2024 NSG 114 NCLEX EXAM 3
QUESTIONS WITH CORRECT
ANSWERS
When assessing the Achilles tendon reflex, the expected response would be:
a. Plantar flexion of the foot
b. Dorsiflexion of the foot
c. Fanning of the toes, with dorsiflexion of the great toe
d. No response - CORRECT ANSWERS-a. Plantar flexion of the foot
The components of the Glasgow Coma Scale are: (Select all that apply.)
a. Eye response
b. Sensory response
c. Motor response
d. Verbal response
e. Reflexes - CORRECT ANSWERS-a. Eye response
c. Motor response
d. Verbal response
When assessing for cortical disease in a client, the nurse should perform
which of the following tests?
a. Deep tendon reflex testing
b. Stereognosis
c. Rapid alternating actions of the upper extremity
d. Romberg's test - CORRECT ANSWERS-b. Stereognosis
When assessing the deep tendon reflexes on a client, the nurse notes they
are brisk. The nurse documents this finding as:
a. 1+
b. 2+
c. 3+
d. 4+ - CORRECT ANSWERS-c. 3+
The head of the femur placed into the acetabulum forms the:
a. hip joint
b. shoulder
c. elbow
d. knee - CORRECT ANSWERS-a. hip joint
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