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Nurs 209 final exam all quiz questions
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Nurs 209 final exam all quiz questionsA 14 year old girl is anxious about not having reached menarche. When taking the
history, the nurse should ascertain which of the following? The age:
A. she began to develop breasts.
B. her mother developed breasts.
C. she began to develop pubic hair.
D. she began to develop axillary hair. - ANS-she began to develop breasts.
A 16 year old girl is being seen at the clinic for gastrointestinal complaints and weight
loss. The nurse determines that many of her complaints may be related to erratic eating
patterns, eating predominantly fast foods, and high caffeine intake. In this situation,
which is most appropriate when collecting current dietary intake information?
A. Schedule a time for direct observation of the adolescent during meals.
B. Ask the patient for a 24 hour diet recall and assume this is reflective of a typical day
for her.
C. Have the patient complete a food diary for 3 days, including 2 weekdays and 1
weekend day.
D. Use the food frequency questionnaire to identify the amount of intake of specific
foods. - ANS-Have the patient complete a food diary for 3 days, including 2 weekdays
and 1 weekend day.
A 2-year-old child has been brought to the clinic for a well-child check-up. The best way
for the nurse to begin the assessment is reflected by which statement?
A. Ask the parent to place the child on the examining table.
B. Have the parent remove all of the child's clothing before the examination.
C. Allow the child to keep a security object such as toy or blanket during the
examination.
D. Initially focus interactions on the child, essentially "ignoring" the parent until the
child's trust has been obtained. - ANS-Allow the child to keep a security object such as
toy or blanket during the examination.
A 21 year old woman has been on a low protein liquid diet for the past two months. She
has had adequate calories and appears well nourished. In further assessing her, what
would the nurse expect to find?
A. Poor skin turgor
B. Decreased serum albumin
C. Increased lymphocyte count
D. Triceps skin-fold less than standard - ANS-Decreased serum albumin
,A 22 year old woman comes to the clinic because of a severe sunburn and states, "I
was just out in the sun for a couple of minutes." The nurse begins a medication review
with her, paying special attention to which medication class?
A. Nonsteroidal anti-inflammatory drugs for pain
B. Tetracyclines for acne
C. Proton pump inhibitors
D. Thyroid replacement hormone for hypothyroidism - ANS-Tetracyclines for acne
A 25 year old man is seen in the clinic for an infection in his left foot. Which of these
findings should the nurse expect to see during an assessment of this patient?
A. Hard and fixed cervical nodes
B. Enlarged and tender inguinal nodes
C. Bilateral enlargement of the popliteal nodes
D. "Pellet-like" nodes in the supraclavicular region - ANS-Enlarged and tender inguinal
nodes
A 35 year old pregnant woman comes to the clinic for a monthly appointment. During
the assessment, the nurse notices that she has a brown patch of hyperpigmentation on
her face. The nurse continues the skin assessment aware that another finding may be:
A. Keratoses
B. Xerosis
C. Linea nigra
D. Acrochordons - ANS-Linea nigra
A 40 year old man has come to the clinic with complaints of "extreme tenderness in my
toes." The nurse notices that his toes are slightly swollen, reddended, and warm to the
touch. His complaints would suggest:
A. osteoporosis.
B. acute gout.
C. ankylosing spondylitis.
D. degenerative joint disease. - ANS-acute gout.
A 42 year old female patient complains that she has noticed several small, slightly
raised, bright red dots on her chest. On examination, the nurse expects that the spots
are probably:
A. Anasarca
B. Scleroderma
C. Cherry angiomas
D. Latent myeloma - ANS-Cherry angiomas
,A 50-year-old woman is in the clinic for weakness in her left arm and leg that she has
noticed for the past week. The nurse should perform which type of neurologic
examination?
A. Glasgow Coma Scale
B. Neurologic recheck examination
C. Screening neurologic examination
D. Complete neurologic examination - ANS-Complete neurologic examination
A 52 year old woman has a papule on her nose that has rounded, pearly borders and a
central red ulcer. She said she first noticed it several months ago and that it has slowly
grown larger. The nurse suspects which condition?
A. Acne
B. Basal cell carcinoma
C. Malignant melanoma
D. Squamous cell carcinoma - ANS-Basal cell carcinoma
A 6-month old infant has been brought to the well-child clinic for a check-up. She is
currently sleeping. What should the nurse do first when you beginning the examination?
A. Auscultate the lungs and heart while the infant is still sleeping.
B. Examine the infant's hips because the procedure is uncomfortable.
C. Begin with the assessment of the eye and continue with the remainder of the
examination in a head-to-toe approach.
D. Wake the infant before beginning any portion of the examination to obtain the most
accurate assessment of the body systems. - ANS-Auscultate the lungs and heart while
the infant is still sleeping.
A 65 year old patient is experiencing pain in his left calf when he exercises that
disappears after resting for a few minutes. The nurse recognizes that this description is
most consistent with _____ the left leg.
A. venous obstruction of
B. claudication due to venous abnormalities in
C. ischemia caused by partial blockage of an artery supplying
D. ischemia caused by complete blockage of an artery supplying. - ANS-ischemia
caused by partial blockage of an artery supplying
A 67 year old patient states he recently began to have pain in his left calf when climbing
the stairs to his apartment. This pain is relieved by sitting for about 2 minutes then he is
able to resume his activities. The nurse interprets that this patient is most likely
experiencing:
, A. claudication.
B. sore muscles.
C. muscle cramps.
D. venous insufficiency. - ANS-claudication.
A 90-year-old patient tells the nurse that he can't remember the names of the
medications he is taking or for what reason he is taking them. An appropriate response
from the nurse would be:
A. "Can you tell me what they look like?"
B. "Don't worry about it. You are only taking two medications."
C. "How long have you been taking each of the pills?"
D. "Would you have your family bring in your medications?" - ANS-Would you have
your family bring in your medications?"
A client is being seen in the clinic for complaints of "fainting episodes that started last
week". How should the nurse proceed with the examination?
A. Assess the clients blood pressure in both arms while the client is in a sitting position.
B. Assist the client to a lying position before assessing the blood pressure.
C. Record the client's blood pressure in the lying, sitting, and standing positions.
D. Assess the client's blood pressure in the lying and sitting positions and average
these numbers to obtain a mean blood pressure. - ANS-Record the client's blood
pressure in the lying, sitting, and standing positions.
A man has been admitted to the observation unit for observation after being treated for
a large cut on his forehead. As the nurse works through the interview, one of the
standard questions has to do with alcohol, tobacco, and drug use. When the nurse asks
him about tobacco use, he states, "I quit smoking after my wife died 7 years ago."
However, the nurse notices an open package of cigarettes in his shirt pocket. Using
confrontation, the nurse could say:
A. "I know that you are lying."
B. "Come on, tell me how much you smoke."
C. "I didn't realize your wife had died. It must be difficult for you at this time. Please tell
me more about that."
D. "You have said that you don't smoke, but I see you have an open package of
cigarettes in your pocket." - ANS-You have said that you don't smoke, but I see you
have an open package of cigarettes in your pocket."
A man has come in to the clinic for a skin assessment because he is afraid he might
have skin cancer. During the assessment the nurse notices several areas of
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