NR 509 APEA Final Test (Random) / NR509 APEA Final Exam (Random) (New-2023): Advanced physical assessment: Chamberlain College of Nursing |100% Correct Q
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NR509 APEA Final Test Random / NR 509 APEA Final Exam Random (New-2023): Advanced physical assessment: Chamberlain College of Nursing |100% Correct Q & A|
NR 509 APEA Final Test (Random) / NR509 APEA Final Exam (Random) (Latest): Advanced physical assessment: Chamberlain College of Nursing
NR509 APEA Final Test Random / NR 509 APEA Final Exam Random (Latest): Advanced physical assessment: Chamberlain College of Nursing
NR 509 APEA Final Exam Answers
Question:
A transient ischemic attack is:
a transient episode of neurologic dysfunction by focal brain, spinal cord, or retinal ischemia, without acute infarction.
an 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:
A patient is asked to visually follow a finger through the cardinal fields of gaze. Which cranial nerves are being assessed?
III, IV
III, IV, VI
V, VI, VII
Question:
Uncontrolled electrical activity in the brain, which may produce minor physical signs, thought disturbances, or disturbed motor activity is:
dystonia.
bradykinesia.
tremor.
seizure.
Question:
When evaluating the sensory system, testing the posterior columns tract would include assessing sensations of:
position and vibration.
pain and temperature.
deep touch. In
discriminative sensations.
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:
A female patient complains of weakness in her arm when combing her hair. This finding could be suggestive of which type of weakness pattern?
Proximal
Distal In
Symmetric
Asymmetric
Question:
What geriatric condition is characterized by normal alertness but progressive global deterioration of cognition in multiple domains?
Delirium
Cognitiveimpairment
Parkinson'sdisease
Alzheimer's disease
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 position sense?
Motor system
Cerebellarsystem
Vestibular system
Sensory system
Question:
A band of skin innervated by the sensory root of a single spinal nerve is termed a:
peripheral nerve field.
dermatome.
synapseasterixis.
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:
Hyperalgesia refers to:
decreased sensitivity to pain.
increased sensitivity to pain.
absence of pain sensation.
absence of touch sensation.
Question:
Brief, repetitive, stereotyped, coordinated movements occurring at irregular intervals are consistent with:
facial tics.
dystonicmovements.
athetoidmovements.
oral-facial dyskinesias.
Question:
When a patient complains of severe headaches that have worsened over the last few weeks but she has no other symptoms, a most likely diagnosis would be:
sinusitis.
a tumor.
subarachnoid hemorrhage.
an abscess.
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 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.
two point discrimination.
point localization.
Question:
When assessing the cranial nerves, the nurse practitioner observes that the soft palate does not rise when the patient is instructed to say "ah". This finding could be suggestive of a bilateral lesion in which cranial nerve?
Cranial Nerve V (CN V)
Cranial Nerve VII (CN VII)
Cranial Nerve IX (CN IX)
Cranial Nerve X (CN X)
Question:
The level of consciousness that refers to the patient that remains unarousable with eyes closed without evidence of response to inner need or external stimuli is said to be in:
an obtunded state.
a comatose state.
a lethargic state.
astuporous state.
Question:
Having the patient shrug his shoulders and elicit neck movements would be testing Cranial Nerve:
VI.
VII.
IX.
XI.
Question:
The Glasgow coma scale assesses:
cranial nerve response.
pupillaryresponse.
motor response.
auditory response.
Question:
Discriminative sensations include all of the following except:
astereognosis.
stereognosis.
graphesthesia.
deep tendon reflexes
Question:
Symmetric weakness of the distal muscles of the legs suggests a:
polyneuropathy.
myopathy.
sensoryneuropathy.
cerebellar disease.
Question:
The thalamus and the basal ganglion are located in the:
spinalcord.
peripheral nervous system.
whitematter.
gray matter.
Question:
The most common cause of viral encephalitis in children is:
Herpes simplex virus
Type II Picornavirus
Enteroviruses
Herpes simplex virus Type I
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:
With the adult patient lying supine, the nurse practitioner flexes the patient's neck while observing the hips and knees. Flexion of both hips and knees was noted. This is a positive:
Brudzinski's sign.
Kernig'ssign.
nuchal rigidity sign.
Babinski's sign.
Question:
When a two-week-old infant presents with irritability, poor appetite, and rapid head growth with distended scalp veins, one should consider:
hydrocephalus.
meningitis.
cerebralpalsy.
Reye's syndrome.
Question:
A term used to describe muscle wasting or loss of muscle bulk is:
hypertrophy.
muscular atrophy.
pseudohypertrophy.
muscle weakness.
Question:
Which one of the following senses is most often affected in patients on long-term antibiotic therapy?
Touch
Taste
Smell
Hearing
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 first
Moves about by crawling on the abdomen or all four extremities
Generally meets motor developmental milestones on schedule
Presence of crossed or touching knees
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:
The term used to describe involuntary muscle spasms and twisting of the limbs is:
dystonia.
bradykinesia.
akinesia.
dyskinesia.
Question:
Postural tremors appear when the affected part is:
atrest.
moving voluntarily.
is actively maintaining a posture.
getting closer to its target.
Question:
A patient presents with sweating, tremors, palpitations, hunger, and confusion. This patient is most likely experiencing:
asyncopicevent.
hypoglycemia.
posturalhypotension.
hypocapnia.
Question:
Most peripheral nerves contain afferent and efferent fibers. The term afferent refers to:
the cranial nerve fibers.
spinal nerve fibers.
sensory nerve fibers.
motor nerve fibers.
Question:
During this type of seizure activity, the patient loses consciousness suddenly, sometimes with a cry, and the body stiffens into tonic extensor rigidity. Breathing stops, and the person becomes cyanotic. A clonic phase of rhythmic muscular contraction follows. This type of seizure activity is referred to as a:
focal seizure with impairment of consciousness.
Jacksonianseizure.
focal seizure that become generalized.
grand mal seizure.
Question:
When assessing plantar reflexes, the nurse practitioner strokes the lateral aspect of the sole from the heel to the ball of the right foot. Absence of movement of the big toe is noted. This finding could be suggestive of a pathologic lesion in which segmented level of the spine?
Thoracic 8, 9, and 10
Thoracic 10, 11, and 12
Lumbar 5 and Sacral 1
Sacral 2, 3, and 4
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:
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.
Question:
Ptosis of the left eye would be suggestive of damage to which cranial nerve?
Cranial Nerve II (CN II)
Cranial Nerve III (CN III)
Cranial Nerve IV (CN IV)
Cranial Nerve V (CN V)
Question:
While palpating the temporal and masseter muscles, the patient is asked to clench his teeth and move his jaw from side to side. This maneuver would be assessing which cranial nerve?
Cranial Nerve III (CN III)
Cranial Nerve IV (CN IV)
Cranial Nerve V (CN V)
Cranial Nerve VII (CN VII)
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:
An ambulatory child with spastic cerebral palsy needs a diet:
high in potassium
.low in fiber.
low in sodium.
high in calories.
Question:
The part of the brain that relays sensory information between brain regions and controls many autonomic functions of the peripheral nervous system is known as the:
cerebrum.
brainstem.
cerebellum.
diencephalon.
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:
The inability to hop in place on each foot, could be suggestive of a:
cerebellar dysfunction.
corticospinal tract weakness.
proximal tract weakness.
weakness of the quadriceps.
Question:
Hyperesthesia refers to:
absence of touch sensation.
decreased sensitivity to touch.
increased sensitivity to touch.
absence of pain sensation.
Question:
The part of the brain that maintains homeostasis is the:
basalganglion.
thalamus.
hypothalamus.
cerebellum. In
Question:
The patient experiences a sudden loss of consciousness with falling without movements and injury may occur. This type of a seizure is consistent with:
a myoclonic seizure.
an absent seizure.
a myoclonic atonic seizure.
a focal seizure with impairment of consciousness.
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:
Which of the following procedures should NOT be performed in a comatose patient?
Check corneal response
Check pupillary response
Dilate the pupils
Inspect the posterior pharynx
Question:
A form of aphasia in which the person has word-finding difficulties for speaking and writing is known as:
Broca's aphasia.
anomic aphasia.
Wernicke'saphasia.
global aphasia.
Question:
A neurological assessment to evaluate neurologic input to the cerebellum is:
Glasgow coma scale.
abdominalreflex.
babinskitest.
romberg test.
Question:
The three important questions that govern the neurological examination include: Is the mental status intact?, Are right-sided and left-sided findings symmetric?, and:
Are deep tendon reflexes intact?
.Are vital signs stable?
If findings are abnormal, is the cause in the central or peripheral nervous system?.
Are the cranial nerves intact?.
Question:
Which developmental area is predominantly affected by lead poisoning?
Nutrition
Communication
Cognition
Mobility
Question:
A term used to describe an increase in muscular bulk with diminished strength is:
hypertrophy.
muscularatrophy.
pseudohypertrophy.
muscle weakness.
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:
A form of aphasia where articulation is good but sentences lack meaning is referred to as:
Broca's aphasia.
anomicaphasia.
Wernicke's aphasia.
global aphasia.
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:
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 6
Cervical 6 and 7
Lumbar 2, 3, and 4
Sacral 1
Question:
Persistent blinking after glabellar tap and difficulty walking heel-to- toe are common in:
Alzheimer's disease.
Muscular
Dystrophy.
Parkinson’s disease.
Multiple Sclerosis.
Question:
To evaluate a patient's response to light touch sensation, the nurse practitioner would ask the patient to identify:
a touch on the skin in response to touching the skin with a cotton wisp.
an object as being hot or cold.
a vibration sensation on the big toe.
pain as sharp or dull when the thumb is touched using the sharp end of a safety pin.
Question:
A discriminative sensation that describes the ability to identify a number drawn in the hand when the patient's eyes are closed is:
graphesthesia.
stereognosis.
two point discrimination.
astereognosis.
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.
orticospinal track damage.
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?
Proximal
Distal
Symmetric
Asymmetric
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'ssign.
Kernig'ssign.
nuchal rigidity sign.
Babinski's sign.
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.
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. In
remains unarousable with eyes closed.
Question:
Aphasia 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:
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 cranial nerves, the nurse practitioner instructs the patient to stick out his tongue and move it from side to side. This maneuver would be used to assess which cranial nerve?
Cranial Nerve V (CN V)
Cranial Nerve VII (CN VII)
Cranial Nerve IX (CN IX)
Cranial Nerve XII (CN XII)
Question:
The level of consciousness that refers to the ability of the patient to respond fully and appropriately to stimuli is known as:
obtundation.
alertness.
lethargy.
stupor.
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:
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:
Analgesia refers to:
decreased sensitivity to pain.
increased sensitivity to pain.
absence of pain sensation.
absence of touch sensation.
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.
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:
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:
What is an example of a disease or condition that appears in a dermatomal pattern?
Fibromyalgia
Shingles
Diabeticneuropathy
Referred pain
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:
When conducting a neurologic exam, which one of the following assessments is not considered part of the mental status assessment?
Level of alertness
Cranial Nerve II (CNII)
Appropriateness of responses
Orientation to time
Question:
Ataxia, diplopia, and dysarthria can be symptoms associated with all of the following conditions except:
posterior fossa tumor.
vertebrobasilar transient ischemic attack.
polyneuropathy.
hemicranial migraine.
Question:
An ischemic stroke is:
a transient episode of neurologic dysfunction by focal brain, spinal cord, or retinal ischemia, without acute infarction.
an 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:
During this type of seizure activity, the patient experiences partial seizures that resemble tonic-clonic seizures. The patient may recall the aura and a unilateral neurologic deficit is present during the postictal period. This type of seizure activity is referred to as a:
focal seizure with impairment of consciousness.
Jacksonian seizure.
focal seizure that becomes generalized.
grand mal seizure.
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 10
Thoracic 10, 11, and 12
Lumbar 5 and Sacral 1
Sacral 2, 3, and 4
Question:
An example of symmetric weakness is:
the right shoulder.
the right hand.
both arms.
one the right side of the face.
Question:
Assessment of a 70-year-old's ability to maintain personal safety would be most adversely affected by declining function in the:
cardiovascularsystem.
respiratorysystem.
sensory perception system.
gastrointestinal system.
Question:
When assessing an elderly patient for delirium, the recommended instrument with the best supportive data is the:
Delirium Rating Scale (DRS).
Confusion Assessment Method (CAM).
Mini Mental State Examination (MMSE).
Delirium Superimposed on Dementia Algorithm (DSDA). [Show Less]