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Assessment Packet
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1.) The nurse notices that her patient has developed slurred speech and left sided
weakness. Which of the following exams would she perform on her patient?
MEND Exam
Flexibility testing
Endurance testing
NIH Scale
WHY: The patient was presenting slurred speech and weakness on one side, so she
most likely had a stroke. The NIH Scale looks at the functionality of person after a
stroke.
WHY: According to the MEND website on how to perform a MEND exam, moving
your head from side to side is not part of the exam.
3.) Bills NIH sale score is high. This means that which of the following is true?
He has no impairments
a lot of impairments
WHY Unlike many test, the NIH exam is one test that you do not want to score worse
: in because the higher the number on the scale, the worse the functional ability.
4.) The following test measures the amount of impairment that a stroke has on the
patient.
NIH scale
MEND exam
WHY The NIH scale measures the amount of impairment after a stroke, while the
Emma Kammann
5.) The nurse is ordered to perform the NIH scale on her patient that had a stroke.
The nurse knows that the NIH scale should be performed when?
on admission and on discharge
on discharge only
on admission and during the middle of the hospital stay
on admission only
WHY: The NIH Scale should be performed on admission to use a baseline, and it
should be performed on discharge to make sure the patient doesnt have any more
possible stroke symptoms.
6.) The nurse is ordered to test the flexibility of her patient. Which of the following
tests should she perform?
Sit and reach test
cardiac rehab
isotonic exercise
pulmonary rehab
WHY: The sit and reach
test test how flexible
a patient is and by
doing so, it allow
the examiner to see
how stretchy their
muscles are.
7.) Joe has just been discharged from the hospital after having a coronary artery
bypass graft surgery. To enable him to recover from his surgery, which of the
following would you recommend for him?
flexibility testing
cardiac rehabilitation
strength testing
breathing exercises
WHY Cardiac rehab can is for patients who have had heart surgery or a heart attack,
: since it was made for low impact exercises.
WHY: According to the AHA, cardiac rehab can las from 6 weeks to 6 months.
9.) You are working as a nurse in a cardiac rehab unit. Which of the following would
you want to obtain? There are multiple answers.
pulse rate
pulse oximeter reading
blood pressure
respiratory rate
WHY All of these: pulse rate, pulse oximeter reading, blood pressure, and respiratory
: rate need to be gathered because the patient needs to be evaluated in order to
properly assess their needs.
10.) You are a physical therapist working in a cardiac rehab unit. Which of the
following patients would you be concerned about? There are multiple answers.
a patient with sudden weakness on one side
a patient with dyspnea
a patient with chest pain
a patient who is tolerating exercise well
WHY A patient with weakness on one side may be having a stroke, a patient with
: dyspnea would be having trouble to breath, and patient with chest pain could
have a heart attack or just have had surgery.
11.) You have been asked to measure the oxygen content in your patients blood while
ambulating to determine if he needs an oxygen tank at home. Which of the following
instruments would you need?
WHY: a pulse oximeter because it measures the patients blood oxygen saturation.