NR 509 APEA Neurology
NR 509 Advanced physical assessment
,NR 509 APEA Neurology
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.
afocal 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:
,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
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 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.
NR 509 Advanced physical assessment
,NR 509 APEA Neurology
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.
afocal 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:
,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
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 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.
