Chapter 25 Health Assessment in Nursing 5th Edition

Chapter 25  Health Assessment in Nursing 5th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1. The nurse is assessing the eyes of a client who has a lesion of the sympathetic nervous
system. What assessment finding should the nurse anticipate?
A) Bilateral dilated pupils
B) Nystagmus (involuntary eye movement)
C) Argyll-Robertson pupils
D) Constricted pupils, unresponsive to light

2. A client has sustained an injury to the cerebellum. Which area should be the nurse’s
primary focus for assessment?
A) Vital signs
B) Respiratory status
C) Cardiac function
D) Coordination

3. Which of the following would the nurse most likely find when assessing a client
diagnosed with a frontal lobe contusion following a motor vehicle accident?
A) Inability to hear high-pitched sounds
B) Loss of tactile sensation
C) Difficulty speaking
D) Blurred vision

4. A client complains of headaches each morning that resolve after getting out of bed.
Which of the following would be most appropriate for the nurse to do?
A) Assess the client’s level of consciousness.
B) Assess the client’s deep tendon reflexes.
C) Refer the client for immediate medical follow-up.
D) Refer the client for physical therapy and occupational therapy.

5. A nurse is preparing to assess a client’s cerebellar function. Which of the following
aspects of neurological function should the nurse address?
A) Remote memory
B) Sensation
C) Judgment
D) Balance

Answer Key

1. D
2. D
3. C
4. C
5. D