6020 MidTerm 74Questions And Answers,Latest Update Best Exam Solution Correctly, Exams of Nursing

Download 6020 MidTerm 74Questions And Answers,Latest Update Best Exam Solution Correctly and more Exams Nursing in PDF only on Docsity! 6020 MidTerm 74Questions And Answers,Latest Update Best Exam Solution Correctly> A patient tells the nurse that she has had abdominal pain for the past week. What would be the best response by the nurse? - Correct answer"Can you point to where it hurts?" A patient's laboratory data reveal an elevated thyroxine level. The nurse would proceed with an examination of the: - Correct answerThyroid 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? - Correct answerAuscultate the lungs and heart while the infant is still sleeping When preparing to examine a 6-year-old child, which action is most appropriate? - Correct answerStart 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. 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: - Correct answerShe may have macular degeneration 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 - Correct answer3. Smoking, hypertension, obesity, diabetes, high cholesterol 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: - Correct answera pneumothorax 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? - Correct answerThe 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. 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. - Correct answer2. build rapport and increase the patient's confidence in the examiner. In assessing the sclera of a black patient, which of the following would be an expected finding? - Correct answerThe presence of small brown macules on the sclera During an examination, the nurse knows that the best way to palpate the lymph nodes in the neck is described by which statement? - Correct answerUsing gentle pressure, palpate with both hands to compare the two sides. 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?" - Correct answer1. "Do you perform testicular self-exams?" When examining a 16-year-old male teenager, the examiner should: - Correct answerprovide feedback that his body is developing normally and discuss the wide variation among teenagers on the rate of growth and development. Which of the following statements regarding the aging adult and abdominal assessment is true? - Correct answerthe abdominal musculature is thinner 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. - Correct answer4. Patient denies measles, mumps, rubella, chickenpox, pertussis, or strep throat. What is responsible for the inspiratory splitting of S2? - Correct answerClosure of aortic, then pulmonic valves A 25-year-old optical technician comes to your clinic for evaluation of fatigue. As part of your physical examination, you listen to her heart and hear a murmur only at the cardiac apex. Which valve is most likely to be involved, based on the location of the murmur? - Correct answerMitral A 58-year-old teacher presents to your clinic with a complaint of breathlessness with activity. The patient has no chronic conditions and does not take any medications, herbs, or supplements. Which of the following symptoms is appropriate to ask about in the cardiovascular review of systems? - Correct answerOrthopnea You are screening people at the mall as part of a health fair. The first person who comes for screening has a blood pressure of 132/85. How would you categorize this? - Correct answerPrehypertension You are evaluating a 40-year-old banker for coronary heart disease risk factors. He has a history of hypertension, which is well-controlled on his current medications. He does not smoke; he does 45 minutes of aerobic exercise five times weekly. You are calculating his 10-year coronary heart disease risk. Which of the following conditions is considered to be a coronary heart disease risk equivalent? - Correct answerPeripheral arterial disease You are conducting a workshop on the measurement of jugular venous pulsation. As part of your instruction, you tell the students to make sure that they can distinguish between the jugular venous pulsation and the carotid pulse. Which one of the following characteristics is typical of the carotid pulse? - Correct answerPalpable A 68-year-old mechanic presents to the emergency room for shortness of breath. You are concerned about a cardiac cause and measure his jugular venous pressure (JVP). It is elevated. Which one of the following conditions is a potential cause of elevated JVP? - Correct answerConstrictive pericarditis You are palpating the apical impulse in a patient with heart disease and find that the amplitude is diffuse and increased. Which of the following conditions could be a potential cause of an increase in the amplitude of the impulse? - Correct answerAortic stenosis, with pressure overload of the left ventricle You are performing a cardiac examination on a patient with shortness of breath and palpitations. You listen to the heart with the patient sitting upright, then have him change to a supine position, and finally have him turn onto his left side in the left lateral decubitus position. Which of the following valvular defects is best heard in this position? - Correct answerMitral You are concerned that a patient has an aortic regurgitation murmur. Which is the best position to accentuate the murmur? - Correct answerUpright, but leaning forward Where is the point of maximal impulse (PMI) normally located? - Correct answerIn the left 5th intercostal space, 7 to 9 cm lateral to the sternum Which of the following events occurs at the start of diastole? - Correct answerClosure of the aortic valve Which is true of a third heart sound (S3)? - Correct answerIt is caused by rapid deceleration of blood against the ventricular wall. Which is true of splitting of the second heart sound? - Correct answerIt is best heard over the pulmonic area with the bell of the stethoscope In healthy adults over 20, how often should blood pressure, body mass index, waist circumference, and pulse be assessed, according to American Heart Association guidelines? - Correct answerEvery 2 years You find a bounding carotid pulse on a 62-year-old patient. Which murmur should you search out? - Correct answerAortic insufficiency To hear a soft murmur or bruit, which of the following may be necessary? - Correct answerAsking the patient to hold her breath Make sure the room is quiet when you perform the assessment Checking your stethoscope for air leaks (ALL) Which of the following may be missed unless the patient is placed in the left lateral decubitus position and auscultated with the bell? - Correct answerMitral stenosis murmur Opening snap of the mitral valve S3 and S4 gallops (all) How should you determine whether a murmur is systolic or diastolic? - Correct answerPalpate the carotid pulse. You are listening carefully for S2 splitting. Which of the following will help? - Correct answerUsing the bell with light pressure over the 2nd left intercostal space A 78-year-old retired seamstress comes to the office for a routine check-up. She was obtained an ECG (electrocardiogram) because of her history of hypertension. She was diagnosed of a myocardial infarction, You ask her if she had any symptoms related to this. Which of the following symptoms would be more common in this patient's age group for an myocardial infarction? - Correct answerSyncope A patient comes to the emergency room for evaluation of shortness of breath. To which anatomic region would you assign the symptom? - Correct answerCardiac patient presents for evaluation of a cough. Which of the following anatomic regions can be responsible for a cough? - Correct answerCardiac You are assessing a patient with joint pain and are trying to decide whether it is inflammatory or noninflammatory in nature. Which one of the following symptoms is consistent with an inflammatory process? - Correct answerTenderness A 19-year-old college sophomore comes to the clinic for evaluation of joint pains. The student has been back from spring break for 2 weeks; during her holiday, she went camping. She notes that she had a red spot, shaped like a target, but then it started spreading, and then the joint pains started. She used insect repellant but was in an area known to have ticks. She has never been sick and takes no medications routinely; she has never been sexually active. What is the most likely cause of her joint pain? - Correct answerLyme disease A 28-year-old graduate student comes to your clinic for evaluation of pain "all over." With further questioning, she is able to relate that the pain is worse in the neck, shoulders, hands, low back, and knees. She denies swelling in her joints; she states that the pain is worse in the morning; there is no limitation in her range of motion. On physical examination, she has several points on the muscles of the neck, shoulders, and back that are tender to palpation; muscle strength and range of motion are normal. Which of the following is likely the cause of her pain? - Correct answerFibromyalgia A high school soccer player "blew out his knee" when the opposing goalie's head and shoulder struck his flexed knee while the goalie was diving for the ball. All of the following structures were involved in some way in his injury, but which of the following is actually an extra-articular structure? - Correct answerTendons Louise, a 60-year-old, complains of left knee pain associated with tenderness throughout, redness, and warmth over the joint. Which of the following is least helpful in determining if a joint problem is inflammatory? - Correct answerPain An infant presents with a heart rate of 180, a respiratory rate of 68, and an enlarged liver. What diagnosis does this suggest? - Correct answerHeart failure You are assessing an infant and notice that his nares flare, he has a soft grunt with each breath, and the skin between his ribs is pulled inward with inhalation. What is the significance of these findings? - Correct answerThese are indicative of respiratory distress. Which of the following correlates with a sustained, high-amplitude point of maximal impulse (PMI)? - Correct answerHypertension A 68-year-old woman with hypertension and diabetes is seen by the nurse practitioner for a dry cough that worsens at night when she lies in bed. She has shortness of breath, which worsens when she exerts herself. The patient's pulse rate is 90/min and regular.