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Health Assessment test bank Block 2 Exam 2024/2025 Questions With Completed & Verified Solutions.
Health Assessment test bank Block 2 Exam 2024/2025 Questions With Completed & Verified Solutions.
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Health Assessment test bank Block 2The two parts of the nervous system are the - ANS central and peripheral
The wife of a 65 year old man tells the nurse that she is concerned because she has noticed a
change in her husband's personality and ability to understand. He also cries very easily and
becomes angry. The nurse recalls that the central lobe responsible for these behaviors is the
_____ lobe. - ANS frontal
true or false
the hypothalamus controls body temperature and regulates sleep - ANS true
the area of the nervous system that is responsible for mediating reflexes is the - ANS spinal
cord
While gathering equipment after an injection, a nurse accidentally received a prick from an
improperly capped needle. To interpret this sensation, which of these areas must be intact? -
ANS lateral spinothalamic tract, thalamus, and sensory cortex
A patient with a lack of oxygen to his heart will have pain in his chest and possibly in the
shoulder, arms, or jaw. The nurse knows the best explanation why this occurs is which on of
these statements? - ANS The sensory cortex does not have the ability to localize pain in the
heart; consequently the pain is felt elsewhere `
The ability that humans have to perform very skilled movements such as writing is controlled by
the - ANS corticospinal tract
A 30 year old women tells the nurse that she has been very unsteady and has had difficulty in
maintaining her balance. Which area of the brain that is related to these findings would concern
the nurse? - ANS cerebellum
true or false
the peripheral nerves carry input to the central nervous system by afferent fibers and away from
the central nervous system by efferent fibers - ANS true
A patient has a severed spinal nerve as a result of trauma. Which statement is true in this
situation? - ANS the adjacent spinal nerves will continue to carry sensations for the dermatome
served by the severed nerve
A 21 year old patient has a head injury resulting from trauma and is unconscious. There are no
other injuries. During the assessment what would the nurse expect to find when testing the
patients deep tendon reflexes? - ANS reflexes will be normal
,A mother of a 1 month old infant asks the nurse why it takes so long for infants to learn to roll
over. The nurse knows the reason for this is - ANS myelin is needed to conduct the impulses,
and the neurons of a newborn are not yet myelinated
During an assessment of a 80 year old patient. the nurse notices the following: an inability to
identify vibrations at her ankle and to identify the position of her big toe, a slower and more
deliberate gait and a slightly impaired tactile sensation. All other neurologic findings are normal.
The nurse should interpret that these findings indicate - ANS normal changes attributable to
aging
A 70 year old women tells the nurse that every time she gets up in the morning or after she's
been sitting, she gets really dizzy and feels like she is going to fall over. The nurses best
response would be - ANS you need to get up slowly when you've been lying down or sitting
during the taking of health history the patient tells the nurse that it feels like the room is spinning
around me. the nurse would document this finding as - ANS vertigo
when taking the health history on a patient with seizure disorder, the nurse assesses whether
the patient has an aura. Which of these would be the best question for obtaining this
information? - ANS do you have ant warning signs before your seizure starts?
while obtaining a health history of a 3 month old infant from the mother, the nurse ask about the
infants ability to suck and grasp the mothers finger. What is the nurse assessing? - ANS
reflexes
in obtaining a health history on a 74 year old patient , the nurse notes that he drinks alcohol
daily and that he has noticed tremors in his hands that affects his ability to hold things. with this
information, what response should the nurse make? - ANS does the tremor change when you
drink alchohol.
A 50 year old women is in the clinic for weakness in her left arm and leg that she has noticed for
the past week. The nurse should perform which type of neurologic examination? - ANS
complete neurologic examination
During an assessment of the cranial nerves, the nurse finds the following : asymmetry when the
patient smiles or frowns, uneven lifting of the eyebrows, sagging of the lower eyelids , and
escape of air when the nurse presses against the right puffed cheek. This would indicate
dysfunction of which of these cranial nerves? - ANS motor component of cranial nerve VII
The nurse is testing the functional component of cranial nerve XI. Which statement best
describes the response the nurse should expect if this nerve is intact? the patient: - ANS moves
the head and shoulders against resistance with equal strength.
, During the neurologic assessment of a "healthy" 35-year-old patient, the nurse asks him to relax
his muscles completely. The nurse then moves each extremity through full range of motion.
Which of these results would the nurse expect to find? - ANS mild, even resistance to
movement
When the nurse asks a 68-year-old patient to stand with feet together and arms at his side with
his eyes closed, he starts to sway and moves his feet farther apart. The nurse would document
this finding as a(n): - ANS positive Romberg sign
The nurse is performing an assessment on a 29 year old women who visits the clinic
complaining of always dropping things and falling down. While testing rapid alternating
movements, the nurse notices that the women is unable to pat both of her knees. Her response
is extremely slow and she frequently misses. What should the nurse suspect? - ANS
dysfunction of the cerebellum
During the taking of the health history of a 78-year old man, his wife states that he occasionally
has problems with short term memory and confusion : He can't even remember how to button
his shirt. When assessing his sensory system, which action by the nurse is most appropriate? -
ANS before testing, the nurse would assess the patients mental status and ability to follow
directions
The assessment of a 60-year-old patient has taken longer than anticipated. In testing his pain
perception the nurse decides to complete the test as quickly as possible. When the nurse
applies the sharp point of the pin on his arm several times, he is only able to identify these as
one "very sharp prick." What would be the most accurate explanation for this? - ANS This
response is most likely the result of the summation effect.
The nurse is performing a neurologic assessment on a 41 year old women with a history of
diabetes. When testing her ability to feel the vibrations of a tuning fork, the nurse notices that
the patient is unable to feel vibrations on the great big toe bilaterally, but she is able to feel
vibrations on both patellae. Given this information what should the nurse suspect? - ANS
peripheral neuropathy
The nurse places a key in the hand of a patient and he identifies it as a penny. what term would
the nurse use to describe this finding? - ANS astereognosis
The nurse is testing the deep tendon reflexes of a 30- year -old women who is in the clinic for an
annual physical examination. When striking the Achilles heel and quadriceps muscle, the nurse
is unable to elicit a reflex. The nurses next response should be too: - ANS ask the patient to lock
her fingers and pull
In assessing a 70 year old patient who has had a recent cerebrovascular accident, the nurse
notices right sided weakness. What might the nurse expect to find when testing his reflexes on
the right side? - ANS hyperactive reflexes
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