NU 201 Final Exam Questions and
Answers 100% Solved | Graded A+
During an assessment of a 32-year-old patient with a recent head injury,
the nurse notices that the patient responds to pain by extending, adducting,
and internally rotating his arms. His palms pronate and his lower
extremities extend with plantar flexion. Which of these statements about
these findings is accurate?
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 - ✔✔d.
This is a very ominous sign and may indicate brainstem injury
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During the history of a 78-year-old man, his wife states that he occasionally
has problems with short-term memory loss and confusion: "He can't even
remember how to button his shirt." In doing the assessment of his sensory
system, which action by the nurse is most appropriate?
a. The nurse would not do this part of the examination because results
would not be valid
b. The nurse would perform the tests, knowing that mental status does not
affect sensory ability
c. The nurse would proceed with the explanations of each test, making sure
the wife understands
d. Before testing, the nurse would assess the patient's mental status and
ability to follow directions at this time - ✔✔
When assessing aging adults, the nurse knows that one of the first things
that should be assessed before making judgments about their mental
status is:
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a. the presence of phobias
b. their general intelligence
c. the presence of irrational thinking patterns
d. their sensory-perceptive abilities - ✔✔d. their sensory- perceptive
abilities
During the assessment of an 80-year-old patient, the nurse notices that his
hands show tremors when he reaches for something and his head is
always nodding. There is no associated rigidity with movement. Which of
these statements is most accurate?
a. These are normal findings resulting from aging
b. These could be related to hyperthyroidism
c. there are the result of Parkinson disease
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d. This patient should be evaluated for a cerebellar lesion - ✔✔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. cranial nerve dysfunction
b. lesion in the cerebral cortex
c. normal changes due to aging
d. demyelinization of nerves due to a lesion - ✔✔c. normal changes due to
aging
A 19-year-old woman comes to the clinic at the insistence of her brother.
She is wearing black combat boots and a black lace nightgown over the top
of her other clothes. Her hair is dyed pink with black streaks throughout.
She has several pierced holes in her nares and ears and is wearing an