NURS 3632 FINAL EXAM ACTUAL QUESTIONS AND
SOLUTIONS GRADED A+
✔✔A nurse is assessing a patient for tactile disturbances. Which question asked by the
nurse would be appropriate for this assessment?
a. "Have you been experiencing any strange tastes lately?"
b. "Have you smelled odors lately that other cannot smell?"
c. "Can you tell me what I am placing in your hand right now?"
d. "Have you found it difficult to communicate verbally?" - ✔✔c. "Can you tell me what I
am placing in your hand right now?"
✔✔A nurse observes that a patient who has cataracts is sitting closer to the television
than usual. Which alteration would the nurse suspect is causing this patient behavior?
a. Altered stimulation
b. Altered sensory reception
c. Altered nerve impulse conduction
d. Altered impulse translation - ✔✔b. Altered sensory reception
✔✔Which action would be most important for a nurse to include in the care plan for a
patient diagnosed with presbycusis?
a. Obtaining large-print written material
b. Speaking distinctly, using lower frequencies
c. Decreasing tactile stimulation
d. Initiating a safety program to prevent falls - ✔✔b. Speaking distinctly, using lower
frequencies
✔✔A patient is in the late stages of AIDS, with alterations to the brain as well as other
major organ systems. The patient complains of loneliness because of friends being
"afraid to visit." Based on this data, what would the nurse determine to be the least likely
underlying etiology for this patient's sensory problems?
a. Stimulation
b. Reception
c. Transmission-perception-reaction
d. Emotional responses - ✔✔d. Emotional responses
✔✔Which patient would a nurse assess as being at greatest risk for sensory
deprivation?
a. An older adult confined to bed at home after a stroke
b. An adolescent in an oncology unit working on homework supplied by friends
c. A woman in labor
,d. A toddler in a playroom awaiting same-day surgery - ✔✔a. An older adult confined to
bed at home after a stroke
✔✔A patient in an intensive care burn unit for 1 week is in pain much of the time and
has his face and both arms heavily bandaged. His wife visits every evening for 15
minutes at 1800, 1900, and 2000. A heart monitor beeps for a patient on one side, and
another patient moans frequently. Which patient assessment would the nurse make
based on this data?
a. Sufficient sensory stimulation
b. Deficient sensory stimulation
c. Excessive sensory stimulation
d. Both sensory deprivation and overload - ✔✔d. Both sensory deprivation and overload
✔✔A patient's spinal cord was severed, causing paralysis from the waist down. When
obtaining data about this patient, which component of the sensory experience would be
a priority for the nurse to assess?
a. Transmission of tactile stimuli
b. Adequate stimulation in the environment
c. Reception of visual and auditory stimuli
d. General orientation and ability to follow commands - ✔✔a. Transmission of tactile
stimuli
✔✔A nurse is diagnosing an 11-year-old student following a physical assessment. The
nurse notes that the student's grades have dropped, she has difficulty completing her
work on time, and she frequently rubs her eyes and squints. Her visual acuity on a
Snellen's eye chart is 160/20. Based on this assessment data, which alteration would
the nurse document for this patient?
a. Self-care deficit
b. Altered Role Performance (Student)
c. Disturbed Body Image
d. Delayed Growth and Development - ✔✔b. Altered Role Performance (Student)
✔✔A nurse is caring for a man with a severe hearing deficit who is able to read lips and
use sign language. Which nursing intervention would best prevent sensory alterations
for this patient?
a. Turn the radio or television volume up very loud and close the door to his room.
b. Prevent embarrassment and emotional discomfort as much as possible.
c. Provide daily opportunity for him to participate in a social hour with 6 to 8 people.
d. Encourage daily participation in exercise and physical activity. - ✔✔c. Provide daily
opportunity for him to participate in a social hour with 6 to 8 people.
, ✔✔In a group home in which most patients have slight to moderate visual or hearing
impairment and some are periodically confused, what would be a nurse's first priority in
caring for sensory concerns?
a. Maintaining safety and preventing sensory deterioration
b. Insisting that every patient participate in as many self-care activities as possible
c. Emphasizing and reinforcing individual patient strengths
d. Encouraging reminiscence and life review in groups - ✔✔a. Maintaining safety and
preventing sensory deterioration
✔✔A nurse assessing an 8-month-old infant suspects the infant is experiencing sensory
deprivation related to inadequate parenting. Since this assessment, both parents have
attended parenting classes. However, both parents work while the infant stays with a
grandparent, who has reduced vision. The parents provide appropriate stimulation in the
evening. At an evaluation conference at the age of 11 months, the infant lies on the
floor, rocking back and forth and has a dull facial expression with few vocalizations.
Which nursing action would be appropriate for this patient and family?
a. Explore why the infant's parents lack motivation to provide necessary stimulation.
b. Remove the infant from the grandmother's care as the child has not progressed.
c. Suggest counseling since the infant's sensory deprivation is still severe.
d. No action is needed, as this is normal behavior for an 11-month-old infant. - ✔✔c.
Suggest counseling since the infant's sensory deprivation is still severe.
✔✔An older adult in a long-term care facility walked out the door unobserved and was
lost for several hours. Upon assessment, the nurse notes that the patient is confused
and documents: chronic sensory deprivation related to the effects of aging. Which
interventions would be most effective for this patient? Select all that apply.
a. Ignore the patient's confusion, or go along with it to prevent embarrassment.
b. Reduce the number and type of stimuli in the patient's room.
c. Orient the patient to time, place, and person frequently.
d. Provide daily contact with children, community people, and pets.
e. Decrease background or loud noises in the environment.
f. Provide a radio and television in the patient's room. - ✔✔c. Orient the patient to time,
place, and person frequently.
d. Provide daily contact with children, community people, and pets.
f. Provide a radio and television in the patient's room.
✔✔An older patient has a severe visual deficit related to glaucoma. Which nursing
action would be appropriate when providing care for this patient?
a. Assist the patient to ambulate by walking slightly behind her and grasping the arm.
b. Concentrate on the patient's sense of sight and limit diversions that involve other
senses.
SOLUTIONS GRADED A+
✔✔A nurse is assessing a patient for tactile disturbances. Which question asked by the
nurse would be appropriate for this assessment?
a. "Have you been experiencing any strange tastes lately?"
b. "Have you smelled odors lately that other cannot smell?"
c. "Can you tell me what I am placing in your hand right now?"
d. "Have you found it difficult to communicate verbally?" - ✔✔c. "Can you tell me what I
am placing in your hand right now?"
✔✔A nurse observes that a patient who has cataracts is sitting closer to the television
than usual. Which alteration would the nurse suspect is causing this patient behavior?
a. Altered stimulation
b. Altered sensory reception
c. Altered nerve impulse conduction
d. Altered impulse translation - ✔✔b. Altered sensory reception
✔✔Which action would be most important for a nurse to include in the care plan for a
patient diagnosed with presbycusis?
a. Obtaining large-print written material
b. Speaking distinctly, using lower frequencies
c. Decreasing tactile stimulation
d. Initiating a safety program to prevent falls - ✔✔b. Speaking distinctly, using lower
frequencies
✔✔A patient is in the late stages of AIDS, with alterations to the brain as well as other
major organ systems. The patient complains of loneliness because of friends being
"afraid to visit." Based on this data, what would the nurse determine to be the least likely
underlying etiology for this patient's sensory problems?
a. Stimulation
b. Reception
c. Transmission-perception-reaction
d. Emotional responses - ✔✔d. Emotional responses
✔✔Which patient would a nurse assess as being at greatest risk for sensory
deprivation?
a. An older adult confined to bed at home after a stroke
b. An adolescent in an oncology unit working on homework supplied by friends
c. A woman in labor
,d. A toddler in a playroom awaiting same-day surgery - ✔✔a. An older adult confined to
bed at home after a stroke
✔✔A patient in an intensive care burn unit for 1 week is in pain much of the time and
has his face and both arms heavily bandaged. His wife visits every evening for 15
minutes at 1800, 1900, and 2000. A heart monitor beeps for a patient on one side, and
another patient moans frequently. Which patient assessment would the nurse make
based on this data?
a. Sufficient sensory stimulation
b. Deficient sensory stimulation
c. Excessive sensory stimulation
d. Both sensory deprivation and overload - ✔✔d. Both sensory deprivation and overload
✔✔A patient's spinal cord was severed, causing paralysis from the waist down. When
obtaining data about this patient, which component of the sensory experience would be
a priority for the nurse to assess?
a. Transmission of tactile stimuli
b. Adequate stimulation in the environment
c. Reception of visual and auditory stimuli
d. General orientation and ability to follow commands - ✔✔a. Transmission of tactile
stimuli
✔✔A nurse is diagnosing an 11-year-old student following a physical assessment. The
nurse notes that the student's grades have dropped, she has difficulty completing her
work on time, and she frequently rubs her eyes and squints. Her visual acuity on a
Snellen's eye chart is 160/20. Based on this assessment data, which alteration would
the nurse document for this patient?
a. Self-care deficit
b. Altered Role Performance (Student)
c. Disturbed Body Image
d. Delayed Growth and Development - ✔✔b. Altered Role Performance (Student)
✔✔A nurse is caring for a man with a severe hearing deficit who is able to read lips and
use sign language. Which nursing intervention would best prevent sensory alterations
for this patient?
a. Turn the radio or television volume up very loud and close the door to his room.
b. Prevent embarrassment and emotional discomfort as much as possible.
c. Provide daily opportunity for him to participate in a social hour with 6 to 8 people.
d. Encourage daily participation in exercise and physical activity. - ✔✔c. Provide daily
opportunity for him to participate in a social hour with 6 to 8 people.
, ✔✔In a group home in which most patients have slight to moderate visual or hearing
impairment and some are periodically confused, what would be a nurse's first priority in
caring for sensory concerns?
a. Maintaining safety and preventing sensory deterioration
b. Insisting that every patient participate in as many self-care activities as possible
c. Emphasizing and reinforcing individual patient strengths
d. Encouraging reminiscence and life review in groups - ✔✔a. Maintaining safety and
preventing sensory deterioration
✔✔A nurse assessing an 8-month-old infant suspects the infant is experiencing sensory
deprivation related to inadequate parenting. Since this assessment, both parents have
attended parenting classes. However, both parents work while the infant stays with a
grandparent, who has reduced vision. The parents provide appropriate stimulation in the
evening. At an evaluation conference at the age of 11 months, the infant lies on the
floor, rocking back and forth and has a dull facial expression with few vocalizations.
Which nursing action would be appropriate for this patient and family?
a. Explore why the infant's parents lack motivation to provide necessary stimulation.
b. Remove the infant from the grandmother's care as the child has not progressed.
c. Suggest counseling since the infant's sensory deprivation is still severe.
d. No action is needed, as this is normal behavior for an 11-month-old infant. - ✔✔c.
Suggest counseling since the infant's sensory deprivation is still severe.
✔✔An older adult in a long-term care facility walked out the door unobserved and was
lost for several hours. Upon assessment, the nurse notes that the patient is confused
and documents: chronic sensory deprivation related to the effects of aging. Which
interventions would be most effective for this patient? Select all that apply.
a. Ignore the patient's confusion, or go along with it to prevent embarrassment.
b. Reduce the number and type of stimuli in the patient's room.
c. Orient the patient to time, place, and person frequently.
d. Provide daily contact with children, community people, and pets.
e. Decrease background or loud noises in the environment.
f. Provide a radio and television in the patient's room. - ✔✔c. Orient the patient to time,
place, and person frequently.
d. Provide daily contact with children, community people, and pets.
f. Provide a radio and television in the patient's room.
✔✔An older patient has a severe visual deficit related to glaucoma. Which nursing
action would be appropriate when providing care for this patient?
a. Assist the patient to ambulate by walking slightly behind her and grasping the arm.
b. Concentrate on the patient's sense of sight and limit diversions that involve other
senses.
