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Examen

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

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Vista previa 4 fuera de 62 páginas

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

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EXAM

Exam Solution
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Adult Health Exam # 3 2026 A+ GRADE ASSURED COMP
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LETE SOLUTIONS AND VERIFIED ANSWERS (B6314)
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QUESTION 1 uy




During a patient's neurologic assessment, the nurse finds that he is arousable after light
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touch combined with a loud voice. How does the nurse document this patient's level of
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consciousness?
A. Stuporous
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B. Lethargic
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C. Comatose
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D. Drowsy
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ANSWER

B. Lethargic
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QUESTION 2 uy




In older adults, a decrease in _____________ ____________ is a key early sign of an infectious pr
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ocess.
ANSWER

mental status uy




QUESTION 3 uy




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

cognition



QUESTION 4 uy

,A decrease of ____ or more points in the Glasgow Coma Scale total is clinically significant
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and should be reported to the health care provider immediately.
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A. 1 uy



B. 2 uy



C. 3 uy



D. 4 uy




ANSWER

B. 2 uy




QUESTION 5 uy




What pre- uy



procedure preparations should the nurse complete in a patient undergoing a lumbar pu
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ncture?
ANSWER

1. Obtain informed consent 2. Explain the procedure 3. Positioning required
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QUESTION 6 uy




A patient is admitted to the critical care unit with possible Guillain-
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Barré syndrome. Which symptom of neurologic impairment will require priority nursin
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g interventions? Select all that apply.
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A. New adventitious breath sounds
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B. A respiratory rate of 12
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C. Rapid, shallow breathing pattern
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D. A peripheral oxygen saturation (Spo2) of 90%
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E. New-onset nausea following a position change
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ANSWER

A. New adventitious breath sounds
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C. Rapid, shallow breathing pattern
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D. A peripheral oxygen saturation (Spo2) of 90%
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QUESTION 7 uy




The nurse is about to administer a contrast medium to the client undergoing diagnostic
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testing. Which question does the nurse first ask the client?
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A. "Are you taking ibuprofen daily?"
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B. "Are you in pain?"
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C. "Are you wearing any metal?"
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D. "Do you know what this test is for?"
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ANSWER

,A. "Are you taking ibuprofen daily?"
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QUESTION 8 uy




A client has just returned from cerebral angiography. Which symptom does the client di
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splay that causes the nurse to act immediately?
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A. Bleeding
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B. Increased temperature
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C. Severe headache
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D. Urge to void
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ANSWER

A. Bleeding
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QUESTION 9 uy




A client has received contrast medium. Which teaching does the nurse provide to avoid
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any neurologic health problems after the procedure?
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A. "Practice memory drills this afternoon."
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B. "Drink at least 1000 to 1500 mL of water today."
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C. "Avoid sunlight."
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D. "Rest in bed for 24 hours."
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ANSWER

B. "Drink at least 1000 to 1500 mL of water today."
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QUESTION 10 uy




A client has undergone single-
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photon emission computed tomography (SPECT). Which instruction does the nurse give
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the client?
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A. "Continue to use the ice pack."
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B. "Call me if you have any itching."
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C. "Keep the head of the bed flat."
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D. "Return to your usual activity."
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ANSWER

D. "Return to your usual activity."
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QUESTION 11 uy




Which client diagnosed with neurologic injury is typically at highest risk for depression
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?
A. Young man with a spinal cord injury
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, B. Older man with a spinal cord injury
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C. Older man with a mild stroke
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D. Young woman with a mild stroke
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ANSWER

A. Young man with a spinal cord injury
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QUESTION 12 uy




Which cranial nerve allows a person to feel a light breeze on the face?
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A. I (olfactory)
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B. III (oculomotor)
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C. V (trigeminal)
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D. VII (facial)
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ANSWER

C. V (trigeminal)
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QUESTION 13 uy




The nurse is performing a neurologic assessment on an 81-year-
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old client. Which physiologic change does the nurse expect to find because of the client'
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s age?
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A. Decreased coordination
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B. Increased sleeping during the night
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C. Increased touch sensation
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D. Stability in pain perception
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ANSWER

A. Decreased coordination
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QUESTION 14 uy




The nurse prepares to assess a client with diabetes mellitus for sensory loss. Which equ
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ipment does the nurse use to perform this assessment?
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A. Glucometer
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B. Hammer
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C. Nothing; the client is asked to walk
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D. Cotton-tipped applicator
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ANSWER

D. Cotton-tipped applicator
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Información del documento

Subido en
10 de mayo de 2026
Número de páginas
62
Escrito en
2025/2026
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Examen
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