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Q 1/10
Score 0
The nurse is performing a neurological assessment on a client and elicits a positive Romberg’s sign. The nurse makes this determination based on which observation?
30
An involuntary rhythmic, rapid, twitching of the eyeballs​
A lack of normal sense of position when the client is unable to return extended fingers to a point of reference​
A dorsiflexion of the ankle and great toe with fanning of the other toes​
A significant sway when the client stands erect with feet together, arms at the side, and the eyes closed​
Q 2/10
Score 0
A client diagnosed with conductive hearing loss asks the nurse to explain the cause of the hearing problem. The nurse plans to explain to the client that this condition is caused by which problem?​
30
A defect in cranial nerve VIII
A defect in the cochlea
A physical obstruction to the transmission of sound waves​ ​
A defect in the sensory fibers that lead to the cerebral cortex​
10 questions
Q.
The nurse is performing a neurological assessment on a client and elicits a positive Romberg’s sign. The nurse makes this determination based on which observation?
1
30 sec
Q.
A client diagnosed with conductive hearing loss asks the nurse to explain the cause of the hearing problem. The nurse plans to explain to the client that this condition is caused by which problem?​
2
30 sec
Q.
The evening nurse reviews the nursing documentation in a client’s chart and notes that the day nurse has documented that the client has a stage II pressure ulcer in the sacral area. Which finding would the nurse expect to note on assessment of the client’s sacral area? ​
3
30 sec
Q.
The nurse is performing an assessment on a client with a suspected diagnosis of cataract. What is the chief clinical manifestation that the nurse expects to note in the early stages of cataract formation? ​
4
30 sec
Q.
A patient comes and you auscultate their lungs. You hear a high-pitched sound upon inhalation. Sound is loudest in the bronchial area. What is suspected?
5
30 sec
Q.
A patient comes in complaining of productive cough with purulent sputum, night sweats and low-grade afternoon fever. What is the suspected diagnosis?
6
30 sec
Q.
What is the most important risk factor for developing breast cancer?
7
30 sec
Q.
Several days before admission a client reports finding a small lump in the left breast near the nipple. What should the nurse tell the client to do?
8
30 sec
Q.
Atherosclerosis impedes coronary blood flow by which of the following mechanisms?
9
30 sec
Q.
A Patient was scheduled for a physical assessment. When percussing the client’s chest, the nurse would expect to find which assessment data as a normal sign over his lungs?
