1. A 19-year-old college student is brought to the emergency department with a severe headache he describes as "like nothing I've ever had before." His
... [Show More] temperature is 104° F, and he has a stiff neck. The nurse looks for other signs and symptoms of which problem?
a. Head injury
b. Cluster headache
c. Migraine headache
d. Meningeal inflammation
Meningeal inflammation
5. During a health history, the patient tells the nurse, "I have pain all the time in my stomach. It's worse two hours after I eat, but it gets better if I eat again!" The nurse suspects that the patient has which condition, based on these symptoms?
a. Appendicitis
b. Gastric ulcer
c. Duodenal ulcer
d. Cholecystitis
a. thyroi d gland.
b. paroti d gland.
c. cervic al lymph nodes.
d. mouth and skin
consider this for
2. A 45-year-old man is in the clinic for a physical examination. During the abdominal assessment, the nurse percusses the abdomen and notices an area of dullness above the right costal margin of about 10 cm.
The nurse should
a.document the presence of hepatomegaly.
b. ask additional history questions regarding his alcohol intake.
c. describe this as an enlarged liver and refer him to a physician.
d. consider this a normal finding and proceed with the examination.
3. A 65-year-old man with emphysema and bronchitis has come to the clinic for a follow- up appointment. On assessment, the nurse might expect to see which assessment finding?
a.Anasarca
b. Scleroderma
c. Pedal erythema
d. Clubbing of the nails
4. An assessment of a 23-year-old patient reveals the following: an auricle that is tender and reddish- blue in color with small vesicles. Additional information the nurse would need to know includes which of these?
a. Any change in the ability to hear
b. Any recent drainage from the ear
c. Recent history of trauma to the ear
d. Any prolonged exposure to extreme
a normal finding and proceed with the examination.
Clubbing of the nails
Any prolonged exposure to extreme cold
6. During an abdominal assessment, the nurse would consider which of these findings as normal?
a. The presence of a bruit in the femoral area
b. A tympanic percussion note in the umbilical region
c. A palpable spleen between the ninth and eleventh ribs in the left midaxillary line
d. A dull percussion note in the left upper quadrant at the midclavicular line
7. During an assessment, the nurse notices that an elderly patient has tears rolling down his face from his left eye. Closer examination shows that the lower lid is loose and rolling outward. The patient complains of his eye feeling "dry and itchy." Which [Show Less]