NURl 201/l NUR201l Finall Examl 4l –l
Medical-Surgicall Nursingl Il Review|l Fortisl
(Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Appearancel ofl deformityl forl clientsl withl rheumatoidl arthritis
Whilel assessingl al patientl withl wristl dislocation,l thel nursel findsl swan-neckl deformityl
andl ulnarl deviationl ofl thel fingersl inl thel patient.l Whichl diseasel conditionl doesl thel
nursel expectl inl thel patient?
Answer:
Rheumatoidl arthritisl mayl leadl tol swanl neckl deformityl andl ulnarl deviationl ofl thel
fingers.l Swanl neckl deformityl refersl tol thel flexionl contracturel ofl thel
metacarpophalangeall joint.
Q:l Appropriatel MDl ordersl forl al clientl withl suspectedl appendicitis
Al 27l yearl oldl femalel patientl isl admittedl tol thel hospitall forl evaluationl ofl thel rightl
lowerl quadrantl abdominall painl withl nauseal andl vomiting.l Whatl actionl shouldl thel nursel
take?
Answer:
Assessl thel abdomenl forl reboundl tenderness.
Thel patient'sl clinicall manifestationsl arel consistentl withl appendicitisl andl anl applicationl
ofl anl icel packl willl decreasel imm
,Q:l Appropriatel measuresl R/Tl contactl precautionsl forl al clientl withl cl difficile
Whichl actionl willl thel nursel includel inl thel planl ofl carel forl al 42l yearl oldl patientl whol
hasl beenl admittedl withl cl diff?
Answer:
Placel patientl inl al privatel rooml onl contactl isolation.
Q:l Appropriatel measuresl R/Tl contactl precautionsl forl al clientl withl cl difficile
Afterl severall daysl ofl antibioticl therapy,l anl olderl hospitalizedl patientl developsl wateryl
diarrhea.l Whichl actionl shouldl thel nursel firstl take?
Answer:
Placel patientl onl contactl precautions.
Q:l Assessmentl ofl cerebellarl function
Whichl assessmentsl willl thel nursel makel tol monitorl patients'l cerebellarl functionl (selectl
alll thatl apply):
Answer:
-l Observel arml swingl withl gait
-l Performl thel fingerl tol nosel testl
Rationale:
Thel FNTl assessesl equilibriuml andl coordination.
, Specificl testsl usedl tol evaluatel cerebellarl functionl includel assessmentl ofl gaitl andl
balance,l pronatorl drift,l thel finger-to-nosel test,l rapidl alternatingl action,l andl thel heel-to-
shinl test.
Q:l Assessmentl ofl Jewishl clientsl forl malnutrition
Al severelyl malnourishedl patientl reportsl thatl hel isl Jewish.l Thel nurse'sl initiall actionl tol
meetl hisl nutritionall needsl willl bel to:
Answer:
Askl thel patientl aboutl foodl preferences.
Q:l Assessmentl ofl legsl forl clientsl withl lowerl neuronl lesions
Hyporeflexial is
Answer:
al symptoml inl whichl yourl skeletall musclesl havel al decreasedl orl absentl reflexl response.l
Itl resultsl froml damagel tol anyl partl ofl yourl reflexl arc,l whichl canl bel duel tol anl
underlyingl medicall condition.l Healthcarel providersl canl detectl hyporeflexial byl tappingl
yourl kneel withl al rubberl hammer.
Q:l Assessmentl ofl legsl forl clientsl withl lowerl neuronl lesions
Regionsl ofl thel spine:
Answer:
Startingl atl thel top,l thel spinel hasl fourl regionsl withl al totall ofl 33l vertebrae:
1.l Thel firstl regionl isl comprisedl ofl thel 7l cervicall orl neckl vertebrael (labeledl C1-C7).
Medical-Surgicall Nursingl Il Review|l Fortisl
(Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Appearancel ofl deformityl forl clientsl withl rheumatoidl arthritis
Whilel assessingl al patientl withl wristl dislocation,l thel nursel findsl swan-neckl deformityl
andl ulnarl deviationl ofl thel fingersl inl thel patient.l Whichl diseasel conditionl doesl thel
nursel expectl inl thel patient?
Answer:
Rheumatoidl arthritisl mayl leadl tol swanl neckl deformityl andl ulnarl deviationl ofl thel
fingers.l Swanl neckl deformityl refersl tol thel flexionl contracturel ofl thel
metacarpophalangeall joint.
Q:l Appropriatel MDl ordersl forl al clientl withl suspectedl appendicitis
Al 27l yearl oldl femalel patientl isl admittedl tol thel hospitall forl evaluationl ofl thel rightl
lowerl quadrantl abdominall painl withl nauseal andl vomiting.l Whatl actionl shouldl thel nursel
take?
Answer:
Assessl thel abdomenl forl reboundl tenderness.
Thel patient'sl clinicall manifestationsl arel consistentl withl appendicitisl andl anl applicationl
ofl anl icel packl willl decreasel imm
,Q:l Appropriatel measuresl R/Tl contactl precautionsl forl al clientl withl cl difficile
Whichl actionl willl thel nursel includel inl thel planl ofl carel forl al 42l yearl oldl patientl whol
hasl beenl admittedl withl cl diff?
Answer:
Placel patientl inl al privatel rooml onl contactl isolation.
Q:l Appropriatel measuresl R/Tl contactl precautionsl forl al clientl withl cl difficile
Afterl severall daysl ofl antibioticl therapy,l anl olderl hospitalizedl patientl developsl wateryl
diarrhea.l Whichl actionl shouldl thel nursel firstl take?
Answer:
Placel patientl onl contactl precautions.
Q:l Assessmentl ofl cerebellarl function
Whichl assessmentsl willl thel nursel makel tol monitorl patients'l cerebellarl functionl (selectl
alll thatl apply):
Answer:
-l Observel arml swingl withl gait
-l Performl thel fingerl tol nosel testl
Rationale:
Thel FNTl assessesl equilibriuml andl coordination.
, Specificl testsl usedl tol evaluatel cerebellarl functionl includel assessmentl ofl gaitl andl
balance,l pronatorl drift,l thel finger-to-nosel test,l rapidl alternatingl action,l andl thel heel-to-
shinl test.
Q:l Assessmentl ofl Jewishl clientsl forl malnutrition
Al severelyl malnourishedl patientl reportsl thatl hel isl Jewish.l Thel nurse'sl initiall actionl tol
meetl hisl nutritionall needsl willl bel to:
Answer:
Askl thel patientl aboutl foodl preferences.
Q:l Assessmentl ofl legsl forl clientsl withl lowerl neuronl lesions
Hyporeflexial is
Answer:
al symptoml inl whichl yourl skeletall musclesl havel al decreasedl orl absentl reflexl response.l
Itl resultsl froml damagel tol anyl partl ofl yourl reflexl arc,l whichl canl bel duel tol anl
underlyingl medicall condition.l Healthcarel providersl canl detectl hyporeflexial byl tappingl
yourl kneel withl al rubberl hammer.
Q:l Assessmentl ofl legsl forl clientsl withl lowerl neuronl lesions
Regionsl ofl thel spine:
Answer:
Startingl atl thel top,l thel spinel hasl fourl regionsl withl al totall ofl 33l vertebrae:
1.l Thel firstl regionl isl comprisedl ofl thel 7l cervicall orl neckl vertebrael (labeledl C1-C7).
