NUR631 Exam 3 Question and Answer [2026] |
UPDATED ACTUAL Exam | Complete Exam Prep
• Susanne is a 27 year old who has had headaches, muscle aches, and fatigue for
the last 2 months. You have completed a thorough history, examination, and
laboratory workup but have not found a cause. What would your next action be?
A) A referral to a neurologist
B) A referral to a rheumatologist
C) To tell the patient you can't find anything
D) To screen for depression -✓✓ D) To screen for depression
• You ask a patient to draw a clock. He fills in all the numbers on the right half of
the circle. What do you suspect?
A) Hemianopsia
B) Fatigue
C) Oppositional defiant disorder
D) Depression -✓✓ A) Hemianopsia
• A young woman comes to you with a cut on her finger caused by the lid of a can
she was opening. She is pacing about the room, crying loudly, and through her
sobs she says, "My career as a pianist is finished!" Which personality type exhibits
these features?
A) Narcissistic
B) Paranoid
C) Histrionic
D) Avoidant -✓✓ C) Histrionic
,• Adam is a very successful 15-year-old student and athlete. His mother brings him
in today because he no longer studies, works out, or sees his friends. This has gone
on for a month and a half. When you speak with him alone in the room, he states it
"would be better if he were not here." What would you do next?
A) Tell him that he has a very promising career in anything he chooses and soon he
will feel better.
B) Tell him that he needs an antidepressant and it will take about 4 weeks to work.
C) Speak with his mother about getting him together more with his friends.
D) Assess his suicide risk. -✓✓ D) Assess his suicide risk.
• A 29-year-old woman comes to your office. As you take the history, you notice
that she is speaking very quickly, and jumping from topic to topic so rapidly that
you have trouble following her. You are able to find some connections between
ideas, but it is difficult. Which word describes this thought process?
A) Derailment
B) Flight of ideas
C) Circumstantiality
D) Incoherence -✓✓ B) Flight of ideas
• In obtaining a history, you note that a patient uses the word "largely" repeatedly,
to the point of being a distraction to your task. Which word best describes this
speech pattern?
A) Clanging
B) Echolalia
C) Confabulation
D) Perseveration -✓✓ D) Perseveration
, • A 28-year-old book editor comes to your clinic, complaining of strange episodes.
He states that about once a week for the last 3 months his left hand and arm will
stiffen and then start jerking. He says that after a few seconds his whole left arm
and then his left leg will also start to jerk. He denies any loss of consciousness or
loss of bowel or bladder control. When the symptoms resolve, his arm and leg feel
tired but otherwise he feels fine. His past medical history is significant for a cyst in
his brain that was removed 6 months ago. He is married and has two children. His
parents are both healthy. On examination you see a scar over the right side of his
head but otherwise his neurologic examination is unremarkable.
What type of seizure disorder is he most likely to have?
A) Generalized tonic-clonic seizure
B) Generalized absence seizure
C) Simple partial seizure (Jacksonian)
D) Complex partial seizure -✓✓ C) Simple partial seizure (Jacksonian)
• A 7-year-old child is brought to your clinic by her mother. The mother states that
her daughter is doing poorly in school because she has some kind of "ADD"
(attention deficit disorder). You ask the mother what makes her think the child has
ADD. The mother tells you that both at home and at school her daughter will just
zone out for several seconds and lick her lips. She states it happens at least four to
six times an hour. She says this has been happening for about a year. After several
seconds of lip-licking her daughter seems normal again. She states her daughter
has been generally healthy with just normal childhood colds and ear infections.
The patient's parents are both healthy and no other family members have had these
symptoms.
What type of seizure disorder is she most likely to have?
A) Generalized tonic-clonic seizure
B) Generalized absence seizure
C) Simple partial seizure (Jacksonian)
D) Complex partial se -✓✓ B) Generalized absence seizure
UPDATED ACTUAL Exam | Complete Exam Prep
• Susanne is a 27 year old who has had headaches, muscle aches, and fatigue for
the last 2 months. You have completed a thorough history, examination, and
laboratory workup but have not found a cause. What would your next action be?
A) A referral to a neurologist
B) A referral to a rheumatologist
C) To tell the patient you can't find anything
D) To screen for depression -✓✓ D) To screen for depression
• You ask a patient to draw a clock. He fills in all the numbers on the right half of
the circle. What do you suspect?
A) Hemianopsia
B) Fatigue
C) Oppositional defiant disorder
D) Depression -✓✓ A) Hemianopsia
• A young woman comes to you with a cut on her finger caused by the lid of a can
she was opening. She is pacing about the room, crying loudly, and through her
sobs she says, "My career as a pianist is finished!" Which personality type exhibits
these features?
A) Narcissistic
B) Paranoid
C) Histrionic
D) Avoidant -✓✓ C) Histrionic
,• Adam is a very successful 15-year-old student and athlete. His mother brings him
in today because he no longer studies, works out, or sees his friends. This has gone
on for a month and a half. When you speak with him alone in the room, he states it
"would be better if he were not here." What would you do next?
A) Tell him that he has a very promising career in anything he chooses and soon he
will feel better.
B) Tell him that he needs an antidepressant and it will take about 4 weeks to work.
C) Speak with his mother about getting him together more with his friends.
D) Assess his suicide risk. -✓✓ D) Assess his suicide risk.
• A 29-year-old woman comes to your office. As you take the history, you notice
that she is speaking very quickly, and jumping from topic to topic so rapidly that
you have trouble following her. You are able to find some connections between
ideas, but it is difficult. Which word describes this thought process?
A) Derailment
B) Flight of ideas
C) Circumstantiality
D) Incoherence -✓✓ B) Flight of ideas
• In obtaining a history, you note that a patient uses the word "largely" repeatedly,
to the point of being a distraction to your task. Which word best describes this
speech pattern?
A) Clanging
B) Echolalia
C) Confabulation
D) Perseveration -✓✓ D) Perseveration
, • A 28-year-old book editor comes to your clinic, complaining of strange episodes.
He states that about once a week for the last 3 months his left hand and arm will
stiffen and then start jerking. He says that after a few seconds his whole left arm
and then his left leg will also start to jerk. He denies any loss of consciousness or
loss of bowel or bladder control. When the symptoms resolve, his arm and leg feel
tired but otherwise he feels fine. His past medical history is significant for a cyst in
his brain that was removed 6 months ago. He is married and has two children. His
parents are both healthy. On examination you see a scar over the right side of his
head but otherwise his neurologic examination is unremarkable.
What type of seizure disorder is he most likely to have?
A) Generalized tonic-clonic seizure
B) Generalized absence seizure
C) Simple partial seizure (Jacksonian)
D) Complex partial seizure -✓✓ C) Simple partial seizure (Jacksonian)
• A 7-year-old child is brought to your clinic by her mother. The mother states that
her daughter is doing poorly in school because she has some kind of "ADD"
(attention deficit disorder). You ask the mother what makes her think the child has
ADD. The mother tells you that both at home and at school her daughter will just
zone out for several seconds and lick her lips. She states it happens at least four to
six times an hour. She says this has been happening for about a year. After several
seconds of lip-licking her daughter seems normal again. She states her daughter
has been generally healthy with just normal childhood colds and ear infections.
The patient's parents are both healthy and no other family members have had these
symptoms.
What type of seizure disorder is she most likely to have?
A) Generalized tonic-clonic seizure
B) Generalized absence seizure
C) Simple partial seizure (Jacksonian)
D) Complex partial se -✓✓ B) Generalized absence seizure
