Exam (elaborations) NURSING MSN 572 (MSN572 (NURSING MSN 572 (MSN572) United States University NURSING MSN 572 quiz week 6 Answered; all correct.

Question 1 (1 point) Saved A 70-year-old retired musician is brought to your clinic for a hospital follow-up visit after sustaining a stroke. He is able to articulate words but they sound slurred or indistinct. As the astute NP student you would document his speech as: Question 1 options: Dysarthria Dysphonia Dysphagia Aphasia Question 2 (1 point) Saved During a mental status assessment the NP asks about the patient's first job. What is the NP trying to test? Question 2 options: Orientation Attention span Recent memory Remote memory Question 3 (1 point) Saved Which of the following reflexes is not a cutaneous stimulation reflex? Question 3 options: Abdominal reflexes Cremasteric reflex Supinator (brachoiradialis reflex) Plantar responsesAnal reflex Question 4 (1 point) Saved The NP flashes a light into the eyes of a 4-year-old child and observes ocular misalignment and a deviated gaze. What condition does the NP chart as the finding? Question 4 options: Nystagmus Horner Syndrome Exophthalmos Strabismus Question 5 (1 point) Saved Which cranial nerve injury may cause anosmia in the patient? Question 5 options: Cranial nerve I (olfactory nerve) Cranial nerve II (optic nerve) Cranial nerve III (oculomotor nerve) Cranial nerve IV (trochlear nerve) Question 6 (1 point) Saved Which conditions may cause peripheral neuropathy in a patient? Question 6 options: Diabetes mellitus Cervical spondylosis Shoulder dislocation Horner's syndrome Question 7 (1 point)Saved A 22-year-old daycare worker comes to the clinic for evaluation of fever as high as 103.5°F headache and neck pain. She has photophobia and neck stiffness. During the physical examination you flex the patient's leg at both the hip and the knee and then straighten her knee to elicit meningeal irritation. The patient experiences severe pain. The name of this sign is: Question 7 options: Kernig's sign Brudzinski's sign Babinski's sign Lachman's sign Question 8 (1 point) Saved Which of the following cranial nerves have both a motor and sensory component? Question 8 options: CN I CN V CN VI CN XI Question 9 (1 point) Saved What is the maximum score given to a patient in the MiniMental State Examination (MMSE)? Question 9 options: 5 20 2530 Question 10 (1 point) Saved The provider finds that a patient has crossed knees, fatigue, nystagmus, and diplopia. During the assessment the provider also observes that the patient is unable to maintain balance with the eyes closed. Which complication is present in the patient? Question 10 options: Athetosis Myoclonus Meningitis Multiple sclerosis Question 11 (1 point) Saved A 68-year-old male presents to the ER accompanied by his wife who is concerned he is experiencing a stroke. She states that he awoke with drooping of the right side of his mouth. He has a history of high blood pressure and diet controlled diabetes, but no history or prior symptoms of TIA, stroke or neurological deficits. Physical exam reveals a well nourished, right handed male who has an obvious flattening of the right nasolabial fold at rest. He is unable to close his right eye, wrinkle his forehead or raise his eyebrows. The remainder of the Neuro exam is symmetric with intact strength and normal DTRs. Based on the history and physical which of the following statements is most likely to be true? Question 11 options: The patient most likely has an isolated peripheral lower motor neuron lesion involving cranial nerve seven, the facial nerve. The patient most likely has a central process of unclear location, and therefore it must be ruled out with anemergent CT scan. Patient most likely has had an embolic event affecting an upper motor neuron. The patient most likely has an isolated peripheral lower motor neuron lesion involving cranial nerve five, the trigeminal nerve. The patient most likely has a central upper motor neuron lesion involving cranial nerve seven, the facial nerve. Question 12 (1 point) Saved A 75-year-old retired short-order cook presents to the office for evaluation of weakness. He has a history of hypertension; he stopped taking his medication a few months ago because he couldn't tell that it was making a difference and it was too expensive. On physical examination his blood pressure is 220/110 mm Hg. He has deviation of the tongue to the left side. Which cranial nerve would have to be affected for this finding to be present? Question 12 options: CN I CN V CN VII CN XII Question 13 (1 point) Saved Which of the following is a disease-specific risk factor for stroke? Question 13 options: Obstructive Sleep Apnea EpilepsySmoking Alcohol use Question 14 (1 point) Saved How would an adult patient normally respond to the plantar reflex? Question 14 options: By flexing the toes By flexing the elbow By extending the great toe By extending the lower leg Question 15 (1 point) Saved Which of the following cranial nerves is responsible for lateral deviation of the eye: Question 15 options: CN II CN III CN IV CN VI Question 16 (1 point) Saved While assessing neurologic function the NP touches a cotton wisp on the patient's forehead cheeks and chin. Which cranial nerve is the provider testing? Question 16 options: Cranial nerve IV Cranial nerve V Cranial nerve VICranial nerve VII Question 17 (1 point) Saved You are assessing a 65-year-old retired lawyer who has been brought into the office by his family for memory loss. You perform a mini-mental status exam to assess his cognitive function. Which of the following is considered a higher cognitive function? Question 17 options: Calculating ability Orientation Remote memory Recent memory Question 18 (1 point) Saved Which type of basic reflex includes the pupillary response and accommodation? Question 18 options: Visceral reflex Superficial reflex Pathologic reflex Deep tendon reflex Question 19 (1 point) Saved A new mom brings in her six month old baby for not being able to keep his eyes together when looking to the left. On exam both of his eyes appear in alignment with conjugate gaze, upon looking to the right. However when looking to the left, the baby’s left eye stays in the forward gays position while the right continues on with full adduction to the left. Theeyes appear out of alignment. Which cranial nerve is responsible for the dysfunction in looking left? Question 19 options: The left abducens nerve. The right oculomotor nerve The right abducens nerve The left oculomotor nerve The right Trochlear nerve The left Trochlear nerve Question 20 (1 point) Saved The NP tells the patient You should get out of the chair and walk 10 feet forward. The patient mockingly mumbles Get out of the chair and walk 10 feed forward. Get out of the chair and walk 10 feet forward. What does the NP document as the speech pattern? Question 20 options: The patient exhibits echolalia. The patient exhibits neologism. The patient exhibits perseveration. The patient exhibits circumstantiality Question 21 (1 point) Saved Which part of the brain is associated with personality and intellectual functioning?Question 21 options: Frontal lobe Parietal lobe Occipital lobe Temporal lobe Question 22 (1 point) Saved An 82-year-old grandmother presents to the ED with her family who report new onset of speech impairment. According to family members, the patient awoke with this symptom as well as difficulty in understanding questions or following commands. Her past medical history is remarkable for atrial fibrillation, but no other notable conditions. On exam, her speech is verbose but poorly comprehensible and lacks meaning. She is unable to follow simple commands. Which of the following best describes her speech disorder? Question 22 options: Broca aphasia Wernicke aphasia Global aphasia Dysarthria Dysphonia with expressive deficit Question 23 (1 point) Saved You are evaluating a 55-year-old teacher for altered mental status. You are trying to distinguish between delirium anddementia. All of the following statements are true about delirium EXCEPT: Question 23 options: Delirium has an acute onset. In delirium there is always a disturbed level of consciousness. Orientation is fairly well maintained but becomes impaired in the later stages of illness. Attention fluctuates Question 24 (1 point) Saved A 14-year-old female comes with her family to the urgent care clinic, after having been hit in the right eye with a plastic baseball bat during a game. She complains of a painful, watery, red right eye and sensitivity to light. She has normal vision acuity in both eyes and no diplopia and can open and close her eyes normally. The pupils are unequal and size 3 mm on the left 5 mm on the right. Which cranial nerve would be implicated as the cause of photosensitivity and the pupillary asymmetry? Question 24 options: CN V CN III CN II CN VI CN VII Question 25 (1 point) SavedA 25-year-old housewife presents to the clinic for evaluation of paralysis in her face. She has a history of an upper respiratory infection 2 weeks before the onset of these symptoms. She states that her face is drooping and that she is unable to close her eye. On physical examination you note that her forehead is smooth on the right side her palpebral fissure appears widened and her nasolabial fold appears flattened and she is drooling. Based on this information what is the most likely diagnosis? Question 25 options: Cortical stroke Bell's palsy Horner's syndrome Stress reaction Question 26 (1 point) Saved The NP administers the Mini-Mental State Examination (MMSE) and the score was 26. How should the NP interpret the patient's score on the MMSE? Question 26 options: Presence of mild dementia Severe cognitive impairment No cognitive impairment Impaired thought process Question 27 (1 point) Saved What are the components of a reflex arc? Question 27 options: Nucleus Sensory nerve & motor nerve Motor nerve Cranial nerve Sensory nerve Sensory nerve Neuromuscular junction motor nerveMotor nerve and sensory nerve Question 28 (1 point) Saved What is the major function of the glossopharyngeal nerve? Question 28 options: Tasting of food Swallowing and gagging Lateral movement of the eye Muscular movement of the tongue Question 29 (1 point) Saved While assessing the deep tendon reflexes in a patient the NP finds that the responses are very brisk and hyperactive with clonus. Which grade should the NP enter in the patient's medical record? Question 29 options: 1+ 2+ 3+ 4+ Question 30 (1 point) Saved While assessing a patient with lower motor neuron lesion, the NP sees that the patient has an asymmetric smile and is unable to wrinkle the forehead. Damage to which cranial nerve could cause these findings? Question 30 options: Cranial nerve II (optic nerve) Cranial nerve III (oculomotor nerve)Cranial nerve VII (facial nerve) Cranial nerve VIII (auditory nerve)