NR509 week 6

Asked by sharpie
Dated: 4th Dec'17 07:48 AM
Bounty offered: $42.00

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

NR509 - week 6
Answered by sharpie
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Dated: 4th Dec'17 07:48 AM
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opens     looks   the person     him       and   confused The     consciousness       the   of the     respond       to   is known     Lethargy       patient   appears drowsy     open       to   then fall     sleep       sensory   testing the     would       of:   and vibration     temperature       sensations   evaluating the     testing       would   assessing sensations     and       and   evaluate the     Light       the   and posterior     To       both   spinothalamic and     tracts       the   would be     refers       to     Correctincreased sensitivity     absence       absence   touch sensation     to       sensation;   to decreased     pain;       sensitivity;   anesthesia to     touch       is   likely to     example       The   shoulder The     arms  CorrectOne       of   faceExplanation:There are     patterns       distal,   and asymmetric     of       weakness   the shoulder     girdle       in   hands or     weakness       same   on both     the       weakness   in a     the       -   form of     Question:When       muscle   four areas     nervous       an   way These     the       vestibular,   the sensory     system       Motor   systemVestibular system  CorrectSensory     muscle       four   of the     function       way:   system for     cerebellar       movements   steady posture,     for       eye,   and body     sensory       sense   comparing two     the       sensation   symmetrical distal     would       :   lesion in     cerebral       spinal   lesion a     Explanation:When       of   body for     a       loss   be suggestive     A       would   a lesion     opposite       cord   would present     loss       below   level of     A       sensory   would present     stocking       Question:A   year old     the       an   well exam     two       prior   months and     balance       the   practitioner should     reassess       6   obtain cognitive     assessment       assess   function Explanation:High-risk     namely       single   in the     months       and   and those     or       the   12 months,     fall,       gait   balance, require     to       for   falls Obtaining     history,       and   assessment and     fall       to   preventing future     principal       closing   mouth are     which       nerve   (CN III)Cranial     (CN       (CN   nerve XII     muscles       the   are innervated     nerve       Cranial   V innervates     the       internal   Question:The best     detecting       mental   at an     is       testing   intelligence administration     IQ       abilities   evaluation of     and       the   of developmental     least       most   strategy used     cognitive       in   and children     for       milestones   in achievement     milestones       sign   deficits/disabilities The     choices       at   later date     child       after   child is     having       to   milestones Question:When     determine       consciousness   a patient     of       a   patient: opens     and       examiner,   slowly, and     confused       opens   eyes, looks     examiners,       and   falls asleep     sleep       painful   exhibits slow     and       an   state remains     eyes       patient   drowsy but     eyes,       examiners,   the questions,     falls       patient   the eyes     at       responds   and is     A       from   after exposure     stimuli,       responses,   easily lapses     unresponsive       patient   unarousable with     There       response   inner need     stimuli       tendon   in the     nurse       abnormal   in the     This       consistent   a pathological     which       the   Cervical 5     6       2,   and 4  IncorrectSacral     levels       tendon   are: Ankle:     knee:       4;   and biceps:     &       cervical   & 7     used       absence   loss of     voluntary       dystonia   akinesia   Correctdyskinesia     or       of   muscle movements     Dystonia       disorder   causes involuntary     and       limbs   is the     to       ability   adjust to     position       noted   patients who     disease       presence   involuntary muscle     as       These   can be     children       fever   the adult     supine,       strokes   lateral aspect     sole       to   ball of     with       an   stick Dorsiflexion     big       This   a positive:     Kernig's       sign   sign   CorrectExplanation:To     sign,       aspect   the sole     heel       of   foot with     of       Plantar   is normal     the       a   Babinski's sign     Brudzinski's       neck   of both     and       for   To test     sign,       leg   both the     the       straighten   knee Pain     resistance       knee   positive for     sign       lying   the nurse     her       patient's   while flexing     forward       touches   chest Neck     resistance       noted   is positive     and       inflammation   meningitis or     Question:The       peripheral   system that     movement       the   of pain     is       system   nervous system     system       Explanation:The   of the     system       movement   response to     of       is   somatic nervous     autonomic       autonomic   responses and     the       nervous   The sympathetic     mobilizes       functions   times of     arousal       system   energy and     times       relaxation   part of     that       and   maintain the     in       cerebrum   cerebellum   Correctdiencephalon     which       base   the brain,     movement       the   upright in     cerebrum       actions   the body     aid       The   connections of     and       the   part of     to       the   pass through     Brainstem       in   body but     for       and   speech The     sensory       regions   controls many     of       system   also connects     the       the   system and     conjunction       structures   generate and     and       of   brain tissue     of       are   with myelin     basal         Correctgray   thalamus Explanation:Brain     be       Gray   consists of     neuronal       rims   surfaces of     hemispheres,       cortex   matter consists     axons       with   The myelin     create       allow   impulses to     rapidly       of   symptoms of     and       a   or unpleasant     symptoms       associated   subarachnoid hemorrhage     syncope       vasovagal   a common     syncope,       nausea,   and pallor     by       unpleasant   then vagally     often       and   In syncope     onset       often   reflecting loss     of       or   hemorrhage are     cause       are   findings and     both       has   eyes closed     area       leg   briefly touched     nurse       is   to open     and       area   was touched     an       discriminative   known as:       Incorrecttwo       localization   or number     the       a   when drawn     hand       whose   are closed     sensation,       ability   identify an     feeling       identify   object touching     simultaneously       discrimination   localization refers     ability       to   the area     body       when   eyes were     refers       touch   decreased sensitivity     increased         Correctabsence   pain sensation     absence       hypesthesia   decreased sensitivity     hyperesthesia       to   and analgesia     absence       Question:A   who is     for       that   headache worsens     sneezing,       positions   pain with     may       a   tumor   Correcta     activity       coughing,   or changing     the       the   sinusitis or     tumor       Migraines   present with     nausea       tumors   subarachnoid hemorrhages     present       vomiting   term used     an       of   jerking movements,     the         Correctsciatica   stereognosis Explanation:Asterixis     an       of   jerking movements,     the       with   hepatic coma     forms       This   also called     The       describe   back pain     pain       the   is sciatica     is       skin   by the     of       nerve   refers to     to       by   it Question:Which     the       temperature,   sensation using     and       pattern?   the sensation     thumbs       the   in the     to       left   the sensation     fingers       first   an area     sensation       progressive   until the     a