Exam 2: NR304 / NR 304 (New 2024/2025 Update) Health Assessment II |Review with Questions and Verified Answers| 100% Correct | A Grade
... [Show More] -Chamberlain
QUESTION
What body part causes an unsteady gait
Answer:
Hip
QUESTION
Rheumatoid arthritis vs Osteoarthritis
Answer:
RA:
-pain in morning
-bilateral and symmetrical
-Pain decreases with activity and worsen with rest
OA:
-pain as the day progresses
-usually asymmetric
-Pain increases with activities and improves with rest
QUESTION
The nurse is caring for a patient who is recovering from neurosurgery. To assess for increased intracranial pressure, what would the nurse include in the assessment?
A. Level of consciousness, motor function, pupillary response, and vital signs B. Mental status, deep tendon reflexes, sensory function, and pupillary re- sponse
C. Deep tendon reflexes, vital signs, and coordinated movements
D. Cranial nerves, motor function, and sensory function
Answer:
A. Level of conscious- ness, motor function, pupillary response, and vital signs
QUESTION
The nurse places a key into the hands of a patient who identifies it as a penny. What term would the nurse use to describe this finding?
A. Tactile discrimination
B. Extinction
C. Graphesthesia
D. Stereognosis
Answer:
D. Stereognosis
QUESTION
When the nurse asks a patient to stand with his feet together and his arms at his sides with his eyes closed. He starts to sway and moves his feet farther apart. The nurse would document this finding as :
A. (+) Romberg's sign
B. (-) Homan's sign
C. Ataxia
D. Lack of coordination
Answer:
A. (+) Romberg's sign
QUESTION
A patient presents to the clinic for weakness in her left arm and leg that she has noticed for the past week. To further assess her, the nurse should use what type of neurologic examination ?
A. Screening neurologic examination B. Complete neurologic examination C. Neurologic recheck examination
D. Glascow Coma Scale
Answer:
B. Complete neurologic examination
QUESTION
While taking a health history, the patient tells the nurse that "it feels like the room is spinning around me." The nurse would document this finding as:
A. Dizziness B.Seizure activity C. Vertigo
D. Syncope
Answer:
C. Vertigo
QUESTION
The nurse is testing reflexes on an adult patient. When stroking up the lateral side of the sole and across the ball of the foot, the nurse notices plantar flexion of the toes. The nurse should document this finding as:
A. Plantar reflex present
B. Plantar reflex 4+ on a scale of 0 to 4+ C. Plantar reflex abnormal
D. (+) Babinski's sign
Answer:
A. Plantar reflex present
QUESTION
While assessing a patient who sustained a head injury, the nurse notices that the pupils were equal but now the right pupil is fully dilated and nonre- active and the left pupil is 4mm and reacts to light. What do these findings suggest?
A. Increased intracranial pressure
B. Normal response after a head injury
C. The test was performed inaccurately
D. Injury to the right eye
Answer:
A. Increased intracranial pressure
QUESTION
The nurse is reviewing a patient's medical record and notes that he is in a coma. Using the Glasgow Coma Scale, which number indicates the patient is in a coma? [Show Less]