NEW AGNP BOARD EXAM QUESTIONS
AND ANWESR ON NEUROLOGY ASSESSMENT
LATEST UPDATE 2022
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 6
Cervical 6 and 7
Lumbar 2, 3, and 4 Correct
Sacral 1
Explanation:
The segmented levels of the deep tendon reflexes are: Ankle: sacral 1; knee:
lumbar 2,3, & 4; Supinator and biceps: cervical 5 & 6; and triceps: cervical 6 & 7.
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. Correct
assess respiratory
assessment. assess cardiac
function.
Explanation:
High-risk older adults, namely those with a single fall in the past 12 months with
abnormal gait and balance and those with two or more falls in the prior 12 months,
NEW AGNP BOARD EXAM QUESTIONS
AND ANWESR ON NEUROLOGY ASSESSMENT
LATEST UPDATE 2022
,NEW AGNP BOARD EXAM QUESTIONS
AND ANWESR ON NEUROLOGY ASSESSMENT
LATEST UPDATE 2022
an acute fall, and/or difficulties with gait and balance, require further assessment to
determine the reasons for the falls. Obtaining relevant medical history, physical
exam, cognitive and functional assessment and determining multifactorial fall risks
are essential to the preventing future falls.
Question:
When evaluating the sensory system, testing the spinothalamic tracts would include
assessing sensations of:
position and vibration.
pain and temperature. Correct
deep touch.
discriminative
sensations.
Explanation:
When evaluating the sensory system, testing the spinothalamic tracts would include
assessing sensations of pain and temperature. Assessing position and vibration
evaluate the posterior columns. Light touch assesses both the spinothalamic and
posterior column tracts. To assess discriminative sensation, both the spinothalamic
and posterior columns tracts as well as the cortex would be assessed.
Question:
When testing for corneal reflex, an absent blink reflex is noted. This finding may be
suggestive of a lesion in which cranial nerve?
Cranial Nerve II (CN II)
Cranial Nerve IV (CN
IV) Cranial Nerve VI
(CN V)
Cranial Nerve VII (CN VII) Correct
Explanation:
When testing for corneal reflex, an absent blink reflex would be suggestive of a lesion
in cranial nerves V or VII (CN V or CN VII)-Trigeminal or facial nerves.
NEW AGNP BOARD EXAM QUESTIONS
AND ANWESR ON NEUROLOGY ASSESSMENT
LATEST UPDATE 2022
,NEW AGNP BOARD EXAM QUESTIONS
AND ANWESR ON NEUROLOGY ASSESSMENT
LATEST UPDATE 2022
Question:
An example of symmetric weakness is:
the right shoulder.
the right hand.
both arms.
Correct
one 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:
One maneuver used to assess coordination is to observe the patient:
dorsiflexing the ankle.
walking heel-to-toe in a straight line. Correct
squeezing the examiner's fingers.
counting to 10 backwards.
Explanation:
To assess coordination, observe the patient’s performance in rapid alternating
movements, point-to-point movements, gait and other related body movements,
standing in specified ways. Walking heel-to-toe would be an example of observing
the patient's gait. Dorsiflexion would be assessing the patient's joint function.
Squeezing the examiner's fingers would be one way to assess hand grasp. Counting
has nothing to do with coordination.
NEW AGNP BOARD EXAM QUESTIONS
AND ANWESR ON NEUROLOGY ASSESSMENT
LATEST UPDATE 2022
, NEW AGNP BOARD EXAM QUESTIONS
AND ANWESR ON NEUROLOGY ASSESSMENT
LATEST UPDATE 2022
Question:
Assessment of a 70-year-old's ability to maintain personal safety would be most
adversely affected by declining function in the:
cardiovascular system.
respiratory system.
sensory perception system. Correct
gastrointestinal system.
Explanation:
The sensory system or sensory perception involves vision, touch, taste, smell, and
hearing. With the aging process these perceptions are altered and these alterations
put the elderly at risk for falls, burns, inability to smell smoke, and the inability to
move fast enough to get out of harm's way. These impact personal safety. Changes in
the cardiovascular, gastrointestinal, and respiratory systems do not usually lead to
safety issues.
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:
subarachnoid hemorrhage.
stroke.
neurocardiogenic syncope.
vasovagal syncope. Correct
Explanation:
In vasovagal syncope, a common cause of syncope, a prodrome of nausea,
diaphoresis, and pallor are triggered by a fearful or unpleasant event, then vagally
mediated hypotension, often with slow onset and offset. In syncope from
arrhythmias, onset and offset are often sudden, reflecting loss and recovery of
cerebral perfusion. Stroke or subarachnoid hemorrhage are unlikely to cause
syncope unless there are focal findings and damage to both hemispheres.
Question:
An infant presents with an inappropriately increasing head circumference and
NEW AGNP BOARD EXAM QUESTIONS
AND ANWESR ON NEUROLOGY ASSESSMENT
LATEST UPDATE 2022
AND ANWESR ON NEUROLOGY ASSESSMENT
LATEST UPDATE 2022
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 6
Cervical 6 and 7
Lumbar 2, 3, and 4 Correct
Sacral 1
Explanation:
The segmented levels of the deep tendon reflexes are: Ankle: sacral 1; knee:
lumbar 2,3, & 4; Supinator and biceps: cervical 5 & 6; and triceps: cervical 6 & 7.
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. Correct
assess respiratory
assessment. assess cardiac
function.
Explanation:
High-risk older adults, namely those with a single fall in the past 12 months with
abnormal gait and balance and those with two or more falls in the prior 12 months,
NEW AGNP BOARD EXAM QUESTIONS
AND ANWESR ON NEUROLOGY ASSESSMENT
LATEST UPDATE 2022
,NEW AGNP BOARD EXAM QUESTIONS
AND ANWESR ON NEUROLOGY ASSESSMENT
LATEST UPDATE 2022
an acute fall, and/or difficulties with gait and balance, require further assessment to
determine the reasons for the falls. Obtaining relevant medical history, physical
exam, cognitive and functional assessment and determining multifactorial fall risks
are essential to the preventing future falls.
Question:
When evaluating the sensory system, testing the spinothalamic tracts would include
assessing sensations of:
position and vibration.
pain and temperature. Correct
deep touch.
discriminative
sensations.
Explanation:
When evaluating the sensory system, testing the spinothalamic tracts would include
assessing sensations of pain and temperature. Assessing position and vibration
evaluate the posterior columns. Light touch assesses both the spinothalamic and
posterior column tracts. To assess discriminative sensation, both the spinothalamic
and posterior columns tracts as well as the cortex would be assessed.
Question:
When testing for corneal reflex, an absent blink reflex is noted. This finding may be
suggestive of a lesion in which cranial nerve?
Cranial Nerve II (CN II)
Cranial Nerve IV (CN
IV) Cranial Nerve VI
(CN V)
Cranial Nerve VII (CN VII) Correct
Explanation:
When testing for corneal reflex, an absent blink reflex would be suggestive of a lesion
in cranial nerves V or VII (CN V or CN VII)-Trigeminal or facial nerves.
NEW AGNP BOARD EXAM QUESTIONS
AND ANWESR ON NEUROLOGY ASSESSMENT
LATEST UPDATE 2022
,NEW AGNP BOARD EXAM QUESTIONS
AND ANWESR ON NEUROLOGY ASSESSMENT
LATEST UPDATE 2022
Question:
An example of symmetric weakness is:
the right shoulder.
the right hand.
both arms.
Correct
one 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:
One maneuver used to assess coordination is to observe the patient:
dorsiflexing the ankle.
walking heel-to-toe in a straight line. Correct
squeezing the examiner's fingers.
counting to 10 backwards.
Explanation:
To assess coordination, observe the patient’s performance in rapid alternating
movements, point-to-point movements, gait and other related body movements,
standing in specified ways. Walking heel-to-toe would be an example of observing
the patient's gait. Dorsiflexion would be assessing the patient's joint function.
Squeezing the examiner's fingers would be one way to assess hand grasp. Counting
has nothing to do with coordination.
NEW AGNP BOARD EXAM QUESTIONS
AND ANWESR ON NEUROLOGY ASSESSMENT
LATEST UPDATE 2022
, NEW AGNP BOARD EXAM QUESTIONS
AND ANWESR ON NEUROLOGY ASSESSMENT
LATEST UPDATE 2022
Question:
Assessment of a 70-year-old's ability to maintain personal safety would be most
adversely affected by declining function in the:
cardiovascular system.
respiratory system.
sensory perception system. Correct
gastrointestinal system.
Explanation:
The sensory system or sensory perception involves vision, touch, taste, smell, and
hearing. With the aging process these perceptions are altered and these alterations
put the elderly at risk for falls, burns, inability to smell smoke, and the inability to
move fast enough to get out of harm's way. These impact personal safety. Changes in
the cardiovascular, gastrointestinal, and respiratory systems do not usually lead to
safety issues.
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:
subarachnoid hemorrhage.
stroke.
neurocardiogenic syncope.
vasovagal syncope. Correct
Explanation:
In vasovagal syncope, a common cause of syncope, a prodrome of nausea,
diaphoresis, and pallor are triggered by a fearful or unpleasant event, then vagally
mediated hypotension, often with slow onset and offset. In syncope from
arrhythmias, onset and offset are often sudden, reflecting loss and recovery of
cerebral perfusion. Stroke or subarachnoid hemorrhage are unlikely to cause
syncope unless there are focal findings and damage to both hemispheres.
Question:
An infant presents with an inappropriately increasing head circumference and
NEW AGNP BOARD EXAM QUESTIONS
AND ANWESR ON NEUROLOGY ASSESSMENT
LATEST UPDATE 2022
