NR304 EXAM 2 PRACTICE QUESTIONS
1. The wife of a 65-year-old man tells the nurse that she is concerned because she has noticed a change in her husband’s personality and ability
to understand. He also cried very easily and becomes angry. The nurse recalls the cerebral lobe responsible for these behaviors is the
__________ lobe.
a. Frontal
b. Parietal
c. Occipital
d. Temporal
2. During an assessment of the CNs, the nurse finds the following; asymmetry when the patient smiles or frowns, uneven lifting of the eyebrows,
sagging of the lower eyelids, and escape of air when the nurse presses against the right puffed cheek. This would indicate the dysfunction of
which of these CNs?
a. Motor component of CN IV
b. Motor component of CN VII
c. Motor and sensory components of CN XI
d. Motor component of CN X and sensory component of CN VII
3. The nurse is testing the function of CN XI. Which statement best describes the response the nurse should expect if this nerve is intact? The
patient:
a. Demonstrates the ability to hear normal conversation
b. Sticks out the tongue midline without tremors or deviation
c. Follows an object with his or her eyes without nystagmus or strabismus
d. Moves the head and shoulders against resistance with equal strength
4. During the assessment of deep tendon reflexes, the nurse finds that a patient’s responses are bilaterally normal. What number is used to
indicate normal deep tendon reflexes when documenting this finding?
a. 1+
b. 2+
c. 3+
d. 4+
5. A nurse is performing a neurological assessment for a client. By asking the client to stick out his tongue, which of the following cranial nerves
is the nurse testing?
a. Cranial nerve XII
b. Cranial nerve X
c. Cranial nerve VIII
d. Cranial nerve V
6. During an assessment of a 22-year-old woman who sustained a head injury from an automobile accident 4 hours earlier, the nurse notices the
following changes: pupils were equal, but now the right pupil is fully dilated and nonreactive, and the left pupil is 4 mm and reacts to light.
What do these findings suggest?
a. Injury to the right eye
b. Increased intracranial pressure
c. Test inaccurately performed
d. Normal response after a head injury
7. An 85-year-old patient comments during his annual physical examination that he seems to be getting shorter as he ages. The nurse should
explain that decreased height occurs with aging because:
a. Long bones tend to shorten with age
b. The vertebral column shortens
c. A significant loss of subcutaneous fat occurs
d. A thickening of the intervertebral disks develops
, NR304 EXAM 2 PRACTICE QUESTIONS
8. A patient is demonstrating signs and symptoms of stroke. The patient reports loss of vision. What area of the brain do you suspect is affected
based on this finding?
a. Brain stem
b. Hippocampus
c. Parietal lobe
d. Occipital lobe
A nurse is caring for a patient who has been admitted due to an ischemic stroke. He reports difficulty seeing anything on the right side of his
body. What area of the brain was affected based on this finding?
a. Hippocampus
b. Cerebellum
c. Left hemisphere
d. Right hemisphere
9. The nurse is assessing an 80-year-old male patient. Which assessment findings would be considered normal?
a. Increase in body weight from his younger years
b. Additional deposits of fat on the thighs and lower legs
c. Presence of kyphosis and flexion in the knees and hips
d. Change in overall body proportion, including a longer trunk and shorter extremities
10. A nurse is assessing a patient’s range of motion. The nurse knows that if the patient is able to perform the movements voluntarily, it is known
as __________ range-of-motion. However, if the nurse is required to gently assist the patient’s movements, it is known as __________
range-of-motion.
a. Passive; active
b. Active; passive
c. Assisted; active
d. Passive; independent
11. When assessing the pupillary light reflex, the nurse should use which technique?
a. Shine a penlight directly in front of the patient, and inspect for pupillary constriction
b. Ask the patient to follow the penlight in eight directions, and observe for bilateral pupil constriction
c. Shine a light across the pupil from the side, and observe for direct and consensual pupillary constriction
d. Ask the patient to focus on a distant object. Then ask the patient to follow the penlight to approximately 7 cm from the nose
12. The nurse is teaching a class on preventing osteoporosis to a group of perimenopausal women. Which of these actions is the best way to
prevent or delay bone loss in this group?
a. Taking calcium and vitamin D supplements
b. Taking medications to prevent osteoporosis
c. Performing physical activity, such as fast walking
d. Assessing bone density annually
13. A nurse is discussing the difference between rheumatoid arthritis (RA) and osteoarthritis with a newly licensed nurse. Which of the following
pieces of information should the nurse include about osteoarthritis?
a. “Osteoarthritis is caused by autoimmune processes”
b. “Osteoarthritis leads to a decreased erythrocyte sedimentation rate”
c. “Osteoarthritis affects other organ systems”
d. “Osteoarthritis can impair a joint on a single side of the body”
14. A nurse is preparing a community education program about reducing the risk of osteoporosis. Which of the following pieces of information
should the nurse include?
a. Avoid sun exposure
b. Take a calcium supplement once each day if at risk for osteoporosis
c. Walking is the preferred mode of exercise to maintain strong bones
d. Caffeine intake minimizes the risk of developing osteoporosis
1. The wife of a 65-year-old man tells the nurse that she is concerned because she has noticed a change in her husband’s personality and ability
to understand. He also cried very easily and becomes angry. The nurse recalls the cerebral lobe responsible for these behaviors is the
__________ lobe.
a. Frontal
b. Parietal
c. Occipital
d. Temporal
2. During an assessment of the CNs, the nurse finds the following; asymmetry when the patient smiles or frowns, uneven lifting of the eyebrows,
sagging of the lower eyelids, and escape of air when the nurse presses against the right puffed cheek. This would indicate the dysfunction of
which of these CNs?
a. Motor component of CN IV
b. Motor component of CN VII
c. Motor and sensory components of CN XI
d. Motor component of CN X and sensory component of CN VII
3. The nurse is testing the function of CN XI. Which statement best describes the response the nurse should expect if this nerve is intact? The
patient:
a. Demonstrates the ability to hear normal conversation
b. Sticks out the tongue midline without tremors or deviation
c. Follows an object with his or her eyes without nystagmus or strabismus
d. Moves the head and shoulders against resistance with equal strength
4. During the assessment of deep tendon reflexes, the nurse finds that a patient’s responses are bilaterally normal. What number is used to
indicate normal deep tendon reflexes when documenting this finding?
a. 1+
b. 2+
c. 3+
d. 4+
5. A nurse is performing a neurological assessment for a client. By asking the client to stick out his tongue, which of the following cranial nerves
is the nurse testing?
a. Cranial nerve XII
b. Cranial nerve X
c. Cranial nerve VIII
d. Cranial nerve V
6. During an assessment of a 22-year-old woman who sustained a head injury from an automobile accident 4 hours earlier, the nurse notices the
following changes: pupils were equal, but now the right pupil is fully dilated and nonreactive, and the left pupil is 4 mm and reacts to light.
What do these findings suggest?
a. Injury to the right eye
b. Increased intracranial pressure
c. Test inaccurately performed
d. Normal response after a head injury
7. An 85-year-old patient comments during his annual physical examination that he seems to be getting shorter as he ages. The nurse should
explain that decreased height occurs with aging because:
a. Long bones tend to shorten with age
b. The vertebral column shortens
c. A significant loss of subcutaneous fat occurs
d. A thickening of the intervertebral disks develops
, NR304 EXAM 2 PRACTICE QUESTIONS
8. A patient is demonstrating signs and symptoms of stroke. The patient reports loss of vision. What area of the brain do you suspect is affected
based on this finding?
a. Brain stem
b. Hippocampus
c. Parietal lobe
d. Occipital lobe
A nurse is caring for a patient who has been admitted due to an ischemic stroke. He reports difficulty seeing anything on the right side of his
body. What area of the brain was affected based on this finding?
a. Hippocampus
b. Cerebellum
c. Left hemisphere
d. Right hemisphere
9. The nurse is assessing an 80-year-old male patient. Which assessment findings would be considered normal?
a. Increase in body weight from his younger years
b. Additional deposits of fat on the thighs and lower legs
c. Presence of kyphosis and flexion in the knees and hips
d. Change in overall body proportion, including a longer trunk and shorter extremities
10. A nurse is assessing a patient’s range of motion. The nurse knows that if the patient is able to perform the movements voluntarily, it is known
as __________ range-of-motion. However, if the nurse is required to gently assist the patient’s movements, it is known as __________
range-of-motion.
a. Passive; active
b. Active; passive
c. Assisted; active
d. Passive; independent
11. When assessing the pupillary light reflex, the nurse should use which technique?
a. Shine a penlight directly in front of the patient, and inspect for pupillary constriction
b. Ask the patient to follow the penlight in eight directions, and observe for bilateral pupil constriction
c. Shine a light across the pupil from the side, and observe for direct and consensual pupillary constriction
d. Ask the patient to focus on a distant object. Then ask the patient to follow the penlight to approximately 7 cm from the nose
12. The nurse is teaching a class on preventing osteoporosis to a group of perimenopausal women. Which of these actions is the best way to
prevent or delay bone loss in this group?
a. Taking calcium and vitamin D supplements
b. Taking medications to prevent osteoporosis
c. Performing physical activity, such as fast walking
d. Assessing bone density annually
13. A nurse is discussing the difference between rheumatoid arthritis (RA) and osteoarthritis with a newly licensed nurse. Which of the following
pieces of information should the nurse include about osteoarthritis?
a. “Osteoarthritis is caused by autoimmune processes”
b. “Osteoarthritis leads to a decreased erythrocyte sedimentation rate”
c. “Osteoarthritis affects other organ systems”
d. “Osteoarthritis can impair a joint on a single side of the body”
14. A nurse is preparing a community education program about reducing the risk of osteoporosis. Which of the following pieces of information
should the nurse include?
a. Avoid sun exposure
b. Take a calcium supplement once each day if at risk for osteoporosis
c. Walking is the preferred mode of exercise to maintain strong bones
d. Caffeine intake minimizes the risk of developing osteoporosis
