NR 304/ NR304 Exam 2: Health Assessment II Review (Latest 2025/ 2026 Update) | Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Chamberlain

NRt 304/t NR304t Examt 2:t Healtht
Assessmentt IIt Reviewt (Latestt 2025/t 2026t
Update)t |t Questionst &t Answers|t Gradet
A|t 100%t Correctt (Verifiedt Solutions)-t
Chamberlain


QUESTION
Whilet takingt at healtht history,t thet patientt tellst thet nurset thatt "itt feelst liket thet roomt ist
spinningt aroundt me."t Thet nurset wouldt documentt thist findingt as:
A.t Dizziness
B.Seizuret activity
C.t Vertigo
D.t Syncope


Answer:
C.t Vertigo




QUESTION
Thet nurset ist testingt reflexest ont ant adultt patient.t Whent strokingt upt thet lateralt sidet oft
thet solet andt acrosst thet ballt oft thet foot,t thet nurset noticest plantart flexiont oft thet toes.t
Thet nurset shouldt documentt thist findingt as:
A.t Plantart reflext present
B.t Plantart reflext 4+t ont at scalet oft 0t tot 4+
C.t Plantart reflext abnormal
D.t (+)t Babinski'st sign


Answer:
A.t Plantart reflext present

,QUESTION
Whilet assessingt at patientt whot sustainedt at headt injury,t thet nurset noticest thatt thet pupilst
weret equalt butt nowt thet rightt pupilt ist fullyt dilatedt andt nonreactivet andt thet leftt pupilt
ist 4mmt andt reactst tot light.t Whatt dot theset findingst suggest?
A.t Increasedt intracranialt pressure
B.t Normalt responset aftert at headt injury
C.t Thet testt wast performedt inaccurately
D.t Injuryt tot thet rightt eye


Answer:
A.t Increasedt intracranialt pressure




QUESTION
Thet nurset ist reviewingt at patient'st medicalt recordt andt notest thatt het ist int at coma.t
Usingt thet Glasgowt Comat Scale,t whicht numbert indicatest thet patientt ist int at coma?
A.t 15
B.t 6
C.t 24
D.t 12


Answer:
B.t 6




QUESTION
Thet nurset ist caringt fort at patientt whot ist recoveringt fromt neurosurgery.t Tot assesst fort
increasedt intracranialt pressure,t whatt wouldt thet nurset includet int thet assessment?
A.t Levelt oft consciousness,t motort function,t pupillaryt response,t andt vitalt signs
B.t Mentalt status,t deept tendont reflexes,t sensoryt function,t andt pupillaryt response
C.t Deept tendont reflexes,t vitalt signs,t andt coordinatedt movements
D.t Cranialt nerves,t motort function,t andt sensoryt function


Answer:
A.t Levelt oft consciousness,t motort function,t pupillaryt response,t andt vitalt signs

, QUESTION
Thet nurset placest at keyt intot thet handst oft at patientt whot identifiest itt ast at penny.t Whatt
termt wouldt thet nurset uset tot describet thist finding?
A.t Tactilet discrimination
B.t Extinction
C.t Graphesthesia
D.t Stereognosis


Answer:
D.t Stereognosis




QUESTION
Whent thet nurset askst at patientt tot standt witht hist feett togethert andt hist armst att hist sidest
witht hist eyest closed.t Het startst tot swayt andt movest hist feett farthert apart.t Thet nurset
wouldt documentt thist findingt as:
A.t (+)t Romberg'st sign
B.t (-)t Homan'st sign
C.t Ataxia
D.t Lackt oft coordination


Answer:
A.t (+)t Romberg'st sign




QUESTION
At patientt presentst tot thet clinict fort weaknesst int hert leftt armt andt legt thatt shet hast
noticedt fort thet pastt week.t Tot furthert assesst her,t thet nurset shouldt uset whatt typet oft
neurologict examinationt ?
A.t Screeningt neurologict examination
B.t Completet neurologict examination
C.t Neurologict recheckt examination
D.t Glascowt Comat Scale


Answer:
B.t Completet neurologict examination