NURS 6552 WEEK 3 CASE: NADINE WELL
WOMAN ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ 5. A 27-year-old female was diagnosed with amyotrophic lateral sclerosis
four months ago. Her primary symptom upon diagnosis was distal right
lower extremity weakness that resulted in several trips and falls. She played
soccer in college and remains active. She exercises for 30 minutes at least
five days per week attending high intensity interval training “bootcamps”,
road cycling, and trail running.The patient underwent electrodiagnostic
testing to assist in determining her diagnosis. Which of the following
findings would have supported her diagnosis of amyotrophic lateral
sclerosis?a. Long duration polyphasic unitsb. Increased number of voluntary
motor unitsc. Positive sharp wavesd. Slowed nerve conduction velocity.
Answer: CPositive sharp waves, fibrillations, fasciculations, and a reduction
in the number of voluntary motor units are expected electromyography
findings in ALS. Long duration polyphasic units are indicative of
reinnervation, which is not expected in ALS. Nerve conduction studies are
typically normal in ALS, although nerve conduction velocity could be
slightly slowed – the presence of positive sharp waves on EMG are more
likely.
◍ Standards for ALL Documentation.
Answer: information that is factual, accurate, complete, current, and
organized.Begin each entry with the date and time.Record all data factually
and objectively.This includes observations of a patient’s behavior and the
actions of another health professional.Use complete descriptions of
assessments and care in an objective manner, avoiding generalizations.Use
the patient’s words, in quotes, to record what they have said.This is most
, important when the patient is expressing emotions or thoughts of harming
themselves or someone else.Document consultations with providers that
seek to clarify a prescribed intervention.Document only what you have
observed or done yourself. Document as care is provided, rather than
waiting for the end of the shift. This increases the accuracy of
documentation.If a late entry is needed, document the time the charting was
completed, then note the time care was provided at the start of the
note.Correct all errors when discovered. The process for making a
correction in an EHR may vary by software.End each entry with your
signature and role (RN; LVN; NA; MD; OT). This step is often completed
by the EHR and is linked to your log-in credentials.First initial, last name,
SN. (e.g., C. Simpson, RN)Document using correct medical terminology,
spelled correctly.It is not necessary to use correct grammar and punctuation,
though entries should be clear and concise.Be aware of who is around you
when documenting in the electronic health record (EHR). Shield the monitor
from the line of sight of others, including colleagues whose access may
differ from yours.Do not leave the computer with the screen active, even for
a short time. Finally, always protect your computer password.
◍ 3. A 19-year-old female presents to the emergency department via Life
Flight after incurring a traumatic brain injury in a rollover motor vehicle
accident in icy conditions. As she is being transported into the emergency
department, the paramedics say her Glasgow Coma Scale score is 7. Her
past medical history is unremarkable with the exception of migraines and a
left anterior cruciate ligament repair at age 14.It is noted that the patient is
positioned with her upper extremities flexed and her lower extremities
extended on the stretcher.The patient undergoes an emergency craniectomy
and is admitted to the intensive care unit. Physical therapy is consulted the
first day post-surgery. The patient is minimally responsive to stimuli and not
yet medically stable. What is the most important intervention for the
physical therapist to perform at this time?a. Educate the family regarding
passive range of motion exercisesb. Ensure proper positioningc. Gradually
introduce more stimulation by exposing the patient to specific scents,
, sounds, and visual stimulid. Encourage volitional movement as the patient is
able by asking her to visually track objects and perform select motor
responses (i.e., squeeze hand).
Answer: BProper positioning to prevent contractures and skin breakdown
will be the most valuable intervention in the acute stages of traumatic brain
injury. Once the patient is medically stable, we will start increasing
stimulation and movement.
◍ 1. A 65-year-old male was admitted to the hospital three weeks ago after
experiencing rapid and progressive lower extremity weakness and
paresthesia following an upper respiratory infection. The patient reported
having to use his arms pull himself around his house on a rolling office chair
before he agreed to call emergency personnel. Upon admission to the
hospital, the patient was diagnosed with Guillain-Barre syndrome. His
manual muscle test grades at admission were grossly 2/5 in the bilateral
lower extremities (ankles, knees, hips), 3/5 in bilateral wrists and hands, and
5/5 in the elbows and shoulders. He had grossly diminished light touch and
proprioception in the legs and hands.The patient was in acute care for two
weeks prior to discharge to inpatient rehabilitation. He is currently able to
ambulate up to 30 feet with a platform walker and bilateral rigid ankle-foot
orthoses.Which acute medical intervention did the patient most likely
receive upon admission to the hospital?a. Intravenous corticosteroidsb.
Intravenous immunoglobulinc. Oral corticosteroidsd. Plasma exchange.
Answer: BIntravenous immunoglobulin and plasma exchange are equally
effective treatments. However, IVIg is easier to administer and associated
with fewer complications.
◍ DOCUMENTATION AND INFORMATICS.
Answer: -provides an account of their health in the past, is the place where
new information about their health is documented, and can provide cues to
what their health may be like in the future-Health professionals contribute to
the patient's health record by documenting assessments, identifying
problems, prescribing treatment, and evaluating the individual's response to
treatment. -Accurate documentation ensures continuity of care, saves time,
, and minimizes the risk of errors.
◍ Charting By Exception (CBE).
Answer: Electronic documentation often uses charting by exception. With
CBE, normal standards of health have been predefined. This allows a
checklist, or flowsheet, to be created with these norms listed. Nurses then
place data on the flowsheet to record assessment findings, interventions, and
other routine aspects of care.log out when you are no longer using a
computer and protect your passwordThe only time "within normal limits"
should be used when documenting is when a patient's assessment findings
meet the defined normal. When they do not, a narrative note is completed to
describe how the assessment deviated from the defined norms.
◍ Nadine also knows that Sheila is counting on her to decide what to do next.
Based on the cues known at this time, Nadine decides to take Sheila's
temperature and discovers it is 102.3°
F. The question that remains though is "Why does Sheila have a fever?"
How can Nadine get more information to help her understand what is
causing the fever? Select all that apply.See if Sheila has a rash on her
body.Look at Shelia's throat.Ask Sheila if she is nauseated or having
diarrhea.Use her phone to search for causes of a fever.Ask Sheila when she
first noticed her head was hurting..
Answer: See if Sheila has a rash on her body.Look at Shelia's throat.Ask
Sheila if she is nauseated or having diarrhea.Ask Sheila when she first
noticed her head was hurting.
◍ clinical judgment.
Answer: observed outcome of critical thinking and decision-makingiterative
process that uses nursing knowledge to observe and access presenting
situations, identify a prioritized client concern, and generate the best
possible evidence-based solutions in order to deliver safe client care
◍ 4. A 62-year-old male presents to an outpatient physical therapy clinic via
direct access for a stroke incurred 20 years ago. The patient is accompanied
by his wife who provides much of his history, including details about
WOMAN ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ 5. A 27-year-old female was diagnosed with amyotrophic lateral sclerosis
four months ago. Her primary symptom upon diagnosis was distal right
lower extremity weakness that resulted in several trips and falls. She played
soccer in college and remains active. She exercises for 30 minutes at least
five days per week attending high intensity interval training “bootcamps”,
road cycling, and trail running.The patient underwent electrodiagnostic
testing to assist in determining her diagnosis. Which of the following
findings would have supported her diagnosis of amyotrophic lateral
sclerosis?a. Long duration polyphasic unitsb. Increased number of voluntary
motor unitsc. Positive sharp wavesd. Slowed nerve conduction velocity.
Answer: CPositive sharp waves, fibrillations, fasciculations, and a reduction
in the number of voluntary motor units are expected electromyography
findings in ALS. Long duration polyphasic units are indicative of
reinnervation, which is not expected in ALS. Nerve conduction studies are
typically normal in ALS, although nerve conduction velocity could be
slightly slowed – the presence of positive sharp waves on EMG are more
likely.
◍ Standards for ALL Documentation.
Answer: information that is factual, accurate, complete, current, and
organized.Begin each entry with the date and time.Record all data factually
and objectively.This includes observations of a patient’s behavior and the
actions of another health professional.Use complete descriptions of
assessments and care in an objective manner, avoiding generalizations.Use
the patient’s words, in quotes, to record what they have said.This is most
, important when the patient is expressing emotions or thoughts of harming
themselves or someone else.Document consultations with providers that
seek to clarify a prescribed intervention.Document only what you have
observed or done yourself. Document as care is provided, rather than
waiting for the end of the shift. This increases the accuracy of
documentation.If a late entry is needed, document the time the charting was
completed, then note the time care was provided at the start of the
note.Correct all errors when discovered. The process for making a
correction in an EHR may vary by software.End each entry with your
signature and role (RN; LVN; NA; MD; OT). This step is often completed
by the EHR and is linked to your log-in credentials.First initial, last name,
SN. (e.g., C. Simpson, RN)Document using correct medical terminology,
spelled correctly.It is not necessary to use correct grammar and punctuation,
though entries should be clear and concise.Be aware of who is around you
when documenting in the electronic health record (EHR). Shield the monitor
from the line of sight of others, including colleagues whose access may
differ from yours.Do not leave the computer with the screen active, even for
a short time. Finally, always protect your computer password.
◍ 3. A 19-year-old female presents to the emergency department via Life
Flight after incurring a traumatic brain injury in a rollover motor vehicle
accident in icy conditions. As she is being transported into the emergency
department, the paramedics say her Glasgow Coma Scale score is 7. Her
past medical history is unremarkable with the exception of migraines and a
left anterior cruciate ligament repair at age 14.It is noted that the patient is
positioned with her upper extremities flexed and her lower extremities
extended on the stretcher.The patient undergoes an emergency craniectomy
and is admitted to the intensive care unit. Physical therapy is consulted the
first day post-surgery. The patient is minimally responsive to stimuli and not
yet medically stable. What is the most important intervention for the
physical therapist to perform at this time?a. Educate the family regarding
passive range of motion exercisesb. Ensure proper positioningc. Gradually
introduce more stimulation by exposing the patient to specific scents,
, sounds, and visual stimulid. Encourage volitional movement as the patient is
able by asking her to visually track objects and perform select motor
responses (i.e., squeeze hand).
Answer: BProper positioning to prevent contractures and skin breakdown
will be the most valuable intervention in the acute stages of traumatic brain
injury. Once the patient is medically stable, we will start increasing
stimulation and movement.
◍ 1. A 65-year-old male was admitted to the hospital three weeks ago after
experiencing rapid and progressive lower extremity weakness and
paresthesia following an upper respiratory infection. The patient reported
having to use his arms pull himself around his house on a rolling office chair
before he agreed to call emergency personnel. Upon admission to the
hospital, the patient was diagnosed with Guillain-Barre syndrome. His
manual muscle test grades at admission were grossly 2/5 in the bilateral
lower extremities (ankles, knees, hips), 3/5 in bilateral wrists and hands, and
5/5 in the elbows and shoulders. He had grossly diminished light touch and
proprioception in the legs and hands.The patient was in acute care for two
weeks prior to discharge to inpatient rehabilitation. He is currently able to
ambulate up to 30 feet with a platform walker and bilateral rigid ankle-foot
orthoses.Which acute medical intervention did the patient most likely
receive upon admission to the hospital?a. Intravenous corticosteroidsb.
Intravenous immunoglobulinc. Oral corticosteroidsd. Plasma exchange.
Answer: BIntravenous immunoglobulin and plasma exchange are equally
effective treatments. However, IVIg is easier to administer and associated
with fewer complications.
◍ DOCUMENTATION AND INFORMATICS.
Answer: -provides an account of their health in the past, is the place where
new information about their health is documented, and can provide cues to
what their health may be like in the future-Health professionals contribute to
the patient's health record by documenting assessments, identifying
problems, prescribing treatment, and evaluating the individual's response to
treatment. -Accurate documentation ensures continuity of care, saves time,
, and minimizes the risk of errors.
◍ Charting By Exception (CBE).
Answer: Electronic documentation often uses charting by exception. With
CBE, normal standards of health have been predefined. This allows a
checklist, or flowsheet, to be created with these norms listed. Nurses then
place data on the flowsheet to record assessment findings, interventions, and
other routine aspects of care.log out when you are no longer using a
computer and protect your passwordThe only time "within normal limits"
should be used when documenting is when a patient's assessment findings
meet the defined normal. When they do not, a narrative note is completed to
describe how the assessment deviated from the defined norms.
◍ Nadine also knows that Sheila is counting on her to decide what to do next.
Based on the cues known at this time, Nadine decides to take Sheila's
temperature and discovers it is 102.3°
F. The question that remains though is "Why does Sheila have a fever?"
How can Nadine get more information to help her understand what is
causing the fever? Select all that apply.See if Sheila has a rash on her
body.Look at Shelia's throat.Ask Sheila if she is nauseated or having
diarrhea.Use her phone to search for causes of a fever.Ask Sheila when she
first noticed her head was hurting..
Answer: See if Sheila has a rash on her body.Look at Shelia's throat.Ask
Sheila if she is nauseated or having diarrhea.Ask Sheila when she first
noticed her head was hurting.
◍ clinical judgment.
Answer: observed outcome of critical thinking and decision-makingiterative
process that uses nursing knowledge to observe and access presenting
situations, identify a prioritized client concern, and generate the best
possible evidence-based solutions in order to deliver safe client care
◍ 4. A 62-year-old male presents to an outpatient physical therapy clinic via
direct access for a stroke incurred 20 years ago. The patient is accompanied
by his wife who provides much of his history, including details about
