NUR 621 MODULE 6 COMPLETE EXAM 2026/2027 ADVANCED
PRACTICE NURSING COMPREHENSIVE REVIEW 220 QUESTIONS
& VERIFIED ANSWERS WITH DETAILED RATIONALES NEUROLOGY
• EENT • ETHICS • HEALTHCARE FINANCE • PHARMACOLOGY
UTICA COLLEGE • A+ GRADED COMPLETE EXAM PREPARATION
GUIDE FOR MODULE 6
Section 1: Neurology – Headaches, Seizures, & TBI
Q1. A 40-year-old woman is struck in the head and loses consciousness briefly. She later
experiences confusion and headache but no abnormalities are found on imaging. What
classification best describes her injury?
A) Contusion
B) Concussion
C) Penetrating brain injury
D) Diffuse axonal injury
Correct Answer: B) Concussion
,Rationale: A concussion is a mild traumatic brain injury (TBI) characterized by brief loss of
consciousness, post-traumatic confusion, headache, and normal neuroimaging findings. Unlike
a contusion, there is no visible bruising on imaging.
Q2. A 60-year-old male with Parkinson's disease is admitted for evaluation of progressive
difficulty initiating movements and episodes of freezing. Which neurotransmitter deficit
underlies the motor symptoms of Parkinson's disease?
A) Acetylcholine in the spinal cord
B) Dopamine in the basal ganglia
C) Serotonin in the brainstem
D) GABA in the motor cortex
Correct Answer: B) Dopamine in the basal ganglia
Rationale: Parkinson's disease is caused by degeneration of dopaminergic neurons in the
substantia nigra pars compacta (part of the basal ganglia), leading to dopamine deficiency in
the striatum. This disrupts normal motor control and produces symptoms like bradykinesia,
rigidity, and resting tremor.
,Q3. A 30-year-old female experiences focal seizures with impaired awareness, during which
she smacks her lips and exhibits repetitive hand movements. Postictally, she is confused.
What is the most likely localization of seizure onset?
A) Frontal lobe
B) Parietal lobe
C) Temporal lobe
D) Occipital lobe
Correct Answer: C) Temporal lobe
Rationale: This patient is exhibiting features of temporal lobe epilepsy, the most common type
of focal epilepsy. Automatisms such as lip smacking and repetitive hand movements, combined
with postictal confusion, strongly suggest seizure onset in the temporal lobe.
Q4. A patient complains of unilateral progressive hearing loss and frequent headaches. What
is the most likely diagnosis?
A) Acoustic neuroma
, B) Meniere's disease
C) Presbycusis
D) Conductive hearing loss
Correct Answer: A) Acoustic neuroma
Rationale: Acoustic neuroma (vestibular schwannoma) is a benign tumor of the
vestibulocochlear nerve (CN VIII). It typically presents with unilateral, progressive hearing loss
and can cause headaches due to mass effect.
Q5. Which of the following are causes of sensorineural hearing loss? (Select all that apply)
A) Cerumen impaction
B) Presbycusis
C) Acoustic neuroma
D) Otosclerosis
E) Aminoglycoside-induced hearing loss
F) Congenital abnormalities
PRACTICE NURSING COMPREHENSIVE REVIEW 220 QUESTIONS
& VERIFIED ANSWERS WITH DETAILED RATIONALES NEUROLOGY
• EENT • ETHICS • HEALTHCARE FINANCE • PHARMACOLOGY
UTICA COLLEGE • A+ GRADED COMPLETE EXAM PREPARATION
GUIDE FOR MODULE 6
Section 1: Neurology – Headaches, Seizures, & TBI
Q1. A 40-year-old woman is struck in the head and loses consciousness briefly. She later
experiences confusion and headache but no abnormalities are found on imaging. What
classification best describes her injury?
A) Contusion
B) Concussion
C) Penetrating brain injury
D) Diffuse axonal injury
Correct Answer: B) Concussion
,Rationale: A concussion is a mild traumatic brain injury (TBI) characterized by brief loss of
consciousness, post-traumatic confusion, headache, and normal neuroimaging findings. Unlike
a contusion, there is no visible bruising on imaging.
Q2. A 60-year-old male with Parkinson's disease is admitted for evaluation of progressive
difficulty initiating movements and episodes of freezing. Which neurotransmitter deficit
underlies the motor symptoms of Parkinson's disease?
A) Acetylcholine in the spinal cord
B) Dopamine in the basal ganglia
C) Serotonin in the brainstem
D) GABA in the motor cortex
Correct Answer: B) Dopamine in the basal ganglia
Rationale: Parkinson's disease is caused by degeneration of dopaminergic neurons in the
substantia nigra pars compacta (part of the basal ganglia), leading to dopamine deficiency in
the striatum. This disrupts normal motor control and produces symptoms like bradykinesia,
rigidity, and resting tremor.
,Q3. A 30-year-old female experiences focal seizures with impaired awareness, during which
she smacks her lips and exhibits repetitive hand movements. Postictally, she is confused.
What is the most likely localization of seizure onset?
A) Frontal lobe
B) Parietal lobe
C) Temporal lobe
D) Occipital lobe
Correct Answer: C) Temporal lobe
Rationale: This patient is exhibiting features of temporal lobe epilepsy, the most common type
of focal epilepsy. Automatisms such as lip smacking and repetitive hand movements, combined
with postictal confusion, strongly suggest seizure onset in the temporal lobe.
Q4. A patient complains of unilateral progressive hearing loss and frequent headaches. What
is the most likely diagnosis?
A) Acoustic neuroma
, B) Meniere's disease
C) Presbycusis
D) Conductive hearing loss
Correct Answer: A) Acoustic neuroma
Rationale: Acoustic neuroma (vestibular schwannoma) is a benign tumor of the
vestibulocochlear nerve (CN VIII). It typically presents with unilateral, progressive hearing loss
and can cause headaches due to mass effect.
Q5. Which of the following are causes of sensorineural hearing loss? (Select all that apply)
A) Cerumen impaction
B) Presbycusis
C) Acoustic neuroma
D) Otosclerosis
E) Aminoglycoside-induced hearing loss
F) Congenital abnormalities
