER b. II
You examine a 29 y/o female who has a sudden onset of rt-sided facial asymmetry.
She is unable to close her rt eyelid tightly, frown, or smile on the affected side. Her
exam is otherwise unremarkable. This presentation likely represents paralysis of CN:
A. III
B. IV
1
,C.VII
D. VIII - ANSWER c. VII
You examine a 29 y/o female who has a sudden onset of rt-sided facial asymmetry.
She is unable to close her rt eyelid tightly, frown, or smile on the affected side. Her
exam is otherwise unremarkable. Which represents the most appropriate diagnostic
test for this patient?
A. Complete blood cell count with WBC differential
B. Lyme disease antibody titer
C. Computed tomography (CT) scan of the head with contrast medium
D. Blood urea nitrogen and creatinine levels - ANSWER b. Lyme disease antibody
titer
In prescribing Prednisone for a pt with Bell's palsy, the NP considers that its use:
A. Has not been shown to be helpful in improving outcomes in this condition
B. Should be initiated as soon as possible after the onset of facial paralysis
C. Is likely to help minimize ocular sxs
D. May prolong the course of the disease - ANSWER b. Should be initiated as
soon as possible after the onset of facial paralysis
A 40 y/o male presents with a 5 wk hx of recurrent headaches that awaken him
during the night. The pain is severe, lasts about 1 hr, and is located behind his left
eye. Additional sxs include lacrimation and nasal discharge. His PE is WNL. This
clinical presentation is most consistent with:
A. Migraine without aura
B. Migraine with aura
C. Cluster headache
D. Increased intracranial pressure - ANSWER c. Cluster headache
2
, A 22 y/o female presents with a 3 yr hx of recurrent, unilateral, pulsating headaches
with vomiting and photophobia. The headaches, which generally last 3 hrs, can be
aborted by resting in a dark room. She can usually tell that she is going to get a
headache. She explains, "I see little squiggles before my eyes for about 15 min". This
presentation is most consistent with:
A. Tension-type headache
B. Migraine without aura
C. Migraine with aura
D. Cluster headache - ANSWER c. Migraine with aura
Indicators that a headache can be the presenting sx of a serious illness and may
require neuroimaging include all of the following EXCEPT:
A. Headaches that occur periodically in clusters
B. Increasing frequency and severity of headaches
C. Headache causing confusion, dizziness, and/or lack of coordination
D. Headache causing awakening from sleep - ANSWER a. Headaches that occur
periodically in clusters
Prophylactic tx for migraine headaches includes the use of:
A. Amitriptyline
B. Ergot derivative
C. Naproxen sodium
D. Clonidine - ANSWER a. Amitriptyline
Among the following beta blockers, which is the least effective in preventing migraine
headache?
A. Acebutolol
B. Metoprolol
C. Atenolol
D. Propranolol - ANSWER a. Acebutolol
3
FITZGERALD 4TH ED.|ACTUAL EXAM
QUESTIONS AND 100% CORRECT AND VERIFIED
ANSWERS |LATEST 2025/2026|GUARANTEED A+
You perform an extraocular movement test on a middle- aged pt. He is unable to
move his eyes upward and inward. This indicates a possibility of paralysis of CN:
A. II
B. III
C. V
D. VI - ANSWER b. III
Loss of corneal reflex is in part seen in dysfunction of CN:
A. III
B. IV
C. V
D. VI - ANSWER c. V
Assessing vision and vision fields involves testing CN:
A. I
B. II
C. III
D. IV - ANSWER b. II
You examine a 29 y/o female who has a sudden onset of rt-sided facial asymmetry.
She is unable to close her rt eyelid tightly, frown, or smile on the affected side. Her
exam is otherwise unremarkable. This presentation likely represents paralysis of CN:
A. III
B. IV
1
,C.VII
D. VIII - ANSWER c. VII
You examine a 29 y/o female who has a sudden onset of rt-sided facial asymmetry.
She is unable to close her rt eyelid tightly, frown, or smile on the affected side. Her
exam is otherwise unremarkable. Which represents the most appropriate diagnostic
test for this patient?
A. Complete blood cell count with WBC differential
B. Lyme disease antibody titer
C. Computed tomography (CT) scan of the head with contrast medium
D. Blood urea nitrogen and creatinine levels - ANSWER b. Lyme disease antibody
titer
In prescribing Prednisone for a pt with Bell's palsy, the NP considers that its use:
A. Has not been shown to be helpful in improving outcomes in this condition
B. Should be initiated as soon as possible after the onset of facial paralysis
C. Is likely to help minimize ocular sxs
D. May prolong the course of the disease - ANSWER b. Should be initiated as
soon as possible after the onset of facial paralysis
A 40 y/o male presents with a 5 wk hx of recurrent headaches that awaken him
during the night. The pain is severe, lasts about 1 hr, and is located behind his left
eye. Additional sxs include lacrimation and nasal discharge. His PE is WNL. This
clinical presentation is most consistent with:
A. Migraine without aura
B. Migraine with aura
C. Cluster headache
D. Increased intracranial pressure - ANSWER c. Cluster headache
2
, A 22 y/o female presents with a 3 yr hx of recurrent, unilateral, pulsating headaches
with vomiting and photophobia. The headaches, which generally last 3 hrs, can be
aborted by resting in a dark room. She can usually tell that she is going to get a
headache. She explains, "I see little squiggles before my eyes for about 15 min". This
presentation is most consistent with:
A. Tension-type headache
B. Migraine without aura
C. Migraine with aura
D. Cluster headache - ANSWER c. Migraine with aura
Indicators that a headache can be the presenting sx of a serious illness and may
require neuroimaging include all of the following EXCEPT:
A. Headaches that occur periodically in clusters
B. Increasing frequency and severity of headaches
C. Headache causing confusion, dizziness, and/or lack of coordination
D. Headache causing awakening from sleep - ANSWER a. Headaches that occur
periodically in clusters
Prophylactic tx for migraine headaches includes the use of:
A. Amitriptyline
B. Ergot derivative
C. Naproxen sodium
D. Clonidine - ANSWER a. Amitriptyline
Among the following beta blockers, which is the least effective in preventing migraine
headache?
A. Acebutolol
B. Metoprolol
C. Atenolol
D. Propranolol - ANSWER a. Acebutolol
3
