NUR306 COMPLETE FINAL SET
QUESTIONS AND ANSWERS
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 - ANS-✅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 - ANS-✅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 - ANS-✅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 - ANS-✅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 - ANS-✅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?" - ANS-✅"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 - ANS-✅arcus senilis
(cataract = increased opacity of the lens that blocks light from entering the eye.)
(redness indicates conjunctivitis)
(macular degeneration = blurring of central vision from progressive degeneration of the center of the
retina)
In a pt. with a bowel obstruction, which assessment findings indicate the possible onset of peritonitis?
- Diarrhea
- Bradycardia
- Rebound tenderness
- Diminished bowel sounds
- Rigid, board-like abdomen - ANS-✅rebound tenderness, diminished bowel sounds, rigid, board-like
abdomen
(classic signs of peritonitis = rebound tenderness, diminished/absent bowel sounds, and rigid board-like
abdomen) (also pt. would experience constipation not diarrhea and the HR would be tachycardic)
which term would the nurse use to describe bone loss greater than normal but less than caused by
osteoporosis?
- Osteopenia
QUESTIONS AND ANSWERS
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 - ANS-✅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 - ANS-✅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 - ANS-✅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 - ANS-✅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 - ANS-✅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?" - ANS-✅"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 - ANS-✅arcus senilis
(cataract = increased opacity of the lens that blocks light from entering the eye.)
(redness indicates conjunctivitis)
(macular degeneration = blurring of central vision from progressive degeneration of the center of the
retina)
In a pt. with a bowel obstruction, which assessment findings indicate the possible onset of peritonitis?
- Diarrhea
- Bradycardia
- Rebound tenderness
- Diminished bowel sounds
- Rigid, board-like abdomen - ANS-✅rebound tenderness, diminished bowel sounds, rigid, board-like
abdomen
(classic signs of peritonitis = rebound tenderness, diminished/absent bowel sounds, and rigid board-like
abdomen) (also pt. would experience constipation not diarrhea and the HR would be tachycardic)
which term would the nurse use to describe bone loss greater than normal but less than caused by
osteoporosis?
- Osteopenia
