CHAMBERLAIN COLLEGE OF NURSING NR
509 APEA EXAM NEUROLOGY – QUESTION
AND ANSWERS WITH RATIONALES.
LATEST UPDATE 2026\2027 QUESTIONS
WITH ANSWERS GRADED A+
Question 1:
Sudden, brief, rapid jerks, involving the trunk or limbs may be
consistent with:
a. a myoclonic seizure.
b. an Absent seizure.
c. a myoclonic Atonic seizure.
d. a focal seizure with impairment of consciousness.
RATIONALE:
,A patient experiencing A myoclonic seizure manifests
sudden, brief, rapid jerks, involving the trunk or limbs. A
sudden brief lapse of consciousness with momentary
blinking, staring, or movements of the lips And hands but no
falling is consistent with An Absent seizure. During A
myoclonic Atonic seizure, the patient experiences A sudden
loss of consciousness with falling but no movements. Injury
may occur. Focal seizures with impairment of consciousness
the person Appears confused. Automatisms include
Automatic motor behaviors such As chewing, smacking the
lips, walking About, And unbuttoning clothes.
Question 2:
Which of the following neurological Assessment findings
indicate the need for further evaluation?
a. Lifting one foot And then the other when the infant is
held upright with the feet touching A solid surface
b. Fanning And hyperextension of the toes when the sole is
stroked upward from the heel
, c. Grasping A finger placed in the neonate's palm
d. Weak And ineffective sucking movements
RATIONALE:
Weak And ineffective sucking movements would indicate the
need for further evaluation since Any weak, Absent,
Asymmetrical or fine jumping movements would suggest
neurological system disorders. The other choices represent
common reflexes found in the normal newborn: Babinski,
grasping, And stepping.
Question 3
An example of proximal weakness is:
a. the right shoulder.
b. the right hand.
c. both Arms.
d. on the right side of the face.
RATIONALE:
, There Are 4 different patterns of weakness: Proximal, distal,
symmetric, And Asymmetric. An example of proximal
weakness is weakness in the shoulder or hip girdle. Distal
weakness occurs in the hands or feet. Symmetric weakness
occurs in the same Areas on both sides of the body. An
Asymmetric weakness occurs in A portion of the face or
extremity
- A form of focal weakness.
Question 4
A female patient complains of weakness in her hand when
opening A jar. This finding could be suggestive of which type
of weakness pattern?
a. Proximal
b. Distal
c. Symmetric
d. Asymmetric
509 APEA EXAM NEUROLOGY – QUESTION
AND ANSWERS WITH RATIONALES.
LATEST UPDATE 2026\2027 QUESTIONS
WITH ANSWERS GRADED A+
Question 1:
Sudden, brief, rapid jerks, involving the trunk or limbs may be
consistent with:
a. a myoclonic seizure.
b. an Absent seizure.
c. a myoclonic Atonic seizure.
d. a focal seizure with impairment of consciousness.
RATIONALE:
,A patient experiencing A myoclonic seizure manifests
sudden, brief, rapid jerks, involving the trunk or limbs. A
sudden brief lapse of consciousness with momentary
blinking, staring, or movements of the lips And hands but no
falling is consistent with An Absent seizure. During A
myoclonic Atonic seizure, the patient experiences A sudden
loss of consciousness with falling but no movements. Injury
may occur. Focal seizures with impairment of consciousness
the person Appears confused. Automatisms include
Automatic motor behaviors such As chewing, smacking the
lips, walking About, And unbuttoning clothes.
Question 2:
Which of the following neurological Assessment findings
indicate the need for further evaluation?
a. Lifting one foot And then the other when the infant is
held upright with the feet touching A solid surface
b. Fanning And hyperextension of the toes when the sole is
stroked upward from the heel
, c. Grasping A finger placed in the neonate's palm
d. Weak And ineffective sucking movements
RATIONALE:
Weak And ineffective sucking movements would indicate the
need for further evaluation since Any weak, Absent,
Asymmetrical or fine jumping movements would suggest
neurological system disorders. The other choices represent
common reflexes found in the normal newborn: Babinski,
grasping, And stepping.
Question 3
An example of proximal weakness is:
a. the right shoulder.
b. the right hand.
c. both Arms.
d. on the right side of the face.
RATIONALE:
, There Are 4 different patterns of weakness: Proximal, distal,
symmetric, And Asymmetric. An example of proximal
weakness is weakness in the shoulder or hip girdle. Distal
weakness occurs in the hands or feet. Symmetric weakness
occurs in the same Areas on both sides of the body. An
Asymmetric weakness occurs in A portion of the face or
extremity
- A form of focal weakness.
Question 4
A female patient complains of weakness in her hand when
opening A jar. This finding could be suggestive of which type
of weakness pattern?
a. Proximal
b. Distal
c. Symmetric
d. Asymmetric
