NSG 200 Final Exam
1. A student is performing a physical assessment on a patient. While assess-ing the
abdomen, the student percusses the spleen. What sound would be normal for the student
to hear?
ANS 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 patientexhibits "Rovsing's
sign." What might this patient's medical diagnosis be?
ANS -appendicitis
3. When assessing a clinic patient, the nurse asks if the patient has ever
had varicella.The nurse knows that varicella always precedes what?
ANS shingles(herpes zoster)
4. While auscultating a patient's abdomen, the student notes abnormal bowelsounds.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?
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ANS partial intestinal obstruction
5. What does Healthy People have as its focus areas for the GI tract? (Mark allthat apply.)
ANS 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 fractureacross 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?
ANS 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.Whatis a
confirmatory test for this disease?
ANS trendelenberg test
8. A patient is admitted to the unit.The nurse notes that the medical record forthis patient
lists a fall risk of 75% per the Morris Fall Risk scale. What would be an appropriate
nursing intervention?
ANS use environmental cues
9. A nurse has just finished assessing a patient's spine and neck muscles. How would the
nurse document normal findings?
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ANS C7 and T1 spinous processesprominent. Paravertebral, sternocleidomastoid, and trapezius
muscles fully devel- oped, symmetrical and nontender
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?
ANS open all packages and arrange the meal tray while communicating actionsto the patient
11. A nurse is having difficulty eliciting a patellar reflex.Which of the followingwould be
most appropriate for the nurse to have the patient do?
ANS Lock the fin-
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