Final Exam Review Questions with
100% Correct Answers | Verified |
Latest Update 2025
The nurse is preparing to complete an assessment of a patient's posterior thorax. Which of the
following should be included in this examination?
a.Auscultation of lung sounds
b.Auscultation of the apical impulse
c.Palpation of the subclavicular lymph nodes.
d.Perform the Romberg test
a.Auscultation of lung sounds
A patient with a recent head injury is admitted to the emergency department. The patient appears
to be dazed. The nurse asks the patient, "Do you know where you are?" Which of the following
parameters is the nurse assessing?
a.Attention
b.Memory
c.Orientation
d.Mood and affect
c.Orientation
To elicit the plantar response (Babinski response), the nurse should:
a.Present a noxious odor to the person and ask to identify the scent.
b.Observe the person walking heel to toe.
c.Stroke the lateral aspect of the sole of the foot, starting with heel and then across the ball.
d.Gently tap the Achilles tendon with the thicker part of the reflex hammer.
, c.Stroke the lateral aspect of the sole of the foot, starting with heel and then across the ball.
The nurse is examining the movements of a patient's eyes through each of the 6 cardinal gazes.
Which crainal nerves are being assessed by the nurse?
a.Abducens nerve
b.Facial nerve
c. Hypoglossal nerve
d.Oculomotor nerve
e.Trochlear nerve
a.Abducens nerve
d.Oculomotor nerve
e.Trochlear nerve
Your patient has a productive cough and is expectorating yellow mucous at times. Which breath
sound would the nurse expect to auscultate due to the presence of mucous in this patient's
respiratory tract?
a.Absent
b.Crackles
c.Stridor
d.Rhonchi
d.Rhonchi
When the nurse is assessing the motor function of cranial nerve VII as part of the neurological
examination, what should the nurse instruct the patient to do?
a.Clench the teeth
b.Smell coffee beans
c.Smile
d.Cover one eye
c.Smile