NU 201 Final Exam Questions and
answers 2025
During .an .assessment .of .a .32-year-
old .patient .with .a .recent .head .injury, .the .nurse .notices .that .the .patient .respond
s .to .pain .by .extending, .adducting, .and .internally .rotating .his .arms. .His .palms .p
ronate .and .his .lower .extremities .extend .with .plantar .flexion. .Which .of .these .sta
tements .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 .- .ANS✓✓-
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 .s
hirt." .In .doing .the .assessment .of .his .sensory .system, .which .action .by .the .nurs
e .is .most .appropriate?
a. .The .nurse .would .not .do .this .part .of .the .examination .because .results .would .n
ot .be .valid
b. .The .nurse .would .perform .the .tests, .knowing .that .mental .status .does .not .affe
ct .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 .- .ANS✓✓-
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 .- .ANS✓✓-
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 .- .ANS✓✓-
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 .s
lightly .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 .- .ANS✓✓-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 .cloth
es. .Her .hair .is .dyed .pink .with .black .streaks .throughout. .She .has .several .pierce
d .holes .in .her .nares .and .ears .and .is .wearing .an .earring .through .her .eyebrow .a
nd .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 .app
ropriate .- .ANS✓✓-
d. .that .more .information .should .be .gathered .to .decide .whether .her .dress .is .app
ropriate
A .patient .drifts .off .to .sleep .when .she .is .not .being .stimulated. .The .nurse .can .ar
ouse .her .easily .when .calling .her .name, .but .she .remains .drowsy .during .the .con
versation. .The .best .description .of .this .patient's .level .of .consciousness .would .b
e: .
a. .lethargic
b. .obtunded
c. .stuporous
d. .semialert .- .ANS✓✓-a. .lethargic
A .patient .has .been .in .the .intensive .care .unit .for .10 .days. .He .has .just .been .mov
ed .to .the .medical-
surgical .unit, .and .the .admitting .nurse .is .planning .to .perform .a .mental .status .ex
amination .on .him. .During .the .tests .of .cognitive .function .the .nurse .would .expec
t .that .he:
a. .may .display .some .disruption .in .thought .content
b. .will .state, ."I .am .so .relieved .to .be .out .of .intensive .care."
c. .will .be .oriented .to .place .and .person .but .may .not .be .certain .of .the .date
d. .may .show .evidence .of .some .clouding .of .his .level .of .consciousness .- .ANS✓
✓-c. .will .be .oriented .to .place .and .person .but .may .not .be .certain .of .the .date
During .an .examination, .the .nurse .notices .severe .nystagmus .in .both .eyes .of .a .p
atient. .Which .of .these .conclusions .by .the .nurse .is .correct?
a. .This .is .a .normal .occurence
b. .This .may .indicate .disease .of .the .cerebellum .or .brainstem
c. .This .is .a .sign .that .the .patient .is .nervous .about .the .examination
d. .This .indicates .a .visual .problem, .and .a .referral .to .an .opthalmologist .is .indicat
ed .- .ANS✓✓-b. .This .may .indicate .disease .of .the .cerebellum .or .brainstem
A .patient .has .been .diagnosed .with .schizophrenia. .During .a .recent .interview, .he
.shows .the .nurse .a .picture .of .a .man .holding .a .decapitated .head. .He .describes .t
his .picture .as .horrifying .and .laughs .loudly .at .the .content. .This .behavior .is .a .di
splay .of: .
answers 2025
During .an .assessment .of .a .32-year-
old .patient .with .a .recent .head .injury, .the .nurse .notices .that .the .patient .respond
s .to .pain .by .extending, .adducting, .and .internally .rotating .his .arms. .His .palms .p
ronate .and .his .lower .extremities .extend .with .plantar .flexion. .Which .of .these .sta
tements .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 .- .ANS✓✓-
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 .s
hirt." .In .doing .the .assessment .of .his .sensory .system, .which .action .by .the .nurs
e .is .most .appropriate?
a. .The .nurse .would .not .do .this .part .of .the .examination .because .results .would .n
ot .be .valid
b. .The .nurse .would .perform .the .tests, .knowing .that .mental .status .does .not .affe
ct .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 .- .ANS✓✓-
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 .- .ANS✓✓-
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 .- .ANS✓✓-
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 .s
lightly .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 .- .ANS✓✓-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 .cloth
es. .Her .hair .is .dyed .pink .with .black .streaks .throughout. .She .has .several .pierce
d .holes .in .her .nares .and .ears .and .is .wearing .an .earring .through .her .eyebrow .a
nd .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 .app
ropriate .- .ANS✓✓-
d. .that .more .information .should .be .gathered .to .decide .whether .her .dress .is .app
ropriate
A .patient .drifts .off .to .sleep .when .she .is .not .being .stimulated. .The .nurse .can .ar
ouse .her .easily .when .calling .her .name, .but .she .remains .drowsy .during .the .con
versation. .The .best .description .of .this .patient's .level .of .consciousness .would .b
e: .
a. .lethargic
b. .obtunded
c. .stuporous
d. .semialert .- .ANS✓✓-a. .lethargic
A .patient .has .been .in .the .intensive .care .unit .for .10 .days. .He .has .just .been .mov
ed .to .the .medical-
surgical .unit, .and .the .admitting .nurse .is .planning .to .perform .a .mental .status .ex
amination .on .him. .During .the .tests .of .cognitive .function .the .nurse .would .expec
t .that .he:
a. .may .display .some .disruption .in .thought .content
b. .will .state, ."I .am .so .relieved .to .be .out .of .intensive .care."
c. .will .be .oriented .to .place .and .person .but .may .not .be .certain .of .the .date
d. .may .show .evidence .of .some .clouding .of .his .level .of .consciousness .- .ANS✓
✓-c. .will .be .oriented .to .place .and .person .but .may .not .be .certain .of .the .date
During .an .examination, .the .nurse .notices .severe .nystagmus .in .both .eyes .of .a .p
atient. .Which .of .these .conclusions .by .the .nurse .is .correct?
a. .This .is .a .normal .occurence
b. .This .may .indicate .disease .of .the .cerebellum .or .brainstem
c. .This .is .a .sign .that .the .patient .is .nervous .about .the .examination
d. .This .indicates .a .visual .problem, .and .a .referral .to .an .opthalmologist .is .indicat
ed .- .ANS✓✓-b. .This .may .indicate .disease .of .the .cerebellum .or .brainstem
A .patient .has .been .diagnosed .with .schizophrenia. .During .a .recent .interview, .he
.shows .the .nurse .a .picture .of .a .man .holding .a .decapitated .head. .He .describes .t
his .picture .as .horrifying .and .laughs .loudly .at .the .content. .This .behavior .is .a .di
splay .of: .
