Neuro Test 2 NPTE Practice 67 Questions with Verified
Answers
A young adult who is comatose (GCS 3) is transferred to a long-term care facility
for custodial care. On initial evaluation the PT determines the patient is
demonstrating decerebrate posturing. Which limb or body position is indicative of
this?
1. the UE's in flexion and LE's in extension
2. extreme hyperextension of the neck and spine with both LE's flexed and heels
touching buttocks
3. all four limbs in extension
4. all four limbs in flexion - CORRECT ANSWER 3. All 4 limbs in extension
A patient with TBI exhibits strong spasticity in both LE's (limbs held rigid in
extension). Using the Modified Ashworth Scale, the PT gives this response which
of the following grades?
1. 1+
2. 2
3. 3
4. 4 - CORRECT ANSWER 4. 4
A teenager is admitted to a skilled nursing facility with a severe TBI and marked
spasticity. Cognitive function is documented at Rancho Los Amigos Levels of
Cognitive Functioning Scale level IV. Family members visit On a daily basis. In this
situation, it would be BEST if passive range of motion (PROM) exercises are
implemented in which way?
1. Taught to family members in order for them to participate in the care of the
patient.
2. Performed only by the physical therapist since the patient is unable to follow
verbal commands.
3. Performed only by the physical therapist (PI) or physical therapist assistant
(PTA) to minimize the possibility of pathological fractures.
,4. Taught to all registered nurses (RNs) who might participate in the care for the
patient. - CORRECT ANSWER 1. Taught to family members in order for them to
participate in the care of the patient.
A PT wishes to use behavior modification techniques as a part of pain of care to
help shape the behavioral responses of a patient recovering from traumatic brain
injury (TBI). What intervention is the Best to use?
1. Use frequent reinforcements for all desired behaviors.
2. Encourage the staff to tell the patient which behaviors are correct and which
are not.
3. Reprimand the patient every time an undesirable behavior occurs.
4. Allow the patient enough time for self-correction of the behavior. - CORRECT
ANSWER 1. Use frequent reinforcements for all desired behaviors.
Upper extremity function in a patient with TBI is examined using finger to nose
testing. Movements are irregular and not easily reversed. As speed of increased
movement become more disorganized. What are these findings indicative of?
1. Brainstem dysfunction.
2. Lower motor neuron weakness.
3. Cerebellar dysfunction.
4. Upper motor neuron weakness. - CORRECT ANSWER 3. Cerebellar dysfunction.
A patient recovering from TBI demonstrates impaired cognitive function (ranchos
Los Amigos Level VII). What training strategy should be the therapists focus?
1. Provide assistance as needed using guided movements during training.
2. Provide a high degree of environmental structure to ensure conTect
performance.
3. Involve the patient in decision-making and monitor for safety.
4. Provide maximum supervision as needed to ensure successful performance and
safetv. - CORRECT ANSWER 3. Involve the patient in decision-making and monitor
for safety.
The therapist is instructing a patient with TBI how to lock the brakes on a
wheelchair. The patient is right handed, and the right upper extremity is more
, affected than the left. What is the best motor learning strategy to use with this
patient?
1. have the patient practice brake locking using the left hand to assist the right
2. guide the patients right hand through the losing motions, then the left.
3. verbally talk the patient through the locking motions, practicing with both
hands simultaneously.
4. have the patient practice locking the brakes first with the left hand and then
with the right. - CORRECT ANSWER 4. have the patient practice locking the brakes
first with the left hand and then with the right.
A patient recovering from TBI is unable to bring the right foot up on the step
during stair climbing straining. What is the best choice to promote independent
stair climbing for this patient?
1. practice marching in place
2. strengthen the hip flexors using an isokinetic training device before attempting
stair climbing
3. passively bring the foot up and place it on the 7 inch step
4. Practice stair climbing inside the parallel bars using a 3 inch step - CORRECT
ANSWER 4. Practice stair climbing inside the parallel bars using a 3 inch step
A patient recovering from TBI is functioning at level IV on the RLA levels of
cognitive functioning scale (LOCF). During the PT's initial examination, the patient
becomes agitated and tries to bite the PT. What is the PT's Best course of action?
1. postpone the examination for 1 week then try again
2. restructure the formal examination so the PT can complete it in three very
short sessions
3. document the behaviors and engage in a calming activity
4. postpone the examination until later in the day when the patient calms down -
CORRECT ANSWER 3. document the behaviors and engage in a calming activity
After a traumatic brain injury, a patient presents with significant difficulties in
learning how to use a wheel-chair. Memory for new learning is present but
limited (Rancho Los Amigos Levels of Cognitive Functioning, level VII). The patient
is wheelchair dependent and needs to learn how to transfer from the wheelchair
Answers
A young adult who is comatose (GCS 3) is transferred to a long-term care facility
for custodial care. On initial evaluation the PT determines the patient is
demonstrating decerebrate posturing. Which limb or body position is indicative of
this?
1. the UE's in flexion and LE's in extension
2. extreme hyperextension of the neck and spine with both LE's flexed and heels
touching buttocks
3. all four limbs in extension
4. all four limbs in flexion - CORRECT ANSWER 3. All 4 limbs in extension
A patient with TBI exhibits strong spasticity in both LE's (limbs held rigid in
extension). Using the Modified Ashworth Scale, the PT gives this response which
of the following grades?
1. 1+
2. 2
3. 3
4. 4 - CORRECT ANSWER 4. 4
A teenager is admitted to a skilled nursing facility with a severe TBI and marked
spasticity. Cognitive function is documented at Rancho Los Amigos Levels of
Cognitive Functioning Scale level IV. Family members visit On a daily basis. In this
situation, it would be BEST if passive range of motion (PROM) exercises are
implemented in which way?
1. Taught to family members in order for them to participate in the care of the
patient.
2. Performed only by the physical therapist since the patient is unable to follow
verbal commands.
3. Performed only by the physical therapist (PI) or physical therapist assistant
(PTA) to minimize the possibility of pathological fractures.
,4. Taught to all registered nurses (RNs) who might participate in the care for the
patient. - CORRECT ANSWER 1. Taught to family members in order for them to
participate in the care of the patient.
A PT wishes to use behavior modification techniques as a part of pain of care to
help shape the behavioral responses of a patient recovering from traumatic brain
injury (TBI). What intervention is the Best to use?
1. Use frequent reinforcements for all desired behaviors.
2. Encourage the staff to tell the patient which behaviors are correct and which
are not.
3. Reprimand the patient every time an undesirable behavior occurs.
4. Allow the patient enough time for self-correction of the behavior. - CORRECT
ANSWER 1. Use frequent reinforcements for all desired behaviors.
Upper extremity function in a patient with TBI is examined using finger to nose
testing. Movements are irregular and not easily reversed. As speed of increased
movement become more disorganized. What are these findings indicative of?
1. Brainstem dysfunction.
2. Lower motor neuron weakness.
3. Cerebellar dysfunction.
4. Upper motor neuron weakness. - CORRECT ANSWER 3. Cerebellar dysfunction.
A patient recovering from TBI demonstrates impaired cognitive function (ranchos
Los Amigos Level VII). What training strategy should be the therapists focus?
1. Provide assistance as needed using guided movements during training.
2. Provide a high degree of environmental structure to ensure conTect
performance.
3. Involve the patient in decision-making and monitor for safety.
4. Provide maximum supervision as needed to ensure successful performance and
safetv. - CORRECT ANSWER 3. Involve the patient in decision-making and monitor
for safety.
The therapist is instructing a patient with TBI how to lock the brakes on a
wheelchair. The patient is right handed, and the right upper extremity is more
, affected than the left. What is the best motor learning strategy to use with this
patient?
1. have the patient practice brake locking using the left hand to assist the right
2. guide the patients right hand through the losing motions, then the left.
3. verbally talk the patient through the locking motions, practicing with both
hands simultaneously.
4. have the patient practice locking the brakes first with the left hand and then
with the right. - CORRECT ANSWER 4. have the patient practice locking the brakes
first with the left hand and then with the right.
A patient recovering from TBI is unable to bring the right foot up on the step
during stair climbing straining. What is the best choice to promote independent
stair climbing for this patient?
1. practice marching in place
2. strengthen the hip flexors using an isokinetic training device before attempting
stair climbing
3. passively bring the foot up and place it on the 7 inch step
4. Practice stair climbing inside the parallel bars using a 3 inch step - CORRECT
ANSWER 4. Practice stair climbing inside the parallel bars using a 3 inch step
A patient recovering from TBI is functioning at level IV on the RLA levels of
cognitive functioning scale (LOCF). During the PT's initial examination, the patient
becomes agitated and tries to bite the PT. What is the PT's Best course of action?
1. postpone the examination for 1 week then try again
2. restructure the formal examination so the PT can complete it in three very
short sessions
3. document the behaviors and engage in a calming activity
4. postpone the examination until later in the day when the patient calms down -
CORRECT ANSWER 3. document the behaviors and engage in a calming activity
After a traumatic brain injury, a patient presents with significant difficulties in
learning how to use a wheel-chair. Memory for new learning is present but
limited (Rancho Los Amigos Levels of Cognitive Functioning, level VII). The patient
is wheelchair dependent and needs to learn how to transfer from the wheelchair
