NUR306 FINAL QUESTIONS AND ANSWERS
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when performing an assessment on Trigeminal nerve function, how would the
nurse identify function of this nerve?
- observing pupil constriction
- identifying corneal sensation
- determining the ability to smell
- determining the ability to shrug the shoulders
Identifying corneal sensation
(CN V innervates the cornea)
(pupil constriction = CN III) (ability to smell = CN I) (shoulder shrug = CN XI)
Which actions would be included in the assessment process by a nurse working
in a school health promotion program for adolescents?
1. Conduct a school violence assessment
2. Assess the sleep pattern of the students
3. Try identifying individuals at risk for substance abuse
4. Identify the need for fluoride supplements to prevent dental caries
5. Inquire about the presence of guns in the home to reduce the incidence of
homicide
1, 3, 5
(assessment of sleep pattern is performed in infants)
Which finding in the client's history will alert the nurse to the MOST likely cause
of the sensorineural hearing loss?
- Prolonged exposure to noise
- Buildup of cerumen in the ear
- Blockage of the ear from a foreign body
- Perforation of the tympanic membrane
Prolonged exposure to noise.
(causes sensorineural hearing loss)
(Cerumen build up can cause obstruction leading to conductive hearing loss. Foreign
bodies can cause infection and inflammation, leading to conductive hearing loss.
Perforation of TM leads to higher risk for ear infections, which can cause conductive
hearing loss)
Which are general growth parameters for an adolescent client that the nurse will
monitor during a health maintenance visit?
, - Height
- Weight
- Body mass
- BP
- Head circumference
Height, weight, body mass
(BP is a vital sign, not a growth parameter. Head circumference is assessed until 36m)
A client is admitted with osteoarthritis. Which joints would the nurse expect the
client to report as having first been involved?
- Hips
- Knees
-Ankles
- Shoulders
- Metacarpals
hips, knees
(osteoarthritis affects the weight bearing joints (hips and knees) first bc they bear the
most weight.)
(although ankles are weight bearing joints, there is less degeneration, so they're
eventually affected)
Which questions would the nurse ask the client when obtaining their health
history?
- "Tell me about you food habits"
- "Do you use alcohol or tobacco?"
- "Have you sustained any personal loss recently?"
- "Have you ever experienced any allergic reactions?"
- "Does any family member have a long-term illness?"
"Tell me about your food habits." "Do you use alcohol or tobacco?" "Have you ever
experienced any allergic reactions?"
(other 2 would be asked while assessing FAMILY history)
Which condition would the nurse suspect when an older adult has a thin white
ring around the margin of her iris?
- Cataract
- Arcus senilis
- Conjunctivitis
- Macular degeneration
arcus senilis
(cataract = increased opacity of the lens that blocks light from entering the eye.)
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when performing an assessment on Trigeminal nerve function, how would the
nurse identify function of this nerve?
- observing pupil constriction
- identifying corneal sensation
- determining the ability to smell
- determining the ability to shrug the shoulders
Identifying corneal sensation
(CN V innervates the cornea)
(pupil constriction = CN III) (ability to smell = CN I) (shoulder shrug = CN XI)
Which actions would be included in the assessment process by a nurse working
in a school health promotion program for adolescents?
1. Conduct a school violence assessment
2. Assess the sleep pattern of the students
3. Try identifying individuals at risk for substance abuse
4. Identify the need for fluoride supplements to prevent dental caries
5. Inquire about the presence of guns in the home to reduce the incidence of
homicide
1, 3, 5
(assessment of sleep pattern is performed in infants)
Which finding in the client's history will alert the nurse to the MOST likely cause
of the sensorineural hearing loss?
- Prolonged exposure to noise
- Buildup of cerumen in the ear
- Blockage of the ear from a foreign body
- Perforation of the tympanic membrane
Prolonged exposure to noise.
(causes sensorineural hearing loss)
(Cerumen build up can cause obstruction leading to conductive hearing loss. Foreign
bodies can cause infection and inflammation, leading to conductive hearing loss.
Perforation of TM leads to higher risk for ear infections, which can cause conductive
hearing loss)
Which are general growth parameters for an adolescent client that the nurse will
monitor during a health maintenance visit?
, - Height
- Weight
- Body mass
- BP
- Head circumference
Height, weight, body mass
(BP is a vital sign, not a growth parameter. Head circumference is assessed until 36m)
A client is admitted with osteoarthritis. Which joints would the nurse expect the
client to report as having first been involved?
- Hips
- Knees
-Ankles
- Shoulders
- Metacarpals
hips, knees
(osteoarthritis affects the weight bearing joints (hips and knees) first bc they bear the
most weight.)
(although ankles are weight bearing joints, there is less degeneration, so they're
eventually affected)
Which questions would the nurse ask the client when obtaining their health
history?
- "Tell me about you food habits"
- "Do you use alcohol or tobacco?"
- "Have you sustained any personal loss recently?"
- "Have you ever experienced any allergic reactions?"
- "Does any family member have a long-term illness?"
"Tell me about your food habits." "Do you use alcohol or tobacco?" "Have you ever
experienced any allergic reactions?"
(other 2 would be asked while assessing FAMILY history)
Which condition would the nurse suspect when an older adult has a thin white
ring around the margin of her iris?
- Cataract
- Arcus senilis
- Conjunctivitis
- Macular degeneration
arcus senilis
(cataract = increased opacity of the lens that blocks light from entering the eye.)
