NURS 190 FINAL QUESTIONS WITH ANSWERS. WEST COAST UNIVERSITY.1. The nurse is caring for a client who was admitted to the medical unit. The nurse notes in
... [Show More] the physical exam done by the physician
that the client has a positive Romberg. When meeting elimination needs for this client, the nurse would perform which of the
following interventions?
A. obtain an order for a catheter
B. limit fluid intake
C. obtain a bedside commode
D. allow the client to walk independently
2. The nurse observes drainage from a client’s ears after a head injury, and suspects a cerebral spinal fluid (CSF) leak. The nurse
would document which of the following descriptions of the drainage?
A. blood-tinged without sediment
B. pink without sediment
C. yellow without sediment
D. clear, colorless
3. The nurse is performing a neurological assessment on a client and needs to use seterognosis. Which of the following instructions
would the nurse provide for the client?
A. “Identify the number being traced in your hand with your eyes closed.”
B. “Identify the object in your hand with your eyes closed.”
C. “Tell me if you feel one or two objects touching you with your eyes closed.”
D. “Open and close your hand each time I tell you to.”
4. The nurse notes fanning of the toes when the sole of the foot is stimulated during assessment of the plantar reflex. The nurse would
correctly chart which of the following?
A. Brudzinski sign
B. nuchal rigidity
C. hyperreflexia
D. Babinski response
5. The nurse is assessing a female client and notes facial hirsutism. The client asks the nurse why this has happened to her. The nurse
would correctly respond with which of the following statements?
A. “Your diet is not nutritionally balanced.”
B. "You need to take vitamins.”
C. “There is not a known cause for this condition.”
D. “You may have some hormone imbalances.”
6. The nurse is assessing the patellar reflex on a client and obtains no reflective activity. The client is alert and oriented. The nurse
should do which of the following in this situation?
A. look at the medication records for central nervous system depressants
B. retest the reflex after having the client use distraction during the exam
C. notify the physician immediately
D. document the findings as normal
7. The nurse is caring for a client that insists on having their food very hot and very cold at each meal. The nurse correctly recognize
this as a health belief in which of the following cultural groups?
A. Chinese Americans
B. Native Americans
C. Cuban Americans
D. Jewish Americans
8. The nurse is caring for a client who is a long-time smoker and notes clubbing of the fingers. The nurse utilized which of the
following techniques to validate this assessment?
A. place two of the same fingers from each hand together
B. place the hands out straight with the palm sides down
C. place two index fingers together tip to tip
D. place two thumbs touching side by side
9. A 24-year-old client reports difficulty with near vision during an interview with the nurse. The nurse realizes the finding is
consistent with:
A. hyperopia
B. presbyopia
C. astigmatism
D. aging
10. The nurse is performing a neurological assessment on a client experiencing anosmia. The nurse would suspect cranial nerve
involvement in which of the following?
A. trigeminal, cranial nerve V
B. trochlear, cranial nerve IV
C. olfactory, cranial nerve I
D. oculomotor, cranial nerve III
11. The nurse is assessing the visual fields of a 38-year-old female who reports recent changes in visual abilities. Which of the
following statements would be appropriate for the nurse to use with this client?
A. “These changes are probably related to your age.”
B. "It is possible you have taken narcotics recently?”
C. “The changes could be related to increased pressure within your eye.”
D. “These changes require a prescription for glasses.”
12. The nusse assesses a client and finds that a grating sound is present when a joint is bent and straightened. The nurse would
correctly document this finding as which of the following?
A. joint noise
B. grating
C. crepitatio [Show Less]