NU 201 Final Exam Questions And Correct Answers
During an examination of a 32-year-old client who had a head injury in an accident, the
nurse notices that, upon stimulation of pain, the client extends his arms, adds them, and
internally rotates them while his palms pronate. The lower extremities extend, with
plantar flexion. Which of the following statements regarding such findings is true?
a. This indicates a lesion of the cerebral cortex.
b. This indicates a completely nonfunctional brainstem
c. This is a normal response that will go away in 24 to 48 hours
d. This is a very ominous sign and may indicate brainstem injury - ANSWER d. This is a
very ominous sign and may indicate brainstem injury
A 78-year-old man's wife reports in the history that he periodically becomes confused
and experiences short-term memory loss: "He can't even remember how to button his
shirt." When assessing his sensory system, which is the most appropriate action by the
nurse?
a. The nurse would not do this part of the examination because results would not be
valid
b. The nurse would proceed to perform the tests since it is known that mental status
does not alter sensory ability
c. The nurse would proceed with the explanations of each test as prepared, ensuring
the wife understands
d. The nurse would first evaluate the patient's current mental status and the ability to
follow directions at this time - ANSWER
,When assessing aging adults, the nurse recognizes that one of the first things that must
be assessed prior to making judgments about their mental status is:
a. presence of phobias
b. general intelligence
c. presence of irrational thinking patterns
d. sensory-perceptive abilities - ANSWER d. sensory- perceptive abilities
During the examination of an 80-year-old client, the nurse notices that his hands are
tremulous as he reaches to pick something up and his head is nodding forward
constantly. There is no associated rigidity with movement. Which of the following
statements is most correct?
a. These findings are normal and related to aging
b. These findings are possibly related to hyperthyroidism
c. These findings are the result of Parkinson disease
d. This patient should be evaluated for a cerebellar lesion - ANSWER a. These are
normal findings resulting from aging
During an assessment of an 80-year-old patient, the nurse notices the following: inability
to identify vibrations at the ankle and to identify position of big toe, slower and more
deliberate gait, and slightly impaired tactile sensation. All other neurologic findings are
normal. The nurse should interpret that these findings indicate:
, a. dysfunction of a cranial nerve
b. lesion of the cerebral cortex
c. normal changes due to aging
d. demyelinization of nerves due to a lesion - ANSWER c. normal changes due to aging
A 19-year-old female comes into the clinic only because her brother brought her in. She
is wearing black combat boots and a black lace nightgown over the top of her other
clothes. Her hair is pink with black streaks throughout. She has multiple pierced holes in
her nares and ears and is wearing an earring through her eyebrow along with heavy
black makeup. The nurse concludes:
a. she has absolutely no problems whatsoever
b. she is just trying to be outlandish and her dress should be ignored
c. she has manic syndrome because of her very abnormal dress and grooming
d. that more information should be gathered to decide whether her dress is appropriate
- ANSWER d. that more information should be gathered to decide whether her dress is
appropriate
A client falls asleep if she is not stimulated. The nurse is able to awaken her easily when
calling her name, but she remains somnolent during the course of the conversation. The
best description of this client's level of consciousness would be:
a. lethargic
b. obtunded
c. stuporous
During an examination of a 32-year-old client who had a head injury in an accident, the
nurse notices that, upon stimulation of pain, the client extends his arms, adds them, and
internally rotates them while his palms pronate. The lower extremities extend, with
plantar flexion. Which of the following statements regarding such findings is true?
a. This indicates a lesion of the cerebral cortex.
b. This indicates a completely nonfunctional brainstem
c. This is a normal response that will go away in 24 to 48 hours
d. This is a very ominous sign and may indicate brainstem injury - ANSWER d. This is a
very ominous sign and may indicate brainstem injury
A 78-year-old man's wife reports in the history that he periodically becomes confused
and experiences short-term memory loss: "He can't even remember how to button his
shirt." When assessing his sensory system, which is the most appropriate action by the
nurse?
a. The nurse would not do this part of the examination because results would not be
valid
b. The nurse would proceed to perform the tests since it is known that mental status
does not alter sensory ability
c. The nurse would proceed with the explanations of each test as prepared, ensuring
the wife understands
d. The nurse would first evaluate the patient's current mental status and the ability to
follow directions at this time - ANSWER
,When assessing aging adults, the nurse recognizes that one of the first things that must
be assessed prior to making judgments about their mental status is:
a. presence of phobias
b. general intelligence
c. presence of irrational thinking patterns
d. sensory-perceptive abilities - ANSWER d. sensory- perceptive abilities
During the examination of an 80-year-old client, the nurse notices that his hands are
tremulous as he reaches to pick something up and his head is nodding forward
constantly. There is no associated rigidity with movement. Which of the following
statements is most correct?
a. These findings are normal and related to aging
b. These findings are possibly related to hyperthyroidism
c. These findings are the result of Parkinson disease
d. This patient should be evaluated for a cerebellar lesion - ANSWER a. These are
normal findings resulting from aging
During an assessment of an 80-year-old patient, the nurse notices the following: inability
to identify vibrations at the ankle and to identify position of big toe, slower and more
deliberate gait, and slightly impaired tactile sensation. All other neurologic findings are
normal. The nurse should interpret that these findings indicate:
, a. dysfunction of a cranial nerve
b. lesion of the cerebral cortex
c. normal changes due to aging
d. demyelinization of nerves due to a lesion - ANSWER c. normal changes due to aging
A 19-year-old female comes into the clinic only because her brother brought her in. She
is wearing black combat boots and a black lace nightgown over the top of her other
clothes. Her hair is pink with black streaks throughout. She has multiple pierced holes in
her nares and ears and is wearing an earring through her eyebrow along with heavy
black makeup. The nurse concludes:
a. she has absolutely no problems whatsoever
b. she is just trying to be outlandish and her dress should be ignored
c. she has manic syndrome because of her very abnormal dress and grooming
d. that more information should be gathered to decide whether her dress is appropriate
- ANSWER d. that more information should be gathered to decide whether her dress is
appropriate
A client falls asleep if she is not stimulated. The nurse is able to awaken her easily when
calling her name, but she remains somnolent during the course of the conversation. The
best description of this client's level of consciousness would be:
a. lethargic
b. obtunded
c. stuporous
