NSG 200 Didactic Exam 1 Questions With Complete
Solutions
A female Korean patient accompanied by her husband and son
comes to the emergency department (ED) complaining of
abdominal pain. The patient speaks and understands Korean
only. Which person is the appropriate choice for the nurse to use
to get a history from this patient?
a. The patient's husband who speaks Korean and English
b. The patient's son who speaks Korean and English
c. A male technician who works in the ED who speaks Korean
and English
d. A female interpreter who speaks Korean and English and is
available by phone Correct Answers d. A female interpreter
who speaks Korean and English and is available by phone
A mother asks a nurse when her daughter should get immunized
again for human papilloma virus (HPV). What is the nurse's
most appropriate response to this question?
a."Your daughter does not need this immunization until she
becomes sexually active."
b."The recommended age for this immunization is between 25
and 30 years of age."
c."Between the ages of 11 and 26 years is the recommended
time for this immunization."
d."When she begins having menstrual periods is the best time
for this immunization." Correct Answers C
,A nurse asks the patient to stand with feet together, arms resting
at the sides, with eyes open and then with the eyes closed.
Which response by the patient indicates an expected cerebellar
function?
a. Sways slightly and maintains upright posture with feet
together
b. Is unable to stand upright after turning around in a circle once
c. Steps sideways when standing with feet together and eyes
closed
d. Has to move arms horizontally to maintain balance Correct
Answers A
A nurse assesses a patient with a head injury who has slowing
intellectual functioning, personality changes, and emotional
lability. The nurse correlates these findings with which area of
the brain?
a. Temporal lobe
b. Frontal lobe
c. Thalamus
d. Parietal lobe Correct Answers b. frontal lobe
A nurse assessing a patient who had a cerebrovascular accident
involving the Broca area suspects expressive or nonfluent
aphasia. What communication abilities does the nurse anticipate
from this patient?
a. The patient understands speech but is unable to translate ideas
into meaningful speech.
,b. The patient is unable to comprehend speech and thus does not
respond verbally.
c. The patient is able to understand speech but has difficulty
forming words, creating muffled speech.
d. The patient is unable to comprehend speech and responds
inappropriately to conversation. Correct Answers A
A nurse correlates a patient's altered stereognosis with a
neurologic dysfunction in which part of the nervous system?
a. Midbrain or pons
b. Temporal lobe or ascending nerve tracts
c. Frontal lobe or motor nerve tracts
d. Parietal lobe or sensory nerve tracts Correct Answers D
A nurse dorsiflexes a patient's right ankle 90 degrees and then
uses a reflex hammer to strike the appropriate tendon. What is
the expected response for this deep tendon reflex?
a. Extension of the right lower leg
b. Plantar flexion of the right toes
c. Dorsiflexion of the right foot
d. Plantar flexion of the right foot Correct Answers D
A nurse examines a patient and finds a single, firm, painless
open sore with indurated borders on the vulva. The nurse
correlates this finding with which disorder?
a.Syphilis
b.Gonorrhea
c.Herpes infection
, d.Human papillomavirus (HPV) infection Correct Answers A
A nurse expects to find which manifestations in the male patient
who has both Chlamydia and gonorrhea?
a.Painful urination and purulent urethral discharge
b.A single, firm painless open sore on the shaft of the penis
c.Red superficial vesicles on the shaft of the penis
d.A single or a cluster of wartlike growth in the anal-rectal area
Correct Answers A
A nurse is interviewing a male patient who reports he has not
had a tetanus immunization in about 15 years because he had a
"bad reaction" to the last tetanus immunization. What is the
most appropriate response by the nurse in this case?
a. Notify the health care provider that this immunization cannot
be given.
b. Document that the patient is allergic to the tetanus vaccine.
c. Give the vaccine after explaining that adverse reactions are
rare.
d. Ask the patient to describe the "bad reaction" to the vaccine in
more detail. Correct Answers d. Ask the patient to describe the
bad reaction to the vaccine in more detail
A nurse is interviewing a patient who was diagnosed with type 2
diabetes mellitus 6 months ago. Since that time, the patient has
gained weight and her blood glucose levels remain high. The
nurse suspects that the patient is noncompliant with her diet.
Which response by the nurse enhances data collection in this
situation?
Solutions
A female Korean patient accompanied by her husband and son
comes to the emergency department (ED) complaining of
abdominal pain. The patient speaks and understands Korean
only. Which person is the appropriate choice for the nurse to use
to get a history from this patient?
a. The patient's husband who speaks Korean and English
b. The patient's son who speaks Korean and English
c. A male technician who works in the ED who speaks Korean
and English
d. A female interpreter who speaks Korean and English and is
available by phone Correct Answers d. A female interpreter
who speaks Korean and English and is available by phone
A mother asks a nurse when her daughter should get immunized
again for human papilloma virus (HPV). What is the nurse's
most appropriate response to this question?
a."Your daughter does not need this immunization until she
becomes sexually active."
b."The recommended age for this immunization is between 25
and 30 years of age."
c."Between the ages of 11 and 26 years is the recommended
time for this immunization."
d."When she begins having menstrual periods is the best time
for this immunization." Correct Answers C
,A nurse asks the patient to stand with feet together, arms resting
at the sides, with eyes open and then with the eyes closed.
Which response by the patient indicates an expected cerebellar
function?
a. Sways slightly and maintains upright posture with feet
together
b. Is unable to stand upright after turning around in a circle once
c. Steps sideways when standing with feet together and eyes
closed
d. Has to move arms horizontally to maintain balance Correct
Answers A
A nurse assesses a patient with a head injury who has slowing
intellectual functioning, personality changes, and emotional
lability. The nurse correlates these findings with which area of
the brain?
a. Temporal lobe
b. Frontal lobe
c. Thalamus
d. Parietal lobe Correct Answers b. frontal lobe
A nurse assessing a patient who had a cerebrovascular accident
involving the Broca area suspects expressive or nonfluent
aphasia. What communication abilities does the nurse anticipate
from this patient?
a. The patient understands speech but is unable to translate ideas
into meaningful speech.
,b. The patient is unable to comprehend speech and thus does not
respond verbally.
c. The patient is able to understand speech but has difficulty
forming words, creating muffled speech.
d. The patient is unable to comprehend speech and responds
inappropriately to conversation. Correct Answers A
A nurse correlates a patient's altered stereognosis with a
neurologic dysfunction in which part of the nervous system?
a. Midbrain or pons
b. Temporal lobe or ascending nerve tracts
c. Frontal lobe or motor nerve tracts
d. Parietal lobe or sensory nerve tracts Correct Answers D
A nurse dorsiflexes a patient's right ankle 90 degrees and then
uses a reflex hammer to strike the appropriate tendon. What is
the expected response for this deep tendon reflex?
a. Extension of the right lower leg
b. Plantar flexion of the right toes
c. Dorsiflexion of the right foot
d. Plantar flexion of the right foot Correct Answers D
A nurse examines a patient and finds a single, firm, painless
open sore with indurated borders on the vulva. The nurse
correlates this finding with which disorder?
a.Syphilis
b.Gonorrhea
c.Herpes infection
, d.Human papillomavirus (HPV) infection Correct Answers A
A nurse expects to find which manifestations in the male patient
who has both Chlamydia and gonorrhea?
a.Painful urination and purulent urethral discharge
b.A single, firm painless open sore on the shaft of the penis
c.Red superficial vesicles on the shaft of the penis
d.A single or a cluster of wartlike growth in the anal-rectal area
Correct Answers A
A nurse is interviewing a male patient who reports he has not
had a tetanus immunization in about 15 years because he had a
"bad reaction" to the last tetanus immunization. What is the
most appropriate response by the nurse in this case?
a. Notify the health care provider that this immunization cannot
be given.
b. Document that the patient is allergic to the tetanus vaccine.
c. Give the vaccine after explaining that adverse reactions are
rare.
d. Ask the patient to describe the "bad reaction" to the vaccine in
more detail. Correct Answers d. Ask the patient to describe the
bad reaction to the vaccine in more detail
A nurse is interviewing a patient who was diagnosed with type 2
diabetes mellitus 6 months ago. Since that time, the patient has
gained weight and her blood glucose levels remain high. The
nurse suspects that the patient is noncompliant with her diet.
Which response by the nurse enhances data collection in this
situation?
