100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NURS 190 PHYSICAL ASSESSMENT FINAL EXAM (100 QUESTIONS WITH ALL ANSWERS) $15.99   Add to cart

Exam (elaborations)

NURS 190 PHYSICAL ASSESSMENT FINAL EXAM (100 QUESTIONS WITH ALL ANSWERS)

 5 views  1 purchase
  • Course
  • Institution

NURS 190 PHYSICAL ASSESSMENT FINAL EXAM (100 QUESTIONS WITH ALL ANSWERS)/NURS 190 PHYSICAL ASSESSMENT FINAL EXAM (100 QUESTIONS WITH ALL ANSWERS)/NURS 190 PHYSICAL ASSESSMENT FINAL EXAM (100 QUESTIONS WITH ALL ANSWERS)

Preview 3 out of 16  pages

  • May 18, 2023
  • 16
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers
avatar-seller
NURS 190 PHYSICAL ASSESSMENT FINAL EXAM (100
QUESTIONS WITH ALL ANSWERS) A+ RATED


1. The nurse is caring for a client who was admitted to the medical unit. The nurse notes in the physical exam done by the physician
that the client has a positive Romberg. When meeting elimination needs for this client, the nurse would perform which of the
following interventions?
A. obtain an order for a catheter
B. limit fluid intake
C. obtain a bedside commode
D. allow the client to walk independently

2. The nurse observes drainage from a client’s ears after a head injury, and suspects a cerebral spinal fluid (CSF) leak. The nurse
would document which of the following descriptions of the drainage?
A. blood-tinged without sediment
B. pink without sediment
C. yellow without sediment
D. clear, colorless

3. The nurse is performing a neurological assessment on a client and needs to use seterognosis. Which of the following instructions
would the nurse provide for the client?
A. “Identify the number being traced in your hand with your eyes closed.”
B. “Identify the object in your hand with your eyes closed.”
C. “Tell me if you feel one or two objects touching you with your eyes closed.”
D. “Open and close your hand each time I tell you to.”

4. The nurse notes fanning of the toes when the sole of the foot is stimulated during assessment of the plantar reflex. The nurse would
correctly chart which of the following?
A. Brudzinski sign
B. nuchal rigidity
C. hyperreflexia
D. Babinski response

5. The nurse is assessing a female client and notes facial hirsutism. The client asks the nurse why this has happened to her. The nurse
would correctly respond with which of the following statements?
A. “Your diet is not nutritionally balanced.”
B. "You need to take vitamins.”
C. “There is not a known cause for this condition.”
D. “You may have some hormone imbalances.”

6. The nurse is assessing the patellar reflex on a client and obtains no reflective activity. The client is alert and oriented. The nurse
should do which of the following in this situation?
A. look at the medication records for central nervous system depressants
B. retest the reflex after having the client use distraction during the exam
C. notify the physician immediately
D. document the findings as normal
7. The nurse is caring for a client that insists on having their food very hot and very cold at each meal. The nurse correctly recognize
this as a health belief in which of the following cultural groups?
A. Chinese Americans
B. Native Americans
C. Cuban Americans
D. Jewish Americans

,NURS 190 PHYSICAL ASSESSMENT FINAL EXAM (100
QUESTIONS WITH ALL ANSWERS) A+ RATED
8. The nurse is caring for a client who is a long-time smoker and notes clubbing of the fingers. The nurse utilized which of the
following techniques to validate this assessment?
A. place two of the same fingers from each hand together
B. place the hands out straight with the palm sides down
C. place two index fingers together tip to tip
D. place two thumbs touching side by side

9. A 24-year-old client reports difficulty with near vision during an interview with the nurse. The nurse realizes the finding is
consistent with:
A. hyperopia
B. presbyopia
C. astigmatism
D. aging

10. The nurse is performing a neurological assessment on a client experiencing anosmia. The nurse would suspect cranial nerve
involvement in which of the following?
A. trigeminal, cranial nerve V
B. trochlear, cranial nerve IV
C. olfactory, cranial nerve I
D. oculomotor, cranial nerve III

11. The nurse is assessing the visual fields of a 38-year-old female who reports recent changes in visual abilities. Which of the
following statements would be appropriate for the nurse to use with this client?
A. “These changes are probably related to your age.”
B. "It is possible you have taken narcotics recently?”
C. “The changes could be related to increased pressure within your eye.”
D. “These changes require a prescription for glasses.”

12. The nusse assesses a client and finds that a grating sound is present when a joint is bent and straightened. The nurse would
correctly document this finding as which of the following?
A. joint noise
B. grating
C. crepitation
D. grinding

13. The nurse is planning care for a client with hypothyroidism. Which of the folliwng would be the priority nursing diagnosis for this
client?
A. altered nutrition, less than body requirements
B. risk for constipation related to metabolic imbalance
C. risk for injury related to confusion and lethargy
D. activity intolerance related to fatigue

14. The nurse is assessing the pulses of a client and palpates the area behind the client’s knee. The nurse would choose which of the
following names to document this pulse?
A. radial
B. brachial
C. popliteal
D. dorsalis pedis

15. The nurse is assessing cranial nerve XI (spinal accessory). Which of the following statements would the nurse use to the client?
A. “Smell these items and identify what they are.”

, NURS 190 PHYSICAL ASSESSMENT FINAL EXAM (100
QUESTIONS WITH ALL ANSWERS) A+ RATED
B. “Shrug your shoulders and turn your head against my head.”
C. “Stick out your tongue and move it from side to side.”
D. “Taste these foods and decide which is sweet and which is sour.”

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Ultimatenurse. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $15.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

82215 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling

Recently viewed by you


$15.99  1x  sold
  • (0)
  Add to cart