ATI LPN
Neurology Exam Questions Questions
Question 1 of 5
You witness your patient having a tonic-clonic seizure. What is our first action?
Correct Answer: A
Rationale: During a tonic-clonic seizure, the priority is to protect the airway by turning the patient on their side to prevent aspiration of saliva or vomit. Checking motor strength, loosening clothing, and documenting time are secondary to immediate safety.
Question 2 of 5
A 26-year-old male presents with moderate 'tightening' bilateral headache. These headaches began approximately one week ago. He denies any sensitivity to light or sound, dizziness, fatigue, changes in memory and does not experience nausea or vomiting. Headache episodes last a few hours. He is stressed about a presentation he has to give to his company owners later this week. He remembers having occasional headaches with fatigue or stress dating back to his teenage years. There is no significant past medical history. Funduscopic evaluation is negative for papilledema, and there is pericranial muscle tenderness upon palpation. The remainder of his neurological examination is normal. Which of the following is most appropriate next step in diagnosis?
Correct Answer: D
Rationale: Bilateral, tightening headache with stress and muscle tenderness, without red flags (e.g., papilledema), suggests tension-type headache. Imaging is not indicated in the absence of neurological deficits or sinister features.
Question 3 of 5
A 46-year-old man presents with restlessness, depression, and weight loss. Initially, he noticed increased clumsiness, and now has had involuntary, jerky-like movements of his upper extremity. He incorporates the involuntary movements into his purposeful movements so his wife does not notice. His father committed suicide, and his mother is currently healthy. He has been having difficulty with work due to problems with multi-tasking, and decision making. On physical examination, delayed saccadic initiation is appreciated, as well as difficulty with finger tapping, and maintaining steady grip. Which of the following is most likely the diagnosis?
Correct Answer: B
Rationale: Chorea (jerky movements), cognitive decline, and psychiatric symptoms with a family history (father’s suicide) suggest Huntington disease, an autosomal dominant disorder. Myoclonus is briefer, tics are suppressible, and MSA involves parkinsonism.
Question 4 of 5
The job of the Nervous System is:
Correct Answer: D
Rationale: The nervous system receives sensory input (via receptors), integrates it (in the brain/spinal cord), and triggers motor output (via effectors), encompassing all listed functions.
Question 5 of 5
Which of the following statements regarding the nervous system is true?
Correct Answer: B
Rationale: Motor neurons transmit signals from the CNS to effector cells (muscles, glands), while sensory neurons carry signals from receptors to the CNS. The PNS includes nerves and ganglia, and the CNS includes both brain and spinal cord.