Question 1

When using a monofilament to assess sensory function, the nurse:

Accepted Answer

A)   uses two simultaneous monofilaments on similar bilateral points and then compares results.
B)   applies both a monofilament and a pin on similar bilateral points and then compares results.
C)   applies pressure to the monofilament until the filament bends.
D)   strokes the monofilament along the skin from proximal to distal areas.

Question 2

Which one of the following conditions is consistent with Brown-Séquard syndrome?

Accepted Answer

A)   Central sensory loss that is generalized
B)   Motor paralysis on the lesion side of the body
C)   Multiple peripheral neuropathy of the joints
D)   Spinal root paralysis below the umbilicus

Question 3

It is especially important to test for ankle clonus if:

Accepted Answer

A)   deep tendon reflexes are hyperactive.
B)   deep tendon reflexes are hypoactive.
C)   the Romberg sign is positive.
D)   the patient has peripheral neuropathy.

Question 4

Diabetic peripheral neuropathy will likely produce:

Accepted Answer

A)   hyperactive ankle reflexes.
B)   diminished pain sensation.
C)   exaggerated vibratory sense.
D)   hypersensitive temperature perception.

Question 5

When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees. To confirm your suspicions associated with this positive test, you would also perform a test for the __________ sign.

Accepted Answer

A)   Kernig
B)   Babinski
C)   obturator
D)   Brudzinski

Question 6

Normal changes of the aging brain include:

Accepted Answer

A)   increased velocity of nerve conduction.
B)   diminished perception of touch.
C)   increased total number of neurons.
D)   diminished intelligence quotient.

Question 7

Peripheral nerves that arise from the brain rather than the spinal cord are called ___________ nerves.

Accepted Answer

A)   sympathetic
B)   parasympathetic
C)   cranial
D)   autonomic

Question 8

Ipsilateral Horner syndrome indicates a cerebrovascular accident (CVA)  occurring in the:

Accepted Answer

A)   anterior portion of the pons.
B)   internal or middle cerebral artery.
C)   posterior inferior cerebellar artery.
D)   vertebral or basilar arteries.

Question 9

Which of the following is a concern, rather than an expected finding, in older adults?

Accepted Answer

A)   Reduced ability to differentiate colors
B)   Bilateral pill-rolling of the fingers
C)   Absent plantar reflex
D)   Reduction in upward gaze

Question 10

Persons with Parkinson disease have an altered gait characterized by:

Accepted Answer

A)   short shuffling steps.
B)   the trunk in a backward position.
C)   exaggerated swinging of the arms.
D)   lifting the legs in a high-stepping fashion.

Question 11

A neurologic past medical history should include data about:

Accepted Answer

A)   allergies.
B)   circulatory problems.
C)   educational level.
D)   immunizations.

Question 12

At what age should the infant begin to transfer objects from hand to hand?

Accepted Answer

A)   2 months
B)   4 months
C)   7 months
D)   10 months

Question 13

Cranial nerve XII may be assessed in an infant by:

Accepted Answer

A)   watching the infant's facial expressions when crying.
B)   observing the infant suck and swallow.
C)   clapping hands and watching the infant blink.
D)   observing the infant's rooting reflex.

Question 14

The finger to nose test allows assessment of:

Accepted Answer

A)   coordination and fine motor function.
B)   point location.
C)   sensory function.
D)   stereognosis.

Question 15

Visible or palpable extension of the elbow is caused by reflex contraction of which muscle?

Accepted Answer

A)   Achilles
B)   Biceps
C)   Patellar
D)   Triceps

Question 16

The motor cortex of the brain is in the _______________.

Accepted Answer

The frontal lobe contains the ...

Question 17

Which of the following conditions is potentially life-threatening if not treated expeditiously with antibiotics?

Accepted Answer

A)   HIV encephalopathy
B)   Dementia
C)   Parkinson disease
D)   Bacterial meningitis

Question 18

To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?

Accepted Answer

A)   Triceps
B)   Patellar
C)   Biceps
D)   Achilles

Question 19

You are performing a two-point discrimination test as part of a well physical examination. The area with the ability to discern two points in the shortest distance is the:

Accepted Answer

A)   back.
B)   palms.
C)   fingertips.
D)   upper arms.

Question 20

On a scale of 1+ to 4+, which deep tendon reflex score is appropriate for a finding of clonus in a patient?

Accepted Answer

A)   1+
B)   2+
C)   3+
D)   4+

Exam 22: Neurologic System

Diabetic peripheral neuropathy will likely produce:

Correct AnswerverifiedShow Answer

The finger to nose test allows assessment of:

Correct AnswerverifiedShow Answer

On a scale of 1+ to 4+, which deep tendon reflex score is appropriate for a finding of clonus in a patient?

Correct AnswerverifiedShow Answer

You are performing a two-point discrimination test as part of a well physical examination. The area with the ability to discern two points in the shortest distance is the:

Correct AnswerverifiedShow Answer

Cranial nerve XII may be assessed in an infant by:

Correct AnswerverifiedShow Answer

When using a monofilament to assess sensory function, the nurse:

Correct AnswerverifiedShow Answer

Normal changes of the aging brain include:

Correct AnswerverifiedShow Answer

At what age should the infant begin to transfer objects from hand to hand?

Correct AnswerverifiedShow Answer

When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees. To confirm your suspicions associated with this positive test, you would also perform a test for the __________ sign.

Correct AnswerverifiedShow Answer

Ipsilateral Horner syndrome indicates a cerebrovascular accident (CVA) occurring in the:

Correct AnswerverifiedShow Answer

Peripheral nerves that arise from the brain rather than the spinal cord are called ___________ nerves.

Correct AnswerverifiedShow Answer

A neurologic past medical history should include data about:

Correct AnswerverifiedShow Answer

The motor cortex of the brain is in the _______________.

Correct AnswerverifiedThe frontal lobe contains the ...View AnswerShow Answer

It is especially important to test for ankle clonus if:

Correct AnswerverifiedShow Answer

Which of the following is a concern, rather than an expected finding, in older adults?

Correct AnswerverifiedShow Answer

Persons with Parkinson disease have an altered gait characterized by:

Correct AnswerverifiedShow Answer

To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?

Correct AnswerverifiedShow Answer

Visible or palpable extension of the elbow is caused by reflex contraction of which muscle?

Correct AnswerverifiedShow Answer

Which of the following conditions is potentially life-threatening if not treated expeditiously with antibiotics?

Correct AnswerverifiedShow Answer

Which one of the following conditions is consistent with Brown-Séquard syndrome?

Correct AnswerverifiedShow Answer

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The frontal lobe contains the ...
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