NUR 6111 Exam 3 – Questions With Appropriate
Solutions
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?
Correct Answer - Cerebellum
During an assessment of the cranial nerves, the nurse finds the
following: asymmetry when the patient smiles or frowns, uneven
lifting of the eyebrows, sagging go the lower eyelids, and escape of
air when the nurse presses against right puffed cheek. This would be
dysfunction of which of the cranial nerves? Correct Answer -
Motor Component of VII
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? Correct Answer - Mild, even
resistance to movement
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?
Correct Answer - Dysfunction of the cerebellum
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? Correct Answer - Peripheral
neuropathy
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? Correct Answer - Plantar reflex present
During the assessment of an 80-year-old patient, the NP notices that
his hands show tremors when he reaches for something and his
head is always nodding. There is no associated rigidity with
movement. Which of these statements is most accurate? Correct
Answer - These are normal findings resulting from aging.
Of the following, which cranial nerves are only of motor type, not
sensory? Correct Answer - CN I, II, VIII
During an assessment of a 62-year-old man, the NP notices the
patient has a stopped posture,
shuffling walk with short steps, flat facial expression, and pill-rolling
movements. These
findings would be consistent with: Correct Answer -
Parkinsonism
A 59-year-old patient has a herniated intervertebral disk in the L3
area. Which of the following should the NP expect to see on physical
exam while doing DTR? Correct Answer - Hyporeflexia
During a physical examination, the NP notices severe nystagmus in
both eyes of a patient. Which of these conclusions by the NP is
correct? Correct Answer - This may indicate disease of the
cerebellum or brainstem.
Solutions
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?
Correct Answer - Cerebellum
During an assessment of the cranial nerves, the nurse finds the
following: asymmetry when the patient smiles or frowns, uneven
lifting of the eyebrows, sagging go the lower eyelids, and escape of
air when the nurse presses against right puffed cheek. This would be
dysfunction of which of the cranial nerves? Correct Answer -
Motor Component of VII
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? Correct Answer - Mild, even
resistance to movement
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?
Correct Answer - Dysfunction of the cerebellum
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? Correct Answer - Peripheral
neuropathy
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? Correct Answer - Plantar reflex present
During the assessment of an 80-year-old patient, the NP notices that
his hands show tremors when he reaches for something and his
head is always nodding. There is no associated rigidity with
movement. Which of these statements is most accurate? Correct
Answer - These are normal findings resulting from aging.
Of the following, which cranial nerves are only of motor type, not
sensory? Correct Answer - CN I, II, VIII
During an assessment of a 62-year-old man, the NP notices the
patient has a stopped posture,
shuffling walk with short steps, flat facial expression, and pill-rolling
movements. These
findings would be consistent with: Correct Answer -
Parkinsonism
A 59-year-old patient has a herniated intervertebral disk in the L3
area. Which of the following should the NP expect to see on physical
exam while doing DTR? Correct Answer - Hyporeflexia
During a physical examination, the NP notices severe nystagmus in
both eyes of a patient. Which of these conclusions by the NP is
correct? Correct Answer - This may indicate disease of the
cerebellum or brainstem.
