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NSG 351 TEST BANK EXAM 3! questions with 100% correct answers
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NSG 351 TEST BANK EXAM 3! questionswith 100% correct answers
An 85-year-old man has come in for a physical examination, and the nurse notices that he uses a cane.
When documenting general appearance, the nurse should document this information under the section
that covers:
a. Posture.
b. Mobility.
c. Mood and affect.
d. Physical deformity. - correct answer ✔✔b. Mobility.
The nurse is performing a vision examination. Which of these charts is most widely used for vision
examinations?
a. Snellen
b. Shetllen
c. Smoollen
d. Schwellon - correct answer ✔✔a. Snellen
After the health history has been obtained and before beginning the physical examination, the nurse
should first ask the patient to:
a. Empty the bladder.
b. Completely disrobe.
c. Lie on the examination table.
d. Walk around the room. - correct answer ✔✔a. Empty the bladder.
During a complete health assessment, how would the nurse test the patients hearing?
a. Observing how the patient participates in normal conversation
b. Using the whispered voice test
c. Using the Weber and Rinne tests
,d. Testing with an audiometer - correct answer ✔✔b. Using the whispered voice test
A patient states, Whenever I open my mouth real wide, I feel this popping sensation in front of my ears.
To further examine this, the nurse would:
a. Place the stethoscope over the temporomandibular joint, and listen for bruits.
b. Place the hands over his ears, and ask him to open his mouth really wide.
c. Place one hand on his forehead and the other on his jaw, and ask him to try to open his mouth.
d. Place a finger on his temporomandibular joint, and ask him to open and close his mouth. - correct
answer ✔✔d. Place a finger on his temporomandibular joint, and ask him to open and close his mouth.
The nurse has just completed an examination of a patients extraocular muscles. When documenting the
findings, the nurse should document the assessment of which cranial nerves?
a. II, III, and VI
b. II, IV, and V
c. III, IV, and V
d. III, IV, and VI - correct answer ✔✔d. III, IV, and VI
A patients uvula raises midline when she says ahh, and she has a positive gag reflex. The nurse has just
tested which cranial nerves?
a. IX and X
b. IX and XII
c. X and XII
d. XI and XII - correct answer ✔✔a. IX and X
During an examination, the nurse notices that a patient is unable to stick out his tongue. Which cranial
nerve is involved with the successful performance of this action?
a. I
b. V
c. XI
d. XII - correct answer ✔✔d. XII
,A patient is unable to shrug her shoulders against the nurses resistant hands. What cranial nerve is
involved with successful shoulder shrugging?
a. VII
b. IX
c. XI
d. XII - correct answer ✔✔c. XI
During an examination, a patient has just successfully completed the finger-to-nose and the rapid-
alternating-movements tests and is able to run each heel down the opposite shin. The nurse will
conclude that the patients __________ function is intact.
a. Occipital
b. Cerebral
c. Temporal
d. Cerebellar - correct answer ✔✔d. Cerebellar
When the nurse performs the confrontation test, the nurse has assessed:
a. Extraocular eye muscles (EOMs).
b. Pupils (pupils equal, round, reactive to light, and accommodation [PERRLA]).
c. Near vision.
d. Visual fields. - correct answer ✔✔d. Visual fields.
Which statement is true regarding the complete physical assessment?
a. The male genitalia should be examined in the supine position.
b. The patient should be in the sitting position for examination of the head and neck.
c. The vital signs, height, and weight should be obtained at the end of the examination.
d. To promote consistency between patients, the examiner should not vary the order of the assessment.
- correct answer ✔✔b. The patient should be in the sitting position for examination of the head and
neck.
, Which of these is included in an assessment of general appearance?
a. Height
b. Weight
c. Skin color
d. Vital signs - correct answer ✔✔c. Skin color
The nurse should wear gloves for which of these examinations?
a. Measuring vital signs
b. Palpation of the sinuses
c. Palpation of the mouth and tongue
d. Inspection of the eye with an ophthalmoscope - correct answer ✔✔c. Palpation of the mouth and
tongue
The nurse should use which location for eliciting deep tendon reflexes?
a. Achilles
b. Femoral
c. Scapular
d. Abdominal - correct answer ✔✔a. Achilles
During an inspection of a patients face, the nurse notices that the facial features are symmetric. This
finding indicates which cranial nerve is intact?
a. VII
b. IX
c. XI
d. XII - correct answer ✔✔a. VII
During inspection of the posterior chest, the nurse should assess for:
a. Symmetric expansion.
b. Symmetry of shoulders and muscles.
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