NU 201 Final Exam Questions with Correct Answers Graded A+
During an assessment of a 32-year-old patient with a recent head injury, the nurse notices that the
patient responds to pain by extending, adducting, and internally rotating his arms. His palms pronate
and his lower extremities extend with plantar flexion. Which of these statements about these findings is
accurate?
a. This indicates a lesion of the cerebral cortex.
b. This indicates a completely nonfunctional brainstem
c. This is a normal response that will go away in 24 to 48 hours
d. This is a very ominous sign and may indicate brainstem injury - Answers d. This is a very ominous sign
and may indicate brainstem injury
During the history of a 78-year-old man, his wife states that he occasionally has problems with short-
term memory loss and confusion: "He can't even remember how to button his shirt." In doing the
assessment of his sensory system, which action by the nurse is most appropriate?
a. The nurse would not do this part of the examination because results would not be valid
b. The nurse would perform the tests, knowing that mental status does not affect sensory ability
c. The nurse would proceed with the explanations of each test, making sure the wife understands
d. Before testing, the nurse would assess the patient's mental status and ability to follow directions at
this time - Answers
When assessing aging adults, the nurse knows that one of the first things that should be assessed before
making judgments about their mental status is:
,a. the presence of phobias
b. their general intelligence
c. the presence of irrational thinking patterns
d. their sensory-perceptive abilities - Answers d. their sensory- perceptive abilities
During the assessment of an 80-year-old patient, the nurse notices that his hands show tremors when
he reaches for something and his head is always nodding. There is no associated rigidity with
movement. Which of these statements is most accurate?
a. These are normal findings resulting from aging
b. These could be related to hyperthyroidism
c. there are the result of Parkinson disease
d. This patient should be evaluated for a cerebellar lesion - Answers a. These are normal findings
resulting from aging
During an assessment of an 80-year-old patient, the nurse notices the following: inability to identify
vibrations at the ankle and to identify position of big toe, slower and more deliberate gait, and slightly
impaired tactile sensation. All other neurologic findings are normal. The nurse should interpret that
these findings indicate:
a. cranial nerve dysfunction
b. lesion in the cerebral cortex
, c. normal changes due to aging
d. demyelinization of nerves due to a lesion - Answers c. normal changes due to aging
A 19-year-old woman comes to the clinic at the insistence of her brother. She is wearing black combat
boots and a black lace nightgown over the top of her other clothes. Her hair is dyed pink with black
streaks throughout. She has several pierced holes in her nares and ears and is wearing an earring
through her eyebrow and heavy black makeup. The nurse concludes:
a. she probably doesn't have any problems at all
b. she is just trying to shock people and her dress should be ignored
c. she has manic syndrome because of her abnormal dress and grooming
d. that more information should be gathered to decide whether her dress is appropriate - Answers d.
that more information should be gathered to decide whether her dress is appropriate
A patient drifts off to sleep when she is not being stimulated. The nurse can arouse her easily when
calling her name, but she remains drowsy during the conversation. The best description of this patient's
level of consciousness would be:
a. lethargic
b. obtunded
c. stuporous
d. semialert - Answers a. lethargic
During an assessment of a 32-year-old patient with a recent head injury, the nurse notices that the
patient responds to pain by extending, adducting, and internally rotating his arms. His palms pronate
and his lower extremities extend with plantar flexion. Which of these statements about these findings is
accurate?
a. This indicates a lesion of the cerebral cortex.
b. This indicates a completely nonfunctional brainstem
c. This is a normal response that will go away in 24 to 48 hours
d. This is a very ominous sign and may indicate brainstem injury - Answers d. This is a very ominous sign
and may indicate brainstem injury
During the history of a 78-year-old man, his wife states that he occasionally has problems with short-
term memory loss and confusion: "He can't even remember how to button his shirt." In doing the
assessment of his sensory system, which action by the nurse is most appropriate?
a. The nurse would not do this part of the examination because results would not be valid
b. The nurse would perform the tests, knowing that mental status does not affect sensory ability
c. The nurse would proceed with the explanations of each test, making sure the wife understands
d. Before testing, the nurse would assess the patient's mental status and ability to follow directions at
this time - Answers
When assessing aging adults, the nurse knows that one of the first things that should be assessed before
making judgments about their mental status is:
,a. the presence of phobias
b. their general intelligence
c. the presence of irrational thinking patterns
d. their sensory-perceptive abilities - Answers d. their sensory- perceptive abilities
During the assessment of an 80-year-old patient, the nurse notices that his hands show tremors when
he reaches for something and his head is always nodding. There is no associated rigidity with
movement. Which of these statements is most accurate?
a. These are normal findings resulting from aging
b. These could be related to hyperthyroidism
c. there are the result of Parkinson disease
d. This patient should be evaluated for a cerebellar lesion - Answers a. These are normal findings
resulting from aging
During an assessment of an 80-year-old patient, the nurse notices the following: inability to identify
vibrations at the ankle and to identify position of big toe, slower and more deliberate gait, and slightly
impaired tactile sensation. All other neurologic findings are normal. The nurse should interpret that
these findings indicate:
a. cranial nerve dysfunction
b. lesion in the cerebral cortex
, c. normal changes due to aging
d. demyelinization of nerves due to a lesion - Answers c. normal changes due to aging
A 19-year-old woman comes to the clinic at the insistence of her brother. She is wearing black combat
boots and a black lace nightgown over the top of her other clothes. Her hair is dyed pink with black
streaks throughout. She has several pierced holes in her nares and ears and is wearing an earring
through her eyebrow and heavy black makeup. The nurse concludes:
a. she probably doesn't have any problems at all
b. she is just trying to shock people and her dress should be ignored
c. she has manic syndrome because of her abnormal dress and grooming
d. that more information should be gathered to decide whether her dress is appropriate - Answers d.
that more information should be gathered to decide whether her dress is appropriate
A patient drifts off to sleep when she is not being stimulated. The nurse can arouse her easily when
calling her name, but she remains drowsy during the conversation. The best description of this patient's
level of consciousness would be:
a. lethargic
b. obtunded
c. stuporous
d. semialert - Answers a. lethargic
