Mastering Proctored Neurology and Musculoskeletal Nursing Exams: Get Help with Answers and Proctoring Software Now
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Are you struggling with neurological or musculoskeletal nursing exams like NURS 315 or PNUR 330 – Spring 2025 (NEURO-MSK-SP25)? From cerebral palsy types to Parkinson’s meds like benztropine, to seizure management, fractures, and traction care — the clinical depth of this exam is no joke. You might even face questions about spastic vs. athetoid cerebral palsy, phenytoin teaching, ALS progression, or interpreting a positive Romberg test.
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The nurse observes that the legs of a child with cerebral palsy cross involuntarily, and the child exhibits jerky movements with his arms as he nurse recognizes that he has which type of cerebral palsy?
O Spastic
O Mixed
O Ataxic
Athetoid
The nurse is educating the family of a patient in the late stages of amyotrophic lateral sclerosis (ALS). Which information is most important for include?
Breathing should not be affected by the disease.
Cognitive and mental capacities will most likely remain intact throughout the disease progression.
Ability to swallow will remain intact.
Ability to move the upper limbs may be affected.
Which factor(s) is/are most likely a potential cause(s) of multiple sclerosis (MS)?
Allergies response to antiviral medications
Environmental factors and genetic predisposition
bacterial infection of the myelin
Hypersensitivity reaction attacking the myelin
The nurse is performing a neurologic assessment on a patient. Which action should the nurse take to adequately test the effectiveness for the hypoglossal nerve?
Ask the patient to touch the tip of the tongue to each cheek.
Check air movement through each nostril separately.
Ask the patient to shrug the shoulders.
Ask the patient to wrinkle the forehead.
Pause kemaining: 00:05:00
CONTINUE
A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for baclofen. Which of the following instructions should the nurse include?
“Diarrhea is an adverse effect of this medication.”
“Stop taking the medication immediately for headache.”
“Take the medication on an empty stomach.”
“Avoid driving until the medication’s effects are evident.”
Which of the following is a primary therapeutic use of colchicine?
To lower uric acid levels in chronic gout
To treat bacterial infections
To treat acute gout attacks
To reduce inflammation in rheumatoid arthritis
CONTINUE
How does Russell traction provide adequate skin traction?
Prevents the knee from flexing
Does not interfere with range of motion
Supplies continues pull in two directions
Subluxates the tibia
CONTINUE
A nurse is collecting data from a client who has Parkinson’s disease and is experiencing bradykinesia. Which of the following findings should the nurse expect?
slurred speech
increased blinking
states of euphoria
decreased respiratory rate
CONTINUE
The patient’s plan of care includes using the continuous passive motion (CPM) machine. Which statement indicates the patient needs for further teaching?
“I can make my new knee stronger if I reset this thing to go faster and flex my knee more.”
“I marched in the Marines for 20 years, and now I’m marching flat on my back!”
“I almost wish this CPM ran at night. The motor noise is soothing.”
“My new knee will be glad to rest at night.”
CONTINUE
The parent of a child with osteomyelitis asks why his child is in so much pain. What will the nurse respond causes the pain experienced with osteomyelitis?
“The cast applied on the extremity”
“Pressure of inelastic bone”
“Infection in the bone marrow”
“Circulatory congestion of the skin”
What intervention will the nurse caring for a child in Buck skin traction implement?
Keep child’s heel on footboard
Assist the child to be pulled up in bed
Maintain child’s feet against the foot of the bed
Position in high Fowler’s position
Question: 43 of 75
CONTINUE
Time Remaining: 00:14:59 Pause Remaining: 00:05:00
PAUSE
The nurse is caring for a patient who has had an arthrocentesis. The nurse has completed discharge instructions. Which statement indicates the patient needs further instruction?
“The steroids prescribed by my physician will reduce the inflammation in my knee.”
“My elastic bandage will be worn for 2 to 3 days.”
“I should avoid moving my knee for at least 2 weeks.”
“Some pain is anticipated.”
13
CONTINUE
If muscles are not regularly stretched and contracted, how will the muscles be affected?
Muscles will become longer and flexed.
Muscles will become fibrosed and spastic.
Muscles will become shorter and less elastic.
Muscles will become shorter and painful.
Which intervention would be helpful in relieving morning discomfort associated with rheumatoid arthritis?
Wearing splints at night to prevent extension contractures
Sleeping with two pillows under the head
Applying moist heat packs upon awakening
Taking a warm tub bath the evening before bed
Increasing sedimentation rates
Liver damage
Increasing creatinine
Potassium depletion
An 80-year-old man falls and suffers a compound fracture of the femur. Which immediate action is most appropriate?
Position him flat on his back
Apply a tourniquet on the leg
Carefully straighten the leg
Carefully splint the leg as it is
Myelography
Cerebral angiography
Lumbar puncture for cerebrospinal fluid (CSF) analysis and culture
Magnetoencephalography (MEG)
What intervention will the nurse caring for a child in Buck skin traction implement?
Position in high Fowler’s position
Maintain child’s feet against the foot of the bed
Keep child’s heel on footboard
Assist the child to be pulled up in bed
CONTINUE
The nurse performing a neurovascular check on a limb in traction would report and document which finding(s) as indicative of altered circulation? (Select the 2 correct answers)
(Select All that Apply.)
Capillary refill is 5 seconds
Limb is cool to the touch
Patient is aware of touch and warm and cold application
Pulse is equal to uncasted limb
Distal limb can flex and extend
CONTINUE
A nurse is reinforcing teaching with a client who is taking benztropine to treat Parkinson’s disease. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?
slow pulse
excessive salivation
diarrhea
difficulty voiding
What nursing action will significantly decrease the risk of serious complications for a child in Bryant’s traction?
Bandages are wrapped tightly.
Neurovascular checks are done frequently.
The child is restrained from rolling over.
The child’s buttocks are resting on the bed.
4
CONTINUE
Pause ke
Which statement indicates that the patient needs further instruction about application of ice to a sprain?
“I will keep the ice on this knee for the rest of the day.”
“I can elevate my leg and use ice to reduce swelling.”
“I know this ice will reduce the swelling.”
“I will use the ice as you have directed for 24 h.”
13
The nurse is explaining Parkinson disease to the student nurse. Which statement indicates that the student nurse correctly understands the pat of the disease?
“Excess dopamine and deficient acetylcholine are the cause of Parkinson disease.”
“When there is decreased dopamine uptake at receptors in brain cells, Parkinson disease results.”
“Regardless of the actual etiology, Parkinson disease is caused by depletion of dopamine and excess of acetylcholine.”
“The pathophysiology of the disease is caused by the deterioration of the myelin sheath of the basal ganglia.”
Question: 32 of 75
Time Remaining: 00:24:19 Pause Remaining: 00:05:00
PAUSE
The nurse observes that the legs of a child with cerebral palsy cross involuntarily, and the child exhibits jerky movements with his arms as he tries to eat. The nurse recognizes that he has which type of cerebral palsy?
Ataxic
Mixed
Spastic
Athetoid
CONTINUE
C
A nurse cares for a client who is experiencing status epilepticus. Which prescribed medication should the nurse prepare to administer?
Diazepam (Valium)
Atenolol (Tenormin)
Lisinopril (Prinvil)
Phenytoin (Dilantin)
CONTINUE
excessive salivation
difficulty voiding
slow pulse
diarrhea
A nurse cares for a client who is experiencing status epilepticus. Which prescribed medication should the nurse prepare to administer?
Diazepam (Valium)
Atenolol (Tenormin)
Lisinopril (Prinvil)
Phenytoin (Dilantin)
Which behavior causes the nurse to report a positive Romberg test?
The patient cannot touch his nose with eyes closed.
The patient complains of dizziness.
The patient cannot keep his eyes closed.
The patient sways from side to side.
Pause Relag. 0.05.00
A parent reports that her child has begun to do poorly at school and experiences episodes where he appears to be staring into space. Of which type of seizure is this behavior a characteristic?
Absence
Complex partial
Akinetic
Myoclonic
What does the nurse explain to parents of a child with febrile seizures?
They occur when the body temperature exceeds 38.3° C (101° F).
They usually lead to the development of epilepsy.
They can be prevented by anticonvulsant medication
They occur when the temperature rises quickly.
CONTINUE
The nurse is providing medication teaching to a patient with epilepsy who is taking phenytoin (Dilantin). Which statement best indicates that the teaching has been successful?
“This medication may turn my urine orange.”
“I should take my antacid an hour after my Dilantin.”
“I should decrease my alcohol intake to a single drink per day.”
“I should visit the dentist every 3 to 6 months while taking this medication.”
What finding would the nurse assessing the neurovascular status of a child in Russell traction report immediately?
Bluish coloration of skin
Capillary refill less than 3 seconds
Skin that’s warm to the touch
Ability to wiggle toes
The nurse is caring for an anxious 20-year-old college student who just suffered his first seizure in his dorm room. The patient asks the nurse if he is now an epileptic. What is the nurse’s best response?
“Yes. All seizures are considered to be epilepsy.”
“No, but you should see a physician to get a prescription for a preventative antispasmodic.”
“Yes, but you may never have another seizure since it has just now manifested itself.”
“No. All other causes of seizure activity must be ruled out before the diagnosis of epilepsy is made.”
CONTINUE
C
Which statement about cerebral palsy would be accurate?
“Cerebral palsy means there will be many disabilities.”
“Cerebral palsy occurs because too much oxygen to the brain,”
“Cerebral palsy is a condition that runs in families.”
“Cerebral palsy is a condition that doesn’t get worse.”
A nurse is preparing home instructions for a client who has epilepsy. Which of the following information should the nurse include in the tea
Fasting can help increase the seizure threshold
Take showers rather than tub baths
Engage in exercise just prior to bedtime
Caffeine can help prevent seizure occurrence
The nurse is caring for an anxious 20-year-old college student who just suffered his first seizure in his dorm room. The patient asks the nurse if he is now an epileptic. What is the nurse’s best response?
“Yes. All seizures are considered to be epilepsy.”
“No, but you should see a physician to get a prescription for a preventative antispasmodic.”
“Yes, but you may never have another seizure since it has just now manifested itself.”
“No. All other causes of seizure activity must be ruled out before the diagnosis of epilepsy is made.”
CONTINUE
What is the name for the anatomical structure that joins the bones of a joint together?
A muscle
A ligament
Cartilage
A tendon
A 10 month-old infant with bacterial meningitis was just started on antibiotic therapy. Which nursing action is especially important in this situation?
Administer oral gentamicin
Wear a mask while providing care
Flex the child’s neck every 4 hours to maintain range of motion
Encourage the child to drink 3,000 mL of fluid per day
CONTINUE
A 10 month-old infant with bacterial meningitis was just started on antibiotic therapy. Which nursing action is especially important in this situation?
Administer oral gentamicin
Wear a mask while providing care
Flex the child’s neck every 4 hours to maintain range of motion
Encourage the child to drink 3,000 mL of fluid per day
CONTINUE
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Please Note: Attempting to exit out of full screen mode or pressing the escape button will result in an alert message sent to the proctor and may result in the termination of the assessment.
Copyright © 2025 Assessment Technologies Institute, L.L.C. All rights reserved.
A 10 month-old infant with bacterial meningitis was just started on antibiotic therapy. Which nursing action is especially important in this situation?
Administer oral gentamicin
Wear a mask while providing care
Flex the child’s neck every 4 hours to maintain range of motion
Encourage the child to drink 3,000 mL of fluid per day
CONTINUE
The home health nurse is caring for a patient with multiple sclerosis (MS) who complains of severe fatigue. What activity should the nurse suggest to diminish the effects of fatigue?
Relaxing in a warm bath
Including daily-dose multivitamins
Scheduling rest periods during the day
Performing deep-breathing exercises
&
CONTINUE
When the patient returns to the unit from having had an arthroscopy, which intervention should the nurse perform first?
Perform passive range of motion (ROM) exercises
Ambulate the patient in the room.
Wrap the knee in an elastic bandage
Apply ice packs to the knee
The parent of a child with osteomyelitis asks why his child is in so much pain. What will the nurse respond causes the pain experienced with o
“Circulatory congestion of the skin”
“Pressure of inelastic bone”
“The cast applied on the extremity”
“Infection in the bone marrow”
When the patient returns to the unit from having had an arthroscopy, which intervention should the nurse perform first?
Ambulate the patient in the room.
Perform passive range of motion (ROM) exercises
Apply ice packs to the knee
Wrap the knee in an elastic bandage
Which of the following is a primary therapeutic use of colchicine?
To treat acute gout attacks
To lower uric acid levels in chronic gout
To treat bacterial infections
To reduce inflammation in rheumatoid arthritis
CONTINUE
Airplane travel
Abruptly stopping anticonvulsant
Exposure to sunlight
Recent upper respiratory infection
The nurse is educating the family of a patient in the late stages of amyotrophic lateral sclerosis (ALS). Which information is most important for the nurse to include?
Cognitive and mental capacities will most likely remain intact throughout the disease progression.
Ability to move the upper limbs may be affected.
Ability to swallow will remain intact.
Breathing should not be affected by the disease.
CONTINUE
A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. The nurse should recognize the client is experiencing which of the following conditions?
A period of sleepiness following the seizure during which arousal is difficult
A sensory warning that a seizure is imminent
A continuous seizure state in which seizures occur in rapid succession
A brief loss of consciousness accompanied by staring
CONTINUE
A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. The nurse should recognize the client is experiencing which of the following conditions?
A period of sleepiness following the seizure during which arousal is difficult
A sensory warning that a seizure is imminent
A continuous seizure state in which seizures occur in rapid succession
A brief loss of consciousness accompanied by staring
CONTINUE
Full screen mode is in effect during your proctored testing.
assessment.
Please Note: Attempting to exit out of full screen mode or pressing the escape button will result in an alert message sent to the proctor and may result in the termination of the
Copyright © 2025 Assessment Technologies Institute, L.L.C. All rights reserved.
What is the name for the anatomical structure that joins the bones of a joint together?
A muscle
A tendon
Cartilage
A ligament
&
Question: 17 of 75
A child hospitalized for treatment of osteomyelitis complains that he is tired of being sick and wants to know when the antibiotic proto will the nurse indicate that antibiotic therapy will probably last?
6 months
O 6 weeks
3 months
5 days
Full screen mode is in effect during your proctored testing.
Please Note: Attempting to exit out of full screen mode or pressing the escape button will result in an alert message sent to the proctor and may result in th
Positioning and range-of-motion (ROM) exercises most help the immobilized patient to prevent which complication?
Increased pain
Contractures
Compromised circulation
Pressure ulcers
CONTINUE
A nurse is reinforcing teaching to the family of a client who has Parkinson’s disease. Which of the following instructions should the nurse include?
limit the client’s physical activity
offer the client 3 large meals a day
provide the client a cane
speak loudly to the client
CONTINUE
A nurse is reinforcing teaching to the family of a client who has Parkinson’s disease. Which of the following instructions should the nurse include?
limit the client’s physical activity
offer the client 3 large meals a day
provide the client a cane
speak loudly to the client
CONTI
The nurse is discussing actions that can be taken to best prevent osteoporosis with a patient. Which information should the nurse include?
Increase daily intake of milk products.
Eat a balanced diet.
Weight-bearing exercise.
Take an extra calcium supplement.
How does Russell traction provide adequate skin traction?
Prevents the knee from flexing
Does not interfere with range of motion
Subluxates the tibia
Supplies continues pull in two directions
C
The nurse is checking for capillary refill on a child in Bryant’s traction. How long does it take for the toe nailbed to regain color if adequate perfusion is assessed?
5 seconds
6 seconds
3 seconds
4 seconds
12
The nurse is providing teaching to a patient newly diagnosed with focal seizure disorder. Which statement by the nurse is most accurate?
“Simple partial seizures are not treatable.”
“Simple partial seizures may result in an alteration of consciousness.”
“Your seizures will typically only affect one side of your body.”
“The simple partial seizure may cause motor impairment to begin in all of your extremities.”
Full screen mode is in effect during your proctored testing.
CONTINUE
CONTINU
The nurse is caring for a patient with bacterial meningitis. What interventions should the nurse include in the plan of care?
Maintain a quiet environment with minimal stimulation.
Provide magazines and other activities to reduce daytime naps.
Provide all care using sterile technique.
Limit intake of oral fluids.
Pause Remaining: 00:05:00
The nurse is planning to teach parents about prevention of Reye’s syndrome. What information would the nurse include in this teaching?
Get the child tested for Reye’s syndrome if the child exhibits fever, vomiting, and lethargy.
Use aspirin instead of acetaminophen for children with viral illness.
Avoid giving salicylate-containing medications to a child who has viral symptoms.
Advise parents to have their children immunized against Reye’s syndrome.
CONTINUE
Full screen mode is in effect during your proctored testing.
Please Note: Attempting to exit out of full screen mode or pressing the escape button will result in an alert message sent to the proctor and may result in the termination of the
Positioning and range-of-motion (ROM) exercises most help the immobilized patient to prevent which complication?
Pressure ulcers
Contractures
Increased pain
Compromised circulation
4
What characteristic manifestation does the nurse caring for a child with Duchenne’s muscular dystrophy document?
Falls frequently and is clumsy
Ambulates by holding onto furniture
Has delayed fine-motor development
Exhibits atrophy of calf muscles
Which of the following responses describes a greenstick fracture?
Bone shattered in more than two pieces
Fracture that has not broken through skin
Bone that is in two distinct pieces
Bone is partially broken and partially bent
Which of the following responses describes a greenstick fracture?
Bone shattered in more than two pieces
Fracture that has not broken through skin
Bone that is in two distinct pieces
Bone is partially broken and partially bent
On entering the room of a child in Buck traction, the nurse makes all of the following observations. Which observation requires a nursing intervention?
Child’s heels are placed firmly against the foot of the bed.
Weights are hanging freely.
Head of bed is elevated 20 degrees.
Ropes are on pulleys.
CONTINUE
Full screen mode is in effect during your proctored testing.
Please Note: Attempting to exit out of full screen mode or pressing the escape button will result in an alert message sent to the proctor and may result in the termination of the
A 10 month-old infant with bacterial meningitis was just started on antibiotic therapy. Which nursing action is especially important in this sit
Flex the child’s neck every 4 hours to maintain range of motion
Encourage the child to drink 3,000 mL of fluid per day
Wear a mask while providing care
Administer oral gentamicin
When caring for a patient who has an abductor wedge in place after a total hip replacement, for which finding should the nurse assess for?
Compression fracture
Muscle spasms
Appropriateness of the size of the wedge
Alteration in peripheral circulation
Which symptoms occurs initially in Parkinson disease?
Aspiration
Dementia
Pill-rolling movements of the hand
Akinesia
Question: 2 of 75
Time Remaining: 01:12:40 Pause Remaining: 00:05:00
PAUSE
The nurse is performing morning care for a patient who sustained a fractured pelvis and bilateral femur fractures yesterday in a motorcycle collision. The patient complains of shortness of breath. Assessment reveals audible wheezes and oxygen saturation of 76%. What action should the nurse take first?
Raise patient to High Fowlers position
Inform the charge nurse
Explain the patient’s change in status to his family
Establish a peripheral intravenous line
Question: 1 of 75
CONTINUE
Time Remaining: 01:14:40 Pause Remaining: 00:05:00
PAUSE
The nurse is providing medication teaching to a patient with epilepsy who is taking phenytoin (Dilantin). Which statement best indicates that the nurse’s teaching has been successful?
“I should take my antacid an hour after my Dilantin.”
“This medication may turn my urine orange.”
“I should decrease my alcohol intake to a single drink per day.”
“I should visit the dentist every 3 to 6 months while taking this medication.”
CONTINUE
The nurse is performing a neurologic assessment on a patient. Which action should the nurse take to adequately test the effectiveness for the nerve?
Ask the patient to touch the tip of the tongue to each cheek.
Ask the patient to shrug the shoulders.
Ask the patient to wrinkle the forehead.
Check air movement through each nostril separately.
Full screen mode is in effect during your proctored testing.
diminished gag reflex
muscle wasting
mild clumsiness
altered mental status
The Nurse is reviewing the record for a client seen in the health Care Clinic and notes that the health care provider nas documented a ulagnosis vi amyotrophic lateral sclerosis (ALS). Which initial clinical manifestation of this disorder should the nurse expect to see documented in the record?
diminished gag reflex
muscle wasting
mild clumsiness
altered mental status
What is an appropriate nursing action when a child is experiencing a generalized tonic-clonic seizure?
Assist the child to bed and then go for help.
Move objects out of the child’s immediate area.
Manually restrain the child.
Stick a padded tongue blade between the child’s teeth.
Which symptoms occurs initially in Parkinson disease?
Pill-rolling movements of the hand
Aspiration
Dementia
Akinesia
о
·
о
O
O
·
•
·
•
о
Pause Remang. 00.03.00
A nurse cares for a client who is experiencing status epilepticus. Which prescribed medication should the nurse prepare to administer?
Phenytoin (Dilantin)
Atenolol (Tenormin)
Lisinopril (Prinvil)
O Diazepam (Valium)
An 80-year-old man falls and suffers a compound fracture of the femur. Which immediate action is most appropriate?
Apply a tourniquet on the leg
Carefully splint the leg as it is
Position him flat on his back
Carefully straighten the leg
13
