When the nurse asks a 68-year-old patient to stand with his 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:

Positive Romberg sign.

Ataxia.

Lack of coordination.

Negative Homans sign.

Answer and Explanation

The Correct Answer is A

A.   A positive Romberg test occurs when a person loses balance or sways when standing with their eyes closed, indicating a problem with proprioception or balance.
B.   Ataxia refers to a lack of coordination or motor control, but the Romberg sign specifically tests balance and proprioception, which is different from ataxia.
C.   Lack of coordination may be part of ataxia or other neurological issues, but the Romberg sign specifically refers to balance issues when eyes are closed.
D.   The Homans sign is used to test for deep vein thrombosis (DVT) and is not relevant to the test for balance and proprioception described in the scenario.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. The basal ganglia play a crucial role in initiating and coordinating voluntary movements, and their dysfunction is associated with disorders such as Parkinson's disease.
B. The hypothalamus does regulate temperature and sleep, but it also regulates other critical functions like hunger, thirst, and hormone release, making this statement incomplete.
C. The parietal lobe primarily handles sensations and the occipital lobe is mainly involved in visual reception.
D. The cerebellum primarily manages coordination and balance. Speech and emotional regulation are functions of other parts of the brain, such as the frontal and temporal lobes.

A. Observing for facial symmetry B. Testing visual acuity C. Eliciting the gag reflex D. Checking the pupillary response to light

Correct Answer is A

Explanation

A. Cranial nerve 11, the accessory nerve, controls the sternocleidomastoid and trapezius muscles, which contribute to the movement of the neck and shoulders. However, while facial symmetry is related to other cranial nerves, this is the correct action for cranial nerve 11's motor function testing.
B. Visual acuity is related to cranial nerve II (optic nerve), not cranial nerve XI.
C. The gag reflex tests cranial nerves IX (glossopharyngeal) and X (vagus), not cranial nerve XI.
D. Checking the pupillary response to light. The pupillary light reflex is controlled by cranial nerve II (optic) and cranial nerve III (oculomotor), not cranial nerve XI.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

When the nurse asks a 68-year-old patient to stand with his 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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following statements is true regarding the function of the brain?

Correct Answer is A

Explanation

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve 11?

Correct Answer is A

Explanation

The movement of the leg laterally then medially, with knee straight is referred to as:

When the nurse asks a 68-year-old patient to stand with his 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:

The nurse is reviewing concepts of cultural aspects of pain. Which statement is true regarding pain?

In assessing a patient's major risk factors for heart disease, which would the nurse want to include when taking a history?

The nurse should use which test to check for large amounts of fluid around the patella?

A nurse is admitting a client from a long-term care facility. The nurse should use closed-ended questions when assessing which of the following factors?

During an assessment of the neurological system, a nurse places a key in the hand of a client, and he identifies it as a key. The nurse would describe this finding as

​​​​​​​The nurse is performing a physical assessment on a newly admitted patient. Select subjective or objective for the findings below.