HHA FINAL EXAM QUESTIONS & ANSWERS
SOLVED 100% CORRECT!!
What is the main purpose of performing a musculoskeletal assessment?
assess for function and safety
The purpose of light checking body areas w/light touch such as a cottonball or
finger tips is:
determine ability to feelsensations in different areas
Assessing a client w/ damage to the occitpital lobe, which clinical symptom may
the client show?
visual changes
What is the earliest and most sensative indication of altered cerebral function?
change in lvl of consciousness
The nurse assesses the glossopharyngeal nerve by testing which reflex?
Gag reflex
A crebral vascular accident (CVA, stroke) involves Broca's area. What
commincation abilities does the nurse expect?
client understand speech and in unable to put ideas into meaningful speech
Where are the 31 pairs of spinal nerves located?
peripheral neverous system
A neurological examination usually follows a certain sequence. WHich of the
following is the best order/sequence?
mental status, motor system, sensory system, reflexes
When assessing cerebellar function, which exam may be performed?
romberg sign
All of the following U.S. states are considered part of the Stroke belt except?
Florida
Examination of the musculoskeletal system is done in an orderly manner and
should always include?
bilateral comparison
Which description of pain makes the nurse suspect the client's pain is from a
muscle?
crampy
Holding arms straight out from the sides and the nurse tries to push arms down.
This test the strength of which muscles?
deltoid
How does the nurse perform a focused assessment for carpel tunnel syndrome?
phalen test
What is the purpose of having a client bend and touch their toes?
allows the nurse to see how straight the spinal column is.
When palpating the sigmoid colon, the nurse recognizes the follow to be
expected findings.
Bladder is palpable only when full
Mild tenderness over the sigmoid colon
, The nurse is preparing to complete an admissions assessment on a 29 year old
client admitted for abdominal pain, what questions should the nurse include
related to the admitting diagnosis?
What medications do you take?
Have you had any recent weight change?
When was your last menstrual period?
A nurse is assessing a patients mental status during a neurological exam, what
other elements does the nurse need to ensure are included in the neurological
exam?
Motor assessment, and sensory assessment, reflex assessment
The nurse is obatianing subjective data from the client who has a neurological
condition, all of the fallowing are appropriate data to collect on the patient except:
A.difficulty swallow
B.changes in nutrition
C. Pain, arthritic, swelling in joints
Answer: C pain, arthritis, and swelling in joints
What does pain in the upper right quadrant signify?
Gallbladder
Visceral pain
originates from abdominal organs and is often described as crampy or gnawing
Parietal pain
a localized, intense pain that arises from the parietal peritoneum, the lining of the
abdominal cavity
referred pain of heart
When their is plain from abdominal organs, to a non abdominal surface, usually skin
Murphy sign is best described as:
pain felt when taking a deep breath when the examiner's fingers are on the approximate
location of the inflamed gallbladder
Cranial Nerve 1: Olfactory
smell
Cranial Nerve 2: Optic
vision
Cranial Nerve 3: Oculomotor
Opening of the eyelids, eye movement, (upward/medial, upward/lateral, medial,
downward/lateral)
Cranial Nerve 4: Trochlear
Motor nerve that moves the eyeball (downward/ medial)
Cranial Nerve 5: Trigeminal
Funtion- facial sensation to hot/cold; light touch, chewing
Cranial Nerve 6: Abducens
eye movement (lateral)
Cranial Nerve 7: Facial
Facial muscle movement, (except chewing muscles) and eye lid closing
Cranial Nerve 8: Vestibulocochlear
hearing and balance
SOLVED 100% CORRECT!!
What is the main purpose of performing a musculoskeletal assessment?
assess for function and safety
The purpose of light checking body areas w/light touch such as a cottonball or
finger tips is:
determine ability to feelsensations in different areas
Assessing a client w/ damage to the occitpital lobe, which clinical symptom may
the client show?
visual changes
What is the earliest and most sensative indication of altered cerebral function?
change in lvl of consciousness
The nurse assesses the glossopharyngeal nerve by testing which reflex?
Gag reflex
A crebral vascular accident (CVA, stroke) involves Broca's area. What
commincation abilities does the nurse expect?
client understand speech and in unable to put ideas into meaningful speech
Where are the 31 pairs of spinal nerves located?
peripheral neverous system
A neurological examination usually follows a certain sequence. WHich of the
following is the best order/sequence?
mental status, motor system, sensory system, reflexes
When assessing cerebellar function, which exam may be performed?
romberg sign
All of the following U.S. states are considered part of the Stroke belt except?
Florida
Examination of the musculoskeletal system is done in an orderly manner and
should always include?
bilateral comparison
Which description of pain makes the nurse suspect the client's pain is from a
muscle?
crampy
Holding arms straight out from the sides and the nurse tries to push arms down.
This test the strength of which muscles?
deltoid
How does the nurse perform a focused assessment for carpel tunnel syndrome?
phalen test
What is the purpose of having a client bend and touch their toes?
allows the nurse to see how straight the spinal column is.
When palpating the sigmoid colon, the nurse recognizes the follow to be
expected findings.
Bladder is palpable only when full
Mild tenderness over the sigmoid colon
, The nurse is preparing to complete an admissions assessment on a 29 year old
client admitted for abdominal pain, what questions should the nurse include
related to the admitting diagnosis?
What medications do you take?
Have you had any recent weight change?
When was your last menstrual period?
A nurse is assessing a patients mental status during a neurological exam, what
other elements does the nurse need to ensure are included in the neurological
exam?
Motor assessment, and sensory assessment, reflex assessment
The nurse is obatianing subjective data from the client who has a neurological
condition, all of the fallowing are appropriate data to collect on the patient except:
A.difficulty swallow
B.changes in nutrition
C. Pain, arthritic, swelling in joints
Answer: C pain, arthritis, and swelling in joints
What does pain in the upper right quadrant signify?
Gallbladder
Visceral pain
originates from abdominal organs and is often described as crampy or gnawing
Parietal pain
a localized, intense pain that arises from the parietal peritoneum, the lining of the
abdominal cavity
referred pain of heart
When their is plain from abdominal organs, to a non abdominal surface, usually skin
Murphy sign is best described as:
pain felt when taking a deep breath when the examiner's fingers are on the approximate
location of the inflamed gallbladder
Cranial Nerve 1: Olfactory
smell
Cranial Nerve 2: Optic
vision
Cranial Nerve 3: Oculomotor
Opening of the eyelids, eye movement, (upward/medial, upward/lateral, medial,
downward/lateral)
Cranial Nerve 4: Trochlear
Motor nerve that moves the eyeball (downward/ medial)
Cranial Nerve 5: Trigeminal
Funtion- facial sensation to hot/cold; light touch, chewing
Cranial Nerve 6: Abducens
eye movement (lateral)
Cranial Nerve 7: Facial
Facial muscle movement, (except chewing muscles) and eye lid closing
Cranial Nerve 8: Vestibulocochlear
hearing and balance
