NUR 210 Exam #3
A client arrives at the clinic accompanied by her husband. When the client is in the examination room she says to the
nurse, "He loves me so much. He only lets me go out when he is with me because he says other men look at me."
What type of behavior is this husband exhibiting? - Correct Answer Isolation
A client demonstrates nervousness and fear with a worsening loss of memory. Which nursing diagnosis should the
nurse select to help guide this client's care? - Correct Answer Anxiety related to awareness of increasing memory
loss
A client has osteoarthritis of the elbow. Which assessment approach should the nurse expect to be impacted by this
health problem? - Correct Answer flexion
A client has sustained an injury to the cerebellum. Which area should be the nurse's primary focus for assessment? -
Correct Answer Coordination
A client has uneven height of the shoulders and hips. What should the nurse suspect this client is demonstrating? -
Correct Answer scoliosis
A client presents to the health care clinic with reports of a 2-day history of sore throat, ear pressure, fever, and stiff
neck. The client states she has taken Tylenol and lozenges without relief. Which nursing diagnosis can be confirmed
by this data? - Correct Answer Acute pain related to sore throat
A client presents to the health care clinic with reports of onset of neck pain 3 days ago. The nurse recognizes that the
most common cause of neck pain is what condition? - Correct Answer Cervical strain
A client visits the health care facility with reports of lumbar back pain that radiates down the back. The nurse performs
the straight leg test to determine the origin of the pain. Which techniques should the nurse use to perform this test? -
Correct Answer Ask the client to raise the leg to the point of pain and then dorsiflex the foot
A client's patellar reflex is normal for the right side but diminished on the left. Using the scale for grading reflexes,
how should the nurse document this finding? - Correct Answer Right knee +2; Left knee +1
A nurse asks a client the following question: "What do you do if you have pain?" The nurse is assessing which of the
following aspects of cognitive function? - Correct Answer Judgment
A nurse cares for a client who suffered a cerebrovascular accident and demonstrates the inability to speak clearly.
The nurse recognizes that injury has occurred to what portion of the brain? - Correct Answer Broca's area
A nurse has been asked to provide an educational event for the families of patients of a nursing home. What would
the nurse teach during this educational event? - Correct Answer People older than 75 years experience more
consequences of traumatic brain injury.
A nurse is assessing the effect of a client's chronic back pain on his affective dimension. Which question should the
nurse ask for this assessment? - Correct Answer How does the pain influence your overall mood?
A nurse is assessing the pain of a client who has had major surgery. The client also has been experiencing
depression. Which of the following principles should guide the nurse's assessment of a client's pain? - Correct
Answer It is likely that the client's pain rating will be influences by his emotional state.
A nurse is preparing to assess a client's cerebellar function. Which of the following would the nurse expect to test? -
Correct Answer Balance
A nurse is preparing to assess the cranial nerves of a client. The nurse is about to test CN I. What would the nurse
do? - Correct Answer Ask a client to identify scents.
A client arrives at the clinic accompanied by her husband. When the client is in the examination room she says to the
nurse, "He loves me so much. He only lets me go out when he is with me because he says other men look at me."
What type of behavior is this husband exhibiting? - Correct Answer Isolation
A client demonstrates nervousness and fear with a worsening loss of memory. Which nursing diagnosis should the
nurse select to help guide this client's care? - Correct Answer Anxiety related to awareness of increasing memory
loss
A client has osteoarthritis of the elbow. Which assessment approach should the nurse expect to be impacted by this
health problem? - Correct Answer flexion
A client has sustained an injury to the cerebellum. Which area should be the nurse's primary focus for assessment? -
Correct Answer Coordination
A client has uneven height of the shoulders and hips. What should the nurse suspect this client is demonstrating? -
Correct Answer scoliosis
A client presents to the health care clinic with reports of a 2-day history of sore throat, ear pressure, fever, and stiff
neck. The client states she has taken Tylenol and lozenges without relief. Which nursing diagnosis can be confirmed
by this data? - Correct Answer Acute pain related to sore throat
A client presents to the health care clinic with reports of onset of neck pain 3 days ago. The nurse recognizes that the
most common cause of neck pain is what condition? - Correct Answer Cervical strain
A client visits the health care facility with reports of lumbar back pain that radiates down the back. The nurse performs
the straight leg test to determine the origin of the pain. Which techniques should the nurse use to perform this test? -
Correct Answer Ask the client to raise the leg to the point of pain and then dorsiflex the foot
A client's patellar reflex is normal for the right side but diminished on the left. Using the scale for grading reflexes,
how should the nurse document this finding? - Correct Answer Right knee +2; Left knee +1
A nurse asks a client the following question: "What do you do if you have pain?" The nurse is assessing which of the
following aspects of cognitive function? - Correct Answer Judgment
A nurse cares for a client who suffered a cerebrovascular accident and demonstrates the inability to speak clearly.
The nurse recognizes that injury has occurred to what portion of the brain? - Correct Answer Broca's area
A nurse has been asked to provide an educational event for the families of patients of a nursing home. What would
the nurse teach during this educational event? - Correct Answer People older than 75 years experience more
consequences of traumatic brain injury.
A nurse is assessing the effect of a client's chronic back pain on his affective dimension. Which question should the
nurse ask for this assessment? - Correct Answer How does the pain influence your overall mood?
A nurse is assessing the pain of a client who has had major surgery. The client also has been experiencing
depression. Which of the following principles should guide the nurse's assessment of a client's pain? - Correct
Answer It is likely that the client's pain rating will be influences by his emotional state.
A nurse is preparing to assess a client's cerebellar function. Which of the following would the nurse expect to test? -
Correct Answer Balance
A nurse is preparing to assess the cranial nerves of a client. The nurse is about to test CN I. What would the nurse
do? - Correct Answer Ask a client to identify scents.
