NURS 204 EXAM 3 NEWEST ACTUAL EXAM
COMPLETE 80 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
The nurse teaches an 80-year-old client with diminished peripheral sensation.
Which statement would the nurse include in this client's teaching?
a. "Place soft rugs in your bathroom to decrease pain in your feet."
b. "Bathe in warm water to increase your circulation."
c. "Look at the placement of your feet when walking."
d. "Walk barefoot to decrease pressure injuries from your shoes." - ANSWERc.
"Look at the placement on your feet when walking."
The nurse assesses a client's recent memory. Which statement by the client
confirms that recent memory is intact?
a. "A young girl wrapped in a shroud fell asleep on a bed of clouds."
b. "I was born on April 3, 1967, in Johnstown Community Hospital."
c. "Apple, chair, and pencil are the words you just stated."
d. "I ate oatmeal with wheat toast and orange juice for breakfast." - ANSWERd. "I
ate oatmeal with wheat toast and orange juice for breakfast."
A client is admitted to the emergency department with a probable traumatic brain
injury. Which assessment finding would be the priority for the nurse to report to
the primary health care provider?
a. Mild temporal headache
b. Pupils equal and react to light
,c. Alert and oriented 3
d. Decreasing level of consciousness - ANSWERd. decreasing level of
consciousness.
A nurse asks a client to take deep breaths during an electroencephalography. The
client asks, "Why are you asking me to do this?" How would the nurse respond?
a. "Hyperventilation causes vascular dilation of cerebral arteries, which
decreases electoral activity in the brain."
b. "Deep breathing helps you to relax and allows the electroencephalograph to
obtain a better waveform."
c. "Hyperventilation causes cerebral vasoconstriction and increases the
likelihood of seizure activity."
d. "Deep breathing will help you to blow off carbon dioxide and decreases
intracranial pressures." - ANSWERc. "Hyperventilation causes cerebral
vasoconstriction and increases the likelihood of seizure activity."
A nurse assesses a client recovering from a cerebral angiography via the right
femoral artery. Which assessment would the nurse complete?
a. Palpate bilateral lower extremity pulses.
b. Obtain orthostatic blood pressure readings.
c. Perform a funduscopic examination.
d. Assess the gag reflex prior to eating. - ANSWERa. Palpate bilateral lower
extremity pulses.
When assessing a client who had a traumatic brain injury, the nurse notes that
the client is drowsy but easily aroused. What level of consciousness will the
nurse document to describe this client's current level of consciousness?
a. Alert
b. Lethargic
c. Stuporous
d. Comatose - ANSWERb. lethargic
The nurse is assessing a client diagnosed with trigeminal neuralgia affecting
cranial nerve V. What assessment findings will the nurse expect for this client?
a. Expressive aphasia
b. Ptosis (eyelid drooping)
c. Slurred speech
d. Severe facial pain - ANSWERd. severe facial pain
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 - ANSWERa. 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?" - ANSWERd. "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 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. -
ANSWERc. 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." - ANSWERd. "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.
c. Ask the client about current and past medications.
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