NUR 235 Health Assessment Exam 3 Practice Questions and Correct Answers
0 view 0 purchase
Course
NUR 235
Institution
NUR 235
What are the characteristics of lymph nodes in patients who have an acute infection? a. The lymph nodes are enlarged & tender. b. The lymph nodes are hard, fixed, & painless. c. The lymph nodes are soft, mobile, & painless. d. The lymph nodes are tender, fixed, & matted a. The lymph nodes are enlar...
NUR 235 Health Assessment Exam 3
Practice Questions and Correct Answers
What are the characteristics of lymph nodes in patients who have an acute infection?
a. The lymph nodes are enlarged & tender.
b. The lymph nodes are hard, fixed, & painless.
c. The lymph nodes are soft, mobile, & painless.
d. The lymph nodes are tender, fixed, & matted ✅a. The lymph nodes are enlarged &
tender.
How does the nurse assess a patient's consensual reaction?
a. By touching the cornea with a small piece of sterile cotton & observing the change in
pupil size.
b. By observing the patient's pupil size when she/he looks at an object 2 to 3 feet away
and then looks at an object 6 to 8 inches away.
c. By shining a light into the patient's right eye & observing the pupillary reaction of the
left eye.
d. by covering one eye with a card and observing the pupillary reaction when the card is
removed. ✅c. By shining a light into the patient's right eye & observing the pupillary
reaction of the left eye.
Which technique is used for palpating lymph nodes?
a. Apply firm pressure over the nodes with the pads of the fingers.
b. Apply gentle pressure over the nodes with the tips of the fingers.
c. Apply firm pressure anterior to the nodes with the tips of the fingers.
d. Apply gentle pressure over the nodes with the pads of the fingers. ✅d. Apply gentle
pressure over the nodes with the pads of the fingers.
The nurse observes tonsils that are erythematous with white exudate. The tonsils are
enlarged and displace the uvula as they touch each other. The rating of the tonsils
would be documented as:
a. 1+ bilaterally
b. 2+ bilaterally
c. 3+ bilaterally
d. 4+ bilaterally ✅d. 4+ bilaterally
During symptom analysis, the nurse helps the patient distinguish between dizziness and
vertigo. Which description by the patient indicated vertigo?
a. I felt faint, like I was going to pass out.
b. I just could not keep my balance when I sat up.
c. It seemed as if the room was spinning around.
d. I was afraid that I was going to lose consciousness. ✅c. It seemed as if the room
was spinning around.
,Which of the following is characteristic of lymph nodes associated with acute infection?
Select all that apply.
a. firm
b. soft
c. small
d. fixed
e. freely moveable
f. enlarged ✅b. soft
e. freely moveable
f. enlarged
What does EOMI stand for?
a. extranous ocular movements intact
b. extraocular movements intact
c. early onset myocardial infarction ✅b. extraocular movements intact
Which type of hearing loss may occur with cerumen impaction?
a. Conductive hearing loss
b. Mixed hearing loss
c. Sensorineural hearing loss ✅a. Conductive hearing loss
Which of the following is characteristic of lymph nodes associated with malignancy?
Select all that apply.
a. fixed
b. soft
c. hard
d. tender
e. nontender
f. freely moveable ✅a. fixed
c. hard
e. nontender
What does PERRLA stand for?
a. Pupils Equate Reactivity Right Light Accommodation
b. Pupillary Even Retaining Round Light Accommodation
c. Pupils Equal Round Reactive Light Accommodation ✅c. Pupils Equal Round
Reactive Light Accommodation
Which of the following best describes adduction of the hip or shoulder?
a. Turning a body part toward the midline
b. Moving a limb away from the body
c. Moving a limb toward the body and swinging across the front of the body
d. Turning a body part away from the midline ✅c. Moving a limb toward the body and
swinging across the front of the body
, After assessing a patient's eyes, all expected findings are observed. How should the
nurse document these findings?
a. PERRLA
b. PELA
c. PERLA
d. PRLLA ✅a. PERRLA
A forward curvature in the thoracic spine is known as which of the following?
a. kyphosis
b. spondylitis
c. lordosis
d. scoliosis ✅a. kyphosis
Which of the following hold bones to bones?
a. Cartilage
b. Tendons
c. Fascia
d. Ligaments ✅d. Ligaments
The "white" of the eye is called the ______.
a. uvea
b. sclera
c. iris
d. cornea ✅b. sclera
Where are the frontal sinuses located?
a. above the eyebrows
b. under the supraorbital ridges
c. behind the ears
d. under the chin ✅a. above the eyebrows
The examiner shines a penlight on a patient's left pupil. Which immediate response is
expected with the right pupil?
a. Pupil fixation
b. No response
c. Pupil constriction
d. Pupil dilation ✅c. Pupil constriction
The cracking noise heard in a patient's joint with movement is known as which of the
following?
a. External rotation
b. Crepitus
c. Tendonitis
d. Gout ✅b. Crepitus
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller twishfrancis. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
