Study online at https://quizlet.com/_iqc2ut
1. A student is performing a physical assessment on a patient. While assessing
the abdomen, the student percusses the spleen. What sound would be normal
for the student to hear?: tympany
2. An emergency department nurse is caring for a 17 year old patient who
has severe pain in the umbilical area. Documentation shows that the patient
exhibits "Rovsing's sign." What might this patient's medical diagnosis be?: ap-
pendicitis
3. When assessing a clinic patient, the nurse asks if the patient has ever had
varicella. The nurse knows that varicella always precedes what?: shingles (herpes
zoster)
4. While auscultating a patient's abdomen, the student notes abnormal bowel
sounds. The nurse's preceptor asks the student to describe the sounds. The
student describes them as high-pitched, rushing sounds. The preceptor, an
experienced nurse, would know that these sounds indicate what?: partial intestinal
obstruction
5. What does Healthy People have as its focus areas for the GI tract? (Mark all
that apply.): colorectal cancer, food-borne illness, and hepatitis
6. A 13-year-old boy is brought to the emergency department with an injury
to his left ankle after a skateboard accident. Diagnostic films show a fracture
across the epiphyses. The doctor explains that the patient may not have full
ROM and that his left leg may be shorter than his right leg. The parents ask
why one leg may be shorter than the other. What would be the nurse's best
answer?: the fracture crosses the part of the bone where the bone lengthens
7. A 3-month-old girl has been diagnosed with congenital hip dislocation. What
is a confirmatory test for this disease?: trendelenberg test
8. A patient is admitted to the unit. The nurse notes that the medical record for
this patient lists a fall risk of 75% per the Morris Fall Risk scale. What would be
an appropriate nursing intervention?: use environmental cues
9. A nurse has just finished assessing a patient's spine and neck muscles. How
would the nurse document normal findings?: C7 and T1 spinous processes prominent. Paraver-
tebral, sternocleidomastoid, and trapezius muscles fully developed, symmetrical and nontender
1/6
, NSG 200 Final Exam
Study online at https://quizlet.com/_iqc2ut
10. An 87-year-old patient has been admitted to the unit. This patient has
problems with fine motor movement. What would be important to do for this
patient?: open all packages and arrange the meal tray while communicating actions to the patient
11. A nurse is having difficulty eliciting a patellar reflex. Which of the following
would be most appropriate for the nurse to have the patient do?: Lock the fingers
together and pull against each other, reinforces enhancing the reflex response in the legs
12. A nurse is preparing to assess a patient's cerebellar function. Which of the
following would the nurse expect to test?: balance; balance and coordination are functions of the
pyramidal and extrapyramidal tracts of the motor and cerebellar systems
13. A nurse is preparing to assess the cranial nerves of a patient. The nurse is
about to test CN I. which of the following would the nurse do?: ask the patient to identify
scents, which can be done by having the patient occlude one nostril and identify a scent
14. A nursing instructor is describing the peripheral nervous system to a group
of students; the instructor would explain that there are how many pairs of
spinal nerves?: 31 pairs of spinal nerves
15. how many cranial nerves are there?: 12
16. During the romberg's test, a patient is unable to stand with his feet together
and demonstrates a wide-based, staggering, unsteady gait. The nurse would
identify this as which of the following?: cerebellar ataxia
17. characterized by a flexed arm held close to the body while the patient drags
the toes of the leg or circles it stiffly outward and forward: spastic hemiparesis
18. a "shuffling" gait: parkinsonian gait
19. a short, stiff gait with the thighs overlapping each other with each step: scissors
gait
20. The nurse is assessing brisk reflexes in a patient. The nurse would document
this finding as which of the following?: 3+
21. normal reflexes are said to be what? (number): 2+
22. When assessing a patient's deep tendon reflexes, which technique would be
most appropriate for the nurse to use?: Hold the reflex hammer between the thumb and the index
finger (so that it swings freely)
23. When assessing CN IX and X, which of the following would the nurse consider
as a normal finding?: uvula and soft palate rising bilaterally and symmetrically on phonation
2/6