NURS 6512N Week 9 Quiz – Question and Answers
Walden University NURS 6512N Week 9 Quiz – Question and Answers (Graded A).
Question 1
2 out of 2
... [Show More] points
The Denver II is a tool used to determine:
Response Feedback: Denver II is a tool to determine whether the child is developing fine and gross motor skills, language, and personal social skills as expected according to the child s age.
Question 2
2 out of 2 points
A positive Babinski sign is normal until what age?
Response Feedback: A positive Babinski sign, fanning of the toes and dorsiflexion of the great toe, is a normal finding until the infant is 16 to 24 months old.
Question 3
2 out of 2 points
While interviewing a 70-year-old female clinic patient, she tells you that she takes ginkgo biloba and St. John s wort. You make a short note to check for results of the:
Response Feedback: Ginkgo biloba and St. John s wort are herbal remedies intended to improve mental alertness and elevate mood. As side effects, they can also result in disorientation and confusion that can be monitored with the Mini-Mental State Examination. The Denver and the Goodenough-Harris tests are used for childhood development, and the Glasgow Coma Scale is used to rate coma depth. The CAGE Questionnaire is useful tool for approaching a discussion of the use of alcohol.
Question 4
2 out of 2 points
Environmental hazards and cognitive function are data needed for the personal and social history section of a neurologic assessment for:
Response Feedback: Exposure to lead, arsenic, insecticides, organic solvents, dangerous equipment, and work at heights or in water are important factors to consider in the personal and social history of all patients.
Question 5
2 out of 2 points
You have asked a patient to close his eyes and identify an object placed in his hand. You are evaluating:
Response Feedback: Stereognosis is the ability to recognize an object through touch and manipulation. Tactile agnosia, an inability to recognize objects by touch, suggests a parietal lobe lesion. Graphesthesia tests the patient s ability to identify the figure being drawn on their palm. The vibratory sense uses a tuning fork placed on a bony prominence. Two-point discrimination uses two sharp objects to determine the distance at which the patient can no longer distinguish the two points. The extinction phenomenon tests sensation by simultaneously touching bilateral sides of the body with a sterile needle.
Question 6
2 out of 2 points
Motor maturation proceeds in an orderly progression from:
Response Feedback: Motor maturation proceeds in a cephalocaudal direction. Motor control of the head and neck develops first, followed by the trunk and extremities. The other choices are incorrect because they relate maturation sequence inappropriately.
Question 7
2 out of 2 points
Deep pressure tests are used mostly for patients who are experiencing:
Response Feedback: Deep pressure sensation is tested by squeezing the trapezius, calf, or biceps muscle, thus causing discomfort. When superficial pain sensation is not intact, then further assessments of temperature and deep pressure sensation are performed.
Question 8
2 out of 2 points
Loss of immediate and recent memory with retention of remote memory suggests:
Response Feedback: Dementia is the loss of both immediate and recent memory while retaining remote memories. ADHD is associated with recent and remote memory impairment; impaired judgments are thought process dysfunctions; and stupor is impaired consciousness. Delirium manifests with confusion with disordered perceptions as well as motor and sensory excitement with inappropriate reactions to stimuli.
Question 9
2 out of 2 points
A patient in the deepest coma would be scored a _____ on the Glasgow Coma Scale.
Response Feedback: The lowest score possible is a 3, which represents the deepest coma.
Question 10
2 out of 2 points
Diabetic peripheral neuropathy will likely produce:
Response Feedback: Peripheral neuropathy is a disorder of the peripheral nervous system that results in motor and sensory loss in the distribution of one or more nerves, more commonly in the hands and feet. Patients may have sensation of numbness, tingling, burning, and cramping. In moderate to severe diabetic neuropathy, there is wasting of the foot muscles, absent ankle and knee reflexes, decreased or no vibratory sensation below the knees, or loss of pain or sharp touch sensation to the mid-calf level.
Question 11
2 out of 2 points
You are initially evaluating the equilibrium of Ms. Q. You ask her to stand with her feet together and arms at her sides. She loses her balance. Ms. Q. has a positive:
Response Feedback: The Romberg test has the patient stand with his eyes closed, feet together, and arms at the sides. Slight swaying movement of the body is expected but not to the extent of falling. Loss of balance results in a positive Romberg test. Kernig sign tests for meningeal irritation; Homan sign tests for venous thrombosis; and McMurray test is a rotation test for demonstrating a torn meniscus. A positive Murphy s sign is usually a sign of gallbladder disease.
Question 12
2 out of 2 points
Flight of ideas or loosening of associations are associated with:
Response Feedback: Flight of ideas, loosening of associations, word salad, neologisms, clang associations, echolalia, and utterances of unusual sounds are all associated with psychiatric disorders.
Question 13
2 out of 2 points
At what age should the infant begin to transfer objects from hand to hand?
Response Feedback: Transferring objects hand to hand begins at 7 months. Purposeful release of objects is noted as a normal finding by 10 months. Purposeful movements, such as reaching and grasping for objects, begin at about 2 months of age. The progress of taking objects with one hand begins at 6 months. There should be no tremors or constant overshooting of movements.
Question 14
2 out of 2 points
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:
Response Feedback: The fingertips can discern two points with a minimal distance of 2 to 8 mm; the back, 40 to 70 mm; the palms, 8 to 12 mm; the upper arms, at 75 mm; and the chest and forearms, 40 mm.
Question 15
2 out of 2 points
Normal changes of the aging brain include:
Response Feedback: Sensory perceptions of touch and pain are diminished by aging. The velocity of nerve impulse conduction declines, so response to stimuli takes longer. The number of cerebral neurons is thought to decrease by 1% a year beginning at 50 years of age; however, the vast number of reserve cells inhibits the appearance of clinical signs. Dermatomal patterns do not change. Acquired knowledge is maintained throughout life.
Question 16
2 out of 2 points
To assess a cremasteric reflex, the examiner strokes the:
Response Feedback: Stroking the inner thigh of a male patient (proximal to distal) will elicit the cremasteric reflex. The testicle and scrotum rise on the stroked side. Stoking the skin around the anus produces reflexive contracture of the external anal sphincter referred to as the anal wink. Stroking the sole of the foot elicits a Babinski sign; stroking the abdomen elicits an abdominal reflex; and stroking the palm elicits a palmar grasp.
Question 17
2 out of 2 points
The finger-to-nose test allows assessment of:
Response Feedback: To perform the finger-to-nose test, the patient closes both eyes, touches his or her nose with the index finger, alternating hands while gradually increasing the speed. This tests coordination and fine motor skills. All of the other choices test sensory function without motor function.
Question 18
2 out of 2 points
The Glasgow Coma Scale is used to:
Response Feedback: The Glasgow Coma Scale is used when a patient has an altered level of consciousness and is used to quantify consciousness. It cannot determine the cause of decreased consciousness, diagnose disorders, or predict responses to medications. Abstract reasoning is assessed by other methods.
Question 19
2 out of 2 points
An aversion to touch or being held, along with delayed or absent language development, is characteristic of:
Response Feedback: Autistic disorder involves a combination of behavioral traits (lack of awareness of others, aversion to touch or being held, odd or repetitive behaviors, or preoccupation with parts of objects) and communication deficits (usually echolalia [parrot speech]).
Question 20
2 out of 2 points
A woman brings her husband to the emergency department and states that he is having a stroke. You are the student NP on the hospitalist service and are sent down first to obtain the history and physical. You develop a differential diagnosis and know that the initial gold standard radiology test to further evaluate is: [Show Less]