NSG 6020 Midterm Exam – Question with Answers, Quizzes of Nursing

Download NSG 6020 Midterm Exam – Question with Answers and more Quizzes Nursing in PDF only on Docsity! NSG 6020 Midterm Exam – Question with Answers 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 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. 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. 3.Myocardial infarction 4.Heart failure ANS:  4 Heart failure causes decreased cardiac output when the heart fails as a pump and the circulation becomes backed up and congested. Signs and symptoms: dyspnea, orthopnea, paroxysmal nocturnal dyspnea, decreased blood pressure, dependent, pitting edema; anxiety; confusion; jugular vein distention; fatigue. The S3 may be the earliest sign of heart failure. 21. Primary muscles of respiration include: Diaphragm & intercostals 22. A patient comes into the clinic complaining of pain in her right eye. On examination, the nurse sees a pustule at the lid margin that is painful to touch, red, and swollen. The nurse recognizes that this is A hordeolum (style). 23. During an examination of a patient’s abdomen, the nurse practitioner notes that the abdomen is rounded and firm to the touch. During percussion, the nurse practitioner notes a drum-like quality of the sound across the quadrants. This type of sound indicates: constipation.       air-filled areas.       the presence of a tumor.       the presence of dense organs. 24. In preforming auscultation of heart sounds, which sequence would the nurse use? aortic area -- pulmonic area -- erb's point -- tricuspid -- mitral 25. A patient comes into the emergency department after an accident at work. A machine blew dust into his eyes and he was not wearing safety glasses. The nurse examines his corneas by shining a light from the side across the cornea. What findings would suggest that he has suffered a corneal abrasion? A shattered look to the light rays reflecting off the cornea 26. 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 could have either a sensorineural or a conductive loss.              Explanation:  It is necessary to perform the Weber and Rinne tests to determine the type of loss. With conductive loss, sound lateralizes to the “poorer” ear owing to background room noise. With sensorineural loss, sound lateralizes to the “better” ear or unaffected ear. 27. During an examination of a female patient, the nurse practitioner notes lymphadenopathy and suspects an acute infection. Acutely infected lymph nodes would be:  Firm but freely moveable 28. Which of the following statements best describes the purpose of a health history? The purpose of the health history is to collect subjective data—what the person says about him or herself.  29. The physician reports that a patient has a tracheal shift. The nurse practitioner is aware that this means that the patient’s trachea is: The trachea is pushed to the unaffected side with an aortic aneurysm, a tumor, unilateral thyroid lobe enlargement, and pneumothorax. 30. The nurse practitioner is examining a 2-year-old child and asks, “May I listen to your heart now?” Which critique of her technique is most accurate? Children at this age like to say “No.” The examiner should not offer a choice when there is none. 31. A patient tells the nurse practitioner that he is very nervous, that he is nauseated, and that he “feels hot.” This type of data would be: Subjective 32. 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 conductive hearing loss in the right ear 33. During an admission assessment, the nurse practitioner notices that a male patient has an enlarged and rather thick skull. The nurse practitioner suspects acromegaly and would further assess for Coarse facial features 34. A patient’s thyroid is enlarged, and the nurse practitioner is preparing to auscultate the thyroid for the presence of a bruit. A bruit is  35. While performing a well-child assessment on a 5-year-old, the nurse practitioner notes the presence of palpable, bilateral, cervical, and inguinal lymph nodes. They are approximately 0.5 cm in size, round, mobile, and nontender. The nurse practitioner suspects that this: Normal finding 36. 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? 37. During an examination of a patient in her third trimester of pregnancy, the nurse practitioner notices that the patient’s thyroid gland is slightly enlarged. No enlargement had been noted previously. The nurse practitioner suspects that The thyroid gland enlarges slightly during pregnancy owing to hyperplasia of the tissue and increased vascularity.