NSG 200 Final Exam
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? - CORRECT ANSWER-partial intestinal obstruction
What does Healthy People have as its focus areas for the GI tract? (Mark all that apply.)
- CORRECT ANSWER-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? - CORRECT ANSWER-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? - CORRECT ANSWER-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? - CORRECT ANSWER-use environmental cues
A nurse has just finished assessing a patient's spine and neck muscles. How would the
nurse document normal findings? - CORRECT ANSWER-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? - CORRECT
ANSWER-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? - CORRECT ANSWER-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? - CORRECT ANSWER-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? - CORRECT ANSWER-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? -
CORRECT ANSWER-31 pairs of spinal nerves
how many cranial nerves are there? - CORRECT ANSWER-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? - CORRECT ANSWER-cerebellar ataxia
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? - CORRECT ANSWER-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? - CORRECT ANSWER-appendicitis
When assessing a clinic patient, the nurse asks if the patient has ever had varicella.
The nurse knows that varicella always precedes what? - CORRECT ANSWER-shingles
(herpes zoster)
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 - CORRECT ANSWER-spastic
hemiparesis
a "shuffling" gait - CORRECT ANSWER-parkinsonian gait
a short, stiff gait with the thighs overlapping each other with each step - CORRECT
ANSWER-scissors gait
The nurse is assessing brisk reflexes in a patient. The nurse would document this
finding as which of the following? - CORRECT ANSWER-3+
normal reflexes are said to be what? (number) - CORRECT ANSWER-2+
When assessing a patient's deep tendon reflexes, which technique would be most
appropriate for the nurse to use? - CORRECT ANSWER-Hold the reflex hammer
between the thumb and the index finger (so that it swings freely)
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? - CORRECT ANSWER-partial intestinal obstruction
What does Healthy People have as its focus areas for the GI tract? (Mark all that apply.)
- CORRECT ANSWER-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? - CORRECT ANSWER-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? - CORRECT ANSWER-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? - CORRECT ANSWER-use environmental cues
A nurse has just finished assessing a patient's spine and neck muscles. How would the
nurse document normal findings? - CORRECT ANSWER-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? - CORRECT
ANSWER-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? - CORRECT ANSWER-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? - CORRECT ANSWER-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? - CORRECT ANSWER-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? -
CORRECT ANSWER-31 pairs of spinal nerves
how many cranial nerves are there? - CORRECT ANSWER-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? - CORRECT ANSWER-cerebellar ataxia
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? - CORRECT ANSWER-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? - CORRECT ANSWER-appendicitis
When assessing a clinic patient, the nurse asks if the patient has ever had varicella.
The nurse knows that varicella always precedes what? - CORRECT ANSWER-shingles
(herpes zoster)
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 - CORRECT ANSWER-spastic
hemiparesis
a "shuffling" gait - CORRECT ANSWER-parkinsonian gait
a short, stiff gait with the thighs overlapping each other with each step - CORRECT
ANSWER-scissors gait
The nurse is assessing brisk reflexes in a patient. The nurse would document this
finding as which of the following? - CORRECT ANSWER-3+
normal reflexes are said to be what? (number) - CORRECT ANSWER-2+
When assessing a patient's deep tendon reflexes, which technique would be most
appropriate for the nurse to use? - CORRECT ANSWER-Hold the reflex hammer
between the thumb and the index finger (so that it swings freely)
