1.
A patient tells the nurse that she has had abdominal pain for the past week.
What would be the best response by the nurse?
1. “Can you point to
... [Show More] where it hurts?”
2. “We’ll talk more about that later in the interview.”
3. “What have you had to eat in the last 24 hours?”
4. “Have you ever had any surgeries on your abdomen?”
ANS: 1
A final summary of any symptom the person has should include, along with
seven other critical characteristics, “Location: specific.” Ask the person to point
to the location.
2.
A patient’s laboratory data reveal an elevated thyroxine level. The nurse would
proceed with anexamination of the:
thyroid
3.
A 6-month-old infant has been brought to the well-child clinic for a check-up. She
is currently sleeping. What should the examiner do first?
Auscultate the lungs and heart while the infant is still sleeping.
4.
When preparing to examine a 6-year-old child, which action is most appropriate?
Start with the thorax, abdomen, and genitalia before examining the head.
Avoid talking about the equipment being used because it may increase the
child’s anxiety.
Keep in mind that a child this age will have a sense of modesty.
Have the child undress from the waist up.
5.
68-year-old woman is in the eye clinic for a checkup. She tells the nurse that she
has been having trouble with reading the paper, sewing, and even seeing the
faces of her grandchildren. On examination, the nurse notes that she has some
loss of central vision but her peripheral vision is normal. These findings suggest
that:
she may have macular degeneration
6.
In assessing a patient’s major risk factors for heart disease, which would the
nurse want to include when taking a history?
1.Family history, hypertension, stress, age
2.Personality type, high cholesterol, diabetes, smoking
3.Smoking, hypertension, obesity, diabetes, high cholesterol
4.Alcohol consumption, obesity, diabetes, stress, high cholesterol
ANS: 3
For major risk factors for coronary artery disease, collect data regarding elevated
serum cholesterol, elevated blood pressure, blood glucose levels above 130
mg/dl or known diabetes mellitus, obesity, cigarette smoking, low activity level.
7.
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NSG 6020 WEEK 5 MIDTERM 2022
HEALTH ACRE
A teenage patient comes to the emergency department with complaints of an
inability to breathe and a sharp pain in the left side of his chest. The assessment
findings include cyanosis, tachypnea, tracheal deviation to the right, decreased
tactile fremitus on the left, hyperresonance on the left, and decreased breath
sounds on the left. The nurse interprets that these assessment findings are
consistent
with:
B)
a pneumothorax.
8.
During a hearing assessment the nurse practitioner finds that sound lateralizes to
the patient’s left ear with the Weber test. What can the nurse practitioner
conclude from this?
The patient has a conductive hearing loss in the right ear.
Lateralization is a normal finding with the Weber test.
The patient could have either a sensorineural or a conductive loss.
A mistake has occurred; the test must be repeated.
9.
The most important reason to share information and offer brief teaching while
performing the physical examination is to help:
1.the examiner feel more comfortable and gain control of the situation.
2.build rapport and increase the patient’s confidence in the examiner.
3.the patient understand his or her disease process and treatment modalities.
4.the patient identify questions about his or her disease and potential areas of
patient education.
2.build rapport and increase the patient’s confidence in the examiner.
10.
In assessing the sclera of a black patient, which of the following would be an
expected finding?
The presence of small brown macules on the sclera
11.
During an examination, the nurse knows that the best way to palpate the lymph
nodes in the neck is described by which statement?
Using gentle pressure, palpate with both hands to compare the two sides.
12.
The nurse is obtaining a history from a 30-year-old male patient and is concerned
about health promotion activities. Which of the following questions would be
appropriate to use to assess health promotion activities for this patient?
1. “Do you perform testicular self-exams?”
2. “Have you ever noticed any pain in your testicles?”
3. “Have you had any problems with passing your urine?”
4. “Do you have any history of sexually transmitted disease?”
ANS: 1
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Health promotion for a man would include performance of testicular selfexamination.
13.
When examining a 16-year-old male teenager, the examiner should:
provide feedback that his body is developing normally and discuss the wide
variation among teenagers on the rate of growth and development.
14.
Which of the following statements regarding the aging adult and abdominal
assessment is true?
b) the abdominal musculature is thinner
15.
In recording the childhood illnesses of a patient who denies having had any,
which of the following notes by the nurse would be most accurate?
1. Patient denies usual childhood illnesses.
2. Patient states he was a “very healthy” child.
3. Patient states sister had measles, but he didn’t.
4. Patient denies measles, mumps, rubella, chickenpox, pertussis, or strep throat.
ANS: 4
Childhood illnesses include measles, mumps, rubella, chickenpox, pertussis, and
strep throat. Avoid recording “usual childhood illnesses” because an illness
common in the person’s childhood may be unusual today (e.g., measles).
16.
A patient's thyroid is enlarged, and the nurse is preparing to auscultate the
thyroid for the presence of a bruit. A bruit is a:
soft, whooshing, pulsatile sound best heard with the bell of the stethoscope.
17.
During an examination, the nurse knows that Paget’s disease would be indicated
by which of the following findings?
Paget's disease occurs more often in males and is characterized by bowed, long
bones, sudden fractures, and enlarging skull bones that press on cranial nerves
causing symptoms of headache, vertigo, tinnitus, and progressive deafness.
18.
A patient is unable to read the 20/100 line on the Snellen chart. The nurse
practitioner would
refer the patient to an ophthalmologist or optometrist for further evaluation.
19.
Which technique of assessment is used to determine the presence of crepitus,
swelling, and pulsations?
Palpation [Show Less]