Fundamental CMS Final Exam Unitek College
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A nurse is assessing a clients neurosensory system. To evaluate
stereognosis, the nurse should ask the client to close his eyes and
identify which of the following items?
A. A word she whispers 30 cm from his ear
B. A number she traces on the palm of his hand
C. The vibration of a tuning fork she places on his foot
D. A familiar object she places in his hand - ANSWER-D. A familiar
objects placed in his hand
A nurse is caring for a client who reports pain with internal rotation of
her shoulder. This discomfort can affect the clients ability to perform
which of the following activities?
A. Mopping her floors
B. Brushing the back of her hair
C. Fastening her bra behind her back
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D. Reaching into a cabinet above the sink - ANSWER-C. Fastening her
bra behind her back
A nurse is performing a neurosensory examination for a client. Which of
the following assessments should the nurse perform to test the clients
balance? (Select all that apply)
A. Romberg test
B. Heel to toe walk
C. Snellen test
D. Spinal accessory function
E. Rosenbaum test - ANSWER-A. Romberg test
B. Heel to toe walk
A nurse is collecting data from an older adult client as part of a
Neurosensory examination. Which of the following findings should the
nurse expect as changes associated with aging? (Select all that apply)
A. Slower light touch sensation
B. Some vision and hearing decline
C. Slower fine finger movement
D. Some short term memory decline
E. Decreased risk of depression - ANSWER-A. Slower light touch
sensation
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B. Some vision and hearing decline
C. Slower fine finger movement
D. Some short term memory decline
A nurse is caring for a client who states "I have to check with my wife
and see if she thinks I'm ready to go home." The nurse replies, "how do
you feel about going home today?" Which clarifying technique is the
nurse using to enhance communication with the client?
A. Pacing
B. Reflecting
C. Paraphrasing
D. Restating - ANSWER-B. Reflecting
Which of the following actions should the nurse take when using the
communication technique of active listening? (Select all that apply)
A. Use an open posture
B. Write down what the client says to avoid forgetting details
C. Establish and maintain eye contact
D. Nod in agreement with the client throughout the conversation
E. Respond positively when giving feedback - ANSWER-A. Use an
open posture
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C. Establish and maintain eye contact
E. Respond positively when giving feedback
* writing things down can distract you from hearing the rest of the
conversation, nodding could interpret agreement to what the client is
saying as opposed to just acknowledging what he's saying
A nurse is caring for a client who is concerned about his impending
discharge to home with a new colostomy bag because he is an avid
swimmer. Which of the following statements should the nurse make?
(Select all that apply)
A. " you will do great! You just have to get used to it."
B. " why are you worried about going home?"
C. " your daily routine will be different when you go back home"
D. " tell me about your support system you'll have after you leave the
hospital"
E. " let me tell you about a friend of mine with a colostomy who enjoys
swimming" - ANSWER-C. " your daily routine will be different when
you go back home"
D. " tell me about your support system you'll have after you leave the
hospital"
E. " let me tell you about a friend of mine with a colostomy who enjoys
swimming"