quiz3 final

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  1. The nurse is assessing the neurologic status of a patient who has a late-stage brain tumor. With the reflex hammer, the nurse draws a light stroke up the lateral side of the sole of the foot and inward, across the ball of the foot. In response, the patient's toes fan out, and the big toe shows dorsiflexion. The nurse interprets this result as:
    a positive Babinski’s sign, which is abnormal for adults.
  2. A patient is being assessed for range of joint movement. The nurse asks him to move his arm in toward the center of his body. This movement is called:
  3. The nurse is preparing to palpate the rectum and should use which of these techniques?
    Flex the finger and insert slowly toward the umbilicus
  4. A patient has had three pregnancies and two live births. The nurse would record this information as gravida _____, para _____, AB _____.
    3; 2; 1
  5. The nurse places a key in the hand of a patient and he identifies it as a penny. What term would the nurse use to describe this finding?
  6. A 62-year-old man states that his doctor told him that he has an "inguinal hernia." He asks the nurse to explain what a hernia is. The nurse should:
    explain that a hernia is a loop of bowel protruding through a weak spot in the abdominal muscles
  7. The nurse is testing the function of cranial nerve XI. Which of these best describes the response the nurse should expect if the nerve is intact? The patient:
    moves the head and shoulders against resistance with equal strength.
  8. The _____________ coordinates movement, maintains equilibrium, and helps maintain posture.
  9. During a physical examination, the nurse finds that a male patient's foreskin is fixed and tight and will not retract over the glans. The nurse recognizes that this condition is:
  10. When the nurse asks a 68-year-old patient to stand with feet together and arms at his side with his eyes closed, he starts to sway and moves his feet farther apart. The nurse would document this finding as a(n):
    positive Romberg sign
  11. During an examination, the nurse would expect the cervical os of a woman who has never had children to appear
    small and round.
  12. During a digital examination of the rectum, the nurse notices that the patient has hard feces in the rectum. The patient complains of feeling "full," has a distended abdomen, and states that she has not had a bowel movement "for several days." The nurse suspects which condition?
    Fecal impaction
  13. The structure that secretes a thin, milky alkaline fluid to enhance the viability of sperm is the
    prostate gland.
  14. When performing a genitourinary assessment on a 16-year-old boy, the nurse notices a swelling in the scrotum that increases with increased intra-abdominal pressure and decreases when he is lying down. The patient complains of pain when straining. The nurse knows that this description is most consistent with a(n) _____ hernia.
    indirect inguinal
  15. A 78-year-old man has a history of a cerebrovascular accident. The nurse notes that when he walks his left arm is immobile against the body with flexion of the shoulder, elbow, wrist, and fingers and adduction of the shoulder. His left leg is stiff and extended and circumducts with each step. What type of gait disturbance is this individual experiencing?
    Spastic hemiparesis
  16. When the nurse is performing a testicular examination on a 25-year-old man, which of these findings is considered normal?
    Testes that feel oval and movable and are slightly sensitive to compressi
  17. A patient tells the nurse that she is having a hard time bringing her hand to her mouth when she eats or tries to brush her teeth. The nurse knows that for her to move her hand to her mouth, she must perform which movement?
  18. The nurse is testing superficial reflexes on an adult patient. When stroking up the lateral side of the sole and across the ball of the foot, the nurse notices the plantar flexion of the toes. How should the nurse document this finding?
    Plantar reflex present
  19. A 59-year-old patient has been diagnosed with prostatitis and is being seen at the clinic for complaints of burning and pain during urination. He is experiencing:
  20. The nurse suspects that a patient has carpal tunnel syndrome and wants to perform the Phalen's test. To perform this test, the nurse should instruct the patient to:
    hold both hands back to back while flexing the wrists 90 degrees for 60 seconds.
  21. During an assessment of a 62-year-old man the nurse notices the patient has a stooped posture, shuffling walk with short steps, flat facial expression, and pill-rolling finger movements. These findings would be consistent with:
  22. The nurse is examining only the rectal area of a woman and should place the woman in what position?
    Left lateral decubitus positio
  23. The two parts of the nervous system are the:
    central and peripheral
  24. When performing a genitourinary assessment, the nurse notices that the urethral meatus is positioned ventrally. This finding is:
    called hypospadias.
  25. The nurse knows that determining whether a person is oriented to his or her surroundings will test the functioning of which of these structures?
  26. When assessing muscle strength, the nurse observes that a patient has complete range of motion against gravity with full resistance. What Grade should the nurse record using a 0 to 5 point scale?
  27. During a speculum inspection of the vagina, the nurse would expect to see what at the end of the vaginal canal?
  28. A male patient with possible fertility problems asks the nurse where sperm is produced. The nurse knows that sperm production occurs in the:
  29. During an assessment of a 32-year-old patient with a recent head injury, the nurse notices that the patient responds to pain by extending, adducting, and internally rotating his arms. His palms pronate and his lower extremities extend with plantar flexion. Which of these statements about these findings is accurate?
    This is a very ominous sign and may indicate brainstem injury
  30. Which of these statements concerning areas of the brain is true?
    he hypothalamus controls temperature and regulates sleep
  31. During an assessment of a 20-year-old man, the nurse finds a small palpable lesion with a tuft of hair located directly over the coccyx. The nurse knows that this lesion would most likely be a
    pilonidal cyst.
  32. An abnormal sensation of burning or tingling is best described as:
  33. Which of these statements about the sphincters is correct
    he external sphincter is under voluntary control.
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quiz3 final
2015-12-12 21:14:18

quiz 3 final
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