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A woman brings her 69-year-old husband to the clinic for an evaluation because he has become increasingly forgetful and his personality seems to be changing

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Module 4 quiz 4

  • Question 1

0 out of 5 points

 

 
 

A woman brings her 69-year-old husband to the clinic for an evaluation because he has become increasingly forgetful and his personality seems to be changing. 

The nurse is taking the health history from the patient and his wife.  Which one of the following responses is not an indication of Alzheimer's disease?

 

     
 
     
  • Question 2

5 out of 5 points

 

 
 

The nurse is assessing a client using the Glasgow Coma Scale following an acute hypoglycemic episode and obtains a score of 15. 

The nurse interprets this as indicating which of the following?

 

     
 
     
  • Question 3

5 out of 5 points

 

 
 

True or False:  When assessing for a patient's response to painful stimuli, the nurse should always begin with the least noxious stimulus first, before proceeding to more painful means..

     
 

 

     
  • Question 4

0 out of 5 points

 

 
 

As part of a mental status assessment, the nurse asks a client to draw the face of a clock. This will allow the nurse to assess which of the following domains of mental status?

 

     
 
     
  • Question 5

0 out of 5 points

 

 
 

While assessing an adult client's jaw, the nurse hears a clicking popping sound, and the client expresses pain in the joint. The nurse should further assess the client for:

 

     
 
     
  • Question 6

0 out of 5 points

 

 
 

The nurse is auscultating a client's abdomen and is unable to discern any bowel sounds. How should the nurse proceed with assessment?

 

     
 
     
  • Question 7

0 out of 5 points

 

 
 

The nurse is caring for a client who has been diagnosed with colon cancer. When planning the client's care, the nurse should be aware of what function of the colon?

 

     
 
     
  • Question 8

0 out of 5 points

 

 
 

To promote relaxation of the client's abdominal muscles, which of the following would be most appropriate for the nurse to do?

 

     
 
     
  • Question 9

0 out of 5 points

 

 
 

What test would be performed when assessing coordination?

 

     
 

 

     
  • Question 10

0 out of 5 points

 

 
 

What test would be performed when assessing motor function --not sensory function--of the spinal accessory nerve?  (Cranial nerve XI)

Ans: shrug shoulders against resistance

     
 
     
  • Question 11

5 out of 5 points

 

 
 

What test would be performed when assessing motor function --not sensory function of the glossopharyngeal nerve?  (Cranial nerve IX)

 

     
 
     
  • Question 12

0 out of 5 points

 

 
 

True or False? Checking for nystagmus is a part of the assessment of the optic nerve.

 

     
 
     
  • Question 13

5 out of 5 points

 

 
 

True or False? Elbow flexed from 1+ to 3+ range is normal finding for Bicep reflex?

 

     
 
     
  • Question 14

0 out of 5 points

 

 
 

The nurse assesses brisk reflexes in a client.  How would this be documented in the record?

     
 
     
  • Question 15

5 out of 5 points

 

 
 

The nurse is assessing strength and range of motion in a debilitated patient. The patient does not move to command but when the nurse starts an IV, the patient does exhibit a flicker of a contraction of his hand.  How would the nurse rate this strength and ROM?

     
 
     
  • Question 16

5 out of 5 points

 

 
 

True or False? Bruits heard over abdominal aorta confined to systole may be normal in some clients.

 

     
 
     
  • Question 17

5 out of 5 points

 

 
 

When testing the range of motion of the cervical spine, the nurse notes impaired range of motion and neck pain. A review of the client's history reveals fever, chills, and headache. Which of the following would the nurse suspect?

 

     
 
     
  • Question 18

0 out of 5 points

 

 
 

The nurse is employing the method of "hooking" during palpation of the liver in order to more easily estimate size.  What technique should the nurse use to facilitate assessment of the descent of a client’s liver?

 

     
 
     
  • Question 19

0 out of 5 points

 

 
 

The nurse is evaluating a new nursing graduate's ability to perform the Rovsing’s referred rebound tenderness test for suspected appendicitis.  The nurse identifies correct technique when the new graduate is observed pressing deeply at which abdominal location?

 

     
 
     
  • Question 20

0 out of 5 points

 

 
 

Which type of joint rotation is the nurse performing when the client is asked to bring the hands together behind the lower back with elbows flexed?

 

     
 
     

 

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