NSG 6435: Week 8 Quiz/Answers

NSG 6435: Week 8 Quiz Question 1 The physical exam of an established 7-month-old client – diagnosed with spastic cerebral palsy – will mostly likely be positive for which signs? Increased deep tendon reflexes and sustained clonus Dystonic posturing and sustained clonus Abnormal involuntary movements and increased deep tendon reflexes Nystagmus and absent reflexes Question 2 A 4-year-old client, who is new to the clinic, presents for a sick visit. However, upon exam the provider discovers that the client has flaccid paralysis over the lower extremities, absent deep tendon reflexes, lack of response to touch and pain, and has a saclike cyst on the lower back. What is the most probable diagnosis? Viral gastroenteritis Myelomeningocele Meningitis Shunt infection Question 3 A 7-month old female client presents to the clinic to establish care. During the visit, the parents report that their daughter was developing as expected during the first 5 months of life but they fear that her development has plateaued. Over the last two months she has become withdrawn and has lost skills previously performed like partial hand skills and acquired spoken language. The provider notes on exam excessive bruxism, periods of apnea followed by hyperpnea, hand wringing, and spastic para¬paresis. What is the most likely diagnosis? Rett Syndrome Autism Spectrum Disorder Cerebral Palsy Brain Damage Question 4 An apparently healthy 7-year-old client, presents to the clinic complaining of left-sided facial paralysis that occurred suddenly. The client denies any sensory loss but reports difficulty closing the left eyelid. The provider suspects the client has Bell’s Palsy. Which cranial nerve is most likely affected in this condition? IV V VI VII