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6020 MidTerm Exam 2024/2025 Questions With Completed & Verified Solutions.

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NSG 6020

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South University

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a patient tells the nurse that she has had abdomin
when preparing to examine a 6 year old child whi
68 year old woman is in the eye clinic for a check

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6020 MidTerm

A patient tells the nurse that she has had abdominal pain for the past week. What would be the
best response by the nurse? - ANS "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: - ANS Thyroid

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? - ANS Auscultate the lungs and heart while the
infant is still sleeping

When preparing to examine a 6-year-old child, which action is most appropriate? - ANS 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.

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: - ANS She 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 - ANS 3. 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: - ANS a 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? - ANS 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.

, 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.
- ANS 2. 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? -
ANS The 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? - ANS Using 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?" - ANS 1. "Do you perform
testicular self-exams?"

When examining a 16-year-old male teenager, the examiner should: - ANS provide 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?
- ANS the 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. - ANS 4.
Patient denies measles, mumps, rubella, chickenpox, pertussis, or strep throat.

A patient's thyroid is enlarged, and the nurse is preparing to auscultate the thyroid for the
presence of a bruit. A bruit is a: - ANS soft, whooshing, pulsatile sound best heard with the bell
of the stethoscope.

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