NSG 620 FINAL EXAM
QNS AND ANS
2023/2024
,Which of the following drugs used for Parkinsonism mimics dopamine?
A. Anticholinergics
B. Levodopa (L-dopa)
C. Bromocriptine
D. Tolcapone - C.
Lynne, age 72, presents for the first time with her daughter. Her daughter describes
some recent disturbing facts about her mother. How can you differentiate between
depression and dementia?
A. You might be able to pinpoint the onset of dementia, but the onset of depression is
difficult to identify.
B. A depressed person has wide mood swings, whereas a person with dementia
demonstrates apathetic behavior.
C. The person with dementia tries to hide problems concerning his or her memory,
whereas the person with depression complains about memory.
D. The person with dementia has a poor self-image, whereas the person with
depression does not have a change in self-image. - C.
Mark, age 29, tells you that he has thought about suicide. Which should you say next?
A. "How long have you felt this way?"
B. "Tell me more about it."
C. "Do you have a plan?"
D. "Have you told anyone else?" - C.
You assess for cogwheel rigidity in Sophia, age 76. What is cogwheel rigidity a
manifestation of?
A. Alzheimer's disease
B. Parkinson's disease
C. Brain attack
D. Degenerative joint disease - B.
During a mental status examination, which question would be the most helpful to assess
remote memory?
A. "How long have you been here?"
B. "What time did you get here today?"
C. "What did you eat for breakfast?"
D. "What was your mother's maiden name?" - D.
,Urine drug screening tests, often performed in the workplace, are frequently effective in
finding a person who smokes marijuana, because a urine test will be positive for
marijuana for up to how long after a person stops smoking the drug?
A. 24 hours
B. 1 week
C. 2 weeks
D. 30 days - D.
Which of the following gaits in older adults includes brusque movements of the legs and
stamping of the feet?
A. Gait of sensory ataxia
B. Parkinsonian gait
C. Antalgic gait
D. Cerebellar gait - A.
Don, age 62, calls to complain of a severe headache. Which of his following statements
most concerns you?
A. "It hurts when I turn my head a specific way."
B. "It's the worst headache I've ever had."
C. "Nothing I do seems to help this constant ache."
D. "I'm so worried. Can you do a CT scan?" - B.
The typical perpetrator in a domestic violence situation is one who:
A. Has a history of being a victim of abuse.
B. Has a criminal record.
C. Is involved in a new relationship.
D. Is on a lower socioeconomic scale. - A.
Clients with senile dementia of the Alzheimer's type often die of:
A. Pneumonia.
B. Suicide.
C. Pressure sores.
D. Malnutrition. - A.
Bob, age 49, is complaining of recurrent, intrusive dreams since returning from his
Marine combat training. You suspect:
A. Depersonalization.
B. Schizophrenia.
C. Post-traumatic stress disorder.
D. Anxiety. - C.
, Sarah comes into the office with a severe headache, fever, delirium, nausea, vomiting,
and a stiff neck. Which physical maneuver will you perform to help determine a
diagnosis?
A. Kernig's sign
B. Hoover's sign
C. Hoffman's sign
D. Babinski's reflex - A.
What is the main overall goal of therapy for the client with Parkinson's disease?
A. To halt the progression of the disease
B. To keep the client functioning independently as long as possible
C. To control the symptoms of the disease
D. To ease the depression associated with the disease - B.
What is the most common cause of cerebellar disease?
A. Hypothyroidism
B. Use of drugs such as 5-fluorouracil or phenytoin
C. Cerebellar neoplasm
D. Alcoholism - D.
Dave, age 76, is brought in by his wife who states that within the past 2 days, Dave has
become agitated and restless, had few lucid moments, slept very poorly last night, and
can remember only recent events. Of the following differential diagnoses, which seems
the most logical from this brief history?
A. Depression
B. Dementia
C. Delirium
D. Schizophrenia - C.
You are performing some neurological assessment tests on Daniel. When you ask
Daniel to lie supine and flex his head to his chest, what are you assessing?
A. Brudzinski's sign
B. Kernig's sign.
C. Decorticate posturing
D. Decerebrate posturing - A.
Which of the following cardiac drugs is used to treat migraine headaches?
A. Beta blockers
B. Nitrates
QNS AND ANS
2023/2024
,Which of the following drugs used for Parkinsonism mimics dopamine?
A. Anticholinergics
B. Levodopa (L-dopa)
C. Bromocriptine
D. Tolcapone - C.
Lynne, age 72, presents for the first time with her daughter. Her daughter describes
some recent disturbing facts about her mother. How can you differentiate between
depression and dementia?
A. You might be able to pinpoint the onset of dementia, but the onset of depression is
difficult to identify.
B. A depressed person has wide mood swings, whereas a person with dementia
demonstrates apathetic behavior.
C. The person with dementia tries to hide problems concerning his or her memory,
whereas the person with depression complains about memory.
D. The person with dementia has a poor self-image, whereas the person with
depression does not have a change in self-image. - C.
Mark, age 29, tells you that he has thought about suicide. Which should you say next?
A. "How long have you felt this way?"
B. "Tell me more about it."
C. "Do you have a plan?"
D. "Have you told anyone else?" - C.
You assess for cogwheel rigidity in Sophia, age 76. What is cogwheel rigidity a
manifestation of?
A. Alzheimer's disease
B. Parkinson's disease
C. Brain attack
D. Degenerative joint disease - B.
During a mental status examination, which question would be the most helpful to assess
remote memory?
A. "How long have you been here?"
B. "What time did you get here today?"
C. "What did you eat for breakfast?"
D. "What was your mother's maiden name?" - D.
,Urine drug screening tests, often performed in the workplace, are frequently effective in
finding a person who smokes marijuana, because a urine test will be positive for
marijuana for up to how long after a person stops smoking the drug?
A. 24 hours
B. 1 week
C. 2 weeks
D. 30 days - D.
Which of the following gaits in older adults includes brusque movements of the legs and
stamping of the feet?
A. Gait of sensory ataxia
B. Parkinsonian gait
C. Antalgic gait
D. Cerebellar gait - A.
Don, age 62, calls to complain of a severe headache. Which of his following statements
most concerns you?
A. "It hurts when I turn my head a specific way."
B. "It's the worst headache I've ever had."
C. "Nothing I do seems to help this constant ache."
D. "I'm so worried. Can you do a CT scan?" - B.
The typical perpetrator in a domestic violence situation is one who:
A. Has a history of being a victim of abuse.
B. Has a criminal record.
C. Is involved in a new relationship.
D. Is on a lower socioeconomic scale. - A.
Clients with senile dementia of the Alzheimer's type often die of:
A. Pneumonia.
B. Suicide.
C. Pressure sores.
D. Malnutrition. - A.
Bob, age 49, is complaining of recurrent, intrusive dreams since returning from his
Marine combat training. You suspect:
A. Depersonalization.
B. Schizophrenia.
C. Post-traumatic stress disorder.
D. Anxiety. - C.
, Sarah comes into the office with a severe headache, fever, delirium, nausea, vomiting,
and a stiff neck. Which physical maneuver will you perform to help determine a
diagnosis?
A. Kernig's sign
B. Hoover's sign
C. Hoffman's sign
D. Babinski's reflex - A.
What is the main overall goal of therapy for the client with Parkinson's disease?
A. To halt the progression of the disease
B. To keep the client functioning independently as long as possible
C. To control the symptoms of the disease
D. To ease the depression associated with the disease - B.
What is the most common cause of cerebellar disease?
A. Hypothyroidism
B. Use of drugs such as 5-fluorouracil or phenytoin
C. Cerebellar neoplasm
D. Alcoholism - D.
Dave, age 76, is brought in by his wife who states that within the past 2 days, Dave has
become agitated and restless, had few lucid moments, slept very poorly last night, and
can remember only recent events. Of the following differential diagnoses, which seems
the most logical from this brief history?
A. Depression
B. Dementia
C. Delirium
D. Schizophrenia - C.
You are performing some neurological assessment tests on Daniel. When you ask
Daniel to lie supine and flex his head to his chest, what are you assessing?
A. Brudzinski's sign
B. Kernig's sign.
C. Decorticate posturing
D. Decerebrate posturing - A.
Which of the following cardiac drugs is used to treat migraine headaches?
A. Beta blockers
B. Nitrates
