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NSG 6435 Exam quizzes with answers graded A+

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NSG 6435 Exam quizzes with answers graded A+

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NSG 6435 Exam quizzes with
answers graded A+
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? -
ANS✅✅tympany



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? - ANS✅✅appendicitis



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)



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?
- ANS✅✅partial intestinal obstruction



What does Healthy People have as its focus areas for the GI tract? (Mark all that apply.) -
ANS✅✅colorectal cancer, food-borne illness, and hepatitis



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? -
ANS✅✅the fracture crosses the part of the bone where the bone lengthens



A 3-month-old girl has been diagnosed with congenital hip dislocation. What is a confirmatory test
for this disease? - ANS✅✅trendelenberg test



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? -
ANS✅✅use environmental cues

, A nurse has just finished assessing a patient's spine and neck muscles. How would the nurse
document normal findings? - ANS✅✅C7 and T1 spinous processes prominent. Paravertebral,
sternocleidomastoid, and trapezius muscles fully developed, symmetrical and nontender



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 actions to the patient



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? - ANS✅✅Lock the fingers together and pull
against each other, reinforces enhancing the reflex response in the legs



A nurse is preparing to assess a patient's cerebellar function. Which of the following would the nurse
expect to test? - ANS✅✅balance; balance and coordination are functions of the pyramidal and
extrapyramidal tracts of the motor and cerebellar systems



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? - ANS✅✅ask the patient to identify scents, which can be done
by having the patient occlude one nostril and identify a scent



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? - ANS✅✅31 pairs of
spinal nerves



how many cranial nerves are there? - ANS✅✅12



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? -
ANS✅✅cerebellar ataxia



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 - ANS✅✅spastic hemiparesis



a "shuffling" gait - ANS✅✅parkinsonian gait



a short, stiff gait with the thighs overlapping each other with each step - ANS✅✅scissors gait

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