NR 304 Exam 2 practice questions

A nurse is performing a neurologic examination for a client. Which of the following assessments should the nurse perform to test the client's balance? (Select all that apply.) a.Romberg test b.Heel to toe walk c.Snellen test d.Spinal accessory function e.Rosenbaum test

a, b

The nurse is completing the health history of a client admitted to the hospital with osteoarthritis. Which joints would the nurse expect the client will report as having been involved first? Select all that apply. One, some, or all responses may be correct. a.Hips b.Knees c.Ankles d.Shoulders e.Metacarpals

a, b

The nurse is helping stabilize a patient who is experiencing a generalized seizure with tachycardia and violent muscular contractions. Which symptoms would the nurse expect to see once these symptoms cease? Select all that apply. a.Confusion b.Disorientation c.Muscular rigidity d.High-pitched cry e.Loss of consciousness

a, b

Which tests are used to screen for dislocated hips in the neonate? Select all that apply. a.Allis b.Tinel c.Phalen d.Lasegue e.Ortolani

a, e

The patient states, "My knee doesn't really hurt that bad in the morning, but by the afternoon I can hardly walk because of the pain." The nurse anticipates which diagnosis? a.Tendinitis b.Osteoarthritis c.Rheumatoid arthritis d.Ankylosing spondylitis

b

Which cranial nerve would the nurse assess by touching a cotton wisp to the patient's forehead, cheeks, and chin? a.IV b.V c.VI d.VII

b

Which early sign of increased intracranial pressure (ICP) would the nurse monitor in a client who sustained a head injury while playing soccer? a.Nausea b.Lethargy c.Sunset eyes d.Hyperthermia

b

Which piece of equipment will the nurse remove from the bedside of a client on seizure precautions? a.Oxygen b.Padded tongue blade c.Suction tubing and canister d.Airway management equipment

b

Which assessment findings would the nurse identify in a client with clinical manifestations of rheumatoid arthritis (RA)? Select all that apply. One, some, or all responses may be correct. a.Obesity and asymmetric joint disease b.Development of antinuclear antibodies c.Inflammatory disease pattern d.Bilateral involvement of metacarpophalangeal joints e.Disease process involving the distal interphalangeal joints f.Disease in the weight-bearing joints and handsb,

b, c, d

Which cranial nerves assist with both sensory and motor functioning in a client? Select all that apply. a.Optic b.Facial c.Trochlear d.Accessory e.Trigeminal

b, e

A soccer player complains of locking and pain that is localized in the knee after an incident in which an opposing player fell into the patient's knee. Which test would the nurse perform to confirm a torn meniscus. a.Tinel b.Phalen c.McMurray d.Ballottement of patella

c

The nurse is providing discharge teaching to a 30-year-old client who was hospitalized for exacerbation of rheumatoid arthritis. Which statement by the client indicates correct understanding of the treatment plan? a. "I will plan to rest in bed for the next 2 weeks." b. "I will only take my medications when I am having joint pain." c. "When I exercise, I will reduce the number of repetitions when I have pain." d. "When I get out of bed, I will push off with my fingers rather than the palms of my hands."

c

Which findings would the nurse observe in a patient with flaccid quadriplegia? Select all that apply. a.Hyperextension of the back b.Prolonged arching of the back c.Complete loss of muscle tone d.Paralysis of all four extremities e.Prolonged adduction of the arm

c, d

A client with rheumatoid arthritis is scheduled to participate in an exercise program that is established at the extended care facility where the client resides. The nurse evaluates that the client understands the purpose of the program when the client makes which statement? a."I know the exercises are important, so I do them whenever I can." b."I do my exercises when I go to physical therapy in the morning and afternoon." c."Because I'm stiff in the morning, I do most of my exercises then, so I'm done for the day." d. "After I eat breakfast, I do one set of exercises slowly, and then I space the rest of them throughout the day."

d

The nurse is caring for a client with rheumatoid arthritis. When should the nurse expect the client to experience the most pain and limited movement of the joints? a.After assistive exercise b. When the room is cool c.During the evening hours d.In the morning on awakening

d

The patient with aphasia has lost which ability? a.Taste b.Smell c.Walk or stand d.Understand language

d

Which lobe of the brain is associated with language comprehension? a.Frontal b.Parietal c.Occipital d.Temporal

d

While assessing a client who sustained a road traffic accident, the nurse notices that the client is unable to clench his teeth. Which cranial nerve might have been affected? a.Facial nerve b.Trochlear nerve c.Abducens nerve d.Trigeminal nerve

d

A client arrives in the emergency department unconscious and exhibiting decerebrate posturing. Which positioning behaviors would the nurse expect to observe? a.Hyperextension of both the upper and lower extremities b.Spastic paralysis of both the upper and lower extremities c.Hyperflexion of the upper extremities and hyperextension of the lower extremities d.Flaccid paralysis of the upper extremities and spastic paralysis of the lower extremities

a

A hospitalized client newly diagnosed with rheumatoid arthritis complains of bilaterally painful knee and wrist joints. The nurse identifies impaired physical mobility related to painful, swollen joints. Which intervention would the nurse teach the client to do during the acute phase of the disease? a.Avoid movement of the involved joints. b.Engage in passive exercises to the involved joints. c.Increase isometric exercises to the involved joints slowly. d.Participate in progressive, resistive exercises to the involved joints.

a

A client complains of rapid, involuntary movement of the eyes after a minor eye injury. A nurse assesses the client and finds that it is a disorder of the cranial nerves. Which condition does the nurse suspect? a.Cataract b.Glaucoma c.Nystagmus d.Strabismus

c

A client experienced a tonic-clonic seizure. Which nursing intervention is the priority during the tonic-clonic stage of the seizure? a.Go for additional help b.Establish a patent airway c.Turn the client on their side d.Protect the client from injury

c

Damage to which cranial nerve can cause drooping of the upper eyelids in the patient with myasthenia gravis? a.Acoustic b.Olfactory c.Oculomotor d.Hypoglossal

c

Which nursing intervention is the priority for a client with stroke who is transitioned from the emergency department (ED) to other settings? a.Monitoring vital signs b.Reassuring the client and family c.Assessing the level of consciousness Monitoring specific client manifestations of stroke

c

With the eyes closed, the patient is unable to identify by touch a key that is placed in the hand. The nurse uses which term to document this finding? a.Clonus b.Torticollis c.Astereognosis d.Hyperreflexia

c

Which condition involves the accumulation of sodium urate crystals in the joint space? a.Talipes equinovarus b.Achilles tenosynovitis c.Fibromyalgia syndrome d.Tophi with chronic gout

d

Which condition is suspected in a patient with swan-neck deformity and ulnar deviation of the fingers? a.Osteoporosis b.Olecranon bursitis c.Achilles tenosynovitis d.Chronic rheumatoid arthritis

d

A nurse is counseling a client with osteoporosis. In addition to calcium, which vitamin supplement should the nurse anticipate that the primary health-care provider will prescribe for the patient? a.B b.K c.D d.E

d - promotes bone mineralization

An older client experiences a cerebral vascular accident (CVA) and has right-sided hemiplegia and expressive aphasia. The client's children ask the nurse which functions will be impaired. Which abilities does the nurse explain will be affected? a.Stating wishes verbally b.Recognizing familiar objects c.Comprehending written words d.Understanding verbal communication

a

In which patient would the nurse expect to find a palmar grasp reflex and a positive Babinski reflex? a.Infant b.Child c.Adolescent d.Adult

a

The older adult patient complains of stiffness in the right knee and severe pain with ambulation. Upon further assessment, the nurse notes a hard, bony protuberance on the right knee joint. The nurse suspects which diagnosis? a.Osteoarthritis b.Gouty arthritis c.Ankylosing spondylitis d.Subcutaneous nodule

a

Which lobe of the brain is associated with personality and intellectual functioning? a.Frontal b.Parietal c.Occipital d.Temporal

a

Which tests would the nurse perform to assess cerebellar function in a patient? Select all that apply. a.Romberg b.Extinction c.Stereognosis d.Point location e.Finger-to-nose

a, e

A nurse is collecting data from an older adult client as part of a neurologic examination. Which of the following findings should the nurse expect as changes associated with aging? (Select all that apply.) a.Slower light touch sensation b.Some vision and hearing decline c.Slower fine finger movement d.Some short term memory decline e.Decreased risk of depression

a, b, c, d

A client has a brain attack (stroke) that involves the right cerebral cortex and cranial nerves. Which areas of paralysis would the nurse expect to find upon assessment? Select all that apply. One, some, or all responses may be correct. a.Left leg b.Left arm c.Right leg d.Right arm e.Left side of face

a, b, e