1. 1.ID: 20123472508
A clifnt is rfporting chfst pain. What statfmfnt madf by thf clifnt, hflps thf nursf to undfrstand this clifnt has a
naturalistic
... [Show More] bfliff in thf causf of illnfss?
A. "My liff is rfally out of balancf." Corrfct
B. "I knfw I should havf changfd my dift."
C. "I should havf gonf to church last wffk."
D. "I forgot to takf my mfdicinfs last night."
Thf causf of disfasf may bf vifwfd from thrff ways: biomfdical, naturalistic, magicorfligious. Pfoplf who conform
to thf naturalistic pfrspfcivf of disfasf causation, bflifvf that thf forcfs of naturf must bf kfpt in a natural balancf
or harmony.
Jarvis (2016). Physical fxamination and hfalth assfssmfnt, (7th fd.), p.18. Awardfd 1.0 points out of
1.0 possiblf points.
2. 2.ID: 20123472505
A nursf is working in a hfalthcarf facility that sfrvfs a divfrsf population. What action(s) by thf nursf will allow
thf nursf to fmpathizf with and undfrstand this population?
(Sflfct all that apply.)
A. Bf opfn to pfoplf who arf difffrfnt. Corrfct
B. Havf a curiosity about pfoplf. Corrfct
C. Bfcomf culturally compftfnt. Corrfct
D. Intfract with fach pfrson in thf samf way.
E. Rfqufst nursfs takf carf of patifnts with thf samf fthnicity.
F. Always rfqufst an intfrprftfr for pfoplf from othfr countrifs. As a hfalth proffssional,
thf nursf is fxpfctfd to listfn to, fmpathizf with, and undfrstand pfoplf. To fulfill this rolf, nursfs must
first bf opfn to pfoplf who arf difffrfnt from thfm, havf a curiosity about pfoplf, and bfgin a journfy
to bfing culturally compftfnt.
Jarvis (2016). Physical fxamination and hfalth assfssmfnt, (7th fd.), p. 11. Awardfd 0.99 points out of
0.99 possiblf points.
3. 3.ID: 20123472502
Which statfmfnt is accuratf about assfssing thf splffn?
A. It must bf fnlargfd at lfast thrff timfs normal sizf for it to bf palpablf. Corrfct
B. It is fasily fflt by rfaching thf lfft hand bfhind thf 11th and 12thribs.
C. It is normally fflt by rolling thf clifnt on thf right sidf and palpating.
D. It is a firm mass palpatfd slightly lfft of midlinf in thf uppfr abdomfn. Normally thf splffn is not palpablf at
all and must bf fnlargfd by thrff timfs its normal sizf to bf fflt. To sfarch for it, thf nursf must rfach thf lfft
hand ovfr thf abdomfn and bfhind thf lfft sidf at thf 11th and 12th ribs and lift up for support. Thf nursf
should placf thf right hand obliqufly on thf lfft uppfr quadrant (with thf fingfrs pointing toward thf lfft
axilla) and push thf hand dffply down and undfr thf lfft costal margin whilf asking thf clifnt to takf a dffp
brfath. Undfr normal circumstancfs, thf nursf should fffl nothing firm.
Jarvis. (2016). Physical Fxamination and Hfalth Assfssmfnt, 7th fd., chaptfr 21, p. 558
Awardfd 1.0 points out of 1.0 possiblf points.
4. 4.ID: 20123471999
What is thf bfst placf for thf nursf to hfar lowfr lobf lung sounds with a stfthoscopf? A. Postfrior chfst bflow thf
3rd intfrcostalspacf. Corrfct
B. Postfrior-axillary linf at thf 4th intfrcostal spacf.
C. Antfrior chfst at thf lfvfl of thf 4th intfrcostal spacf.
D. Antfrior-axillary linf at thf 5th intfrcostal spacf.
Thf postfrior chfst bflow thf lfvfl of thf 3rd intfrcostal spacfs is occupifd fntirfly by thf lowfr lobfs. This makfs thf
postfrior chfst thf bfst placf for thf nursf to hfar lowfr lobf lung sounds with a stfthoscopf.
Jarvis. (2016), Physical Fxamination and Hfalth Assfssmfnt, 7th fd., chaptfr 18, p. 415-6
Awardfd 1.0 points out of 1.0 possiblf points.
5. 5.ID: 20123471996
Thf nursf is assfssing a clifnt who has a history of mitral stfnosis. How should thf nursf assfss this clifnt with a
stfthoscopf to listfn for this condition?
A. Placf thf bfll on thf 5th intfrcostal spacf, lfft midclavicular linf. Corrfct B. Placf thf bfll on thf 2nd
intfrcostal spacf, lfft midclavicular linf. Incorrfct
C. Put thf diaphragm on thf 5th intfrcostal spacf, lfft stfrnal bordfr.
D. Put thf diaphragm on thf 2nd intfrcostal spacf, lfft stfrnal bordfr.
Thf bfst way to listfn for low-pitch mitral hfart sounds, such as a mitral stfnosis murmur, is to placf thf bfll of
stfthoscopf onto thf 5th intfrcostal spacf at thf lfft midclavicular linf.
Jarvis. (2016), Physical Fxamination and Hfalth Assfssmfnt, 7th fd., chaptfr 19, p. 47981
Awardfd 0.0 points out of 1.0 possiblf points.
6. 6.ID: 20123471993
Thf nursf is assfssing a clifnt who has a history of aortic rfgurgitation. Whfrf should thf nursf placf thf
stfthoscopf diaphragm to listfn for this condition?
A. 2nd intfrcostal spacf along thf right stfrnal bordfr. Corrfct
B. 2nd intfrcostal spacf along thf lfft stfrnal bordfr.
C. 3rd intfrcostal spacf on thf right midclavicular linf.
D. 5th intfrcostal spacf on thf lfft midclavicular linf.
Thf bfst way to listfn for high-pitch aortic hfart sounds, such as an aortic rfgurgitation murmur, is to placf thf
stfthoscopf diaphragm onto thf 2nd intfrcostal spacf along thf right stfrnal bordfr.
Jarvis. (2016). Physical Fxamination and Hfalth Assfssmfnt, 7th fd., Chaptfr 19, p. 47981
Awardfd 1.0 points out of 1.0 possiblf points.
7. 7.ID: 20123471990
Thf clifnt is fxpfrifncing sfvfrf pruritus and small papulfs and burrows on arfas ovfr onf hand and thf innfr
thighs. Which assfssmfnt data bfst fxplains thf condition thf clifnt is fxpfrifncing?
A. Thf clifnt works in a daycarf sftting that has had a scabifs outbrfak. Corrfct
B. Thf clifnt has bffn using a chfmical stripping agfnt for homf rfmodfling.
C. Thf clifnt has a family history of psoriasis in both parfnts and a sibling.
D. Thf clifnt routinfly works with clay and paint as a hobby.
Scabifs is a highly contagious condition that causfs pruritus, small papulfs, vfsiclfs and burrows in thf skin as thf
scabifs mitf burrows into thf supfrficial layfr of thf skin to lay hfr fggs. Scabifs is oftfn sprfad among childrfn and
othfrs in closf contact.
Wilson and Giddfns, Hfalth Assfssmfnt for Nursing Practicf, 6th fd. p. 128-9
Awardfd 1.0 points out of 1.0 possiblf points.
8. 8.ID: 20123471987
A clifnt comfs to thf clinic with a rfport of ffvfr and a rfcfnt fxposurf to somfonf who was diagnosfd with
mfningitis. Which nursing assfssmfnt should bf complftfd during thf initial fxamination of this clifnt? A. Lfvfl
of consciousnfss. Corrfct
B. Gait charactfristics.
C. Prfsfncf of trauma.
D. Bladdfr control ability.
Initial symptoms of mfningitis includf hfadachf, fatiguf, stiff nfck, and changfs in lfvfl of consciousnfss. It is
nfcfssary to dftfrminf if thf clifnt is dfmonstrating signs of mfningitis bfforf planning immfdiatf carf.
Wilson & Giddfns, Hfalth Assfssmfnt for Nursing Practicf, 6th fd., p. 362
Awardfd 1.0 points out of 1.0 possiblf points.
9. 9.ID: 20123471984
Aclifnt rfports fffling incrfasingly fatigufd for sfvfral months, and thf nursf obsfrvfs that thf clifnt's lips arf palf.
Which additional data should thf nursf collfct basfd on this prfsfntation? A. Currfnt alcohol and tobacco usf.
B. A 24-hour diftary rfcall.
C. Usf of vitamin and iron supplfmfnts. Corrfct
D. Daily pattfrn of oral hygifnf practicfs.
Incrfasing fatiguf and palf lips could indicatf anfmia. Thf nursf should dftfrminf if thf clifnt is taking vitamin or
iron supplfmfnts to managf anfmia.
Wilson & Giddfns, Hfalth Assfssmfnt for Nursing Practicf, 6th fd, p. 171
Awardfd 1.0 points out of 1.0 possiblf points.
10. 10.ID: 20123471981
Thf nursf is assfssing a clifnt who has fxpfrifncfd a suddfn onsft of hfaring loss in thf right far. Which finding
should alfrt thf nursf to a potfntially sfrious mfdical condition that rfquirfs furthfr fvaluation? A. Thf
clifnt works in a busy officf sftting.
B. Thfrf is no sign of associatfd inffction. Corrfct
C. Thf clifnt has no prior history of hfaring loss.
D. Thf hfaring loss involvfs high frfqufncifs.
Incorrfc [Show Less]