NURS 5220 Exam 2 Review Test Bank- 170 Correctly
Answered Questions with Rationales/ NURS 5220
Exam 1 Advanced Health Assessment Review Test
Bank with 350 Questions and Correct Answers
CH 4, 7, 17, 18, 19, 20
Mrs. Hilliard brings her 9-year-old daughter to your office. She has been diagnosed
with autistic disorder. Which of the following statements best describes this
disorder?
A. Pervasive neurodevelopmental disorder
B. Global intellectual deficit
C. Social impairment syndrome
D. Right brain dysfunction - ANSWER-A: CorrectAutism is a pervasive
neurodevelopmental disorder of unknown etiology that includes a wide spectrum
of disorders typically identified before 3 years of age and is more common in boys
than girls.
Mr. Edwards presents to the emergency department after an auto accident. Which
of the following scales would be used to evaluate the mental status of a patient
after head trauma?
A. Mini-Mental State Examination
B. Perceptual distortion assessment
C. Glasgow Coma Scale
D. Functional assessment - ANSWER-C: CorrectThe Glasgow Coma Scale is
used to quantify level of consciousness after an acute brain injury or medical
1
,condition. The Mini-Mental State Examination (MMSE) is a standardized tool to
assess cognitive function changes over time. Perceptual distortion assessment
evaluates the variation between a reported perception of a stimulus and the normal
response. Functional assessment is an objective measure of a person's ability to
perform the activities of daily living.
Disordered perceptions, decreased attention span, suspiciousness, and fear with
motor and sensory excitement are characteristics of which disorder?
A. Delirium
B. Dementia
C. Schizophrenia
D. Depression - ANSWER-A: CorrectDelirium is impaired cognition and
consciousness and mood and behavioral dysfunction of acute onset. Disordered
perceptions, decreased attention span, suspiciousness, and fear with motor and
sensory excitement are objective characteristics found in delirium.
Mr. Yates is a 67-year-old patient who presents to your office with his son. Which
of the following would best test Mr. Yates's comprehension?
A. Ask him to count backward by 7s from 100.
B. Ask him to follow one- and two-step commands.
C. Ask him the meaning of "a stitch in time saves nine."
D. Ask him his name, the date, and the season. - ANSWER-B: CorrectAsking
simple one- and two-step directions measures a patient's comprehension. Patients
should be able to follow instructions of this type. Answers a, c, and d measure
other cognitive abilities, like abstract reasoning.
2
,Mrs. Tucker presents to your office today for a follow-up appointment. She
appears to fidget in her seat and with her hands. Which of the following would
assess her attention span?
A. Are you usually this anxious?
B. I am going to ask you to name four items; do the best you can.
C. What does this phrase mean: "A stitch in time saves nine?"
D. Could you take this paper, fold it in half, and put it on the counter? -
ANSWER-D: CorrectAnswer d is an example of asking the patient a set of short
commands that measures attention span. Answer a is a form of validation. Asking
answer c measures cognitive abilities, whereas answer b does not provide enough
information to determine what the examiner is trying to measure.
A mother brings her child, an 18-month-old boy, to the clinic. She states that the
child rarely talks or smiles. She has also noticed that he does not like to be held.
She states that his motor development seems to be normal. With what condition are
these symptoms consistent?
A. Dementia
B. Autistic disorder
C. Attention deficit
D. Delirium - ANSWER-B: CorrectSymptoms such as delayed or underdeveloped
language skills and resisting being held or touched are signs of autism, a pervasive
neurodevelopmental disorder of unknown etiology that includes a wide spectrum
of disorders typically identified before 3 years of age and is more common in boys
than girls.
Mr. Johnson presents to your office with a complaint of anxiety. Which area of the
mental assessment corresponds to his complaint?
3
, A. Cognitive abilities
B. Speech/language
C. Emotional stability
D. Appearance and behavior - ANSWER-C; CorrectEmotional stability is
evaluated when the patient does not seem to be coping well or does not have
resources to meet his or her personal needs. Anxiety may be present in other
components of the mental assessment, but it is a measure of the patient's emotional
stability.
Mrs. Karon is a 46-year-old female patient who presents to your office for a
physical. When you enter the room, her arms are folded tight and she will not look
up to address you. Into which category of examination findings do these
observations belong?
A. Cognitive abilities
B. Speech/language
C. Emotional stability
D. Appearance and behavior - ANSWER-D: CorrectBody language, grooming,
and emotional status comprise the patient's appearance and behavior. A lack of
concern with appearance, or inappropriate dress for season or occasion in a
previously well-groomed individual may indicate depression, a psychiatric
disorder, or dementia, which are indicative of the patient's emotional status.
Answer b is inappropriate becauase the patient did not verbalize anything.
Mrs. Horter brings her 14-year-old son in with a complaint that he has a poor
attention span. Which of the following examination categories is most reflective of
attention span?
A. Cognitive abilities
B. Speech/language
4
Answered Questions with Rationales/ NURS 5220
Exam 1 Advanced Health Assessment Review Test
Bank with 350 Questions and Correct Answers
CH 4, 7, 17, 18, 19, 20
Mrs. Hilliard brings her 9-year-old daughter to your office. She has been diagnosed
with autistic disorder. Which of the following statements best describes this
disorder?
A. Pervasive neurodevelopmental disorder
B. Global intellectual deficit
C. Social impairment syndrome
D. Right brain dysfunction - ANSWER-A: CorrectAutism is a pervasive
neurodevelopmental disorder of unknown etiology that includes a wide spectrum
of disorders typically identified before 3 years of age and is more common in boys
than girls.
Mr. Edwards presents to the emergency department after an auto accident. Which
of the following scales would be used to evaluate the mental status of a patient
after head trauma?
A. Mini-Mental State Examination
B. Perceptual distortion assessment
C. Glasgow Coma Scale
D. Functional assessment - ANSWER-C: CorrectThe Glasgow Coma Scale is
used to quantify level of consciousness after an acute brain injury or medical
1
,condition. The Mini-Mental State Examination (MMSE) is a standardized tool to
assess cognitive function changes over time. Perceptual distortion assessment
evaluates the variation between a reported perception of a stimulus and the normal
response. Functional assessment is an objective measure of a person's ability to
perform the activities of daily living.
Disordered perceptions, decreased attention span, suspiciousness, and fear with
motor and sensory excitement are characteristics of which disorder?
A. Delirium
B. Dementia
C. Schizophrenia
D. Depression - ANSWER-A: CorrectDelirium is impaired cognition and
consciousness and mood and behavioral dysfunction of acute onset. Disordered
perceptions, decreased attention span, suspiciousness, and fear with motor and
sensory excitement are objective characteristics found in delirium.
Mr. Yates is a 67-year-old patient who presents to your office with his son. Which
of the following would best test Mr. Yates's comprehension?
A. Ask him to count backward by 7s from 100.
B. Ask him to follow one- and two-step commands.
C. Ask him the meaning of "a stitch in time saves nine."
D. Ask him his name, the date, and the season. - ANSWER-B: CorrectAsking
simple one- and two-step directions measures a patient's comprehension. Patients
should be able to follow instructions of this type. Answers a, c, and d measure
other cognitive abilities, like abstract reasoning.
2
,Mrs. Tucker presents to your office today for a follow-up appointment. She
appears to fidget in her seat and with her hands. Which of the following would
assess her attention span?
A. Are you usually this anxious?
B. I am going to ask you to name four items; do the best you can.
C. What does this phrase mean: "A stitch in time saves nine?"
D. Could you take this paper, fold it in half, and put it on the counter? -
ANSWER-D: CorrectAnswer d is an example of asking the patient a set of short
commands that measures attention span. Answer a is a form of validation. Asking
answer c measures cognitive abilities, whereas answer b does not provide enough
information to determine what the examiner is trying to measure.
A mother brings her child, an 18-month-old boy, to the clinic. She states that the
child rarely talks or smiles. She has also noticed that he does not like to be held.
She states that his motor development seems to be normal. With what condition are
these symptoms consistent?
A. Dementia
B. Autistic disorder
C. Attention deficit
D. Delirium - ANSWER-B: CorrectSymptoms such as delayed or underdeveloped
language skills and resisting being held or touched are signs of autism, a pervasive
neurodevelopmental disorder of unknown etiology that includes a wide spectrum
of disorders typically identified before 3 years of age and is more common in boys
than girls.
Mr. Johnson presents to your office with a complaint of anxiety. Which area of the
mental assessment corresponds to his complaint?
3
, A. Cognitive abilities
B. Speech/language
C. Emotional stability
D. Appearance and behavior - ANSWER-C; CorrectEmotional stability is
evaluated when the patient does not seem to be coping well or does not have
resources to meet his or her personal needs. Anxiety may be present in other
components of the mental assessment, but it is a measure of the patient's emotional
stability.
Mrs. Karon is a 46-year-old female patient who presents to your office for a
physical. When you enter the room, her arms are folded tight and she will not look
up to address you. Into which category of examination findings do these
observations belong?
A. Cognitive abilities
B. Speech/language
C. Emotional stability
D. Appearance and behavior - ANSWER-D: CorrectBody language, grooming,
and emotional status comprise the patient's appearance and behavior. A lack of
concern with appearance, or inappropriate dress for season or occasion in a
previously well-groomed individual may indicate depression, a psychiatric
disorder, or dementia, which are indicative of the patient's emotional status.
Answer b is inappropriate becauase the patient did not verbalize anything.
Mrs. Horter brings her 14-year-old son in with a complaint that he has a poor
attention span. Which of the following examination categories is most reflective of
attention span?
A. Cognitive abilities
B. Speech/language
4
