NEURO SYSTEM NP CERTIFICATION, FITZGERALD 4TH ED. |2025-
2026 LATEST UPDATED | ACTUAL EXAM QUESTIONS WITH
SOLUTIONS | 100% RATED CORRECT | 100% VERFIED SOLTIONS |
ALREADY GRADED A+
b. III - (ANSWER)You perform an extraocular movement test on a middle- aged
pt. He is unable to move his eyes upward and inward. this indicates a possibility of
paralysis of CN:
a. II
b. III
c. V
d. VI
c. V - (ANSWER)loss of corneal reflex is in part seen in dysfunction of CN:
a. III
b. IV
c. V
d. VI
,b. II - (ANSWER)assessing vision and vision fields involves testing CN:
a. I
b. II
c. III
d. IV
c. VII - (ANSWER)you examine a 29 y/o female who has a sudden onset of rt-
sided facial asymmetry. She is unable to close her rt eyelid tightly, frown, or smile
on the affected side. Her exam is otherwise unremarkable. This presentation likely
represents paralysis of CN:
a. III
b. IV
c.VII
d. VIII
,b. Lyme disease antibody titer - (ANSWER)you examine a 29 y/o female who has
a sudden onset of rt-sided facial asymmetry. She is unable to close her rt eyelid
tightly, frown, or smile on the affected side. Her exam is otherwise unremarkable.
Which represents the most appropriate diagnostic test for this patient?
a. complete blood cell count with WBC differential
b. Lyme disease antibody titer
c. computed tomography (CT) scan of the head with contrast medium
d. blood urea nitrogen and creatinine levels
b. should be initiated as soon as possible after the onset of facial paralysis -
(ANSWER)in prescribing Prednisone for a pt with Bell's palsy, the NP considers
that its use:
a. has not been shown to be helpful in improving outcomes in this condition
b. should be initiated as soon as possible after the onset of facial paralysis
c. is likely to help minimize ocular sxs
d. may prolong the course of the disease
, c. cluster headache - (ANSWER)a 40 y/o male presents with a 5 wk hx of recurrent
headaches that awaken him during the night. The pain is severe, lasts about 1 hr,
and is located behind his left eye. Additional sxs include lacrimation and nasal
discharge. His PE is WNL. This clinical presentation is most consistent with:
a. migraine without aura
b. migraine with aura
c. cluster headache
d. increased intracranial pressure
c. migraine with aura - (ANSWER)a 22 y/o female presents with a 3 yr hx of
recurrent, unilateral, pulsating headaches with vomiting and photophobia. The
headaches, which generally last 3 hrs, can be aborted by resting in a dark room.
She can usually tell that she is going to get a headache. She explains, "I see little
squiggles before my eyes for about 15 min". This presentation is most consistent
with:
a. tension-type headache
b. migraine without aura
c. migraine with aura
2026 LATEST UPDATED | ACTUAL EXAM QUESTIONS WITH
SOLUTIONS | 100% RATED CORRECT | 100% VERFIED SOLTIONS |
ALREADY GRADED A+
b. III - (ANSWER)You perform an extraocular movement test on a middle- aged
pt. He is unable to move his eyes upward and inward. this indicates a possibility of
paralysis of CN:
a. II
b. III
c. V
d. VI
c. V - (ANSWER)loss of corneal reflex is in part seen in dysfunction of CN:
a. III
b. IV
c. V
d. VI
,b. II - (ANSWER)assessing vision and vision fields involves testing CN:
a. I
b. II
c. III
d. IV
c. VII - (ANSWER)you examine a 29 y/o female who has a sudden onset of rt-
sided facial asymmetry. She is unable to close her rt eyelid tightly, frown, or smile
on the affected side. Her exam is otherwise unremarkable. This presentation likely
represents paralysis of CN:
a. III
b. IV
c.VII
d. VIII
,b. Lyme disease antibody titer - (ANSWER)you examine a 29 y/o female who has
a sudden onset of rt-sided facial asymmetry. She is unable to close her rt eyelid
tightly, frown, or smile on the affected side. Her exam is otherwise unremarkable.
Which represents the most appropriate diagnostic test for this patient?
a. complete blood cell count with WBC differential
b. Lyme disease antibody titer
c. computed tomography (CT) scan of the head with contrast medium
d. blood urea nitrogen and creatinine levels
b. should be initiated as soon as possible after the onset of facial paralysis -
(ANSWER)in prescribing Prednisone for a pt with Bell's palsy, the NP considers
that its use:
a. has not been shown to be helpful in improving outcomes in this condition
b. should be initiated as soon as possible after the onset of facial paralysis
c. is likely to help minimize ocular sxs
d. may prolong the course of the disease
, c. cluster headache - (ANSWER)a 40 y/o male presents with a 5 wk hx of recurrent
headaches that awaken him during the night. The pain is severe, lasts about 1 hr,
and is located behind his left eye. Additional sxs include lacrimation and nasal
discharge. His PE is WNL. This clinical presentation is most consistent with:
a. migraine without aura
b. migraine with aura
c. cluster headache
d. increased intracranial pressure
c. migraine with aura - (ANSWER)a 22 y/o female presents with a 3 yr hx of
recurrent, unilateral, pulsating headaches with vomiting and photophobia. The
headaches, which generally last 3 hrs, can be aborted by resting in a dark room.
She can usually tell that she is going to get a headache. She explains, "I see little
squiggles before my eyes for about 15 min". This presentation is most consistent
with:
a. tension-type headache
b. migraine without aura
c. migraine with aura
