NSG6440 TEST SCRIPT
UPDATED ACTUAL Exam Questions and CORRECT Answers
Question 1.
Which of the following is an example of tertiary prevention in a patient with chronic
renal failure?
Correct Answer: A. Fluid restriction ***B. Hemodialysis 4 days a week THINK
"T" AND "T"= TREATMENT
C. High-protein diet
D. Maintenance of blood pressure at 120/80
Question 2.
Which statement about confusion is true?
Correct Answer: A. Confusion is a disease process.
B. Confusion is always temporary.
C. Age is a reliable predictor of confusion. ***D. Polypharmacy is a major
contributor to confusion in older adults
Question 3.
Which of the following indicates a diagnosis of dementia?
Correct Answer: A. Onset after an infection
B. Abrupt onset over a week
C. Difficulty with long-term memory ***D. Hard time finding words
Question 4.
The hallmark of an absence seizure is:
Correct Answer: A. No activity at all ***B. A blank stare
C. Urine is usually voided involuntarily
D. The attack usually lasts several minutes
Question 5.
Over the course of 3 years, a patient has had two MS flares. The patient's primary
complaints during the episodes are bilateral tingling and pain in their legs, depression,
and numbness in their right hand with complete recovery in between occurrences.
Which MS classification fits their disease process?
Correct Answer: A. Clinically isolated syndrome ***B. Relapsing-remitting
C. Primary progressive
D. Secondary progressive
,Question 6.
Which of the following is a risk factor for developing Alzheimer's disease?
Correct Answer: A. Having a master's or doctoral degree
B. Patient is a physician ***C. Patient has Down's syndrome **This said "Family
history of Alzheimers" on my exam, not down's**
D. History of neurological disease
Question 7.
Which drug for Alzheimer's disease should be administered beginning at the time of
diagnosis?
Correct Answer: ***A. Cholinesterase inhibitors
B. Anxiolytics
C. Antidepressants
D. Atypical antipsychotics
Question 8.
The health-care provider is treating a patient who was hit in the head with a frying pan.
Which of the following should the provider suspect?
Correct Answer: A. Intraparenchymal hemorrhage ***B. Subdural hematoma
C. Epidural hematoma
D. Subarachnoid hematoma
Question 9.
Which hematoma occurs along the temporal cranial wall and results from tears in the
middle meningeal artery?
Correct Answer: ***A. Epidural hematoma
B. Subdural hematoma
C. Subarachnoid hematoma
D. Intraparenchymal hemorrhage
Question 10.
Which of the following must be completed prior to administering TPA (tissue
plasminogen activator)?
Correct Answer: A. Full-body MRI
B. Head x-ray ***C. Head CT
D. Head MRI
Question 11.
Which cranial nerve is affected in a patient with a cerebrovascular accident who has
difficulty chewing?
, Correct Answer: ***A. CN V
B. CN VII
C. CN IX
D. CN X
Question 12.
Which of the following has been linked to a delay in treatment for stroke?
Correct Answer: A. Patient has stroke symptoms at work.
B. Patient experiences stroke during the day.
C. Patient lives with a family member. ***D. Patient calls their primary-care
provider (PCP) instead of 911 at sign of stroke
Question 13.
Which patient is more likely to have a cluster headache?
Correct Answer: A. A female in her reproductive years
B. A 40-year-old African American male
C. A 55-year-old female who drinks 10 cups of coffee daily ***D. A 45-year-old
male awakened at night
Question 14.
A patient has been diagnosed with meningitis caused by a Streptococcus pneumoniae
infection. Which of the following treatments would be appropriate?
Correct Answer: ***A. Cefotaxime
B. Isoniazid
C. Acyclovir
D. Amphotericin
Question 15.
Gabby, aged 22, has Bell's palsy on the right side of her face. Her mouth is distorted,
and she is concerned about permanent paralysis and pain. What do you tell her?
Correct Answer: ***A. "Most patients have complete recovery in 3 to 6
months."
B. "Unfortunately, you'll probably have a small amount of residual damage."
C. "Don't worry, I'll take care of everything."
D. "You may have a few more episodes over the course of your lifetime but no
permanent damage."
Question 16.
A patient is presenting with chorea (dance-like movements). Which of the following
diseases might the patient have?
UPDATED ACTUAL Exam Questions and CORRECT Answers
Question 1.
Which of the following is an example of tertiary prevention in a patient with chronic
renal failure?
Correct Answer: A. Fluid restriction ***B. Hemodialysis 4 days a week THINK
"T" AND "T"= TREATMENT
C. High-protein diet
D. Maintenance of blood pressure at 120/80
Question 2.
Which statement about confusion is true?
Correct Answer: A. Confusion is a disease process.
B. Confusion is always temporary.
C. Age is a reliable predictor of confusion. ***D. Polypharmacy is a major
contributor to confusion in older adults
Question 3.
Which of the following indicates a diagnosis of dementia?
Correct Answer: A. Onset after an infection
B. Abrupt onset over a week
C. Difficulty with long-term memory ***D. Hard time finding words
Question 4.
The hallmark of an absence seizure is:
Correct Answer: A. No activity at all ***B. A blank stare
C. Urine is usually voided involuntarily
D. The attack usually lasts several minutes
Question 5.
Over the course of 3 years, a patient has had two MS flares. The patient's primary
complaints during the episodes are bilateral tingling and pain in their legs, depression,
and numbness in their right hand with complete recovery in between occurrences.
Which MS classification fits their disease process?
Correct Answer: A. Clinically isolated syndrome ***B. Relapsing-remitting
C. Primary progressive
D. Secondary progressive
,Question 6.
Which of the following is a risk factor for developing Alzheimer's disease?
Correct Answer: A. Having a master's or doctoral degree
B. Patient is a physician ***C. Patient has Down's syndrome **This said "Family
history of Alzheimers" on my exam, not down's**
D. History of neurological disease
Question 7.
Which drug for Alzheimer's disease should be administered beginning at the time of
diagnosis?
Correct Answer: ***A. Cholinesterase inhibitors
B. Anxiolytics
C. Antidepressants
D. Atypical antipsychotics
Question 8.
The health-care provider is treating a patient who was hit in the head with a frying pan.
Which of the following should the provider suspect?
Correct Answer: A. Intraparenchymal hemorrhage ***B. Subdural hematoma
C. Epidural hematoma
D. Subarachnoid hematoma
Question 9.
Which hematoma occurs along the temporal cranial wall and results from tears in the
middle meningeal artery?
Correct Answer: ***A. Epidural hematoma
B. Subdural hematoma
C. Subarachnoid hematoma
D. Intraparenchymal hemorrhage
Question 10.
Which of the following must be completed prior to administering TPA (tissue
plasminogen activator)?
Correct Answer: A. Full-body MRI
B. Head x-ray ***C. Head CT
D. Head MRI
Question 11.
Which cranial nerve is affected in a patient with a cerebrovascular accident who has
difficulty chewing?
, Correct Answer: ***A. CN V
B. CN VII
C. CN IX
D. CN X
Question 12.
Which of the following has been linked to a delay in treatment for stroke?
Correct Answer: A. Patient has stroke symptoms at work.
B. Patient experiences stroke during the day.
C. Patient lives with a family member. ***D. Patient calls their primary-care
provider (PCP) instead of 911 at sign of stroke
Question 13.
Which patient is more likely to have a cluster headache?
Correct Answer: A. A female in her reproductive years
B. A 40-year-old African American male
C. A 55-year-old female who drinks 10 cups of coffee daily ***D. A 45-year-old
male awakened at night
Question 14.
A patient has been diagnosed with meningitis caused by a Streptococcus pneumoniae
infection. Which of the following treatments would be appropriate?
Correct Answer: ***A. Cefotaxime
B. Isoniazid
C. Acyclovir
D. Amphotericin
Question 15.
Gabby, aged 22, has Bell's palsy on the right side of her face. Her mouth is distorted,
and she is concerned about permanent paralysis and pain. What do you tell her?
Correct Answer: ***A. "Most patients have complete recovery in 3 to 6
months."
B. "Unfortunately, you'll probably have a small amount of residual damage."
C. "Don't worry, I'll take care of everything."
D. "You may have a few more episodes over the course of your lifetime but no
permanent damage."
Question 16.
A patient is presenting with chorea (dance-like movements). Which of the following
diseases might the patient have?
