NURS 190 PA FINAL EXAM AND ANSWERS 2022
PA Final
1. The nurse is caring for a client who was admitted to the medical unit. The nurse notes in the
... [Show More] 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 th [Show Less]