Exam Review
- A patient reports numbness and tingling in the thumb, index, and middle fingers. The nurse asks the patient to press the backs of both hands together while flexing the wrists at 90 degrees for 60 seconds. If the maneuver triggers symptoms, it is considered a positive:A)Tinel's signB)Allen testC)Finkelstein testD)Phalen's test
- Which test would involve placing a paper clip in the palm of the patient whose eyes are closed and asking them to recognize the object?A)GraphesthesiaB)StereognosisC)ExtinctionD)Discrimination
- Match the spinal abnormalities with the correct definition.
0 1 2 0 1 2 - The nurse is preparing to examine a patient who has been complaining of right lower quadrant pain. Which technique is correct during the assessment? The nurse should:A)Examine the tender area last.B)Palpate the tender area first, and then auscultate for bowel sounds.C)Avoid palpating the tender area.D)Examine the tender area first.
Exam Review
- A client's muscle tone is assessed by performing:A)Passive range-of-motion (ROM) exercisesB)Deep tendon reflex (DTR) testingC)Romberg's testD)constructional ability testing
- Which cranial nerve would be affected in a patient who reports having loss the sense of smell?A)IXB)IC)XIID)X
- Which bone will be considered a component of the cranium? Select all that apply. One, some or all answers may be correct.(SATA)A)OccipitalB)TemporalC)FrontalD)ParietalE)Zygomatic
- When assessing the musculoskeletal system, which body areas should be palpated? Please SELECT ALL THAT APPLY.(SATA)A)SkinB)BonesC)JointsD)FatE)Muscles
Exam Review
- After assessing a patient, the nurse will document "PERRLA" in the patient's medical record based upon which finding?A)Perforation of the tympanic membraneB)Pupils are equal, round, reactive to light, and accommodationC)Breaths sounds are clear and equal bilaterallyD)Compound nevus on the left inner elbow with lesions on the skin
- Which artery will the nurse palpate on the patient's face?A)CarotidB)BrachialC)TemporalD)Parotid
- Which action will be the major function of the glossopharyngeal nerve?A)Swallowing and gaggingB)Muscular movement of the tongueC)Tasting of foodD)Lateral movement of the eye
- A 34-year-old client complains of pain and tingling in her right wrist. During the assessment, the client reports pain when the nurse flexes the wrist for 30 seconds. The nurse knows that this finding indicate:A)ParalysisB)a strokeC)a fractured wristD)carpal tunnel syndrome
Exam Review
- A nurse inspects the abdomen for skin color, surface characteristics, and surface movement. What part of the abdominal assessment does the nurse perform next?A)Percussion for tones in all four quadrantsB)Auscultation of the bowel sounds in all four quadrants.C)Deep palpation for masses or aortic pulsationD)Light palpation for tenderness and muscle tone.
- A nurse notices that a patient has ascites, which indicates the presence of:A)Fibroid tumorsB)FlatusC)FluidD)Feces
- . What is the predominant sound a nurse expects to hear when percussing a patient's abdomen?A)Tympany over all quadrants.B)Dull sounds over the stomach and resonant sounds over the bladder.C)Resonance over the upper quadrants and dullness in the lower quadrants.D)Dull sounds over all quadrants.
- The absence of bowel sounds is established after listening for:A)None of the aboveB)2 minutesC)5 minutesD)1 minute
Exam Review
- In which manner will an adult patient respond the plantar reflex?A)Extending the lower legB)Flexing the elbowC)Extending the great toeD)Flexing the toes
- The Romberg test is used to assess:A)Muscle strengthB)Cranial nerve VIII onlyC)ReflexesD)Balance and proprioception
- During a musculoskeletal exam, the nurse asks a patient to raise their arm out to the side, away from the body. This movement is an example of:A)ExtensionB)FlexionC)AbductionD)Internal rotation
- Which instruction will the nurse offer the patient when performing the Romberg test?A)"Walk heel to toe across the room."B)“Run the heel of foot down the opposite shin."C)"Pronate and supinate the hands rapidly."D)"Stand with your feet together with eyes closed."
Exam Review
- With the eyes closed if the patient is unable to identify a key placed in their hand by touching it, which term will the nurse used to document these findings?A)TorticollisB)HyperreflexiaC)AstereognosisD)Clonus
- Causes of hypoactive bowel sounds include:A)paralytic ileus following abdominal surgeryB)gastroenteritisC)borborygmus in the adultD)congenital defect in infants
- A teenage patient who has been wheelchair and bedbound his whole life is being brought in for chronic and increasing shortness of breath. The assessment reveals a lateral "S" curvature of the thoracic and lumbar segments of his spine. What is this abnormality called?A)Herniated nucleus pulposusB)LordosisC)KyphosisD)Scoliosis
- In which way should a nurse assess muscle tone?A)Use a goniometerB)Feel the resistance to passive stretchC)Determine muscle temperatureD)Squeeze the muscle