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FNP AANP prep - NEURO/PSYCH Latest Practice Exam 2025-2026 With Correct Verified Answers, Exams of Nursing

Alzheimer's disease - correct answer>>-amyloid hypothesis: idea that Alzheimer's disease is caused by the accumulation of beta-amyloid proteins in the frontal & temporal lobes -screening: mini mental status exam (MMSE) assessment tool -treatment goal: slow cognitive decline as there is no cure -mild-moderate dementia: cholinesterase inhibitors (donepezil & rivastigmine -severe dementia: NMDA antagonists (memantine) -must know facts: leading cause of dementia -presentation: gradual loss of cognitive function -remember your 4 "A" cardinal symptoms... 1. Agnosia: inability to process sensory information (think of your 5 senses) ex: incontinence, taste, smell, sounds 2. Apraxia: loss of voluntary motor skills (purposeful movements) 3. Aphasia: expressive (knows what they want to say but can't say it) vs receptive (cannot perceive what is being said to them)

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FNP AANP prep - NEURO/PSYCH Latest Practice
Exam 2025-2026 With Correct Verified Answers
Alzheimer's disease - correct answer>>-amyloid hypothesis: idea that Alzheimer's
disease is caused by the accumulation of beta-amyloid proteins in the frontal &
temporal lobes
-screening: mini mental status exam (MMSE) assessment tool
-treatment goal: slow cognitive decline as there is no cure
-mild-moderate dementia: cholinesterase inhibitors (donepezil & rivastigmine
-severe dementia: NMDA antagonists (memantine)
-must know facts: leading cause of dementia
-presentation: gradual loss of cognitive function
-remember your 4 "A" cardinal symptoms...
1. Agnosia: inability to process sensory information (think of your 5 senses) ex:
incontinence, taste, smell, sounds
2. Apraxia: loss of voluntary motor skills (purposeful movements)
3. Aphasia: expressive (knows what they want to say but can't say it) vs receptive
(cannot perceive what is being said to them)
4. Amnesia: memory loss, confusion, inability to recognize familiar faces
Agnosia - correct answer>>-1 of the 4 "A" cardinal symptoms of Alzheimer's disease
-inability to process sensory information
-think of your 5 senses...
-ex: incontinence, taste, smell, sounds
Apraxia - correct answer>>-1 of the 4 "A" cardinal symptoms of Alzheimer's disease
-Loss of voluntary motor skills (purposeful movement)
Aphasia - correct answer>>-1 of the 4 "A" cardinal symptoms of Alzheimer's disease
-expressive: partial loss of ability to produce language, although comprehension
generally remains intact
-receptive: individuals have difficulty understanding written or spoken language
Amnesia - correct answer>>-1 of the 4 "A" cardinal symptoms of Alzheimer's disease
-memory loss, confusion, inability to recognize familiar faces
Parkinson's disease - correct answer>>-pathophysiology: nerve cell damage resulting in
low availability of dopamine at synapse
-substantia nigra neurons are dopaminergic
-low dopamine = movement-related problems
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Download FNP AANP prep - NEURO/PSYCH Latest Practice Exam 2025-2026 With Correct Verified Answers and more Exams Nursing in PDF only on Docsity!

FNP AANP prep - NEURO/PSYCH Latest Practice

Exam 2025-2026 With Correct Verified Answers

Alzheimer's disease - correct answer>>-amyloid hypothesis: idea that Alzheimer's disease is caused by the accumulation of beta-amyloid proteins in the frontal & temporal lobes

  • screening: mini mental status exam (MMSE) assessment tool
  • treatment goal: slow cognitive decline as there is no cure
  • mild-moderate dementia: cholinesterase inhibitors (donepezil & rivastigmine
  • severe dementia: NMDA antagonists (memantine)
  • must know facts: leading cause of dementia
  • presentation: gradual loss of cognitive function
  • remember your 4 "A" cardinal symptoms...
  1. Agnosia: inability to process sensory information (think of your 5 senses) ex: incontinence, taste, smell, sounds
  2. Apraxia: loss of voluntary motor skills (purposeful movements)
  3. Aphasia: expressive (knows what they want to say but can't say it) vs receptive (cannot perceive what is being said to them)
  4. Amnesia: memory loss, confusion, inability to recognize familiar faces Agnosia - correct answer>>-1 of the 4 "A" cardinal symptoms of Alzheimer's disease
  • inability to process sensory information
  • think of your 5 senses...
  • ex: incontinence, taste, smell, sounds Apraxia - correct answer>>-1 of the 4 "A" cardinal symptoms of Alzheimer's disease
  • Loss of voluntary motor skills (purposeful movement) Aphasia - correct answer>>-1 of the 4 "A" cardinal symptoms of Alzheimer's disease
  • expressive: partial loss of ability to produce language, although comprehension generally remains intact
  • receptive: individuals have difficulty understanding written or spoken language Amnesia - correct answer>>-1 of the 4 "A" cardinal symptoms of Alzheimer's disease
  • memory loss, confusion, inability to recognize familiar faces Parkinson's disease - correct answer>>-pathophysiology: nerve cell damage resulting in low availability of dopamine at synapse
  • substantia nigra neurons are dopaminergic
  • low dopamine = movement-related problems
  • 3 cardinal symptoms: resting tremors (vs. "essential" tremors), bradykinesia (most debilitating, also daytime sleepiness), rigidity
  • treatment: levodopa-carbidopa; eventually stops working overtime, start once significant symptom burden *TEST TIP: cannot make decisions based on solely on reported findings by family! You must assess the patient yourself (ex: MMSE, MOCA, & labs UA/UC) Essential tremors - correct answer>>-tremor that stops at rest, but is present with voluntary movements
  • permanent condition, cannot be cured, may worsen over time
  • treatment: propranolol 1 - olfactory 2 - optic 3 - oculomotor 4 - trochlear 5 - trigeminal 6 - abducens 7 - facial 8 - vestibulocochlear 9 - glossopharyngeal 10 - vagus 11 - accessory 12 - hypoglossal - correct answer>>CRANIAL NERVES ORDER (NUMERICAL + NAMES) 1 - S 2 - S 3 - M 4 - M 5 - B 6 - M 7 - B 8 - S 9 - B 10 - B 11 - M 12 - M - correct answer>>Sensory, motor, both? Cranial nerves Olfactory - correct answer>>-cranial nerve I
  • smell
  • treatment: tegretol (carbamazepine)
  • watch for: suicidal ideations (pain is so severe) Bell's palsy - correct answer>>-nerve inflammation of cranial nerve VII
  • acute idiopathic facial nerve palsy
  • often seen in pregnancy, diabetes & HSV
  • hallmark sign: unilateral facial droop with drooling
  • treatment: oral steroids
  • watch for: corneal abrasions (use eye lubrication) Migraines - correct answer>>-unilateral
  • hallmark symptoms: photophobia, phonophobia, and nausea/vomiting often described as "throbbing and pulsating"
  • prophylactic treatment: —avoid triggers: tyramine, poor sleep, dehydration —timolol, topiramate, depakote, amitriptyline, propranolol (side effects = weight loss) —avoid asthmatics!
  • abortive treatment: —NSAIDs & triptans —take ASAP after migraine starts —not useful in migraine prophylaxis —caution: triptans may increase risk of serotonin syndrome; avoid concurrent use with SSRIs & SNRIs Migraines - prophylactic treatment - correct answer>>-avoid triggers: tyramine, poor sleep, dehydration
  • timolol, topiramate, depakote, amitriptyline, propranolol
  • side effects: weight loss
  • avoid asthmatics Migraines - abortive treatment - correct answer>>-NSAIDs & triptans (I.e., sumatriptan)
  • take ASAP after migraine starts
  • not useful in migraine prophylaxis
  • caution: triptans increase risk of serotonin syndrome; do not use concurrently with SSRIs and SNRIs Cluster headaches - correct answer>>-unilateral
  • hallmark symptoms: eye or temporal pain with tearing or runny nose on affected side
  • presentation: attacks can last from 15 min to 3+ hours
  • test tip: most common in men over 30
  • treatment: 100% O2 and calcium channel blockers (I.e., verapamil) Hypertension headaches - correct answer>>-unilateral
  • hallmark symptoms: occipital headache (arises in posterior)
  • presentation: most common to see upon awakening (occurs at the same time everyday)
  • treatment: treat hypertension!
  • test tip: re-evaluate current BP medication regimen Tension headaches - correct answer>>-bilateral
  • hallmark symptoms: band-like pain in forehead, temples, or back of head/neck
  • also referred to as "stress headaches"
  • most common in adults
  • presentation: bilateral! Only headache with this classic presentation
  • treatment: OTC analgesics (Tylenol & NSAIDs) Temporal arteritis - correct answer>>-unilateral
  • "giant cell arteritis"
  • hallmark symptoms: visual impairment and pulsating temple pain
  • diagnostics: temporal artery biopsy and elevated inflammatory markers
  • presentation: common in patients with polymyalgia rheumatica
  • treatment: steroids
  • caution: risk of permanent blindness! Immediate referrals (H/As) - correct answer>> 1 - "dull, consistent headache in same spot" test tip: concern for brain tumor 2 - "projectile vomiting, vision or neuro changes" test tip: concern for brain bleeds/stroke 3 - "worst headache of my life" test tip: concern for subarachnoid bleed Major depressive disorder (MDD) - correct answer>>-malfunctioning monoamine neurotransmitters
  • signs/symptoms: depressed mood, anhedonia, low energy, feeling of worthlessness or guilt for at least 2 weeks
  • screening tools: patient health questionnaire-2 (PHQ-2), if positive have them complete PHQ- 9 Generalized anxiety disorder (GAD) - correct answer>>-dysregulation of inhibitory & excitatory neurotransmitters

Selective norepinephrine reuptake inhibitors (SNRIs) - correct answer>>-mechanism of action: blocks pre-synaptic serotonin & norepinephrine re-uptake

  • common medications:
  1. Cymbalta (duloxetine)
  2. Effexor (venlafaxine)
  3. Pristiq (desvenlafaxine)
  • test tips: may elevate blood pressure; avoid in patients with glaucoma & hypertension
  • SNRIs undergo hepatic metabolism (caution with other meds)
  • common side effects: GI upset, sexual dysfunction (test tip: TRY WELLBUTRIN), weight gain
  • adverse reactions: serotonin syndrome Serotonin syndrome - correct answer>>-acute onset, rapid progression
  • mild symptoms: shivering & diarrhea
  • severe symptoms: muscle rigidity, fevers, seizures
  • test tip: avoid St. John's wort! Can increase risk for this
  • caution for both SSRIs and SNRIs Atypical antipsychotics - correct answer>>-common medications: zyprexa (olanzapine) or seroquel (quetiapine)
  • side effects: hyperlipidemia, weight gain (high glucose), prolonged QT interval
  • first choice for schizophrenia but can be used to treat other things (depression, bipolar, anxiety, OCD, etc.) Tricyclic antidepressants - correct answer>>-Elavil (amitriptyline)
  • avoid in elderly as they can increase anti-cholinergic effects
  • CAN'T SEE, PEE, SPIT, OR POOP... drys everything out Ischemic stroke - correct answer>>-loss of blood supply (ischemia) to an area of the brain
  • atrial fibrillation: high risk patients (throw clots)
  • residual side effects: aphasias Hemorrhagic stroke - correct answer>>-bleeding into the brain by the rupture of a blood vessel
  • hypertension: high risk patients (burst vessels because of high pressure)
  • residual side effects: aphasias Transient ischemic attack (TIA) - correct answer>>-blood supply to part of the brain is briefly interrupted
  • identical symptoms to stroke —resolve in about an hour —requires a formal work up —high future stroke risk!
  • residual side effects: aphasias Broca's - correct answer>>-expressive aphasia
  • trouble talking Wernicke's - correct answer>>-receptive aphasia
  • trouble understanding Meningitis - correct answer>>-inflammation of the meninges: tissues surrounding the brain and spinal cord
  • signs/symptoms: fever, headache, stiff neck, nausea/vomiting, photophobia, confusion
  • transmission: droplet (close contact respiratory secretions)
  • prevention: vaccination, hand hygiene, isolation from infected persons Brudzinski's - correct answer>>-test for meningitis
  • think "back of the head"
  • flexion of neck causes involuntary flexion of hips and knee Kernig's - correct answer>>-test for meningitis
  • think "knee"
  • cannot extend past 90 degrees without pain
  • hamstring stretching causes meningeal irritation = pain!