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 MEND exam tests if the patient is having a stroke.
2.) Which of the following is not apart of the MEND exam?
Smiling
raise both legs
moving head from side to side
raise both arms
WHY:
This will not help determine if the patient is having a stroke.
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:
The higher the score on the NIH scale, the more neurological damage has occurred.
4.) The following test measures the amount of impairment that a stroke has on the
patient.
NIH scale
MEND exam
WHY:
The patient will go through the NIH scale before they leave the hospital to determine how
much neurological damage they have.
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 test being done on admission acts as a baseline to compare to the test taken as they
leave.

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 tests the flexibility of the patient.
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 allows patients to improve from their surgery, but at the pace they need to
because of their injury.
8.) Cardiac rehab can last 6 months or longer
true
false
WHY:
Cardiac rehab can last as long as the patient is still improving
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 will determine whether they are healthy and if they can exercise.
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:
All of these are not normal, and a patient with any of these symptoms should be
examined.

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 oximetry because that measures the patients blood oxygen saturation.
12.) A set of laboratory tests is needed before starting a therapeutic exercise
regimen.
True
False
WHY:
You need to know if the patient is well enough to start exercising.

13) Give an example of subjective data and objective data

Subjective: The patient says, I have chest pain.
Objective: You take their pulse and they are tachycardia
14.) Give an example of each letter for the SOAPIER acronym
Subjective data
Objective data
Asses patient
Plan treatment
Initiate plan
Evaluation
Revise plan as needed