NUR 114 NURSING CONCEPT II EXAM 3 EXAM
PREP TEST BANK WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
RATIONALES ANSWERS| CURRENTLY
TESTING VERSION | ALREADY GRADED
A+|EXPERT VERIFIED FOR GUARANTEED
PASS 2026-2027
NUR 114 SOUTHERN UNION STATE COMMUNITY COLLEGE
Cardiac
*.-
The nurse is evaluating the use of a cane for a client who sustained a stroke who has
residual left-sided weakness. The nurse would intervene and correct the client if the
nurse observed that the client performs which action?
-
A. Holds the cane on the right side
B. Moves the cane when the right leg is moved
C. Leans on the cane when the right leg swings through
D. Keeps the cane 6 inches (15 cm) out to the side of the right foot
B. Moves the cane when the right leg is moved
-
The cane is held on the stronger side to minimize stress on the affected extremity
and to provide a wide base of support. The cane is held 4 to 6 inches (10 to 15 cm)
lateral to the fifth toe. The cane is moved forward with the affected leg. The client
leans on the cane for added support while the leg on the stronger side swings
through.
A client has slight weakness in the right leg. On the basis of this assessment finding, the
nurse determines that the client would benefit most from the use of which item?
-
A. A walker
1|Page
,B. A wooden crutch
C. A straight leg cane
D. A Lofstrand crutch
C. A straight leg cane
-
A straight leg cane is useful for the client with slight weakness in one leg as a result
of a stroke. A walker is beneficial to the client with greater or bilateral weakness or
one who is at risk for falls. Wooden crutches often are used by clients with a leg
cast. Lofstrand crutches aid clients who need crutches but have limited arm
strength.
A client who has experienced a stroke has partial hemiplegia of the left leg. The nurse
interprets that the client could benefit from the support and stability provided by which
item?
-
A. Quad cane
B. Wheelchair
C. Lofstrand crutch
D. Aluminum crutch
A. Quad cane
-
A quad cane may be used by the client requiring greater support and stability than
is provided by a straight leg cane. The quad cane provides a four-point base of
support and is indicated for use by clients with partial or complete hemiplegia.
Neither crutches nor a wheelchair is indicated for use with a client such as the one
described in the question.
The nurse is assigned to care for a client with complete right-sided hemiparesis from a
stroke (brain attack). Which characteristics are associated with this condition? Select
all that apply.
-
A. The client is aphasic.
B. The client has weakness on the right side of the body.
C. The client has complete bilateral paralysis of the arms and legs.
D. The client has weakness on the right side of the face and tongue.
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,E. The client has lost the ability to move the right arm but is able to walk independently.
F. The client has lost the ability to ambulate independently but is able to feed and bathe
self without assistance.
A. The client is aphasic.
B. The client has weakness on the right side of the body.
D. The client has weakness on the right side of the face and tongue.
-
Hemiparesis is a weakness of one side of the body that may occur after a stroke. It
involves weakness of the face and tongue, arm, and leg on one side. These clients
are also aphasic: unable to discriminate words and letters. They are generally very
cautious and get anxious when attempting a new task. Complete bilateral paralysis
does not occur in hemiparesis. The client with right-sided hemiparesis has
weakness of the right arm and leg and needs assistance with feeding, bathing, and
ambulating.
The nurse is planning care for a client who displays confusion secondary to a brain
attack (stroke). Which approaches by the nurse would be helpful in assisting this
client? Select all that apply.
-
A. Providing sensory cues
B. Giving simple, clear directions
C. Providing a stable environment
D. Keeping family pictures at the bedside
E. Encouraging family members to visit at the same time
A. Providing sensory cues
B. Giving simple, clear directions
C. Providing a stable environment
D. Keeping family pictures at the bedside
-
Clients with cognitive impairment from neurological dysfunction respond best to a
stable environment that is limited in amount and type of sensory input. The nurse
can provide sensory cues and give clear, simple directions in a positive manner.
Confusion can be minimized by reducing environmental stimuli (such as television
3|Page
, or multiple visitors) and by keeping familiar personal articles (such as family
pictures) at the bedside.
The nurse is reviewing the medical records of a client admitted to the nursing unit with a
diagnosis of a thrombotic brain attack (stroke). The nurse would expect to note that
which is documented in the assessment data section of the record?
-
A. Sudden loss of consciousness occurred.
B. Signs and symptoms occurred suddenly.
C. The client experienced paresthesias a few days before admission to the hospital.
D. The client complained of a severe headache, which was followed by sudden onset of
paralysis.
C. The client experienced paresthesias a few days before admission to the
hospital.
-
Cerebral thrombosis does not occur suddenly. In the few hours or days preceding a
thrombotic brain attack (stroke), the client may experience a transient loss of
speech, hemiplegia, or paresthesias on one side of the body. Signs and symptoms
of thrombotic brain attack (stroke) vary but may include dizziness, cognitive
changes, or seizures. Headache is rare, but some clients with stroke (brain attack)
experience signs and symptoms similar to those of cerebral embolism or
intracranial hemorrhage.
The nurse assesses a client who is diagnosed with a stroke (brain attack). On
assessment, the client is unable to understand the nurse's commands. Which
condition would the nurse document?
-
A. Occipital lobe impairment
B. Damage to the auditory association areas
C. Frontal lobe and optic nerve tracts damage
D. Difficulty with concept formation and abstraction areas
B. Damage to the auditory association areas
-
Auditory association and storage areas are located in the temporal lobe and relate
to understanding spoken language. The occipital lobe contains areas related to
vision. The frontal lobe controls voluntary muscle activity, including speech, and
an impairment can result in expressive aphasia. The parietal lobe contains
association areas for concept formation, abstraction, spatial orientation, body and
object size and shape, and tactile sensation.
4|Page
PREP TEST BANK WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
RATIONALES ANSWERS| CURRENTLY
TESTING VERSION | ALREADY GRADED
A+|EXPERT VERIFIED FOR GUARANTEED
PASS 2026-2027
NUR 114 SOUTHERN UNION STATE COMMUNITY COLLEGE
Cardiac
*.-
The nurse is evaluating the use of a cane for a client who sustained a stroke who has
residual left-sided weakness. The nurse would intervene and correct the client if the
nurse observed that the client performs which action?
-
A. Holds the cane on the right side
B. Moves the cane when the right leg is moved
C. Leans on the cane when the right leg swings through
D. Keeps the cane 6 inches (15 cm) out to the side of the right foot
B. Moves the cane when the right leg is moved
-
The cane is held on the stronger side to minimize stress on the affected extremity
and to provide a wide base of support. The cane is held 4 to 6 inches (10 to 15 cm)
lateral to the fifth toe. The cane is moved forward with the affected leg. The client
leans on the cane for added support while the leg on the stronger side swings
through.
A client has slight weakness in the right leg. On the basis of this assessment finding, the
nurse determines that the client would benefit most from the use of which item?
-
A. A walker
1|Page
,B. A wooden crutch
C. A straight leg cane
D. A Lofstrand crutch
C. A straight leg cane
-
A straight leg cane is useful for the client with slight weakness in one leg as a result
of a stroke. A walker is beneficial to the client with greater or bilateral weakness or
one who is at risk for falls. Wooden crutches often are used by clients with a leg
cast. Lofstrand crutches aid clients who need crutches but have limited arm
strength.
A client who has experienced a stroke has partial hemiplegia of the left leg. The nurse
interprets that the client could benefit from the support and stability provided by which
item?
-
A. Quad cane
B. Wheelchair
C. Lofstrand crutch
D. Aluminum crutch
A. Quad cane
-
A quad cane may be used by the client requiring greater support and stability than
is provided by a straight leg cane. The quad cane provides a four-point base of
support and is indicated for use by clients with partial or complete hemiplegia.
Neither crutches nor a wheelchair is indicated for use with a client such as the one
described in the question.
The nurse is assigned to care for a client with complete right-sided hemiparesis from a
stroke (brain attack). Which characteristics are associated with this condition? Select
all that apply.
-
A. The client is aphasic.
B. The client has weakness on the right side of the body.
C. The client has complete bilateral paralysis of the arms and legs.
D. The client has weakness on the right side of the face and tongue.
2|Page
,E. The client has lost the ability to move the right arm but is able to walk independently.
F. The client has lost the ability to ambulate independently but is able to feed and bathe
self without assistance.
A. The client is aphasic.
B. The client has weakness on the right side of the body.
D. The client has weakness on the right side of the face and tongue.
-
Hemiparesis is a weakness of one side of the body that may occur after a stroke. It
involves weakness of the face and tongue, arm, and leg on one side. These clients
are also aphasic: unable to discriminate words and letters. They are generally very
cautious and get anxious when attempting a new task. Complete bilateral paralysis
does not occur in hemiparesis. The client with right-sided hemiparesis has
weakness of the right arm and leg and needs assistance with feeding, bathing, and
ambulating.
The nurse is planning care for a client who displays confusion secondary to a brain
attack (stroke). Which approaches by the nurse would be helpful in assisting this
client? Select all that apply.
-
A. Providing sensory cues
B. Giving simple, clear directions
C. Providing a stable environment
D. Keeping family pictures at the bedside
E. Encouraging family members to visit at the same time
A. Providing sensory cues
B. Giving simple, clear directions
C. Providing a stable environment
D. Keeping family pictures at the bedside
-
Clients with cognitive impairment from neurological dysfunction respond best to a
stable environment that is limited in amount and type of sensory input. The nurse
can provide sensory cues and give clear, simple directions in a positive manner.
Confusion can be minimized by reducing environmental stimuli (such as television
3|Page
, or multiple visitors) and by keeping familiar personal articles (such as family
pictures) at the bedside.
The nurse is reviewing the medical records of a client admitted to the nursing unit with a
diagnosis of a thrombotic brain attack (stroke). The nurse would expect to note that
which is documented in the assessment data section of the record?
-
A. Sudden loss of consciousness occurred.
B. Signs and symptoms occurred suddenly.
C. The client experienced paresthesias a few days before admission to the hospital.
D. The client complained of a severe headache, which was followed by sudden onset of
paralysis.
C. The client experienced paresthesias a few days before admission to the
hospital.
-
Cerebral thrombosis does not occur suddenly. In the few hours or days preceding a
thrombotic brain attack (stroke), the client may experience a transient loss of
speech, hemiplegia, or paresthesias on one side of the body. Signs and symptoms
of thrombotic brain attack (stroke) vary but may include dizziness, cognitive
changes, or seizures. Headache is rare, but some clients with stroke (brain attack)
experience signs and symptoms similar to those of cerebral embolism or
intracranial hemorrhage.
The nurse assesses a client who is diagnosed with a stroke (brain attack). On
assessment, the client is unable to understand the nurse's commands. Which
condition would the nurse document?
-
A. Occipital lobe impairment
B. Damage to the auditory association areas
C. Frontal lobe and optic nerve tracts damage
D. Difficulty with concept formation and abstraction areas
B. Damage to the auditory association areas
-
Auditory association and storage areas are located in the temporal lobe and relate
to understanding spoken language. The occipital lobe contains areas related to
vision. The frontal lobe controls voluntary muscle activity, including speech, and
an impairment can result in expressive aphasia. The parietal lobe contains
association areas for concept formation, abstraction, spatial orientation, body and
object size and shape, and tactile sensation.
4|Page
