Test 2 NURS 5220 Advanced Health
Assessment Test Bank with 270 Questions and
Correct Answers / NURS 5220 Exam 2 Review
Test Bank- Correctly Answered
The nurse has placed her hands behind the client's head and flexed the client's
neck forward as far as the client can tolerate. During the test, the client
experiences leg pain and bends his knees. This assessment finding is suggestive
of what health problem?
A+ TEST BANK 1
, NURS 5220 Advanced Health Assessment
A) Ischemic stroke
B) Meningitis
C) Bell's palsy
D) Brain stem lesion –
Correct Answer :B) Meningitis
The nurse is performing the Romberg test as part of a client's focused
neurological assessment. What finding would constitute a positive Romberg
test?
A) The client moves her feet apart to prevent herself from falling.
B) The client is unable to consistently touch her finger to her nose while her eyes
are close.
C) The client experiences pain during neck flexion and extension.
D) The client experiences pain when clenching her teeth.
- Correct Answer :A) The client moves her feet apart to prevent herself from
falling.
The nurse is assessing CN V (trigeminal nerve) in a newly admitted client. What
instruction should the nurse provide to the client during this phase of
assessment?
A) "Clench your teeth together tightly."
B) "Close your left eye and look at me with your right."
C) "Look straight at me while I shine this light in your eye."
A+ TEST BANK 2
, NURS 5220 Advanced Health Assessment
D) "Open your mouth wide and say 'ah.'" –
Correct Answer :A) "Clench your teeth together tightly."
Examination of a client's gait reveals that the client is stooped over when
walking and that he slowly shuffles. As well, the client maintains a stiff posture
when walking. The nurse should document what type of gait?
A) Scissors gait
B) Parkinsonian gait
C) Spastic hemiparesis
D) Footdrop –
Correct Answer :B) Parkinsonian gait
A school-aged child displays a pattern of behavior that includes bullying,
excessive teasing of the family dog, deliberate destruction of siblings' toys, and
excessive lying. This child is displaying signs of:
a. Conduct disorder
b. Oppositional defiant disorder
c. Sociopathy
d. Bipolar disorder –
Correct Answer :a. Conduct disorder
A+ TEST BANK 3
, NURS 5220 Advanced Health Assessment
The likelihood of suicidality increases with:
a. Obesity
b. Social phobia
c. Attention deficit hyperactivity disorder
d. Mood disorders –
Correct Answer :d. Mood disorders
The assessment finding of high concern for acute suicide risk in a highly
depressed teen is:
a. Low self-esteem
b. Active hallucinations
c. Excessive sleep
d. History of substance abuse –
Correct Answer :b. Active hallucinations
Adolescents with bipolar disorder are at risk for all of the following except:
a. Suicide
b. Sexually transmitted infections
c. Self-mutilation
d. Sleep disturbances - Correct Answer :c. Self-mutilation
A+ TEST BANK 4