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NUR 204
NUR 204/ NUR204 Exam 3 | Questions &
Answers| Grade A| 100% Correct (Verified
Solutions) (2025/ 2026 Update)
The nurse is performing an assessment of cranial nerve III.
Which testing is appropriate?
a. Pupil constriction
b. Deep tendon reflexes
c. Upper muscle strength
d. Speech and language - ANS ✓a. pupil constriction
A nurse cares for a client who is experiencing deteriorating
neurologic functions. The client states, "I am worried I will not
be able to care for my young children." How would the nurse
respond?
a. "Caring for your children is a priority. You may not want to
ask for help, but you really have to."
b. "Our community has resources that may help you with some
household tasks so you have energy to care for your children."
c. "You seem distressed. Would you like to talk to a
psychologist about adjusting to your changing status?"
d. "Can you tell me more about what worries you, so we can
see if we can do something to make adjustments?" - ANS ✓d.
"Can you tell me more about what worries you, so we can see if
we can do something to make adjustments?"
A nurse plans care for a 77-year-old client who is experiencing
age-related peripheral sensory perception changes. Which
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intervention would the nurse include in this client's plan of
care?
a. Provide a call button that requires only minimal pressure to
activate.
b. Write the date on the client's white board to promote
orientation.
c. Ensure that the path to the bathroom is free from clutter.
d. Encourage the client to season food to stimulate nutritional
intake. - ANS ✓c. ensure that the path to the bathroom is free
from clutter.
After teaching a patient who is scheduled for magnetic
resonance imaging (MRI), the nurse assesses the client's
understanding. Which statement indicates client understanding
of the teaching?
a. "I must increase my fluids because of the dye used for the
MRI."
b. "My urine will be radioactive so I should not share a
bathroom."
c. "My gag reflex will be tested before I can eat or drink
anything."
d. "I can return to my usual activities immediately after the
MRI." - ANS ✓d. "I can return to my usual activities immediately
after the MRI."
A nurse performs an assessment of pain discrimination on an
older adult. The client correctly identifies, with eyes closed, a
sharp sensation on the right hand when touched with a pin.
Which action would the nurse take next?
a. Touch the pin on the same area of the left hand.
b. Contact the primary health care provider with the
assessment results.
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c. Ask the client about current and past medications.
d. Continue the assessment on the client's feet and legs. - ANS
✓a. Touch the pin on the same area of the left hand.
A nurse is teaching a client with cerebellar function impairment.
Which statement would the nurse include in this client's
discharge teaching?
a. "Connect a light to flash when your door bell rings."
b. "Label your faucet knobs with hot and cold signs."
c. "Ask a friend to drive you to your follow-up appointments."
d. "Use a natural gas detector with an audible alarm." - ANS
✓c. "Ask a friend to drive you to your follow-up appointments."
Which statement would the nurse include when teaching the
assistive personnel (AP) about how to care for a client with
cranial nerve II impairment?
a. "Tell the client where food items are on the breakfast tray."
b. "Place the client in a high-Fowler position for all meals."
c. "Make sure the client's food is visually appetizing."
d. "Assist the client by placing the fork in the left hand." - ANS
✓a. "Tell the client where food items are on the breakfast tray."
A nurse prepares a client for lumbar puncture (LP). Which
assessment finding would alert the nurse to contact the primary
health care provider?
a. Shingles infection on the client's back
b. Client is claustrophobic.
c. Absence of intravenous access
d. Paroxysmal nocturnal dyspnea - ANS ✓a. Shingles infection
on the client's back
NUR 204
NUR 204
NUR 204/ NUR204 Exam 3 | Questions &
Answers| Grade A| 100% Correct (Verified
Solutions) (2025/ 2026 Update)
The nurse is performing an assessment of cranial nerve III.
Which testing is appropriate?
a. Pupil constriction
b. Deep tendon reflexes
c. Upper muscle strength
d. Speech and language - ANS ✓a. pupil constriction
A nurse cares for a client who is experiencing deteriorating
neurologic functions. The client states, "I am worried I will not
be able to care for my young children." How would the nurse
respond?
a. "Caring for your children is a priority. You may not want to
ask for help, but you really have to."
b. "Our community has resources that may help you with some
household tasks so you have energy to care for your children."
c. "You seem distressed. Would you like to talk to a
psychologist about adjusting to your changing status?"
d. "Can you tell me more about what worries you, so we can
see if we can do something to make adjustments?" - ANS ✓d.
"Can you tell me more about what worries you, so we can see if
we can do something to make adjustments?"
A nurse plans care for a 77-year-old client who is experiencing
age-related peripheral sensory perception changes. Which
NUR 204
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NUR 204
intervention would the nurse include in this client's plan of
care?
a. Provide a call button that requires only minimal pressure to
activate.
b. Write the date on the client's white board to promote
orientation.
c. Ensure that the path to the bathroom is free from clutter.
d. Encourage the client to season food to stimulate nutritional
intake. - ANS ✓c. ensure that the path to the bathroom is free
from clutter.
After teaching a patient who is scheduled for magnetic
resonance imaging (MRI), the nurse assesses the client's
understanding. Which statement indicates client understanding
of the teaching?
a. "I must increase my fluids because of the dye used for the
MRI."
b. "My urine will be radioactive so I should not share a
bathroom."
c. "My gag reflex will be tested before I can eat or drink
anything."
d. "I can return to my usual activities immediately after the
MRI." - ANS ✓d. "I can return to my usual activities immediately
after the MRI."
A nurse performs an assessment of pain discrimination on an
older adult. The client correctly identifies, with eyes closed, a
sharp sensation on the right hand when touched with a pin.
Which action would the nurse take next?
a. Touch the pin on the same area of the left hand.
b. Contact the primary health care provider with the
assessment results.
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c. Ask the client about current and past medications.
d. Continue the assessment on the client's feet and legs. - ANS
✓a. Touch the pin on the same area of the left hand.
A nurse is teaching a client with cerebellar function impairment.
Which statement would the nurse include in this client's
discharge teaching?
a. "Connect a light to flash when your door bell rings."
b. "Label your faucet knobs with hot and cold signs."
c. "Ask a friend to drive you to your follow-up appointments."
d. "Use a natural gas detector with an audible alarm." - ANS
✓c. "Ask a friend to drive you to your follow-up appointments."
Which statement would the nurse include when teaching the
assistive personnel (AP) about how to care for a client with
cranial nerve II impairment?
a. "Tell the client where food items are on the breakfast tray."
b. "Place the client in a high-Fowler position for all meals."
c. "Make sure the client's food is visually appetizing."
d. "Assist the client by placing the fork in the left hand." - ANS
✓a. "Tell the client where food items are on the breakfast tray."
A nurse prepares a client for lumbar puncture (LP). Which
assessment finding would alert the nurse to contact the primary
health care provider?
a. Shingles infection on the client's back
b. Client is claustrophobic.
c. Absence of intravenous access
d. Paroxysmal nocturnal dyspnea - ANS ✓a. Shingles infection
on the client's back
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