At what age should an infant recognize the face of the primary caregiver?
2 MONTHS
What is the initial step in performing a mental status
... [Show More] examination?
A. Observe the patient's physical appearance and behavior. Correct
Select the question that tests the patient's capacity for abstract reasoning.
A. "What is the meaning of 'a stitch in time save nine'?" Correct
Which behavior is an example of apraxia?
A. Inability to unbutton a shirt Correct
How does the nurse test for recent memory in an adult?
A. The patient views several objects and is asked recall the objects 10 minutes later. Correct
A patient tells the nurse that he is careful about what he eats at home in case someone might want to poison him. What is this behavior?
A. Paranoid delusion Correct
A patient tells the nurse he has felt more depressed over the past several months. Which of the medications the patient takes is known to cause depression?
A. Beta-blocker Correct
What is the Mini-Mental State Examination?
A. Screening tool for dementia Correct
Which behaviors are associated with dementia? (Select all that apply.)
A. Appears apathetic Correct
B. Appears depressed Correct
Which behavior is commonly observed in patients with expressive aphasia? (Select all that apply.)
A. Able to read Correct
A. Makes great effort to speak Correct
A. Understands present environment Correct
1. Areas of hyperresonance are percussed over the lung fields in which condition?
A. Emphysema Correct
1. The manubriosternal angle (angle of Louis) is continuous with which anatomical landmark?
A. Second rib Correct
1. Which breath sounds, heard in the posterior bases, suggest atelectasis?
A. Diminished breath sounds Correct
1. Which finding on the patient history is suspicious for pulmonary tuberculosis?
A. Night sweats Correct
1. Which assessment finding of the respiratory system in a 2-month-old infant is considered abnormal?
A. Grunting Correct
1. Which assessment finding suggests a child has epiglottitis?
A. Difficulty swallowing Correct
1. A patient with metabolic acidosis is likely to display which type of respiration?
A. Rapid deep regular breathing Correct
1. In which condition is fluid present in the pleural space?
A. Pleural effusion Correct
1. During a history, a client tells the nurse he has smoked 2 packs of cigarettes per day for 10 years and 1 pack per day for the past 15 years. The cigarette use is reported as how many pack-years?
_______
A. 35 Correct
1. The nurse auscultates the lungs posteriorly in the bases. Identify the sounds heard. Identify the breath sounds.
A. Vesicular Correct
The nurse uses the wedge technique to palpate the breast of a patient. Where is the starting point for palpating each breast?
A. Areola Correct
Which assessment finding is normal when examining the breast of a nonpregnant adult woman?
A. One breast slightly smaller than the other Correct
Which is a correct description of the procedure to palpate the breasts?
A. Include bimanual palpation to compress tissue between fingers and the flat hand. Correct
What are the characteristics of breast masses found in patients with fibrocystic breast disease?
A. Changes occur cyclic with menses Correct
An adolescent male has observable enlargement of one breast and is very concerned. What is the significance of this finding?
A. Normal finding that resolves in time Correct
Parents note that their newborn infant daughter has enlarged breasts that secrete a white fluid. What is the significance of this finding?
A. This is a normal finding that resolves. Correct
Which is a normal assessment finding in adult female breasts?
A. Montgomery follicles Correct
The young adult patient tells the nurse she was tested and is positive for BRCA1. Which is the correct interpretation of the results?
A. She has an increased risk of developing breast cancer. Correct
Which is a risk factor for breast cancer? (Select all that apply.)
A. Using hormone replacement after menopause Correct
First-degree relative who has been diagnosed with breast cancer
What is the purpose of the liver scratch test?
A. Determine liver span when abdomen is distended Correct
Which intervention should the nurse do first in assessing the abdomen?
A. Ask the patient to empty the bladder. Correct
How does a nurse assess for pain related to peritonitis?
A. Assess for rebound tenderness. Correct
Under which circumstance is it appropriate to use direct or indirect percussion with a closed fist during assessment?
A. To test for tenderness of the kidney Correct
Which type of incontinence is caused by dementia in patients?
A. Functional Correct
An infant develops severe abdominal pain, keeps his legs pulled to his abdomen, and has light red mucous stools. What condition do these symptoms suggest?
A. Intussusception Correct
An infant develops severe abdominal pain, keeps his legs pulled to his abdomen, and has light red mucous stools. What condition do these symptoms suggest?
A. Intussusception Correct
Which condition is associated with episodes of bloating, abdominal pain, and constipation alternating with diarrhea?
A. Inflammatory bowel disease Correct
The nurse observes a bluish discoloration around the umbilicus in a patient (Cullen sign). What is this sign associated with?
A. Intraabdominal bleeding Correct
Which method should the nurse use to determine if a patient has ascites? (Select all that apply.)
A. Test for a fluid wave in the abdomen. Correct
Test for shifting dullness in the abdomen. C
The nurse assesses hypoactive and absent bowel sounds in the four quadrants of the abdomen in a female patient. Which finding from the patient history is likely the cause? (Select all that apply.)
A. Takes diuretic medication daily Correct
A. Takes narcotic analgesics for recent shoulder injury Correct
A nurse plans to get a specimen for a Papanicolaou smear during a vaginal examination. What should be used to lubricate the speculum?
A. Warm water Correct
When is a specimen collected during a vaginal examination?
A. After the cervix and vagina have been inspected Correct
Which characteristic of cervical secretions is considered abnormal?
Odorous
Which position of the cervix is considered abnormal?
A. Lateral Correct
What will prolapse into the posterior wall of the vagina when the patient bears down?
A. Rectocele Correct
How far is the normal projection of the cervix into the vagina?
A. 1 to 3 cm Correct
Which disease is caused by human papillomavirus?
A. Genital warts Correct
What is defined as cessation of menses for 1 year because of age?
What is defined as cessation of menses for 1 year because of age?
What is included in the examination of the external genitalia? (Select all that apply.)
A. Skene glands Correct
A. Urinary meatus Correct
A. Bartholin glands Correct
A female nurse is performing an annual physical assessment of a male patient. Which is the best approach to discuss assessment of the genitalia?
A. Explain the procedure and proceed in a professional manner. Correct
Which assessment finding from the male genitalia examination requires further investigation?
A. An area of hardness is palpated on the surface of one testicle. Correct
The nurse teaches a young adult male genital self-examination for men. What is the purpose of this instruction?
A. Observe for signs of a sexually transmitted disease if he had exposure. Correct
Under what condition is translumination included in assessment of the male genitalia?
A. When a mass is found in the scrotum Correct
A nurse reviews the health history with a male patient previously diagnosed with condyloma acuminata. What does the nurse expect to observe during the examination?
A. Soft wartlike lesions on the penis Correct
The nurse performs an assessment of the genitalia of an uncircumcised man. What action is necessary for the examination?
A. Ask the patient to retract the foreskin before examining the penis. Correct
Infertility is associated with which condition?
Infertility is associated with which condition?
What term is used to describe a loop of bowel that cannot be reduced?
A. Incarcerated hernia Correct
Which assessment finding is associated with a left testicular torsion? (Select all that apply.)
A. Nausea and vomiting Correct
B. Scrotal discoloration Correct
Severe left testicular pain
A. Absence of the cremasteric reflex on the left side Correct
What health benefits has research shown for males who are circumcised? (Select all that apply.)
A. Decreased incidence of penile cancer Correct
B. Prevention of urinary tract infections. Correct
C. Less risk of acquiring HIV infections. Correct
D. Decreased transmission of some sexually transmitted infections. Correct [Show Less]