1|Page
PCHA EXAM LATEST 2026 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
The patient comes to the neurology clinic complaining of inability
to plantar flex the foot. Upon examination, the nurse notices the
Achilles reflex is absent and sensory sensations over the dorsum
of the big toe are absent. The lesion is in which spinal cord
segments? - ANSWER-L4 - L5, S1 - S2
The nurse has just stuck herself with a sharp needle. In order for
the nurse to be able to interpret this sensation, which of the
following areas must be intact? - ANSWER-lateral spinothalamic
tract, thalamus, and sensory cortex.
While taking a health history on the patient, the nurse notes a
history of polio as a child. During the physical exam, the nurse
also notes flaccid paralysis of the patient's left leg only with
atrophy of the leg muscles. The patient's paralysis would be due
to damage of the: - ANSWER-ventral horn cells
,2|Page
The patient has uncoordinated rapid alternating movements, an
intentional tremor when asked to perform finger-to-nose
movements, and sways excessively with the eyes open and
closed. The nurse would suspect a lesion in the: - ANSWER-
cerebellum
The patient is admitted to the neurology unit following a motor
vehicle accident with severe head injuries. The patient opens the
eyes to pain, but the patient's words are incomprehensible. With
painful stimuli, the patient has rigid flexion of the upper arms
which are held tightly to the chest, and the feet are plantar flexed
and internally rotated. The patient's Glasgow Come Scale score is
7. What information would the nurse give to this patient's family
when they ask about the patient's condition? - ANSWER-"His
condition is very, very serious. The next 48 hours will be critical."
Which of the following must be functioning in order to correctly
interpret numbers written in the palm of the hand
(graphesthesia)? - ANSWER-contralateral parietal lobe
The Glasgow Coma scale involves assessment of: - ANSWER-
eye opening, verbal response, and motor response
,3|Page
Which of the following is true regarding assessment of the
neurologic system? - ANSWER-Babinski reflex in a 2-month-old is
considered normal.
The patient arrives to the Emergency Department following a
motorcycle accident in which the patient was thrown from a
motorcycle. Initial tests show the patient has completely severed
the spinal cord only at the level of the third thoracic vertebrae.
The anterior horn cells are intact. What would be the most likely
findings upon examination of this client? - ANSWER-Severe
muscle weakness or paralysis (spinal shock) below the level of
the lesion initially (24-48 hours), followed by spastic paralysis
within several days or weeks.
While performing a neurologic exam on , the nurse notes rapid
rhythmic contraction of muscle groups while testing the ankle
(Achilles) reflex. This finding is referred to as: - ANSWER-clonus
The practitioner places a key in the hand of the patient; the
patient identifies it as a penny. What term would the nurse use to
, 4|Page
describe the result of this sensory exam? - ANSWER-
Astereognosis
The nurse is testing the deep tendon reflexes of a patient who is
in the clinic for an annual physical examination. When striking the
Achilles tendon, the nurse is unable to elicit a reflex. The nurse's
next response should be to: - ANSWER-assess for the reflex
again while asking the patient to lock her fingers and "pull".
One of the earliest and most sensitive signs of a change in the
patient's condition is: - ANSWER-Change in level of
consciousness.
Lower motor neurons differ from upper motor neurons primarily in
that lesions of the lower motor neurons - ANSWER-cause
hyporeflexia and flaccidity.
The nurse is testing the patient's deep tendon reflexes. The nurse
holds the reflex hammer with the dominant hand between the
thumb and index finger. A striking motion is generated with the
wrist, and the tendon is tapped briskly with a smooth, direct arc.
PCHA EXAM LATEST 2026 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
The patient comes to the neurology clinic complaining of inability
to plantar flex the foot. Upon examination, the nurse notices the
Achilles reflex is absent and sensory sensations over the dorsum
of the big toe are absent. The lesion is in which spinal cord
segments? - ANSWER-L4 - L5, S1 - S2
The nurse has just stuck herself with a sharp needle. In order for
the nurse to be able to interpret this sensation, which of the
following areas must be intact? - ANSWER-lateral spinothalamic
tract, thalamus, and sensory cortex.
While taking a health history on the patient, the nurse notes a
history of polio as a child. During the physical exam, the nurse
also notes flaccid paralysis of the patient's left leg only with
atrophy of the leg muscles. The patient's paralysis would be due
to damage of the: - ANSWER-ventral horn cells
,2|Page
The patient has uncoordinated rapid alternating movements, an
intentional tremor when asked to perform finger-to-nose
movements, and sways excessively with the eyes open and
closed. The nurse would suspect a lesion in the: - ANSWER-
cerebellum
The patient is admitted to the neurology unit following a motor
vehicle accident with severe head injuries. The patient opens the
eyes to pain, but the patient's words are incomprehensible. With
painful stimuli, the patient has rigid flexion of the upper arms
which are held tightly to the chest, and the feet are plantar flexed
and internally rotated. The patient's Glasgow Come Scale score is
7. What information would the nurse give to this patient's family
when they ask about the patient's condition? - ANSWER-"His
condition is very, very serious. The next 48 hours will be critical."
Which of the following must be functioning in order to correctly
interpret numbers written in the palm of the hand
(graphesthesia)? - ANSWER-contralateral parietal lobe
The Glasgow Coma scale involves assessment of: - ANSWER-
eye opening, verbal response, and motor response
,3|Page
Which of the following is true regarding assessment of the
neurologic system? - ANSWER-Babinski reflex in a 2-month-old is
considered normal.
The patient arrives to the Emergency Department following a
motorcycle accident in which the patient was thrown from a
motorcycle. Initial tests show the patient has completely severed
the spinal cord only at the level of the third thoracic vertebrae.
The anterior horn cells are intact. What would be the most likely
findings upon examination of this client? - ANSWER-Severe
muscle weakness or paralysis (spinal shock) below the level of
the lesion initially (24-48 hours), followed by spastic paralysis
within several days or weeks.
While performing a neurologic exam on , the nurse notes rapid
rhythmic contraction of muscle groups while testing the ankle
(Achilles) reflex. This finding is referred to as: - ANSWER-clonus
The practitioner places a key in the hand of the patient; the
patient identifies it as a penny. What term would the nurse use to
, 4|Page
describe the result of this sensory exam? - ANSWER-
Astereognosis
The nurse is testing the deep tendon reflexes of a patient who is
in the clinic for an annual physical examination. When striking the
Achilles tendon, the nurse is unable to elicit a reflex. The nurse's
next response should be to: - ANSWER-assess for the reflex
again while asking the patient to lock her fingers and "pull".
One of the earliest and most sensitive signs of a change in the
patient's condition is: - ANSWER-Change in level of
consciousness.
Lower motor neurons differ from upper motor neurons primarily in
that lesions of the lower motor neurons - ANSWER-cause
hyporeflexia and flaccidity.
The nurse is testing the patient's deep tendon reflexes. The nurse
holds the reflex hammer with the dominant hand between the
thumb and index finger. A striking motion is generated with the
wrist, and the tendon is tapped briskly with a smooth, direct arc.
