NURS 612 Maryville Exam 4 MC
Questions and Correct Answers
A patients inability to follow simple instructions could indicate with of the following findings?
A. Dysphonia
B. Amnesia
C. Aphasia
D. Depression - correct answers:D. Depression
A patient scores a 3 on a mini-cog assessment instrument for dementia, What does this score indicate?
A. Advanced dementia
B. Early dementia
C. Need for further evaluation
D. Negative screen for dementia - correct answers:D. Negative screen for dementia
The examiner asks the patient to complete this statement: "A bird is to air as a fish is to _________." This
is an example of what type of testing?
A Calculation
B Analogies
C Judgment
D Mood and feelings - correct answers:B. Analogies
Assume that the patients response to the examiner in question 3 is scales. What does this response likely
reflect?
A. Left cerebral hemisphere lesion
B. Depression
C. eating disorder
D. Aphasia - correct answers:A. Left cerebral hemisphere lesion
,Which type of assessment should be used to evaluate the mental status of a patient with head trauma?
A. PHQ
B. Perceptual distortion assessment
C. Glasgow Coma Scale
D. Functional Assessment - correct answers:C. Glasgow Coma Scale
Which of the following indicates possible cognitive impairment?
A. ability to complete personal care without assistance
B. Suspiciousness or inappropriate affect
C. Articulate communication
D. Prudent behavior and calm demeanor - correct answers:B. Suspiciousness or inappropriate affect
A 65-year old woman is brought to the clinic by family. They report thieve have noticed a change in her
mental abilities over the past 2 weeks. Normally they say she is independent, intelligent and very socially
oriented. Medical history is unremarkable except for congestive heart failure, for which she takes
digoxin. She has had no major changes in her health. What questions would be most important for the
examiner to ask the woman's family?
A. Is there a family hx of Alzheimers?
B. How much alcohol does she drink in an average week?
C. When was her digoxin level last checked?
D. Did you know that the mental function begins to decline after the age of 60 ? - correct answers:C.
When was her digoxin level last checked?
A patient who has difficulty writing or drawing is most likely to have what condition?
A. Temporal lobe damage
B. Peripheral neuropathy
C. Organic brain syndrome
D. Psyciatric hallucinations - correct answers:B. Peripheral Neuropathy
, A mother brings her 18 month old to the clinic. The child rarely talks or smiles or makes eye contact. She
has also notice he does not like to be held. She says his motor development seems to be normal. What
are these symptoms consistent with?
A. Dementia
B. Autistic disorder
C. ADHD
D. Delirium - correct answers:B. Autistic disorder
A patient with Alzheimers disease classically displays which of the following?
A. alternating periods of mania and stupor
B. Hallucinations and decorticate posturing
C. Disintegration of personality
D. Rapid onset of symptoms - correct answers:C. Disintegration of personality
While examining a newborn male infant, the examiner palpates a testicle in the inguinal canal that
cannot be pushed into the scrotum. this finding is consistent with what?
A. A retractile testi
B. Ambiguous genitalia
C. Inguinal hernia
D. undescended testicle - correct answers:D. Undescended testicle
Genital self examination should be taught to patients who are at risk for?
A. testicular cancer
B. Peyronie disease
C. STD
D. prostate enlargement - correct answers:C. STD
On exam of a patients scrotum you note the it is unusually thickened and it pits. What is one type of
problem suggested by these findings?
A. STD
Questions and Correct Answers
A patients inability to follow simple instructions could indicate with of the following findings?
A. Dysphonia
B. Amnesia
C. Aphasia
D. Depression - correct answers:D. Depression
A patient scores a 3 on a mini-cog assessment instrument for dementia, What does this score indicate?
A. Advanced dementia
B. Early dementia
C. Need for further evaluation
D. Negative screen for dementia - correct answers:D. Negative screen for dementia
The examiner asks the patient to complete this statement: "A bird is to air as a fish is to _________." This
is an example of what type of testing?
A Calculation
B Analogies
C Judgment
D Mood and feelings - correct answers:B. Analogies
Assume that the patients response to the examiner in question 3 is scales. What does this response likely
reflect?
A. Left cerebral hemisphere lesion
B. Depression
C. eating disorder
D. Aphasia - correct answers:A. Left cerebral hemisphere lesion
,Which type of assessment should be used to evaluate the mental status of a patient with head trauma?
A. PHQ
B. Perceptual distortion assessment
C. Glasgow Coma Scale
D. Functional Assessment - correct answers:C. Glasgow Coma Scale
Which of the following indicates possible cognitive impairment?
A. ability to complete personal care without assistance
B. Suspiciousness or inappropriate affect
C. Articulate communication
D. Prudent behavior and calm demeanor - correct answers:B. Suspiciousness or inappropriate affect
A 65-year old woman is brought to the clinic by family. They report thieve have noticed a change in her
mental abilities over the past 2 weeks. Normally they say she is independent, intelligent and very socially
oriented. Medical history is unremarkable except for congestive heart failure, for which she takes
digoxin. She has had no major changes in her health. What questions would be most important for the
examiner to ask the woman's family?
A. Is there a family hx of Alzheimers?
B. How much alcohol does she drink in an average week?
C. When was her digoxin level last checked?
D. Did you know that the mental function begins to decline after the age of 60 ? - correct answers:C.
When was her digoxin level last checked?
A patient who has difficulty writing or drawing is most likely to have what condition?
A. Temporal lobe damage
B. Peripheral neuropathy
C. Organic brain syndrome
D. Psyciatric hallucinations - correct answers:B. Peripheral Neuropathy
, A mother brings her 18 month old to the clinic. The child rarely talks or smiles or makes eye contact. She
has also notice he does not like to be held. She says his motor development seems to be normal. What
are these symptoms consistent with?
A. Dementia
B. Autistic disorder
C. ADHD
D. Delirium - correct answers:B. Autistic disorder
A patient with Alzheimers disease classically displays which of the following?
A. alternating periods of mania and stupor
B. Hallucinations and decorticate posturing
C. Disintegration of personality
D. Rapid onset of symptoms - correct answers:C. Disintegration of personality
While examining a newborn male infant, the examiner palpates a testicle in the inguinal canal that
cannot be pushed into the scrotum. this finding is consistent with what?
A. A retractile testi
B. Ambiguous genitalia
C. Inguinal hernia
D. undescended testicle - correct answers:D. Undescended testicle
Genital self examination should be taught to patients who are at risk for?
A. testicular cancer
B. Peyronie disease
C. STD
D. prostate enlargement - correct answers:C. STD
On exam of a patients scrotum you note the it is unusually thickened and it pits. What is one type of
problem suggested by these findings?
A. STD
