NUR 2092 HEALTH Final Exam Questions with Answers Graded A 2023 Latest Updated, Exams of Nursing

Download NUR 2092 HEALTH Final Exam Questions with Answers Graded A 2023 Latest Updated and more Exams Nursing in PDF only on Docsity! NUR 2092 HEALTH Final exam QUESTIONS WITH ANSWERS GRADED A 2023 LATEST UPDATED 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 0 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. Ans wers Identify which reflex is being tested in this picture. Ans wer s : 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? Ans wer s : 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:" Ans wer s : 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 takes several minutes to resolve. How would the nurse document this finding? Ans wer s : 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?" Ans wer s : The client complains of itching The client s skin feels warm to the touch The client is scratching his arm 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 0 out of 1.5 points The Glasgow Coma Scale is used to grade neurological responses to which three parameters? Ans wer s : Eye opening, verbal response, motor response Verbal response, pain response, reflexes Pupil response, motor response, reflexes Mot or movement and strength, reflexes, pupillary size and reaction Question 14 1.5 out of 1.5 points 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? Ans wer s : “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? Ans wer s : NUR 2092 HEALTH Final exam QUESTIONS WITH ANSWERS GRADED A 2023 LATEST UPDATED 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 0 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. Ans wers Identify which reflex is being tested in this picture. Ans wer s : 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? Ans wer s : 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:" Ans wer s : 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 takes several minutes to resolve. How would the nurse document this finding? Ans wer s : 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?" Ans wer s : The client complains of itching The client s skin feels warm to the touch The client is scratching his arm 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 0 out of 1.5 points The Glasgow Coma Scale is used to grade neurological responses to which three parameters? Ans wer s : Eye opening, verbal response, motor response Verbal response, pain response, reflexes Pupil response, motor response, reflexes Mot or movement and strength, reflexes, pupillary size and reaction Question 14 1.5 out of 1.5 points 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? Ans wer s : “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? Ans wer s : Ens urin g the roo m is temperature controlled Closing the door and curtain Washing your hands Asking the client to give their name and date of birth Question 19 : 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? Ans wer s : Present illness Allergies to medications Maternal Diseases Name and date of birth Question 23 0 out of 1.5 points The client has stiffness and fixation of a joint. Choose the correct term for this. Ans wer s : 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: Ans wer s : side-to-side comparison. top-to-bottom comparison. posterior- to-anterior comparison. interspace-by-interspace comparison. Question 25 0 out of 1.5 points 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? Ans wer s : 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? Ans wer s : Nail bed pressure Sternal rub Pressure on the orbital rim Squ eezing 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:" Ans wer s : 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 : 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? Ans wer s : 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? Ans wer s : Flexion and extension Circumduction and external rotation Adduction and rotation Flex ion 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? Ans wer s : Active ROM (range of motion) Myalgia What does thoracic expansion assess? Ans wer s : 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? Ans wer s : Optic nerve, cranial nerve II Facial nerve, cranial nerve VII Trigeminal nerve, 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? Ans wer s : Pup ils equ al, rou nd, reac tion to ligh t and acc om mod atio n Question 43 0 out of 1.5 points The nurse has determined that the client’s bowel sounds are normal. What sounds did the nurse hear? Ans wer s : 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? Ans wer s : “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 gast roin testi nal blee ding 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? Ans wer s : Adduction Abduction Annulus Anthropometrics Question 50 1.5 out of 1.5 points Ans wer s : 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? Ans wer s : 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? Ans wer s : 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? Ans wer s : 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 Wh en IPV is susp ected 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 0 out of 1.5 points What would the nurse expect to note when assessing a lesion diagnosed as malignant melanoma? Ans wer s : An asy mm etric blac k lesi on A sma ll pap ule with a dry, roug h scal e 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? Ans wer s : White women Black Men Black Women American Indian men Question 61 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: Ans wer s : constriction of both pupils occurs in response to bright light the eyes converge to focus on the light ligh t is refl ected 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? Ans wer s : A brownish discoloration to the skin of the lower leg 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? Ans wer s : Orthopnea. Acute Emphysema. Paroxysmal Nocturnal Dyspnea. Acu te 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 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? Ans wer s : 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? Ans wer s : Area 1 Area 2 Area 3 Area 4 Area 5 Question 73 : 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 0 out of 1.5 points What risk factors for osteoporosis? Ans wer s : Smoking Steroid use Hea vy 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? Ans wer s : 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: Ans wer s : Lordosis Scoliosis Ankylosis Kyphosis Question 79 1.5 out of 1.5 points "A nurse notes that a client has ascites, which indicates that which of the following is present?" Ans wer s : Fluid Feces Flatus Fibroid tumors Question 82 0 out of 1.5 points What should the nurse do when there is difficulty eliciting a patellar reflex? Ans wer s : Stri ke the kne e hard er 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 0 out of 1.5 points The nurse documents that a client’s accommodation is normal when which situation occurs? Ans wer s : The client has peripheral vision of 90 degrees 0 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? Ans wer s : 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? Ans wer s : 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 : enlarged liver. enlarged stomach distended bowels excessive diarrhea Question 90 0 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? Ans wer s : Kyphosis Lordosis Scoliosis Spondylosis Question 91 0 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? Ans wer s : Whispered pectoriloquy Egophony Bronchophony Stridor Question 92