NUR 211 Final Exam / NUR211 Final Exam (Latest, 2022)/ NUR 211 Fundamentals of Professional Nursing Final Exam / NUR211 Fundamentals of Professional
... [Show More] Nursing Final Exam: Rasmussen College
Rasmussen College
NUR211 Final Exam / NUR 211 Final Exam (Latest, 2022)/ NUR 211 Fundamentals of Professional Nursing Final Exam / NUR211 Fundamentals of Professional Nursing Final Exam
NU211 Fundamentals of Professional Nursing Final Exam
NU 211 Final Exam / NU211 Final Exam (Latest): Fundamentals of Professional Nursing: Rasmussen College
Question 1
1.5 out of 1.5 points
When assessing a 2-3 year old child, what is important to consider?
Answers: Assess least invasive to most invasive.
Start with examining the ears and mouth.
Make sure to examine the child lying on the exam table.
It’s easier to examine the child if the parent is not in the room.
Question 2
1.5 out of 1.5 points
The nurse notes an audible, crunching/grating sound on the client’s knee while climbing the stairs. Choose the best term.
Answers: Crepitus
Bulge sign
Ballottement
Inversion
Question 3
1.5 out of 1.5 points
The nurse palpates the left upper quadrant of abdomen with the knowledge that which organs are located in that area?
Answers: Liver and gallbladder.
Pancreas and spleen
Large intestine and liver
Left ureter and gallbladder
Question 4
1.5 out of 1.5 points
Identify which reflex is being tested in this picture.
Answers: Plantar
Patellar
Triceps
Achille’s
Question 5
1.5 out of 1.5 points
The clinic nurse assesses the skin of a white client with a diagnosis of psoriasis. The nurse understands that which characteristic is associated with this skin disorder?
Answers: Clear, thin nail beds
Red-purple raised areas
Oily skin and no episodes of pruritus
Silvery-white scaly patches on the scalp, elbows, knees, and sacral regions
Question 6
1.5 out of 1.5 points
"When testing stool for occult blood, the nurse is aware that a false-positive result may occur with:"
Answers: a large amount of red meat within the last 3 days.
absent bile
increased fat content
increased ingestion of fruit
Question 7
1.5 out of 1.5 points
The nurse is preparing to complete a musculoskeletal examination on a client. Which two assessment techniques would the nurse plan to use during this exam?
Answers: Inspection and percussion
Percussion and palpation
Auscultation and percussion
Inspection and palpation
Question 8
1.5 out of 1.5 points
While assessing edema on a client’s lower leg, the nurse notices a deep imprint of his fingers where the leg was palpated which takes several minutes to resolve. How would the nurse document this finding?
Answers: No edema
1+ edema
3+ edema
4+ edema
Question 9
1.5 out of 1.5 points
The nurse is performing an assessment on an older client having difficulty sleeping at night. Which statement indicates that teaching about improving sleep is necessary?
Answers: "I drink hot chocolate before bed"
"I swim three times a week"
"I have stopped smoking cigars"
"I read for 40 minutes before bed"
Question 10
1.5 out of 1.5 points
"After completing a comprehensive health assessment of a client, which of the following statement is subjective data?"
Answers: The client complains of itching
The client s skin feels warm to the touch
The client is scratching his arm
The client s temperature is 100°F
Question 11
1.5 out of 1.5 points
Which of the following statements is most appropriate when the nurse is obtaining a genitourinary history from an elderly man?
Answers: Do you need to get up at night to urinate?
" Do you experience nocturnal emissions, or wet dreams? "
Do you know how to perform urinary self-examination?
Has anyone ever touched your genitals and you did not want them to?
Question 12
1.5 out of 1.5 points
"During a breast health interview, a client states that she has noticed pain in her left breast. The nurse s most appropriate response to this would be:"
Answers: I would like some more information about the pain in your left breast.
Don t worry about the pain; breast cancer is not painful.
I would like some more information about the pain in your right breast.
Breast pain is almost always the result of benign breast disease and so let s just ignore it.
Question 13
1.5 out of 1.5 points
The Glasgow Coma Scale is used to grade neurological responses to which three parameters?
Answers: Eye opening, verbal response, motor response
Verbal response, pain response, reflexes
Pupil response, motor response, reflexes
Motor movement and strength, reflexes, pupillary size and reaction
Question 14
1.5 out of 1.5 points
If a nurse uses their hand to press down into the abdomen to assess for tenderness, the nurse is performing which technique?
Answers: Palpation
Inspection
Auscultation
Percussion
Question 15
0 out of 1.5 points
"While obtaining a history of a 3-month old infant from the mother, the nurse asks about the baby s ability to suck and grasp the mother s finger. What is the nurse assessing?"
Answers: Reflexes
Intelligence
Cranial atrophy
Thalmus function
Question 16
1.5 out of 1.5 points
An 85-year-old patient comments during his annual physical that he seems to be getting shorter as he ages. The nurse should explain that decreased height occurs with aging because:
Answers: of the shortening of the vertebral column.
long bones tend to shorten with age.
there is a significant loss of subcutaneous fat.
there is a thickening of the intervertebral discs.
Question 17
1.5 out of 1.5 points
A client asks, “Why is touching my toes necessary? This is a sports physical examination not an exercise class.” How would the nurse reply?
Answers: “This is the best way to check for symmetry of your arms.”
“I am looking at the stretch of your ham strings.”
“This allows me to see how straight your spinal column is.”
“It is considered abnormal if you can’t touch your toes from this position.”
Question 18
1.5 out of 1.5 points
Medication administration or procedural errors can be prevented by completing which task?
Answers: Ensuring the room is temperature controlled
Closing the door and curtain
Washing your hands
Asking the client to give their name and date of birth
Question 19
1.5 out of 1.5 points
The nurse is assessing an older adult’s functional ability. What is the definition of functional ability?
Answers: The measure of the expected changes of aging that one is experiencing
The individual’s motivation to live independently
The level of cognition present in an older person
One’s ability to perform activities necessary to live in modern society
Question 20
0 out of 1.5 points
A client s respirations are 44. These respirations are considered to be which of the following?
Answers: Tachypneic
Apneic
Eupneic
Bradypneic
Question 21
1.5 out of 1.5 points
The client complains of ringing, crackling or buzzing in the ear. Choose the best term.
Answers: Tinnitus
Tympanic
Otitis media
Pinna
Question 22
1.5 out of 1.5 points
Which data do nurses document under the category of Family Health History?
Answers: Present illness
Allergies to medications
Maternal Diseases
Name and date of birth
Question 23
1.5 out of 1.5 points
The client has stiffness and fixation of a joint. Choose the correct term for this.
Answers: Contracture
Ankylosis
Dislocation
Subluxation
Question 24
1.5 out of 1.5 points
The most important technique when progressing from one auscultatory site on the thorax to another is:
Answers: side-to-side comparison.
top-to-bottom comparison.
posterior-to-anterior comparison.
interspace-by-interspace comparison.
Question 25
1.5 out of 1.5 points
The nurse notes fanning of the toes when the sole of the foot of an adult client is stimulated during assessment of the plantar reflex. How would the nurse chart this correctly?
Answers: Babinski response
Brudzinski sign
Nuchal rigidity
Hyperreflexia
Question 26
1.5 out of 1.5 points
The nurse should use which location for eliciting a deep tendon reflex?
Answers: Achilles
Femoral
Scapula
Abdomen
Question 27
1.5 out of 1.5 points
What would the nurse ask in order to gain insight into a disabled client’s functional ability?
Answers: “When did the disability first begin?”
“How has your disability affected your daily life?”
“Why did you come to the clinic today?”
“How do you feel about your disability?”
Question 28
1.5 out of 1.5 points
What is an example of objective data?
Answers: A client receiving chemotherapy complains of nausea.
A client states that they are feeling very anxious about their tests
A client with an inner ear infection complains of dizziness
The skin of a client who has liver failure has a yellowish tint.
Question 29
1.5 out of 1.5 points
The nurse is assessing the motor function of an unconscious client. The nurse would plan to use which of the following to test the clients peripheral response to pain?
Answers: Nail bed pressure
Sternal rub
Pressure on the orbital rim
Squeezing of the sternocleidomastoid muscle
Question 30
1.5 out of 1.5 points
"When assessing a client s lungs, the nurse recalls that the left lung:"
Answers: consists of two lobes
is divided by the horizontal fissure.
consists primarily of an upper lobe on the posterior chest.
is shorter than the right lung because of the underlying stomach.
Question 31
1.5 out of 1.5 points
A client has hypoactive bowel sounds. The nurse knows that a potential cause of hypoactive bowel sounds is:
Answers: peritonitis.
diarrhea.
laxative use.
gastroenteritis.
Question 32
1.5 out of 1.5 points
What activity would the nurse perform first when assessing a client’s urinary elimination status?
Answers: Obtain a nursing history
Interpret results of diagnostic tests
Perform a physical examination
Goal setting with the client.
Question 33
1.5 out of 1.5 points
An 85-year-old man has been hospitalized after a fall at home, and his 86-year-old wife is his primary caregiver. The nurse should assess for signs of caregiver burnout. What is a sign of this burnout?
Answers: Anxiety or depression
Weight gain
Hypertension
Respiratory status
Question 34
1.5 out of 1.5 points
When assessing the range of motion of the client’s knee, the nurse expects the client to be able to perform which movement?
Answers: Flexion and extension
Circumduction and external rotation
Adduction and rotation
Flexion and supination
Question 35
1.5 out of 1.5 points
What is the correct term for when the client’s muscle is relaxed and the nurse moves a body part?
Answers: Active ROM (range of motion)
Myalgia
Passive ROM (range of motion)
Atrophy
Question 36
1.5 out of 1.5 points
The nurse is comparing the right and left legs of a client and notices that they are asymmetric in size. What additional data might the nurse collect at this time?
Answers: Passively move each leg through range of motion and compare findings
Observe the client’s gait and legs as they walk across the room
Measure the circumference of each leg and compare the findings
Palpating the joints and muscles of each leg and compare the findings
Question 37
1.5 out of 1.5 points
The sac that surrounds and protects the heart is called the:
Answers: Pericardium
Myocardium
Endocardium
Pleural space
Question 38
1.5 out of 1.5 points
What does thoracic expansion assess?
Answers: Vibrations
Voice sounds
Breath sounds
Chest movement
Question 39
1.5 out of 1.5 points
The nurse asks the client to puff out their cheeks and lift their eyebrows. Which cranial nerve is the nurse assessing?
Answers: Optic nerve, cranial nerve II
Facial nerve, cranial nerve VII
Trigeminalnerve, cranial nerve V
Abducens nerve, cranial nerve VI
Question 40
1.5 out of 1.5 points
What is the meaning of the term PERRLA?
Answers: Pupils equal, round, reaction to light and accommodation
Pupils equate to roundness and reactiveness always.
Pupils equally react with roundness and light accommodation
Pupils equal and reactive to light assessment
Question 41
1.5 out of 1.5 points
The nurse is explaining to a client that there are shock absorbers in his back to cushion the spine and to help it move. The nurse is referring to his:
Answers: Intervertebral discs
Costal Facets
Nucleus Pulposus
Vertebral foramen
Question 42
1.5 out of 1.5 points
The nurse auscultates a blowing, swooshing sound of an area of abnormal blood flow. Choose the best term.
Answers: Dysphagia
Macro cephalic
Kinesthesia
Bruit
Question 43
1.5 out of 1.5 points
The nurse has determined that the client’s bowel sounds are normal. What sounds did the nurse hear?
Answers: Loud, high pitched, rushing, and tinkling sounds
Like two pieces of leather being rubbed together
Rare bubbly or blowing sound
High pitched, irregular gurgling sounds
Question 44
1.5 out of 1.5 points
A client is seen in the clinic for a routine blood pressure assessment and states they have been experiencing the normal pain associated with aging. Which statement by the nurse is most therapeutic?
Answers: “You must have osteoarthritis.”
“Do you take medications for the discomforts you are experiencing?”
“Normal aging can be quite painful.”
“Tell me more about your pain and discomfort.”
Question 45
1.5 out of 1.5 points
A patient is having difficulty in swallowing medications and food. The nurse would document that this patient has:
Answers: aphasia
dysplasia
dysphagia
myophagia
Question 46
1.5 out of 1.5 points
A 4-year-old client is brought to the emergency department a parent. The parent states that the child points to their stomach and says “It hurts so bad”. Which pain assessment tool would be the best choice when assessing this child’s pain?
Answers: Descriptor scale
Numeric rating scale
Brief pain inventory
Faces pain scale
Question 47
1.5 out of 1.5 points
"The nurse notes that a client has had a black, tarry stool and recalls that a possible cause would be:"
Answers: gastrointestinal bleeding
gallbladder disease
overuse of laxatives
localized bleeding around the anus
Question 48
1.5 out of 1.5 points
Which of the following statements is true regarding the internal structures of the breast?
Answers: "The breast is composed of fibrous, glandular, and adipose tissue."
"The breast is mainly muscle, with very little fibrous tissue."
"The breast is composed mostly of milk ducts, known as lactiferous ducts."
The breast is composed of only glandular tissue.
Question 49
1.5 out of 1.5 points
Which term is used to denote the movement of a limb towards the body?
Answers: Adduction
Abduction
Annulus
Anthropometrics
Question 50
1.5 out of 1.5 points
The part of the cardiac cycle in which the ventricles are relaxed and filling with blood is called which of the following?
Answers: Diastole
Systole
Hypotension
Symptom
Question 51
1.5 out of 1.5 points
A 46-year-old man requires assessment of his sigmoid colon. Which of the following is most appropriate for this examination?
Answers: Colonoscopy
Proctoscope
Ultrasound
A rectal exam with an examining finger
Question 52
1.5 out of 1.5 points
"During a health history of a patient who complains of chronic constipation, she asks the nurse about high-fiber foods. The nurse relates that an example of a high-fiber food would be:"
Answers: broccoli
hamburger
french fries
white dinner roles
Question 53
1.5 out of 1.5 points
Which pulse site is typically used to obtain a pulse rate from a client?
Answers: Radial
Temporal
Posterior tibial
Femoral
Question 54
1.5 out of 1.5 points
Chose the best term for the sound will the nurse will hear at the left midclavicular, fifth intercostal space?
Answers: Thrill
Heave
Apical Pulse
Murmur
Question 55
1.5 out of 1.5 points
Which is an example of objective data a nurse would collect during a physical examination?
Answers: The client s radial and pedal pulses
The client s stated concern about lack of money for prescriptions
The client s complaints of tingling sensations in the feet
The client s mother s statements that the client has been very nervous lately
Question 56
1.5 out of 1.5 points
The client has continuous tonic spasm of a muscle. Choose the correct term
Answers: Tetany
Tremor
Atrophy
Myalgia
Question 57
1.5 out of 1.5 points
The client complains of a sense that the room is spinning around. Choose the best term.
Answers: Disequilibrium
Vertigo
Presyncope
Fixation
Question 58
1.5 out of 1.5 points
In which situation should the nurse screen for intimate partner violence (IPV)?
Answers: When IPV is suspected
When a woman has an unexplained injury
As a routine part of each health care encounter
When a history of abuse in the family is known
Question 59
1.5 out of 1.5 points
What would the nurse expect to note when assessing a lesion diagnosed as malignant melanoma?
Answers: An asymmetric black lesion
A small papule with a dry, rough scale
A firm nodular lesion topped with crust.
A pearly papule with a central crater and a waxy border.
Question 60
1.5 out of 1.5 points
The nurse knows that the incidence of osteoporosis is greatest in which group?
Answers: White women
Black Men
Black Women
American Indian men
Question 61
1.5 out of 1.5 points
What is a term for a nutritional abnormality represented by recurrent binge and purge eating cycle?
Answers: Bulimia
Anorexia
Binge eating
Nervosa eating
Question 62
1.5 out of 1.5 points
A patient states, “Whenever I open my mouth real wide, I feel this popping sensation in front of my ears.” How would the nurse further examine this complaint?
Answers: Place the stethoscope over the temporomandibular joint, and listen for bruits.
Place the hands over the client’s ears, and ask the client to open their mouth “really wide. ”
Place one hand on the client’s forehead and the other on their jaw, and ask the client to try to open their mouth.
Place a finger over each of the client’s temporomandibular joints, and ask the client to open and close their mouth.
Question 63
1.5 out of 1.5 points
A client has a normal pupillary light reflex. The nurse recognizes that this indicates that:
Answers: constriction of both pupils occurs in response to bright light
the eyes converge to focus on the light
light is reflected at the same spot in both eyes
they focuses the image in the center of the pupil.
Question 64
0 out of 1.5 points
Which assessments would be appropriate for evaluating cerebellar function? (Select all that apply)
Answers: Heel to shin test
Finger to nose test
Rapid alternating fingers
Weber test
Stereognosis
Question 65
1.5 out of 1.5 points
A patient has been diagnosed with venous stasis. Which of the following would the nurse most likely observe?
Answers: A brownish discoloration to the skin of the lower leg
A unilateral cool foot
"Thin, shiny, atrophic skin"
Pallor of the toes and cyanosis of the nailbeds
Question 66
1,5 out of 1.5 points
"When the nurse asks a 68-year-old client to stand with feet together and arms at his side with his eyes closed, he starts to sway and moves his feet further apart. The nurse would document this finding as a:"
Answers: Positive Romberg's sign
Lack of time and space.
Pataxia
Negative Homan's sign
Question 67
1.5 out of 1.5 points
A client tells the nurse, “I have to sleep propped up with 3 pillows so I can breathe at night.” How would the nurse document this?
Answers: Orthopnea.
Acute Emphysema.
Paroxysmal Nocturnal Dyspnea.
Acute Shortness of Breath Episode.
Question 68
1.5 out of 1.5 points
"During an annual physical exam, a 43-year-old client states that she doesn t perform monthly breast self-examinations. She tells the nurse that she believes that mammograms do a much better job than I ever could to find a lump. The nurse should explain to her that:"
Answers: mammography may not detect all palpable lumps.
breast self-examination is unnecessary until the age of 50 years.
"she is correct, mammography is a good replacement for breast self-examination."
she doesn t need to perform breast self-examination as long as a physician checks her breasts yearly.
Question 69
1.5 out of 1.5 points
The nurse is performing an assessment on a preschool aged client. Which method will aid in the ability to gather needed data?
Answers: Allow the child to touch or try equipment before the exam
Explain all the abnormalities you might find
Ask the mother to leave the room
Tell the child they must cooperate
Question 70
1.5 out of 1.5 points
On auscultating lung sounds in the adult client, the nurse documents which finding as normal?
Answers: Bronchial sounds heard over the trachea and larynx
Bronchovesicular sounds heard over the majority of the lung fields posteriorly
Vesicular sounds near the sternal border bilaterally
Tracheal sounds over the periphery of the lung fields
Question 71
1.5 out of 1.5 points
A nurse is inspecting the ear canal of an adult client. Which is the best method to move the pinna in order to straighten the ear canal to better visualize the area?
Answers: There is no need to move the pinna
Gently pull the pinna up and back
Gently pull the pinna down and back
Pull the pinna horizontal to the side of the head
Question 72
1.5 out of 1.5 points
What area would the nurse listen to if wishing to listen to the tricuspid valve area?
Answers: Area 1
Area 2
Area 3
Area 4
Area 5
Question 73
1.5 out of 1.5 points
The nurse noted a protrusion of the sternum and adjacent costal cartilage. Choose the correct term.
Answers: Pectus carinatum
Barrel Chest
Pectus excavatum
Kyphosis
Question 74
1.5 out of 1.5 points
A client’s respirations are 8. How could these respirations be documented?
Answers: Apneic
Eupneic
Tachypneic
Bradypneic
Question 75
1.5 out of 1.5 points
The nurses assesses the posterior tibial pulse by lightly palpating in which location?
Answers: Behind the knee in the popliteal fossa
The inner aspect of the ankle below and slightly behind the medial malleolus
Over the dorsum of the foot between the extensor tendon of the 1st and 2nd toe
The outer aspect of the ankle below and slightly behind the lateral malleolus
Question 76
1.5 out of 1.5 points
What risk factors for osteoporosis?
Answers: Smoking
Steroid use
Heavy bone structure
Being Caucasian
Male gender
Question 77
1.5 out of 1.5 points
The nurse is assessing an adult who has a pulse rate of 180 beats/minute. Which condition would the nurse document?
Answers: Tachycardia
Pulse amplitude
Bradycardia
Arrythmia
Question 78
1.5 out of 1.5 points
A woman who is 8 months pregnant comments that she has noticed a change in posture and is having lower back pain. The nurse tells her that during pregnancy women have a posture shift to compensate for the enlarging fetus. This shift in posture is known as:
Answers: Lordosis
Scoliosis
Ankylosis
Kyphosis
Question 79
1.5 out of 1.5 points
The nurse is aware that a change that may occur in the gastrointestinal system of an aging adult is:
Answers: decreased gastric acid secretion
increased salivation
megacolon
increased esophageal emptying
Question 80
1.5 out of 1.5 points
What is the purpose of the side to side pattern used during respiratory assessment?
Answers: Prevent fatiguing the client
Tightly organize the assessment
Allow comparison of like areas of the lungs
Conserve time
Question 81
1.5 out of 1.5 points
"A nurse notes that a client has ascites, which indicates that which of the following is present?"
Answers: Fluid
Feces
Flatus
Fibroid tumors
Question 82
1.5 out of 1.5 points
What should the nurse do when there is difficulty eliciting a patellar reflex?
Answers: Strike the knee harder
Have the client use the reflex hammer on themselves
Have the client lock their fingers together and try to pull them apart
Keep trying to use the hammer in slightly different areas of the knee
Question 83
1.5 out of 1.5 points
The nurse documents that a client’s accommodation is normal when which situation occurs?
Answers: The client has peripheral vision of 90 degrees
The client’s eyes move up and down, side to side, and obliquely
The right pupil constricts when a light is shown in the left eye
The client’s pupils constrict when looking at a close object
Question 84
1.5 out of 1.5 points
"In assessing a patient s major risk factors for heart disease, which would the nurse want to include when taking a history?"
Answers: "Smoking, hypertension, obesity, diabetes, high cholesterol"
"Work history, hypertension, stress, age"
"Personality type, high cholesterol, diabetes, intense exercise"
"Sugar consumption, anorexia, diabetes, stress, high cholesterol"
Question 85
1.5 out of 1.5 points
The nurse is performing an abdominal assessment and inspects the skin on the abdomen. The nurse performs which assessment technique next?
Answers: Palpates the abdomen for size
Palpates the liver at the right rib margin
Listens to bowel sounds in all four quadrants
Percusses the right lower abdominal quadrant
Question 86
1.5 out of 1.5 points
A 30-year-old woman tells the nurse that she has been very unsteady and has had difficulty in maintaining her balance. Which area of the brain would the nurse be concerned about with these findings?
Answers: Cerebellum
Thalamus
Brainstem
Extrapyramidal tract
Question 87
1.5 out of 1.5 points
What is the part of the cardiac cycle in which the ventricles are contracting and pushing blood out of the chambers?
Answers: Systole
Diastole
Hypotension
Symptom
Question 88
1.5 out of 1.5 points
During an interview, the client answers questions quietly and appears sad. While answering questions about her marriage, she begins to cry. Which is the nurse’s appropriate response?
Answers: “Don’t cry. I’ll come back when you’ve settled down.”
“I only have a few more questions to go, then I’ll leave you alone for a while. ”
“Everyone has ups and downs in their marriage. What problems are you having?”
“I see that you are upset. Is there something you’d like to discuss?
Question 89
1.5 out of 1.5 points
"During report, the student nurse hears that a patient has hepatomegaly and recognizes that this term refers to a/an:"
Answers: enlarged liver.
enlarged stomach
distended bowels
excessive diarrhea
Question 90
1.5 out of 1.5 points
On performing a spinal assessment on your client, it is noted that the left shoulder is higher than the right and the right hip is higher than the left. What might this be related to?
Answers: Kyphosis
Lordosis
Scoliosis
Spondylosis
Question 91
1.5 out of 1.5 points
A client being assessed has been diagnosed with pneumonia. The nurse assesses for abnormal voice sounds and can clearly hear an “a” sound over the left lower lobe of the lung when the client says “e, e, e”. This is an example of an abnormal finding for which test?
Answers: Whispered pectoriloquy
Egophony
Bronchophony
Stridor
Question 92
1.5 out of 1.5 points
The nurse is performing the Romberg test. The nurse notes the findings are abnormal. Which client response occurred in this situation?
Answers: Client had minimal swaying
Client demonstrates lack of arm swing
Client moved his feet apart to steady himself
Client opened their eyes
Question 93
1.5 out of 1.5 points
What is a common change seen in geriatric clients?
Answers: Heart beat usually slows with age.
Skin thickens due to long term exposure to environment
Blood pressure increases due to decreased vessel elasticity
Depression
Question 94
1.5 out of 1.5 points
How will the nurse accurately palpate the carotid pulse?
Answers: Place two fingers of each hand firmly over the right and left temple at the same time
Place the fingers gently in the space between the triceps and biceps muscles, first one then the other
Palpate in the groove between the trachea and the right and left sternocleidomastoid muscles one at a time
Palpate firmly with two fingers in the inguinal area between the navel and the symphysis pubis
Question 95
1.5 out of 1.5 points
"To assess the dorsalis pedis artery, the nurse would palpate:"
Answers: lateral to the extensor tendon of the great toe.
behind the knee.
over the lateral malleolus.
in the groove behind the medial malleolus.
Question 96
1.5 out of 1.5 points
The nurse asks the client to bend the ankle so the toes aim towards the nose. The nurse is assessing the client’s ability to perform what action?
Answers: Inversion
Dorsiflexion
Plantar flexion
Eversion
Question 97
1.5 out of 1.5 points
A nurse is conducting health screening for osteoporosis. Which of the following clients is at greatest risk for developing this disorder?
Answers: A sedentary 65 year old woman who smokes cigarettes.
A 25 year old woman who jogs
a 36 year old man who has asthma
A 70 year old man who consumes excess alcohol
Question 98
1.5 out of 1.5 points
"During an assessment, the nurse notes that a patient s left arm is swollen from the shoulder down to the fingers, with nonpitting edema. The right arm is normal. The patient had a mastectomy 1 year ago. The nurse suspects which problem?"
Answers: Lymphedema
Venous stasis
Arteriosclerosis
Deep vein thrombosis
Question 99
1.5 out of 1.5 points
What would be the best approach for the nurse to use when performing a functional assessment of an older client?
Answers: Observe the client’s ability to perform the tasks
Ask the client’s wife how they do when performing tasks
Review the medical record for information of the client’s abilities
Ask the client’s physician for information on the client’s abilities
Question 100
0 out of 1.5 points
A nurse is interviewing a client who was diagnosed with type 2 diabetes mellitus 6 months ago however the client has gained more weight and the blood glucose levels remain high. The nurse suspects that the client is non-compliant with their diet. Which response by the nurse would enhance data collection in this situation?
Answers: “Tell me, how have you managed with your diet for these past few months?”
“You do want to learn how to reduce your blood sugar levels, don’t you?
“You need to follow what the doctor has prescribed for you in order to get better.”
“Don’t you know anything about diabetes?” [Show Less]