Nurs 202 exam 2 prep
Stimulus - answer this is an agent or act that stimulates a nerve receptor
Receptor - answer a nerve cell acts as a ____ by converting the stimulus to a nerve
impulse.
impulse conduction - answer the impulse travels along nerve pathways either to the
spinal cord or directly to the brain
perception - answer awareness and interpretation of stimuli
Narcotics, antiepileptic agents, and sedatives ____ awareness of stimuli - answer
decrease awareness of stimuli
Anyone taking several medications concurrently may show ____ in sensory function -
answeralterations in sensory function
____ are at greatest risk for sensory alterations because they may have conditions that
alter perception and spatial orientation. - answerolder adults
ototoxic medications - answermedications injuring the auditory nerve and causing
hearing loss that may be irreversible.
ototoxic medication examples - answerasprin, furosemide (lasix), the aminoglycosides
and certain drugs given for cancer chemotherapy
A nurse is developing a plan of care for a school-age child who underwent a surgical
procedure that resulted in a temporary loss of vision. Which of the following
interventions should the nurse include in the plan of care?
1. Assign an assistive personnel to feed the child
2. Explain the sounds the child is hearing
3. Have the child use a cane when ambulating
4. Rotate nurses caring for the child - answerExplain the sounds the child is hearing
Explanation: The noises in a facility can be frightening to a child who is experiencing a
sensory loss. Explaining these noises can allay the child's fears.
A nurse is providing teaching to the partner of a client who has conversion disorder.
Which of the following statements by the partner shows an understanding of the
teaching?
1. "My partner is pretending to be ill to get attention"
2. "My partner is purposefully making our child sick"
3. "The stress of losing our child caused my partner to go blind"
, 4. "My partner is worried that he has cancer, even though his tests are normal" -
answer"The stress of losing our child caused my partner to go blind"
Explanation: The nurse should explain to the partner that conversion disorder manifests
as deficits in motor or sensory functions. Emotional conflict or stress is reflected in
physical manifestations that can include paralysis, blindness, movement disorder,
numbness, paresthesia, loss of hearing, or episodes resembling epilepsy
A nurse is preparing to assess the function of the client's trigeminal nerve (cranial nerve
V). Which of the following items should the nurse gather for the test?
1. Sugar
2. Coffee
3. Cotton wisps
4. Snellen chart - answerCotton wisps
Explanation: The trigeminal nerve has both sensory and motor capabilities. To assess
its sensory function, the nurse uses a safety pin to assess to assess for recognition of
pain and a cotton wisp to evaluate recognition to touch sensations. To test motor
abilities of cranial nerve (CN) V, the nurse should ask the client to clench the teeth
A nurse is using the Braden scale to predict the pressure ulcer risk of a client in a long-
term care facility. Using this scale, which of the following parameters should the nurse
evaluate?
1. Incontinence
2. Mental state
3. Nutrition
4. General physical condition - answerNutrition
Explanation: Nutrition, sensory perception, moisture, activity, mobility, and friction and
shear are the parameters on the Braden scale for determining a client's risk of
developing pressure ulcers.
A nurse is preparing to test the function of cranial nerve X. Which of the following
assessment procedures should the nurse use?
1. Have the client open his mouth and say, "aah"
2. Ask the client to identify the scent of coffee
3. Use a tongue blade to provoke a gag reflex
4. Have the client smile and raise his eyebrows - answerHave the client open his mouth
and say, "aah"
Explanation: The vagus or X nerve has both sensory and motor functions. To test the
motor function, the nurse should have the client open his mouth and say, "aah." The
palate and the uvula should move upward in response. The nurse should also assess
the client's voice quality for hoarseness.
A nurse is performing a physical assessment of a client. The nurse should recognize
that which of the following findings places the client at risk of impaired skin integrity?
1. 3+ Achilles reflex
2. Faint pedal pulses
3. Feet warm to the touch bilaterally
Stimulus - answer this is an agent or act that stimulates a nerve receptor
Receptor - answer a nerve cell acts as a ____ by converting the stimulus to a nerve
impulse.
impulse conduction - answer the impulse travels along nerve pathways either to the
spinal cord or directly to the brain
perception - answer awareness and interpretation of stimuli
Narcotics, antiepileptic agents, and sedatives ____ awareness of stimuli - answer
decrease awareness of stimuli
Anyone taking several medications concurrently may show ____ in sensory function -
answeralterations in sensory function
____ are at greatest risk for sensory alterations because they may have conditions that
alter perception and spatial orientation. - answerolder adults
ototoxic medications - answermedications injuring the auditory nerve and causing
hearing loss that may be irreversible.
ototoxic medication examples - answerasprin, furosemide (lasix), the aminoglycosides
and certain drugs given for cancer chemotherapy
A nurse is developing a plan of care for a school-age child who underwent a surgical
procedure that resulted in a temporary loss of vision. Which of the following
interventions should the nurse include in the plan of care?
1. Assign an assistive personnel to feed the child
2. Explain the sounds the child is hearing
3. Have the child use a cane when ambulating
4. Rotate nurses caring for the child - answerExplain the sounds the child is hearing
Explanation: The noises in a facility can be frightening to a child who is experiencing a
sensory loss. Explaining these noises can allay the child's fears.
A nurse is providing teaching to the partner of a client who has conversion disorder.
Which of the following statements by the partner shows an understanding of the
teaching?
1. "My partner is pretending to be ill to get attention"
2. "My partner is purposefully making our child sick"
3. "The stress of losing our child caused my partner to go blind"
, 4. "My partner is worried that he has cancer, even though his tests are normal" -
answer"The stress of losing our child caused my partner to go blind"
Explanation: The nurse should explain to the partner that conversion disorder manifests
as deficits in motor or sensory functions. Emotional conflict or stress is reflected in
physical manifestations that can include paralysis, blindness, movement disorder,
numbness, paresthesia, loss of hearing, or episodes resembling epilepsy
A nurse is preparing to assess the function of the client's trigeminal nerve (cranial nerve
V). Which of the following items should the nurse gather for the test?
1. Sugar
2. Coffee
3. Cotton wisps
4. Snellen chart - answerCotton wisps
Explanation: The trigeminal nerve has both sensory and motor capabilities. To assess
its sensory function, the nurse uses a safety pin to assess to assess for recognition of
pain and a cotton wisp to evaluate recognition to touch sensations. To test motor
abilities of cranial nerve (CN) V, the nurse should ask the client to clench the teeth
A nurse is using the Braden scale to predict the pressure ulcer risk of a client in a long-
term care facility. Using this scale, which of the following parameters should the nurse
evaluate?
1. Incontinence
2. Mental state
3. Nutrition
4. General physical condition - answerNutrition
Explanation: Nutrition, sensory perception, moisture, activity, mobility, and friction and
shear are the parameters on the Braden scale for determining a client's risk of
developing pressure ulcers.
A nurse is preparing to test the function of cranial nerve X. Which of the following
assessment procedures should the nurse use?
1. Have the client open his mouth and say, "aah"
2. Ask the client to identify the scent of coffee
3. Use a tongue blade to provoke a gag reflex
4. Have the client smile and raise his eyebrows - answerHave the client open his mouth
and say, "aah"
Explanation: The vagus or X nerve has both sensory and motor functions. To test the
motor function, the nurse should have the client open his mouth and say, "aah." The
palate and the uvula should move upward in response. The nurse should also assess
the client's voice quality for hoarseness.
A nurse is performing a physical assessment of a client. The nurse should recognize
that which of the following findings places the client at risk of impaired skin integrity?
1. 3+ Achilles reflex
2. Faint pedal pulses
3. Feet warm to the touch bilaterally
