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Question 1:
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 2:
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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 3:
An example of proximal
weakness is: the right
shoulder. Correct
the right hand.
both arms. Incorrect
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on the right side of
the face. Explanation:
There are 4 different patterns of weakness: Proximal, distal, symmetric, and
asymmetric. An example of proximal weakness is weakness in the shoulder or hip
girdle. Distal weakness occurs in the hands or feet. Symmetric weakness occurs in
the same areas on both sides of the body. An asymmetric weakness occurs in a
portion of the face or extremity - a form of focal weakness.
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 CorrectSymmetricAsymmetric
Explanation:
To identify distal weakness, ask about hand movements when opening a jar, can or
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using scissors or a screwdriver. Another example is a problems like tripping when
walking.
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. Correctremains 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.
Explanation:
A stuporous patient arouses from sleep after exposure to painful stimuli, verbal
responses are slow, and lapses into an unresponsive state. A lethargic patient
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Question 1:
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 2:
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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 3:
An example of proximal
weakness is: the right
shoulder. Correct
the right hand.
both arms. Incorrect
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on the right side of
the face. Explanation:
There are 4 different patterns of weakness: Proximal, distal, symmetric, and
asymmetric. An example of proximal weakness is weakness in the shoulder or hip
girdle. Distal weakness occurs in the hands or feet. Symmetric weakness occurs in
the same areas on both sides of the body. An asymmetric weakness occurs in a
portion of the face or extremity - a form of focal weakness.
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 CorrectSymmetricAsymmetric
Explanation:
To identify distal weakness, ask about hand movements when opening a jar, can or
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using scissors or a screwdriver. Another example is a problems like tripping when
walking.
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. Correctremains 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.
Explanation:
A stuporous patient arouses from sleep after exposure to painful stimuli, verbal
responses are slow, and lapses into an unresponsive state. A lethargic patient
NURSING NR 509 APEA Neurology Exam questions and
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