Question 1:

Sudden, brief, rapid jerks, involving the trunk or limbs may
be consistent with:

a myoclonic seizure.

an absent seizure.

a myoclonic atonic seizure.

afocal seizure with impairment of consciousness.

Question 2:

Which of the following neurological assessment findings
indicate the need for further evaluation?

Lifting one foot and then the other when the infant is held
upright with the feet touching a solid surface

Fanning and hyperextension of the toes when the sole is
stroked upward from the heel

Grasping a finger placed in the neonate’s palm

Weak and ineffective sucking movements

Question 3:

An example of proximal weakness is:

the right shoulder.

the right hand.

both arms. In

on the right side of the face.

Question:

A female patient complains of weakness in her hand when
opening a jar. This finding could be suggestive of which type of weakness
pattern?

ProximalDistal SymmetricAsymmetric

Question:

A patient presents with an altered level of consciousness.
He/she is considered in a stuporous state if he/she:

appears drowsy but opens the eyes, looks at the examiners,
answers the questions, and then falls asleep.arouses from sleep after exposure
to painful stimuli, exhibits slow verbal responses, and easily lapses into an
unresponsive state. remains unarousable with eyes closed. There is
no evident response to inner need or external stimuli.opens the eyes and looks
at the examiner, but responds slowly and is somewhat confused.

Question:

One way to assess cerebellar function would be to have the
patient:

hop on one foot. read out
loud. Inshrug the shoulders.discriminate between light and sharp
pain.

Question:

Hypesthesia refers to:

absence of touch sensation.decreased sensitivity to
touch. increased sensitivity to touch. Inabsence of pain
sensation.

Question:

When conducting a neurologic exam, which one of the
following assessments is not considered part of the mental status assessment?

Level of alertnessCranial Nerve II
(CNII) Appropriateness of responsesOrientation to time

Question:

A mother reports to the nurse practitioner that her teenager
might be taking drugs because earlier today the teenager had a mild seizure and
now has an unstable gait and is beginning to complain of shortness of breath.
These symptoms might be consistent with a possible overdose of:

barbiturates.amphetamines. marijuana.opioids.

Question:

An ischemic stroke is:

a transient episode of neurologic dysfunction by focal
brain, spinal cord, or retinal ischemia, without acute infarction.
Inan infarction of the central nervous system tissue that may be
silent or symptomatic. the abrupt onset of motor or sensory
deficits.focal or asymmetric weaknesses caused by central and peripheral nerve
damage.

Question:

By placing the patient in the supine position, the nurse
practitioner raises the patient’s relaxed and straightened leg while flexing
the leg at the hip, then dorsiflexes the foot. This maneuver is known as:

Kernig’ssign.the straight-leg raise. the plantar
response.the ankle reflex.

Question:

The level of consciousness that refers to the patient that
appears drowsy but can open his eyes, respond to questions, then fall back to
sleep is known as:

obtundation.alertness.lethargy. stupor.

Question:

When assessing coordination of muscle movement, four areas
of the nervous system function in an integrated way. These areas include the
motor, cerebellar, the vestibular, and the sensory systems. Which system coordinates
a steady posture?

Motor systemCerebellar
system VestibularsystemSensory system

Question:

An older adult presenting with signs of undernourishment,
slowed motor performance, and loss of muscle mass or weakness suggests:

depression.frailty. Parkinson’sdisease.Alzheimer’s
disease.

Question:

Postural tremors appear when the affected part is:

atrest.moving voluntarily. Inis actively
maintaining a posture. getting closer to its target.

Question:

A discriminative sensation that describes the ability to
identify an object by feeling it is:

graphesthesia.stereognosis. two point
discrimination.astereognosis. In

Question:

When evaluating a patient for weakness of the upper
extremities, bilateral distal weakness is noted. This finding could be
suggestive of:

alcoholmyopathy.polyneuropathy. myositis.neuromuscular
junction disorders. In

Question:

When observing for thenar atrophy of the hands, a typical
observation is:

furrowing in the spaces between the
metacarpals. thenar eminences appear full.the hypothenar eminences
would appear convex.the spaces between the metacarpals would be slightly
depressed.

Question:

Fasciculations in atrophic muscles suggest:

a lower motor neuron disease. rheumatoid
arthritis. Inperipheral nervous system disease.a central nervous
system disorder.

Question:

The part of the brain that controls most functions in the
body and is responsible for breathing, heart rate, and articulate speech is
the:

cerebrum.brainstem. cerebellum.diencephalon.

Question:

Assessing the neurological status of a child with a
ventriculoperitoneal shunt should include:

use of the Glasgow coma
scale. Kernig’ssign.brudzinski’ssign.Monroe-Kellie
doctrine. In

Question:

What geriatric condition is characterized by normal
alertness but progressive global deterioration of cognition in multiple
domains?

DeliriumCognitiveimpairmentParkinson’sdiseaseAlzheimer’s
disease

Question:

An abnormal or unpleasant sense of touch is termed:

dysarthria.dysesthesia. metatarsalgia.paresthesia.

Question:

When eliciting deep tendon reflexes in the knee, the nurse
practitioner notes an abnormal reflex in the right knee. This abnormality is
probably consistent with a pathological lesion in which segmented level of the
spine?

Cervical 5 and 6Cervical 6 and 7 Lumbar 2, 3, and
4 Sacral 1

Question:

When evaluating a patient for weakness of the upper
extremities, bilateral proximal limb weakness without sensory loss is noted.
This finding could be suggestive of:

alcohol
myopathy. polyneuropathy.myositis.neuromuscular junction disorders.

Question:

The term used to describe involuntary muscle spasms and
twisting of the limbs is:

dystonia. bradykinesia.akinesia.dyskinesia.

Question:

A 40-year-old male presents with complaints of headaches.
History reveals headaches that occurred daily for about 4-6 weeks. He had
relief for 6 months but now they are recurring. These are most likely:

tensionheadaches.cluster
headaches. migraineheadaches.sinus headaches.

Question:

Which of the following symptoms may be associated with a
tumor of the eighth cranial nerve?

Dizziness Inability to close the eyesLoss of the
sense of smellInability to taste sour things

Question:

When trying to determine the level of consciousness in a
patient whose level of consciousness is altered, a comatose patient:

opens the eyes and looks at the examiner, responds slowly,
and is somewhat confused.appears drowsy but opens the eyes, looks at the
examiners, answers the questions, and then falls asleep.arouses from sleep
after exposure to painful stimuli, exhibits slow verbal response, and easily
lapses into an unresponsive state.remains unarousable with eyes
closed.

Question:

A female patient complaints of weakness in both arms when
transferring the wet clothes from the washer and placing them in the dryer.
This finding could be suggestive of which type of weakness pattern?

ProximalDistalSymmetric Asymmetric

Question:

Which developmental area is predominantly affected by lead
poisoning?

NutritionCommunicationCognition Mobility

Question:

A form of aphasia in which the person has word-finding
difficulties for speaking and writing is known as:

Broca’saphasia.anomic
aphasia. Wernicke’saphasia.global aphasia.

Question:

A patient presents with an altered level of consciousness.
He/she is considered in an obtunded state if he/she:

arouses from sleep after exposure to painful stimuli,
exhibits slow verbal responses, and easily lapses into an unresponsive state.appears
drowsy but opens eyes, looks at the examiners, answers the questions, and then
falls asleep.remains unarousable with eyes closed. There is no evident response
to inner need or external stimuli.opens the eyes and looks at the examiner, but
responds slowly and is somewhat confused.

Question:

With the patient lying supine, the nurse practitioner places
her hands behind the patient’s head while flexing his neck forward until his
chin touches his chest. Neck stiffness with resistance to flexion is noted. This
is a positive:

Brudzinski’s sign. InKernig’ssign.nuchal rigidity
sign. Babinski’s sign.

Question:

Which of the following procedures should NOT be performed in
a comatose patient?

Check corneal responseCheck pupillary responseDilate the
pupils Inspect the posterior pharynx

Question:

The term used to describe a distortion of any sense,
especially that of touch, is:

absence of
sensation.weakness.dysesthesia. paresthesia.

Question:

Winging of the scapula can be noted in patients with all of
the following conditions except:

liver disease. injury to the long thoracic
nerve.musculardystrophy.weakness of the serratus anterior muscle.

Question:

Resting tremors refer to those tremors that disappear:

atrest.with voluntary movement. when the affected
part is actively maintaining a posture.when the target gets closer.

Question:

A patient is instructed to stand, close both eyes, and
extend both arms forward with the palms facing upward for 20-30 seconds. If the
forearm drifts downward, this would indicate:

a normal finding.lower motor neuron disease.corticospinal
tract lesion . cerebellum lesion.

Question:

A progressive disorder of the nervous system that affects
movement is known as:

delirium.functionalimpairment.Parkinson’s
disease. Alzheimer’s disease.

Question:

While assessing the trigeminal nerve V (CN V) for sensory
function, the patient reports a pain sensation on the right cheek. This finding
could be consistent with a:

bilateral hemispheric disease. central nervous system
lesions.cranial nerve disorder. brainstem lesion. In

Question:

When assessing the cranial nerves, the nurse practitioner
uses the tongue blade to gently stimulate the back of the throat on each side.
A unilateral absence of the gag reflex is noted. This finding could be
suggestive of a unilateral lesion in which cranial nerve?

Cranial Nerve V (CN V)Cranial Nerve VII (CN VII)Cranial
Nerve IX (CN IX) Cranial Nerve XII (CN XII)

Question:

On examination of the adult patient, symptoms of flexed
posture, tremor, rigidity, and shuffling gait are observed. These findings are
consistent with:

drug induced reaction.functionalimpairment.Parkinson’s
disease. depression.

Question:

Brief, repetitive, stereotyped, coordinated movements
occurring at irregular intervals are consistent with:

facial
tics. dystonicmovements.athetoidmovements.oral-facial dyskinesias.

Question:

A sudden brief lapse of consciousness with momentary
blinking, staring, or movements of the lips and hands but no falling is
consistent with:

a myoclonic seizure.an absent seizure. a
myoclonic atonic seizure.a focal seizure with impairment of consciousness.

Question:

Physical exam of a well two-week-old infant reveals a little
dimple with a small amount of hair just above the sacral area. This could be:

an unusual finding but within normal limits.hirsutism.Arnold
-Chiari malformation. spina bifida occulta.

Question:

Persistent blinking after glabellar tap and difficulty
walking heel-to- toe are common in:

Alzheimer’s disease.MuscularDystrophy.Parkinson’s
disease. Multiple Sclerosis.

Question:

An example of distal weakness is:

the right shoulder. the right hand. both arms.one
the right side of the face.

Question:

A teenager presents with signs of being gleeful, somewhat
drowsy, and unable to focus. On examination , B/P 90/65, pupils constricted,
and speech slurred. These symptoms are consistent with:

opioid intoxication. an amphetamine overdose.an
overdose of benzodiazepines. Inmarijuana usage.

Question:

An 8-month-old with a significant head lag would suggest the
need for:

exercises that strengthen the neck muscles.a follow-up visit
in 2 months.a neurological evaluation. an orthopedic referral.

Question:

Symptoms of a subdural hematoma include:

noticeable bleeding between the dura and the skull on X-ray.
appropriate responses to questions.noticeable bleeding between the dura and the
cerebrum on X-ray. absent retinal hemorrhages.

Question:

Assessment findings in an infant with increased intracranial
pressure would include:

increasedhunger.drowsiness. papilledema.blurred
vision.

Question:

When evaluating the sensory system, testing the posterior
columns tract would include assessing sensations of:

position and vibration. pain and
temperature.deeptouch.discriminative sensations.

Question:

The term used to describe low back pain with nerve pain that
radiates down the leg is:

asterixis.sciatica. dermatome.stereognosis.

Question:

A form of aphasia in which the speech is confluent, slow,
with few words and laborious effort and inflection and articulation are
impaired but words are meaningful, is termed:

Broca’s
aphasia. anomicaphasia.Wernicke’saphasia.global aphasia.

Question:

Symmetric weakness of the distal muscles of the legs
suggests a:

polyneuropathy. myopathy.sensoryneuropathy.cerebellar
disease.

Question:

Symmetric weakness of the proximal muscles of the legs
suggests a:

polyneuropathy.myopathy. sensoryneuropathy.cerebellar
disease.

Question:

Dysarthria refers to:

the inability to produce or understand language.the loss of
voice.an impairment in volume of the voice.a defect in the muscular control of
the speech apparatus.

Question:

Walking on the toes and heels may reveal:

distal muscular weakness in the legs. ataxia.a
cerebellar dysfunction.proximal weakness of the extensors of the hip.

Question:

When upper motor neuron systems are damaged above the
crossover of its tracts in the medulla, motor impairment develops on the
opposite side. This term is:

ipsilateral.contralateral. superficial.intermediate.

Question:

An infant with fetal alcohol syndrome would:

appear calm, happy and cooing in the hospital crib.be
irritable, hyperactive and exhibit a high-pitched cry. perspire,
vomit and have diarrhea.appear shaky, hypoactive, and in respiratory distress.

Question:

Involuntary movements of the body that are slower and more
twisting and writhing than choreiform movements, and have a larger amplitude
are suggestive of:

facialtics.dystonicmovements.athetoid
movements. oral-facial dyskinesias.

Question:

An example of symmetric weakness is:

the right shoulder. the right hand.both arms. one
the right side of the face.

Question:

Anesthesia refers to:

decreased sensitivity to pain.increased sensitivity to
pain.absence of pain sensation. Inabsence of touch
sensation.

Question:

When assessing an elderly patient for delirium, the
recommended instrument with the best supportive data is the:

Delirium Rating Scale (DRS). InConfusion
Assessment Method (CAM). Mini Mental State Examination (MMSE).
Delirium Superimposed on Dementia Algorithm (DSDA).

Question:

An indication that there is a malfunction of a
ventriculoperitoneal (VP) shunt in an older child would be the presence of a:

headache upon awakening. temperature greater than
100.8 degrees Fahrenheit.noticeable increase in activity.bulging fontanels.

Question:

When assessing abdominal cutaneous reflexes, the nurse
practitioner strokes the lower abdomen, the localized twitch is absent. This
finding could be suggestive of a pathologic lesion in which segmented level of
the spine?

Thoracic 8, 9, and 10Thoracic 10, 11, and
12 Lumbar 5 and Sacral 1Sacral 2, 3, and 4

Question:

While assessing the cranial nerves, the nurse practitioner
touches the cornea lightly with a wisp of cotton. This maneuver assesses which
cranial nerve?

Cranial Nerve II (CN II)Cranial Nerve IV (CN IV)Cranial
Nerve V (CN V) Cranial Nerve X (CN X)

Question:

The level of consciousness that refers to the patient that
arouses from sleep only after painful stimuli is known as:

obtundation.alertness.lethargy.stupor.

Question:

When evaluating the sensory system, testing the
spinothalamic tracts would include assessing sensations of:

position and vibration.pain and temperature. deeptouch.discriminative
sensations.

Question:

Hypalgesia refers to:

decreased sensitivity to pain. increased
sensitivity to pain.absence of pain sensation.absence of touch sensation.

Explanation:

Analgesia refers to absence of pain sensation; hypalgesia to
decreased sensitivity to pain; hyperalgesia to increased sensitivity; and
anesthesia to absence of touch sensation.

Question:

Which choice is least likely to be an example of asymmetric
weakness?

The right shoulder The right handBoth arms One
the right side of the face

Question:

When assessing coordination of muscle movement, four areas
of the nervous system function in an integrated way. These areas include the
motor, cerebellar, the vestibular, and the sensory systems. Which system
coordinates head movements?

Motor system InCerebellarsystemVestibular
system Sensory system

Question:

When comparing two sides of the body for symmetric sensation
a symmetrical distal sensory loss would be suggestive of :

a lesion in the opposite cerebral
hemisphere.polyneuropathy. a spinal cord lesion.a peripheral lesion.

Question:

A 80 year old male visits the nurse practitioner for an
annual well exam. History reveals two falls in the prior 12 months and
difficulty with balance. The next step the nurse practitioner should take is:

reassess the patient in 6 months.obtain cognitive and
functional assessment. assess respiratory assessment.assess cardiac
function.

Question:

The principal muscles involved when closing the mouth are
innervated by which Cranial nerve?

Cranial nerve III (CN III)Cranial nerve V (CN
V) Cranial nerve VII (CN VII) InCranial nerve XII (CN
XII)

Question:

The best method of detecting cognitive impairment or mental
retardation at an early age is by:

performing neuropsychological testing of
intelligence.administration of an IQ test of cognitive abilities.radiographic
evaluation of the brain and brainstem.assessment of the achievement of
developmental milestones.

Question:

When trying to determine the level of consciousness in a
patient whose level of consciousness is altered, a lethargic patient:

opens the eyes and looks at the examiner, responds slowly,
and is somewhat confused. Inappears drowsy but opens the eyes, looks
at the examiners, answers the questions, and then falls
asleep. arouses from sleep after exposure to painful stimuli,
exhibits slow verbal responses, and easily lapses into an unresponsive
state.remains unarousable with eyes closed.

Question:

When eliciting deep tendon reflexes in the ankle, the nurse
practitioner notes an abnormal reflex in the right ankle. This abnormality is
probably consistent with a pathological lesion in which segmented level of the
spine?

Cervical 5 and 6Cervical 6 and 7 Lumbar 2, 3, and
4 InSacral 1

Question:

The term used to describe the absence or loss of control of
voluntary muscle movements is:

dystonia.bradykinesia.akinesia. dyskinesia.

Question:

With the adult patient lying supine, the nurse practitioner
strokes the lateral aspect of the sole from the heel to the ball of the foot
with the end of an applicator stick. Dorsiflexion of the big toe was noted.
This is a positive:

Brudzinski’ssign.Kernig’ssign.nuchal rigidity
sign.Babinski’s sign.

Question:

The part of the peripheral nervous system that regulates
muscle movement and response to the sensations of pain and touch is the:

autonomic nervous system.somatic nervous
system. sympathetic nervous system.parasympathetic nervous system.

Question:

The part of the brain that coordinates all movement and
helps maintain the body upright in space is the:

cerebrum.brainstem.cerebellum. diencephalon.

Question:

The part of the brain tissue that consists of neuronal axons
that are coated with myelin is the:

basalganglion.white matter. graymatter.thalamus.

Question:

A patient complains of experiencing symptoms of nausea,
diaphoresis, and pallor triggered by a fearful or unpleasant event. These
symptoms are most likely associated with:

subarachnoidhemorrhage.stroke.neurocardiogenic
syncope. Invasovagal syncope.

Question:

The patient has his eyes closed and an area on his right leg
is briefly touched by the nurse practitioner. The patient is instructed to open
his eyes and point to the area that was touched. This is an example of the
discriminative sensation known as:

graphesthesia.stereognosis. Intwo point
discrimination.point localization.

Question:

Hyperesthesia refers to:

absence of touch sensation.decreased sensitivity to
touch.increased sensitivity to touch. absence of pain sensation.

Question:

A patient who is being evaluated for frequent headaches,
mentions that the headache worsens with coughing, sneezing, or when changing
positions. Increasing pain with these maneuvers may be suggestive of:

a brain
tumor. amigraine.seizureactivity.subarachnoid hemorrhage.

Question:

The term used to describe an abnormal tremor consisting of
involuntary jerking movements, especially in the hands is:

asterixis. sciatica.dermatome.stereognosis.

Question:

Which one of the following assesses pain, temperature, and
sensation using the distal and proximal areas testing pattern?

Test the sensation in the thumbs and little
fingers Compare the sensation in the right arm to that in the left
arm InTest the sensation in the fingers and the toesStimulate first
at an area of reduced sensation and move by progressive steps until the patient
detects a change

Question:

The part of the brain that maintains homeostasis is the:

basalganglion.thalamus.hypothalamus. cerebellum.

Question:

An example of tandem walking is having the patient:

walk across the room.walk heel-to-toe. walk on
the toes, then on the heels.walk with a shallow knee bend.

Question:

The central nervous system extends from the medulla into
the:

midbrain.pons. Incerebrum.spinal
cord.

Question:

A patient is unable to identify the smell of an orange. This
inability could reflect an abnormality in cranial nerves:

I. II.III.VIII.

Question:

When assessing the patient’s sense of position, instruct the
patient to first stand with his feet together and eyes open, then instruct him
to close both eyes for 30-60 seconds. If he loses his balance with his eyes
closed, this is:

considered a normal finding.suggestive of ataxia related to
dorsal column disease. suggestive of cerebellar
ataxia.corticospinal track damage.

Question:

When evaluating the six cardinal directions of gaze, a loss
of conjugate movements is noted when the patient looks to his left. This
finding could be consistent with damage to which cranial nerve?

Cranial Nerve II (CN II)Cranial Nerve IV (CN
IV) Cranial Nerve V (CN V)Cranial Nerve VII (CN VII)

Question:

Dysarthria refers to:

the inability to produce or understand
language. Inthe loss of voice.an impairment in volume of the voice.a
defect in the muscular control of the speech apparatus.

Question:

Disorders of speech fall into three groups that affect all
of the following except the:

voice.articulation of speech.written
language. comprehension of language.

Question:

Unilateral weakness in cranial nerve V (CN V) would be
suggestive of a:

bilateral hemispheric disease. central nervous system
lesions.pontine lesion. brainstem lesion. In

Question:

The most common cause of viral encephalitis in children is:

Herpes simplex virus Type IIPicornavirusEnterovirusesHerpes
simplex virus Type I

Question:

The principal muscles involved when closing the mouth are
innervated by which Cranial nerve?

Cranial nerve III (CN III)Cranial nerve V (CN
V) Cranial nerve VII (CN VII)Cranial nerve XII (CN XII)

Question:

Intention tremors appear with movement and:

worsen with stress. Inincrease during sleep.are
more pronounced when maintaining a posture.worsen as the target gets
closer.

Question:

When assessing coordination of muscle movement, four areas
of the nervous system function in an integrated way. These areas include the
motor, cerebellar, the vestibular, and the sensory systems. Which system
coordinates a steady posture?

Motor systemCerebellar system Vestibular
system InSensory system

Question:

Sudden, brief, rapid jerks, involving the trunk or limbs may
be consistent with:

a myoclonic seizure. an absent seizure.a
myoclonic atonic seizure. Ina focal seizure with impairment of
consciousness.

Question:

A patient experiences difficulty rising from a sitting
position without arm support. This would be suggestive of:

distal muscle weakness of the pelvic girdle and legs.poor
muscle coordination.proximal muscle weakness of the pelvic girdle and
legs. a weak vestibular system. In

Question:

Common physical findings in a young child with cerebral palsy
include which one of the following?

Walks by placing the heels of the feet down firstMoves about
by crawling on the abdomen or all four extremitiesGenerally meets motor
developmental milestones on schedulePresence of crossed or touching
knees

Question:

A teenager is being assessed for possible acute marijuana
usage and appears intoxicated. Findings consistent with marijuana intoxication
could include:

euphoria, talkativeness, and paranoia. mild
respiratory distress, ataxia, and normal blood pressure.drowsiness, constricted
pupils, and memory impairment.impaired judgment, anxiety, and slurred
speech. In

Question:

When eliciting deep tendon reflexes in the triceps, the
nurse practitioner notes an abnormal reflex in the right triceps. This abnormality
is probably consistent with a pathological lesion in which segmented level of
the spine?

Cervical 5 and 6Cervical 6 and 7 Lumbar 2, 3,
and 4Sacral 1

Question:

The central nervous system extends from the medulla into
the:

midbrain.pons.cerebrum. Inspinal
cord.

Question:

Which nerve runs from the spine through the neck, the
axilla, and into the arm?

Median nerveUlnarnerveRadialnerveBrachial plexus