Question 1

Sensory messages are sent to and from the spinal nerve via ____________________.

Accepted Answer

neurons
Explanation:Afferent neurons receive and transmit sensory messages from the afferent fibers in the spinal nerve.

Question 2

Which neurological condition develops most frequently in females 20 to 40 years of age?

Accepted Answer

A)  cluster headaches 
B)  Parkinson's disease 
C)  multiple sclerosis 
D)  Huntington's chorea 
A)  cluster headaches 
B)  Parkinson's disease 
C)  multiple sclerosis 
D)  Huntington's chorea C

Question 3

Diminished or absent vibratory sensation can be the result of a(n)

Accepted Answer

A)  spinal cord lesion involving the posterior columns. 
B)  lesion of the thalamus. 
C)  immature nervous system in infants. 
D)  lesion in the parietal lobe. 
A)  spinal cord lesion involving the posterior columns. 
B)  lesion of the thalamus. 
C)  immature nervous system in infants. 
D)  lesion in the parietal lobe. A

Question 4

Your patient has a chief complaint of right-sided facial pain,which is exacerbated by shaving and chewing.Your assessment reveals that the patient has normal motor function of his facial muscles and increased sensitivity to light touch and superficial pain stimuli.You conclude that he most likely has

Accepted Answer

A)  Bell's palsy. 
B)  trigeminal neuralgia. 
C)  neoplasm of the trigeminal nerve root. 
D)  supranuclear facial palsy. 
A)  Bell's palsy. 
B)  trigeminal neuralgia. 
C)  neoplasm of the trigeminal nerve root. 
D)  supranuclear facial palsy.

Question 5

Which of the following suggests depression?

Accepted Answer

A)  impaired attention and judgment 
B)  impaired abstract reasoning 
C)  decreased concentration with intact memory 
D)  impaired spatial perception 
A)  impaired attention and judgment 
B)  impaired abstract reasoning 
C)  decreased concentration with intact memory 
D)  impaired spatial perception

Question 6

To assess for the plantar reflex,you should stroke the sole of the foot on the

Accepted Answer

A)  outer aspect from the heel upward to the little toe. 
B)  inner aspect from the heel across the ball of the foot to just below the little toe. 
C)  outer aspect from the heel across the ball of the foot to just below the great toe. 
D)  inner aspect from the heel upward to the great toe. 
A)  outer aspect from the heel upward to the little toe. 
B)  inner aspect from the heel across the ball of the foot to just below the little toe. 
C)  outer aspect from the heel across the ball of the foot to just below the great toe. 
D)  inner aspect from the heel upward to the great toe.

Question 7

Which of the following best describes a blunted affect?

Accepted Answer

A)  slumped posture, slowed movements, poor eye contact 
B)  euphoric, irrational, elated 
C)  restlessness, tenseness, pacing 
D)  flat and unresponsive 
A)  slumped posture, slowed movements, poor eye contact 
B)  euphoric, irrational, elated 
C)  restlessness, tenseness, pacing 
D)  flat and unresponsive

Question 8

Tapping the Achilles tendon just above its insertion in the heel normally results in contraction of the gastrocnemius,soleus,and plantaris muscles and

Accepted Answer

A)  extension of the leg. 
B)  flexion of the leg. 
C)  plantar flexion of the foot. 
D)  dorsiflexion of the foot. 
A)  extension of the leg. 
B)  flexion of the leg. 
C)  plantar flexion of the foot. 
D)  dorsiflexion of the foot.

Question 9

Your patient has suffered a cerebrovascular accident (CVA)in the anterior cerebral artery.Which part of his brain would you expect to be damaged?

Accepted Answer

A)  frontal and parietal lobes 
B)  temporal and occipital lobes 
C)  temporal lobe and midbrain 
D)  midbrain and medulla 
A)  frontal and parietal lobes 
B)  temporal and occipital lobes 
C)  temporal lobe and midbrain 
D)  midbrain and medulla

Question 10

To assess for pronator drift,you would ask the patient to extend her arms in front of her body with palms up and observe for

Accepted Answer

A)  downward drifting of an arm. 
B)  upward drifting of an arm. 
C)  medially rotating one hand. 
D)  gradually leaning to one side. 
A)  downward drifting of an arm. 
B)  upward drifting of an arm. 
C)  medially rotating one hand. 
D)  gradually leaning to one side.

Question 11

A normal lower abdominal reflex is characterized by contraction of the lower abdominal muscles and contraction of the umbilicus

Accepted Answer

A)  downward. 
B)  toward the stimulus. 
C)  upward. 
D)  away from the stimulus. 
A)  downward. 
B)  toward the stimulus. 
C)  upward. 
D)  away from the stimulus.

Question 12

Unilateral anosmia is most likely caused by

Accepted Answer

A)  a cold. 
B)  sinusitis. 
C)  meningioma of the sphenoid ridge. 
D)  heavy smoking. 
A)  a cold. 
B)  sinusitis. 
C)  meningioma of the sphenoid ridge. 
D)  heavy smoking.

Question 13

Your patient has difficulty closing her left eye and the left side of her mouth,and her left eyebrow is drooping because of damage to her facial nerve.Additional findings may include

Accepted Answer

A)  pain in the anterior two-thirds of the tongue. 
B)  loss of the sensation of taste in the anterior two-thirds of the tongue. 
C)  loss of the sensation of pain on the left side of the tongue. 
D)  weakness of the left side of the tongue. 
A)  pain in the anterior two-thirds of the tongue. 
B)  loss of the sensation of taste in the anterior two-thirds of the tongue. 
C)  loss of the sensation of pain on the left side of the tongue. 
D)  weakness of the left side of the tongue.

Question 14

A patient is unable to recognize or name familiar objects during her assessment.You would record this response as

Accepted Answer

A)  agnosia. 
B)  apraxia. 
C)  constructional apraxia. 
D)  visual amnesia. 
A)  agnosia. 
B)  apraxia. 
C)  constructional apraxia. 
D)  visual amnesia.

Question 15

Conscious behavior requires arousal,or wakefulness,which is controlled by the

Accepted Answer

A)  cerebral cortex. 
B)  hypothalamus. 
C)  reticular activating system (RAS). 
D)  limbic system. 
A)  cerebral cortex. 
B)  hypothalamus. 
C)  reticular activating system (RAS). 
D)  limbic system.

Question 16

To test the biceps reflex,you should support the patient's forearm,which is

Accepted Answer

A)  not flexed. 
B)  extended. 
C)  flexed between a 45° and a 90° angle. 
D)  flexed at a 20° to 30° angle. 
A)  not flexed. 
B)  extended. 
C)  flexed between a 45° and a 90° angle. 
D)  flexed at a 20° to 30° angle.

Question 17

In a sensory assessment,which of the following should be tested first?

Accepted Answer

A)  sense of motion and position 
B)  stereognosis 
C)  vibratory sensation 
D)  light touch and pain 
A)  sense of motion and position 
B)  stereognosis 
C)  vibratory sensation 
D)  light touch and pain

Question 18

Which responses would you expect to see in sympathetic nervous system stimulation?

Accepted Answer

A)  pupils normal size, decreased heart rate, bronchial constriction 
B)  pupils dilated, decreased heart rate, increased respiratory rate 
C)  pupils normal size, increased blood pressure, bronchial constriction 
D)  pupils dilated, increased heart rate, increased respiratory rate 
A)  pupils normal size, decreased heart rate, bronchial constriction 
B)  pupils dilated, decreased heart rate, increased respiratory rate 
C)  pupils normal size, increased blood pressure, bronchial constriction 
D)  pupils dilated, increased heart rate, increased respiratory rate

Question 19

When testing reflexes,you should hold the reflex hammer

Accepted Answer

A)  loosely between the thumb and index finger, striking the tendon with a brisk wrist motion. 
B)  securely in your hand, striking the tendon slowly and firmly. 
C)  tightly with all your fingers, striking the tendon with a quick wrist motion. 
D)  firmly between the thumb and index finger, striking the tendon with a light tap. 
A)  loosely between the thumb and index finger, striking the tendon with a brisk wrist motion. 
B)  securely in your hand, striking the tendon slowly and firmly. 
C)  tightly with all your fingers, striking the tendon with a quick wrist motion. 
D)  firmly between the thumb and index finger, striking the tendon with a light tap.

Question 20

Memory storage and recall are associated with the _____________________.

Accepted Answer

cerebral cortex
Explanation:The cerebral

Exam 20: Mental Status And Neurological Techniques

Sensory messages are sent to and from the spinal nerve via ____________________.

Which neurological condition develops most frequently in females 20 to 40 years of age?

Diminished or absent vibratory sensation can be the result of a(n)

Which of the following suggests depression?

To assess for the plantar reflex,you should stroke the sole of the foot on the

Which of the following best describes a blunted affect?

Tapping the Achilles tendon just above its insertion in the heel normally results in contraction of the gastrocnemius,soleus,and plantaris muscles and

Your patient has suffered a cerebrovascular accident (CVA)in the anterior cerebral artery.Which part of his brain would you expect to be damaged?

To assess for pronator drift,you would ask the patient to extend her arms in front of her body with palms up and observe for

A normal lower abdominal reflex is characterized by contraction of the lower abdominal muscles and contraction of the umbilicus

Unilateral anosmia is most likely caused by

Your patient has difficulty closing her left eye and the left side of her mouth,and her left eyebrow is drooping because of damage to her facial nerve.Additional findings may include

A patient is unable to recognize or name familiar objects during her assessment.You would record this response as

Conscious behavior requires arousal,or wakefulness,which is controlled by the

To test the biceps reflex,you should support the patient's forearm,which is

In a sensory assessment,which of the following should be tested first?

Which responses would you expect to see in sympathetic nervous system stimulation?

When testing reflexes,you should hold the reflex hammer

Memory storage and recall are associated with the _____________________.

Critical Thinking And The Nursing Process

Communication Techniques And The Patient Interview

The Complete Health History Including Documentation

Developmental Assessment

Cultural Assessment

Spiritual Assessment

Nutritional Assessment

Physical Examination Techniques

General Survey, vital Signs, and Pain

Skin, hair, and Nails

Head, neck, and Regional Lymph Nodes

Eyes

Ears, nose, mouth, and Throat

Breasts And Regional Nodes

Thorax And Lungs

Heart

Peripheral Vasculature And Lymphatic System

Abdomen

Musculoskeletal System

Female Genitalia

Male Genitalia

Anus, rectum, and Prostate

The Pregnant Patient

The Pediatric Patient

The Older Adult Patient

The Complete Health History And Physical Examination

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