NSG 200 Final Exam
tympany - ANS-A student is performing a physical assessment on a patient. While assessing
the abdomen, the student percusses the spleen. What sound would be normal for the student to
hear?
appendicitis - ANS-An emergency department nurse is caring for a 17 year old patient who has
severe pain in the umbilical area. Documentation shows that the patient exhibits "Rovsing's
sign." What might this patient's medical diagnosis be?
shingles (herpes zoster) - ANS-When assessing a clinic patient, the nurse asks if the patient
has ever had varicella. The nurse knows that varicella always precedes what?
partial intestinal obstruction - ANS-While auscultating a patient's abdomen, the student notes
abnormal bowel sounds. The nurse's preceptor asks the student to describe the sounds. The
student describes them as high-pitched, rushing sounds. The preceptor, an experienced nurse,
would know that these sounds indicate what?
colorectal cancer, food-borne illness, and hepatitis - ANS-What does Healthy People have as
its focus areas for the GI tract? (Mark all that apply.)
the fracture crosses the part of the bone where the bone lengthens - ANS-A 13-year-old boy is
brought to the emergency department with an injury to his left ankle after a skateboard accident.
Diagnostic films show a fracture across the epiphyses. The doctor explains that the patient may
not have full ROM and that his left leg may be shorter than his right leg. The parents ask why
one leg may be shorter than the other. What would be the nurse's best answer?
trendelenberg test - ANS-A 3-month-old girl has been diagnosed with congenital hip
dislocation. What is a confirmatory test for this disease?
use environmental cues - ANS-A patient is admitted to the unit. The nurse notes that the
medical record for this patient lists a fall risk of 75% per the Morris Fall Risk scale. What would
be an appropriate nursing intervention?
C7 and T1 spinous processes prominent. Paravertebral, sternocleidomastoid, and trapezius
muscles fully developed, symmetrical and nontender - ANS-A nurse has just finished assessing
a patient's spine and neck muscles. How would the nurse document normal findings?
open all packages and arrange the meal tray while communicating actions to the patient -
ANS-An 87-year-old patient has been admitted to the unit. This patient has problems with fine
motor movement. What would be important to do for this patient?
, Lock the fingers together and pull against each other, reinforces enhancing the reflex response
in the legs - ANS-A nurse is having difficulty eliciting a patellar reflex. Which of the following
would be most appropriate for the nurse to have the patient do?
balance; balance and coordination are functions of the pyramidal and extrapyramidal tracts of
the motor and cerebellar systems - ANS-A nurse is preparing to assess a patient's cerebellar
function. Which of the following would the nurse expect to test?
ask the patient to identify scents, which can be done by having the patient occlude one nostril
and identify a scent - ANS-A nurse is preparing to assess the cranial nerves of a patient. The
nurse is about to test CN I. which of the following would the nurse do?
31 pairs of spinal nerves - ANS-A nursing instructor is describing the peripheral nervous system
to a group of students; the instructor would explain that there are how many pairs of spinal
nerves?
12 - ANS-how many cranial nerves are there?
cerebellar ataxia - ANS-During the romberg's test, a patient is unable to stand with his feet
together and demonstrates a wide-based, staggering, unsteady gait. The nurse would identify
this as which of the following?
spastic hemiparesis - ANS-characterized by a flexed arm held close to the body while the
patient drags the toes of the leg or circles it stiffly outward and forward
parkinsonian gait - ANS-a "shuffling" gait
scissors gait - ANS-a short, stiff gait with the thighs overlapping each other with each step
3+ - ANS-The nurse is assessing brisk reflexes in a patient. The nurse would document this
finding as which of the following?
2+ - ANS-normal reflexes are said to be what? (number)
Hold the reflex hammer between the thumb and the index finger (so that it swings freely) -
ANS-When assessing a patient's deep tendon reflexes, which technique would be most
appropriate for the nurse to use?
uvula and soft palate rising bilaterally and symmetrically on phonation - ANS-When assessing
CN IX and X, which of the following would the nurse consider as a normal finding?
describe the patient's response - ANS-When documenting the findings of a neurologic
assessment, which of the following would be most important?
tympany - ANS-A student is performing a physical assessment on a patient. While assessing
the abdomen, the student percusses the spleen. What sound would be normal for the student to
hear?
appendicitis - ANS-An emergency department nurse is caring for a 17 year old patient who has
severe pain in the umbilical area. Documentation shows that the patient exhibits "Rovsing's
sign." What might this patient's medical diagnosis be?
shingles (herpes zoster) - ANS-When assessing a clinic patient, the nurse asks if the patient
has ever had varicella. The nurse knows that varicella always precedes what?
partial intestinal obstruction - ANS-While auscultating a patient's abdomen, the student notes
abnormal bowel sounds. The nurse's preceptor asks the student to describe the sounds. The
student describes them as high-pitched, rushing sounds. The preceptor, an experienced nurse,
would know that these sounds indicate what?
colorectal cancer, food-borne illness, and hepatitis - ANS-What does Healthy People have as
its focus areas for the GI tract? (Mark all that apply.)
the fracture crosses the part of the bone where the bone lengthens - ANS-A 13-year-old boy is
brought to the emergency department with an injury to his left ankle after a skateboard accident.
Diagnostic films show a fracture across the epiphyses. The doctor explains that the patient may
not have full ROM and that his left leg may be shorter than his right leg. The parents ask why
one leg may be shorter than the other. What would be the nurse's best answer?
trendelenberg test - ANS-A 3-month-old girl has been diagnosed with congenital hip
dislocation. What is a confirmatory test for this disease?
use environmental cues - ANS-A patient is admitted to the unit. The nurse notes that the
medical record for this patient lists a fall risk of 75% per the Morris Fall Risk scale. What would
be an appropriate nursing intervention?
C7 and T1 spinous processes prominent. Paravertebral, sternocleidomastoid, and trapezius
muscles fully developed, symmetrical and nontender - ANS-A nurse has just finished assessing
a patient's spine and neck muscles. How would the nurse document normal findings?
open all packages and arrange the meal tray while communicating actions to the patient -
ANS-An 87-year-old patient has been admitted to the unit. This patient has problems with fine
motor movement. What would be important to do for this patient?
, Lock the fingers together and pull against each other, reinforces enhancing the reflex response
in the legs - ANS-A nurse is having difficulty eliciting a patellar reflex. Which of the following
would be most appropriate for the nurse to have the patient do?
balance; balance and coordination are functions of the pyramidal and extrapyramidal tracts of
the motor and cerebellar systems - ANS-A nurse is preparing to assess a patient's cerebellar
function. Which of the following would the nurse expect to test?
ask the patient to identify scents, which can be done by having the patient occlude one nostril
and identify a scent - ANS-A nurse is preparing to assess the cranial nerves of a patient. The
nurse is about to test CN I. which of the following would the nurse do?
31 pairs of spinal nerves - ANS-A nursing instructor is describing the peripheral nervous system
to a group of students; the instructor would explain that there are how many pairs of spinal
nerves?
12 - ANS-how many cranial nerves are there?
cerebellar ataxia - ANS-During the romberg's test, a patient is unable to stand with his feet
together and demonstrates a wide-based, staggering, unsteady gait. The nurse would identify
this as which of the following?
spastic hemiparesis - ANS-characterized by a flexed arm held close to the body while the
patient drags the toes of the leg or circles it stiffly outward and forward
parkinsonian gait - ANS-a "shuffling" gait
scissors gait - ANS-a short, stiff gait with the thighs overlapping each other with each step
3+ - ANS-The nurse is assessing brisk reflexes in a patient. The nurse would document this
finding as which of the following?
2+ - ANS-normal reflexes are said to be what? (number)
Hold the reflex hammer between the thumb and the index finger (so that it swings freely) -
ANS-When assessing a patient's deep tendon reflexes, which technique would be most
appropriate for the nurse to use?
uvula and soft palate rising bilaterally and symmetrically on phonation - ANS-When assessing
CN IX and X, which of the following would the nurse consider as a normal finding?
describe the patient's response - ANS-When documenting the findings of a neurologic
assessment, which of the following would be most important?
