Reference no: EM133522691
Questions
1. When assessing the strength of a client's upper extremities, a full range of motion against gravity with moderate resistance is noted. Which should the nurse document the finding as?
A. Fair.
B. Good.
C. Poor.
D. Normal.
2. The nurse is unable to elicit a patellar reflex on a client that is alert and oriented. Which action by the nurse is the most appropriate?
A. Notify the healthcare provider immediately.
B. Document the findings as normal.
C. Retest the reflex after having the client use distraction during the exam.
D. Look at the medication records for central nervous system depressants.
3. A client is unable to perform a simple math calculation during a neurological examination. Which action should the nurse take?
A. Continue assessing the other cognitive domains.
B. Administer a different set of math problems.
C. Verbally assess the client's ability to calculate a problem.
D. Ask the client what grade they completed in school.