UPDATED HEALTH ASSESSMENT FINAL EXAM (LATEST 2024/25) QUESTIONS WITH VERIFIED ANSWERS |100%

1. The nurse is performing a neurologic assessment on a 41-year-old woman with a history of diabetes. When testing her ability to feel the vibrations of a tuning fork, the nurse notices that the patient is unable to feel vibrations on the great toe or ankle bilaterally, but she is able to feel vibrations on both patellae. Given this information, what would the nurse suspect? CORRECT ANSWER; Peripheral neuropathy 2. The nurse is performing an assessment on a 29-year-old woman who visits the clinic complaining of "always dropping things and falling down." While testing rapid alternating movements, the nurse notices that the woman is unable to pat both of her knees. Her response is extremely slow, and she frequently misses. What should the nurse suspect? CORRECT ANSWER; Dysfunction of the cerebellum 3. The nurse is performing a neurological assessment on a client and elicits a positive Romberg's sign. The nurse makes this determination based on which observation? CORRECT ANSWER; A significant sway when the client stands erect with feet together, arms at the side, and the eyes closed 4. A stroke patient has ptosis of the right side of the face… Ans Dysphagia- Difficulty swallowing • The nurse is testing the extra ocular movements in a client to assess for muscle weakness in the eyes. The nurse should implement which assessment technique to assess for muscle weakness in the eye? CORRECT ANSWER; Tests the six cardinal positions of gaze • What information should be included when entering documentation of an enlarged lymph node? CORRECT ANSWER; Location, sixe, and shape | Consistency and tenderness | Discreteness and movability • Which of these people is displaying the most attentive body language? CORRECT ANSWER; Elaine puts her papers down and sits down across from Mr. Klein, hands in her lap, and makes eye contact with him while he explains his situation. • What will the nurse instruct nursing assistive personal (NAP) to do when measuring an adult patient's radial pulse? CORRECT ANSWER; Palpate the patient's inner wrist on the thumb side with the fingertips of your two middle fingers. • When taking a history from a newly admitted patient, the nurse notices that he often pauses and expectantly looks at the nurse. What would be the nurse’s best response to this behavior? CORRECT ANSWER; Be silent and allow him to continue when he is ready. • What are the blood vessels called that carry blood back to the heart from the rest of the body? CORRECT ANSWER; Veins • Which of the following demonstrates how does active listening result better patient care? CORRECT ANSWER; Respect