Download NSG121/ NSG 121 Exam 4: ( 2025/ 2026 Update) Health Assessment | Review with QS & AS and more Exams Nursing in PDF only on Docsity!
NSG121/ NSG 121 Exam 4: ( 2025 / 2026
Update) Health Assessment | Review with
Questions and Verified Answers| 100%
Correct| A Grade - Herzing
QUESTION
What does a grade 3 muscle strength look like? Answer: Active movement against gravity
QUESTION
What is stereognosis? Answer: Place something in the patient's hand and they should identify it
QUESTION
What is graphesthesia? Answer: Draw on number or letter on patient's palm and they should be able to identify it
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Normal Babinski sign in adult Answer: Toes curl, big toe dorsiflex
QUESTION
T/F: An urgent situation when reviewing the hospitalized patient would be a new seizure, a change in the pupillary response, and the urine output less than 50 mL in 4 hours Answer: True
QUESTION
T/F: Common complications in hospitalized patients include placement of chest tube Answer: False
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What is included in a general shift assessment? Answer: Vital signs, pain assessment, neuro, general survey, abd, resp, lines, tubes, bed alarms
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Lab value that tells you if a patient is pregnant Answer: hCG
QUESTION
T/F: Nausea is normal in 2nd trimester Answer: False, normal in 1st trimester
Pre-eclampsia
QUESTION
T/F: A child should triple their weight by 2 years old Answer: False, by 1 year old should be triple
QUESTION
Autonomy vs shame and doubt is what Erikson stage? Answer: 1.5- 3 years old
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Industry vs inferiority is what Erikson stage? Answer: 5 - 12 years old
QUESTION
At age 10 RR slows down, why? Answer: Right number of alveoli now, increased lung volume
QUESTION
Purpose of obstetrical and birth history from mom
Answer: Physical and developmental difficulties
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Risk factors of lead poisoning Answer: Home built before 1950, remodeled around 1978, friend with lead poisoning
QUESTION
Positioning for sleeping babies Answer: Supine
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When are well child checkups held? Answer: 3 - 5 days after delivery, 2, 4, 6, 9, 12 months
QUESTION
What 5 areas does Apgar assess? Answer: Appearance (skin color) Pulse Grimace (reflex irritability) Activity (muscle tone) Respiration
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How would you communicate to a patient who has an injury to Broca's area? Answer: Pictures, whiteboard, allowing them to express their thoughts
QUESTION
Damage to the Wernicke's area will cause what? Answer: Difficultly integrating understanding of spoken and written words
QUESTION
T/F: A client with stupor can respond to a stimulus but will be slow to respond Answer: False, that is drowsiness
QUESTION
Order to assess LOC Answer:
- Alertness (walking into room)
- Voice
- Touch
- Pain
QUESTION
What would you do differently for a routine and focused neuro assessment?
Answer: Routine: LOC, attention, inspect pupillary response, walk, balance, muscle tone Focused: DTR, position sense (finger up or down), 2-point discrimination
QUESTION
What cranial nerves assess oculomotor? What tests would you do? Answer: 3, 4, 6 Whisker test, PERRLA, convergence, accommodation
QUESTION
What cranial nerve assesses olfactory? What tests would you do? Answer: 1 Have them smell a common scent (cinnamon, peppermint)
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What cranial nerve assesses optic? What tests would you do? Answer: 2 Snellen chart
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What cranial nerve assesses trigeminal? What tests would you do? Answer: 5 Chewing, TMJ, temples, cotton on face
Answer: 11 Shrug shoulders
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What cranial nerve assesses hypoglossal? What tests would you do? Answer: 12 Stick out tongue, should be midline
QUESTION
T/F: Important to keep noise level to a minimum when assessing infant Answer: True
QUESTION
T/F: DBP increases in elderly Answer: False
QUESTION
T/F: Elderly have an increased sense of taste Answer: False
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T/F: Elderly have limited chest expansion Answer: True
QUESTION
When might SBP increase in elderly? Answer: Arteriosclerosis
QUESTION
T/F: Typically elderly have a fluid volume excess Answer: False, deficit unless they have CHF
QUESTION
T/F: Medical history in an elderly patient should be obtained from the client's medical record Answer: False
QUESTION
What might you ask the client to assess nutritional risk factors? Answer: What type of food they're eating, sugar and salt intake, red meat consumption
Document findings
QUESTION
Purpose of frontal lobe of brain Answer: Complex cognition (orientation, memory, insight, judgment, arithmetic, and abstraction), language (verbal and written), and voluntary motor function
QUESTION
Purpose of parietal lobe of brain Answer: Recognizes the size, shape, and texture of objects and interprets touch, pressure, and pain.
QUESTION
Purpose of temporal lobe of brain Answer: Registers auditory input and is responsible for hearing, speech, behavior, and memory
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Function of the cerebellum Answer: Coordinates voluntary movement, posture, and muscle tone and maintains special orientation and equilibrium
QUESTION
Function of the midbrain
Answer: It relays information to and from the brain through ascending sensory tracts and descending motor pathways
QUESTION
Function of the spinal cord Answer: It carries signals from the brain to the rest of the body
QUESTION
Function of the brainstem Answer: Regulating involuntary actions (temp regulation, respirations, cardiac)
QUESTION
T/F: When there's damage to the spinal column, the brain is not able to send message to initiate voluntary muscle contraction at or below the level of damage Answer: True
QUESTION
T/F: A modifiable risk factor is Type 2 Diabetes Answer: True
