NUR 211 fundamentals nursing EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

EXAM

Exam Solution ms




Adult Health Exam # 3 2026 A+ GRADE ASSURED COMP
ms ms ms ms ms ms ms ms ms




LETE SOLUTIONS AND VERIFIED ANSWERS (4D4E2)
ms ms ms ms ms




QUESTION 1 ms




During a patient's neurologic assessment, the nurse finds that he is arousable after lig
ms ms ms ms ms ms ms ms ms ms ms ms ms



ht touch combined with a loud voice. How does the nurse document this patient's leve
ms ms ms ms ms ms ms ms ms ms ms ms ms ms



l of consciousness?
ms ms



A. Stuporous
ms



B. Lethargic
ms



C. Comatose
ms



D. Drowsy
ms




ANSWER

B. Lethargic
ms




QUESTION 2 ms




In older adults, a decrease in _____________ ____________ is a key early sign of an infectious
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



process.
ANSWER

mental status ms




QUESTION 3 ms




Changes in _____________ are the earliest signs of changes in neurologic status
ms ms ms ms ms ms ms ms ms ms ms




ANSWER

cognition



QUESTION 4 ms

,A decrease of ____ or more points in the Glasgow Coma Scale total is clinically significa
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



nt and should be reported to the health care provider immediately.
ms ms ms ms ms ms ms ms ms ms



A. 1
ms



B. 2
ms



C. 3
ms



D. 4
ms




ANSWER

B. 2
ms




QUESTION 5 ms




What pre- ms



procedure preparations should the nurse complete in a patient undergoing a lumbar
ms ms ms ms ms ms ms ms ms ms ms ms



puncture?
ANSWER

1. Obtain informed consent 2. Explain the procedure 3. Positioning required
ms ms ms ms ms ms ms ms ms ms




QUESTION 6 ms




A patient is admitted to the critical care unit with possible Guillain-
ms ms ms ms ms ms ms ms ms ms ms



Barré syndrome. Which symptom of neurologic impairment will require priority nursi
ms ms ms ms ms ms ms ms ms ms



ng interventions? Select all that apply.
ms ms ms ms ms



A. New adventitious breath sounds
ms ms ms ms



B. A respiratory rate of 12
ms ms ms ms ms



C. Rapid, shallow breathing pattern
ms ms ms ms



D. A peripheral oxygen saturation (Spo2) of 90%
ms ms ms ms ms ms ms



E. New-onset nausea following a position change
ms ms ms ms ms ms




ANSWER

A. New adventitious breath sounds
ms ms ms ms



C. Rapid, shallow breathing pattern
ms ms ms ms



D. A peripheral oxygen saturation (Spo2) of 90%
ms ms ms ms ms ms ms




QUESTION 7 ms




The nurse is about to administer a contrast medium to the client undergoing diagnost
ms ms ms ms ms ms ms ms ms ms ms ms ms



ic testing. Which question does the nurse first ask the client?
ms ms ms ms ms ms ms ms ms ms



A. "Are you taking ibuprofen daily?"
ms ms ms ms ms



B. "Are you in pain?"
ms ms ms ms



C. "Are you wearing any metal?"
ms ms ms ms ms



D. "Do you know what this test is for?"
ms ms ms ms ms ms ms ms




ANSWER

,A. "Are you taking ibuprofen daily?"
ms ms ms ms ms




QUESTION 8 ms




A client has just returned from cerebral angiography. Which symptom does the client
ms ms ms ms ms ms ms ms ms ms ms ms ms



display that causes the nurse to act immediately?
ms ms ms ms ms ms ms



A. Bleeding
ms



B. Increased temperature
ms ms



C. Severe headache
ms ms



D. Urge to void
ms ms ms




ANSWER

A. Bleeding
ms




QUESTION 9 ms




A client has received contrast medium. Which teaching does the nurse provide to avoi
ms ms ms ms ms ms ms ms ms ms ms ms ms



d any neurologic health problems after the procedure?
ms ms ms ms ms ms ms



A. "Practice memory drills this afternoon."
ms ms ms ms ms



B. "Drink at least 1000 to 1500 mL of water today."
ms ms ms ms ms ms ms ms ms ms



C. "Avoid sunlight."
ms ms



D. "Rest in bed for 24 hours."
ms ms ms ms ms ms




ANSWER

B. "Drink at least 1000 to 1500 mL of water today."
ms ms ms ms ms ms ms ms ms ms




QUESTION 10 ms




A client has undergone single-
ms ms ms ms



photon emission computed tomography (SPECT). Which instruction does the nurse giv
ms ms ms ms ms ms ms ms ms ms



e the client?
ms ms



A. "Continue to use the ice pack."
ms ms ms ms ms ms



B. "Call me if you have any itching."
ms ms ms ms ms ms ms



C. "Keep the head of the bed flat."
ms ms ms ms ms ms ms



D. "Return to your usual activity."
ms ms ms ms ms




ANSWER

D. "Return to your usual activity."
ms ms ms ms ms




QUESTION 11 ms




Which client diagnosed with neurologic injury is typically at highest risk for depressio
ms ms ms ms ms ms ms ms ms ms ms ms



n?
A. Young man with a spinal cord injury
ms ms ms ms ms ms ms

, B. Older man with a spinal cord injury
ms ms ms ms ms ms ms



C. Older man with a mild stroke
ms ms ms ms ms ms



D. Young woman with a mild stroke
ms ms ms ms ms ms




ANSWER

A. Young man with a spinal cord injury
ms ms ms ms ms ms ms




QUESTION 12 ms




Which cranial nerve allows a person to feel a light breeze on the face?
ms ms ms ms ms ms ms ms ms ms ms ms ms



A. I (olfactory)
ms ms



B. III (oculomotor)
ms ms



C. V (trigeminal)
ms ms



D. VII (facial)
ms ms




ANSWER

C. V (trigeminal)
ms ms




QUESTION 13 ms




The nurse is performing a neurologic assessment on an 81-year-
ms ms ms ms ms ms ms ms ms



old client. Which physiologic change does the nurse expect to find because of the clien
ms ms ms ms ms ms ms ms ms ms ms ms ms ms



t's age?
ms



A. Decreased coordination
ms ms



B. Increased sleeping during the night
ms ms ms ms ms



C. Increased touch sensation
ms ms ms



D. Stability in pain perception
ms ms ms ms




ANSWER

A. Decreased coordination
ms ms




QUESTION 14 ms




The nurse prepares to assess a client with diabetes mellitus for sensory loss. Which e
ms ms ms ms ms ms ms ms ms ms ms ms ms ms



quipment does the nurse use to perform this assessment?
ms ms ms ms ms ms ms ms



A. Glucometer
ms



B. Hammer
ms



C. Nothing; the client is asked to walk
ms ms ms ms ms ms ms



D. Cotton-tipped applicator
ms ms




ANSWER

D. Cotton-tipped applicator
ms ms