Answers Rated A+ New Update Assured Satisfaction -
William Paterson University of New Jersey
1. A 30-year-old woman tells the NP that she had been very unsteady and
has had difficulties maintaining her balance. Which area of the brain would
the NP be concerned about with these findings?
a.Thalamus
b.Brainstem
c.Cerebellum
d.Extrapyramidal
tract
· Cerebellum
2. During an assessment of the cranial nerves, the NP finds the following:
asymmetry when the patient frowns or smiles, uneven lifting of the
eyebrow, sagging of the lower eyelid, and escape of the air when the NP
presses against the right puffed checks. This would indicate dysfunction of
the which of these cranial nerves?
Motor component of cranial
nerve VII Motor component of
cranial nerve IV
Motor and sensory component of cranial nerve XI
Motor component of cranial nerve X and sensory component of cranial nerve VII
· Motor component of cranial nerve VII
3. During a neurological assessment of a “healthy” 35-year-old patient, the
,NP asks him to relax his muscles completely. The NP then moves each
extremity through full range of motion. Which of these results would the
NP expect to find?
Firm, rigid resistance to
movement Mild, even resistance
to movement
Hypotonic muscles as a result of total
relaxation Pain with some direction of
movement
· Mild even resistance to movement
,4. The NP is conducting an assessment on a 29-year-old woman who visits
the clinic complaining of “always dropping things and falling down.” While
testing rapid alternating movements, the NP notices that the woman is
unable to pat both her knees. Her response is very slow, and she misses
frequently. What should the NP suspects?
Dysfunction of the cerebellum
Vestibular disease
Lesion of cranial nerve IX
Inability to understand
directions
· Dysfunction of the cerebellum
5. The NP is performing a neurological assessment of on a 41-year-old
woman with a history of diabetes. When testing her ability to feel the
vibrations of a tuning fork, the NP notices that the patient is unable to feel
vibration on the great toe or ankle bilaterally, but she is able to feel
vibrations on both patellae. Given this information, what would the NP
suspect?
Hyperalgesia
Hyperesthesia
Peripheral
neuropathy Lesion
of sensory cortex
· Peripheral neuropathy
6. The NP is testing superficial reflexes on an adult patient. When stroking
up the lateral side of the sole and across the ball of the foot, the NP
notices the planter flexion of the toes. How should the NP document this
finding?
, Positive Babinski
sign Plantar reflex
abnormal
Plantar reflex “2+” on a scale from
0 to 4 Plantar reflex is normal
· Plantar reflex present