2
Maryville NURS 612 Final Exam with 100%
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Which of the Following disorders is known to be heredity?
Peripheral neuropathy
Meningitis
Huntington Chorea
Seizure disorder - Correct answer Huntington Chorea
The Examiner asks the patient to close her eyes and then place a vibrating tuning fork on the
patients ankle and asks her to indicate what is felt. What is being assessed? - Correct answer
Primary sensory function
Multiple sclerosis - Correct answer Fatigue, bowel and bladder dysfunction, sexual dysfunction,
sensory changes, muscle weakness
Myasthenia gravis - Correct answer An autoimmune disorder of neuromuscular junction
involved with muscle activation.
Whisper Test - Correct answer CN V111 acoustic
Patient sticks out tongue and moves it from side to side - Correct answer CN X11 Hypoglossal
Taste test with sugar, salt, and lemon - Correct answer CN V11 and CN 1X Facial and
glossopharyngeal
Patient puffs out cheeks and shows teeth - Correct answer CN V11 facial
Patient shrugs shoulders against examiner's hands - Correct answer CN X1 Spinal accessary
Smell test with coffee, orange and cloves - Correct answer CN 1 Olfactory
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Eyes constrict and dilate in response to light - Correct answer CN 111 oculomotor
patient clinches teeth (temporal muscles contracted) - Correct answer CN V Trigeminal
positive Babinski sign be considered a normal finding in what ages? - Correct answer 0-24
months
The nurse observes the gait of a client as he enters the room. He uses short steps, keeps his
knees in contact, and walks with considerable effort. What term is used to describe this gait? -
Correct answer Scissors gait
A nurse observes very fine, rapid, continuous twitching of a patient's finger while at rest. How
should the nurse document this finding? - Correct answer Fasciculation
A fasciculation is a fine, rapid twitching that may occur with some lower motor neuron disease.
Paralysis is loss of motor function. Spasticity is abnormally increased muscle tone. An intention
tremor is an involuntary contraction of a muscle group occurring with voluntary movement
Under what conditions should a patient be tested for clonus? - Correct answer When deep
tendon reflexes are hyperactive
Clonus, repeated reflex muscle movement, is tested when a patient has hyperactive reflexes. It
is found with diseases of the upper motor neuron. Nuchal rigidity, neck stiffness, is a sign of
meningeal irritation. Absent reflexes are associated with lower motor neuron diseases.
Decorticate positioning, a state of flexion with the arms adducted, occurs with hemispheric
lesion of the cerebral cortex.
The abdominal reflexes are tested to assess functioning of the nerves in which location of the
spine? - Correct answer Thoracic
Which change is most commonly observed in aging patients? - Correct answer Kyphosis,
advanced posterior curvature of the thoracic spine, occurs commonly with age. Lordosis,
scoliosis, and ankylosis are not as commonly associated with age.
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