NURS 7470 Exam 3 Practice ( 140 Questions with all verified answers) Latest solution
Which cranial nerve is not routinely tested unless a problem is suspected?
a. I
b. II
c. V
d. XI - correct answera. I
The patient is able to touch each finger to his thumb in rapid sequence. What does this finding mean? The patient has:
a. Intact trochlear and abducens cranial nerves
b. Appropriate cerebellar fx
c. An intact spinal accessory nerve
d. Appropriate kinesthetic sensation - correct answerb. Appropriate cerebellar fx
A patient makes the following statement: I sometimes feels as if the whole room is spinning. What type of neurologic dysfunction should the examiner suspect?
a. Peripheral neuropathy dysfunction
b. Increased intracranial pressure from a brain tumor
c. Inner ear dysfunction affecting the acoustic nerve
d. Lesion affecting the frontal lobe - correct answerc. Inner ear dysfunction affecting the acoustic nerve
The examiner asks the patient to close her eyes then places a vibrating tuning fork of the patient's ankle and asks her to indicate what is felt. What is being assessed?
a. Peripheral nerve sensory function
b. Cranial nerve sensory fx
c. Primary sensory fx
d. Level of consciousness - correct answera. Peripheral nerve sensory function
An older patient tells the examiner, I have a hard time finding the right words when I am talking this symptom may be
a. A precursor to a seizure disorder
b. An early sx of Parkinson disease
c. An indication of a dysfunction of the temporal lobe
d. Associated with a problem of the vestibular apparatus - correct answerc. An indication of a dysfunction of the temporal lobe
What response should occur when a patient's field of gaze moves from a distant object to one close to his or her fact?
a. Rapid eye movement
b. Ptosis of the eye
c. Constriction of the pupil
d. Dilation of the iris - correct answerc. Constriction of the pupil
A patient demonstrates impaired pain sensation. Which additional test is appropriate to further evaluate this finding NURS 7470 Exam 3 Practice ( 140 Questions with all verified answers) Latest solution
a. Heat and cold sensation
b. Ultrasonic perception
c. Deep tendon reflex
d. Transillumination of the involved area - correct answera. Heat and cold sensation
The examiner squeezes the patient's biceps muscle as part of an exam. Which of the following responses verbalized by the patient is considered normal?
a. That makes my arm tingle
b. That makes a burning sensation go up my arm
c. That is uncomfortable
d. My arm is twitching - correct answerc. That is uncomfortable
Which of the following findings is associated with an increased risk for skin breakdown and injury?
a. Inability to feel pressure applied by a monofilament
b. Inability to identify a familiar object by touch
c. Inability to identify a letter drawn in the palm of the hand
d. 3+ deep tendon reflexes - correct answera. Inability to feel pressure applied by a monofilament
Which question asked by the examiner may help determine prevention strategies for seizures that a patient has been experiencing?
a. Where do your seizures typically begin
b. How do you feel after the seizure
c. What goes thru your mind during the seizure
d. Are there any factors or activities that seem to start the seizures? - correct answerd. Are there any factors or activities that seem to start the seizures?
Jack is a 52-year old obese man with a 40 year pack smoking history and he has a history of poorly controlled diabetes. Which of the following assessment findings would likely be present given Jack's history?
a. Slow and uncoordinated movement with finger-nose test
b. Asymmetry of the face when asked to smile and puff out his cheeks
c. Instability to discern superficial touch or two-point discrimination on the legs
d. Reduced muscle tone on the left side of face - correct answerc. Instability to discern superficial touch or two-point discrimination on the legs
During the neurological assessment, you determine the patellar deep tendon reflex is 3+. Which statement best describes this finding?
a. diminished; low normal
b. very brisk, hyperactive with clonus
c. average; normal
d. brisker than average, not necessarily indicative of disease - correct answerd. brisker than average, not necessarily indicative of disease NURS 7470 Exam 3 Practice ( 140 Questions with all verified answers) Latest solution
How can an examiner best gain the cooperation of a child to perform a neurologic exam?
a. Ask a parent to perform the exam while the examiner observes the response
b. Ask the mother or father to step out of the room
c. Promise the child a toy or treat if they do what you ask
d. Create a game from various aspects of the neuro exam - correct answerd. Create a game from various aspects of the neuro exam
Sensory neurologic testing is not usually done with children until they are:
a. Preschool age
b. Kindergarten age
c. Middle school age
d. High school age - correct answerb. Kindergarten age
When testing the plantar reflex of a 10 year old male, you note a dorsiflexion and extension of the great toe and fanning of the other toes. This finding is:
a. indication the boy is left side dominant
b. normal
c. indicative of muscle spasms
d. indication of disease of the pyramidal tract - correct answerd. indication of disease of the pyramidal tract
When testing the brachioradialis reflex, what is the expected response?
a. pronation of the forearm and flexion of the elbow
b. flexion of the hand
c. flexion and supination of the forearm
d. extension of the forearm/elbow - correct answerc. flexion and supination of the forearm
Which of the following findings should an examiner consider a normal finding if associated with pregnancy?
a. decreased gag reflex
b. mild seizures
c. change in balance
d. 4+ deep tendon reflexes - correct answerc. change in balance
The musculoskeletal examination should begin when:
a. when joint mobility is assessed
b. the patient enters the examination room after obtaining Ht and Wt
c. the remainder of the physical examination is completed
d. during the collection of subjective data - correct answerb. the patient enters the examination room after obtaining Ht and Wt
Which assessment technique/test is used to assess the integrity of the anterior cruciate ligament?
Which cranial nerve is not routinely tested unless a problem is suspected?
a. I
b. II
c. V
d. XI - correct answera. I
The patient is able to touch each finger to his thumb in rapid sequence. What does this finding mean? The patient has:
a. Intact trochlear and abducens cranial nerves
b. Appropriate cerebellar fx
c. An intact spinal accessory nerve
d. Appropriate kinesthetic sensation - correct answerb. Appropriate cerebellar fx
A patient makes the following statement: I sometimes feels as if the whole room is spinning. What type of neurologic dysfunction should the examiner suspect?
a. Peripheral neuropathy dysfunction
b. Increased intracranial pressure from a brain tumor
c. Inner ear dysfunction affecting the acoustic nerve
d. Lesion affecting the frontal lobe - correct answerc. Inner ear dysfunction affecting the acoustic nerve
The examiner asks the patient to close her eyes then places a vibrating tuning fork of the patient's ankle and asks her to indicate what is felt. What is being assessed?
a. Peripheral nerve sensory function
b. Cranial nerve sensory fx
c. Primary sensory fx
d. Level of consciousness - correct answera. Peripheral nerve sensory function
An older patient tells the examiner, I have a hard time finding the right words when I am talking this symptom may be
a. A precursor to a seizure disorder
b. An early sx of Parkinson disease
c. An indication of a dysfunction of the temporal lobe
d. Associated with a problem of the vestibular apparatus - correct answerc. An indication of a dysfunction of the temporal lobe
What response should occur when a patient's field of gaze moves from a distant object to one close to his or her fact?
a. Rapid eye movement
b. Ptosis of the eye
c. Constriction of the pupil
d. Dilation of the iris - correct answerc. Constriction of the pupil
A patient demonstrates impaired pain sensation. Which additional test is appropriate to further evaluate this finding NURS 7470 Exam 3 Practice ( 140 Questions with all verified answers) Latest solution
a. Heat and cold sensation
b. Ultrasonic perception
c. Deep tendon reflex
d. Transillumination of the involved area - correct answera. Heat and cold sensation
The examiner squeezes the patient's biceps muscle as part of an exam. Which of the following responses verbalized by the patient is considered normal?
a. That makes my arm tingle
b. That makes a burning sensation go up my arm
c. That is uncomfortable
d. My arm is twitching - correct answerc. That is uncomfortable
Which of the following findings is associated with an increased risk for skin breakdown and injury?
a. Inability to feel pressure applied by a monofilament
b. Inability to identify a familiar object by touch
c. Inability to identify a letter drawn in the palm of the hand
d. 3+ deep tendon reflexes - correct answera. Inability to feel pressure applied by a monofilament
Which question asked by the examiner may help determine prevention strategies for seizures that a patient has been experiencing?
a. Where do your seizures typically begin
b. How do you feel after the seizure
c. What goes thru your mind during the seizure
d. Are there any factors or activities that seem to start the seizures? - correct answerd. Are there any factors or activities that seem to start the seizures?
Jack is a 52-year old obese man with a 40 year pack smoking history and he has a history of poorly controlled diabetes. Which of the following assessment findings would likely be present given Jack's history?
a. Slow and uncoordinated movement with finger-nose test
b. Asymmetry of the face when asked to smile and puff out his cheeks
c. Instability to discern superficial touch or two-point discrimination on the legs
d. Reduced muscle tone on the left side of face - correct answerc. Instability to discern superficial touch or two-point discrimination on the legs
During the neurological assessment, you determine the patellar deep tendon reflex is 3+. Which statement best describes this finding?
a. diminished; low normal
b. very brisk, hyperactive with clonus
c. average; normal
d. brisker than average, not necessarily indicative of disease - correct answerd. brisker than average, not necessarily indicative of disease NURS 7470 Exam 3 Practice ( 140 Questions with all verified answers) Latest solution
How can an examiner best gain the cooperation of a child to perform a neurologic exam?
a. Ask a parent to perform the exam while the examiner observes the response
b. Ask the mother or father to step out of the room
c. Promise the child a toy or treat if they do what you ask
d. Create a game from various aspects of the neuro exam - correct answerd. Create a game from various aspects of the neuro exam
Sensory neurologic testing is not usually done with children until they are:
a. Preschool age
b. Kindergarten age
c. Middle school age
d. High school age - correct answerb. Kindergarten age
When testing the plantar reflex of a 10 year old male, you note a dorsiflexion and extension of the great toe and fanning of the other toes. This finding is:
a. indication the boy is left side dominant
b. normal
c. indicative of muscle spasms
d. indication of disease of the pyramidal tract - correct answerd. indication of disease of the pyramidal tract
When testing the brachioradialis reflex, what is the expected response?
a. pronation of the forearm and flexion of the elbow
b. flexion of the hand
c. flexion and supination of the forearm
d. extension of the forearm/elbow - correct answerc. flexion and supination of the forearm
Which of the following findings should an examiner consider a normal finding if associated with pregnancy?
a. decreased gag reflex
b. mild seizures
c. change in balance
d. 4+ deep tendon reflexes - correct answerc. change in balance
The musculoskeletal examination should begin when:
a. when joint mobility is assessed
b. the patient enters the examination room after obtaining Ht and Wt
c. the remainder of the physical examination is completed
d. during the collection of subjective data - correct answerb. the patient enters the examination room after obtaining Ht and Wt
Which assessment technique/test is used to assess the integrity of the anterior cruciate ligament?
