NR 509 APEA NEUROLOGY EXAM WITH
SATISFIED QUESTIONS AND ANSWERS
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) CorrectAppropriateness of responsesOrientation to
time
Explanation:
When conducting a neurologic exam, mental status assessment should include evaluation of
the level of alertness, appropriateness of responses, and orientation to person, place, and
,time. Assessing cranial nerve II would be part of the cranial nerve assessment.
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. Correctmarijuana.opioids.
Explanation:
Amphetamines are central nervous system (CNS) stimulants. The teenager could exhibit signs
of ataxia, respiratory distress, seizures, coma, myocardial infarction, death if he/she
consumed this substance.
Impaired memory, judgment, and attention, slurred speech, drowsiness, and irritability are
suggestive of central nervous system depressants (CNS). Barbiturates, alcohol and
benzodiazepines fall in this class.
Opioids may cause euphoria, drowsiness, constricted pupils and some of the same symptoms
as CNS depressants. Marijuana intoxication would present with relaxation, euphoria,
,detachment, talkativeness, slowed perception of time, and possible anxiety or paranoia.
Question:
Sudden, brief, rapid jerks, involving the trunk or limbs may be
consistent with: a myoclonic seizure. Correct
an absent seizure.
a myoclonic atonic seizure.
a focal seizure with impairment of consciousness.
Explanation:
A patient experiencing a myoclonic seizure manifests sudden, brief, rapid jerks, involving the
trunk or limbs. A sudden brief lapse of consciousness with momentary blinking, staring, or
movements of the lips and hands but no falling is consistent with an absent seizure. During a
myoclonic atonic seizure, the patient experiences a sudden loss of consciousness with falling
but no movements. Injury may occur.
Focal seizures with impairment of consciousness the person appears confused. Automatisms
include automatic motor behaviors such as chewing, smacking the lips, walking about, and
unbuttoning clothes.
Question:
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 Correct Explanation:
Weak and ineffective sucking movements would indicate the need for further evaluation since
any weak, absent, asymmetrical or fine jumping movements would suggest neurological
system disorders. The other choices represent common reflexes found in the normal
newborn: Babinski, grasping, and stepping.
Question:
An example of proximal
weakness is: the right shoulder.
Correct
the right hand.
both arms. Incorrect
