NUR 336 EXAM 1 WITH CORRECT ACTUAL
QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST 2024 – 2025
ALREADY GRADED A+
To test for extraocular muscle function, the nurse should use which eye
assessment test? (Select all that apply.)
a. Fundoscopic exam
b. Cover/uncover test
c. 6 cardinal positions of gaze
d. Corneal light reflex test using pen light - ANSWERS-B C D
The nurse is assessing a patient's neurologic system by instructing the patient to
clench their teeth. The nurse then palpates the temporal and masseter muscles
and attempts to separate the patient's jaw by pushing down on the chin. Which of
the following cranial nerves is the nurse testing?
,a. IV
b. V
c. VI
d. VII - ANSWERS-B
When the nurse instructs the patient to do various facial expressions, puff their
cheeks out, and close their eyes tightly, which cranial nerves is the nurse testing
for?
a. IV
b. V
c. VI
d. VII - ANSWERS-D
Which of the following are included in the assessment of mental status?
A. Speech and language
B. Emotional stability
C. Physical appearance and behavior
D. All of the above - ANSWERS-D
Which of the following actions are part of the assessment of the glossopharyngeal
and vagus nerves?
,A. Testing the gag reflex
B. Having the patient swallow
C. Touching the patient's face with dull and sharp objects
D. Both A and B - ANSWERS-D
The nurse tells the doctor a patient felt warm when she checked him for a fever.
What part of the SBAR model is this statement?
a. Situation
b. Background
c. Assessment
d. Recommendation - ANSWERS-A (Parts of situation: Briefly state the issue, when
it happened or began, how severe the patient's response is--for example: changes
in heart rate/rhythm, changes in vital signs, intake and output, change in
assessment, uncontrolled pain, or change in level of consciousness.)
Your interpretation of what is happening to the patient would fall in what
category of SBAR?
a. Situation
b. Background
c. Assessment
, d. Recommendation - ANSWERS-C (The assessment part of SBAR includes telling
the health care provider what you think the problem is.)
A nurse calls the health care provider for their patient and suggests that an EKG
be ordered for the patient. Which part of SBAR does this represent?
a. Situation
b. Background
c. Assessment
d. Recommendation - ANSWERS-D (Recommendation involves
suggesting/requesting that the HCP order certain tests, a change in the patient's
treatment, a higher level of care is needed (Ex. referral to a specialist) and asking
the HCP is they have any questions for you or if they need any other information.)
The nurse asks a newly admitted client, "What can we do to help you?" What is
the purpose of this therapeutic communication technique?
a. To reframe the client's thoughts about mental health treatment
b. To put the client at ease
c. To explore a subject, idea, experience, or relationship
d. To communicate that the nurse is listening to the conversation - ANSWERS-C
(This is an example of the therapeutic communication technique of exploring. The
purpose of using exploring is to delve further into the subject, idea, experience, or
relationship. This technique is especially helpful with clients who tend to remain
on a superficial level of communication.)
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