In obtaining a review of systems on a healthy 7-year-old girl, what should the health care
provider be sure to include?
a.
Last glaucoma examination.
b.
Frequency of breast self-examinations.
c.
Date of her last electrocardiogram.
d.
Limitations related to her involvement in sports activities. - ANS Limitations related to her
involvement in sports activities
Which of these interventions is most appropriate when the nurse is planning nutritional
interventions for a healthy, active 74-year-old woman?
A. Decreasing the amount carbs to prevent lean muscle catabolism
B. Increasing the amount of soy or tofu in her diet to promote bone growth and reverse
osteoporosis
C. Increasing the number of calories she is eating because of the increased energy needs of the
adult
D. Decreasing the number of calories she is eating because of the decrease in energy
requirements from the loss of lean body mass - ANS Decreasing the number of calories she is
eating because of the decrease in energy requirements from the loss of lean body mass
A student is late for his appointment and has rushed across campus to the health clinic. How
should the nurse proceed?
A. Allow 5 min for him to relax and rest before checking his vitals
B. Check the BP in both arms, expecting a difference in the readings because of his recent
exercise
C. Immediately monitor his vital signs on his arrival at the clinic and then 5 min later, recording
any differences
D. Check his BP in the supine position, which will provide a more accurate reading and will
allow him to relax at the same time - ANS Allow 5 min for him to relax and rest before checking
his vitals
The nurse is reviewing the principles of pain. Which type of pain is due to an abnormal
processing of the pain impulse through the peripheral or central nervous system?
A. Visceral
B. Referred
, C. Cutaneous
D. Neuropathic - ANS Neuropathic
When reviewing the concepts of health, the nurse recalls that the components of holistic health
include which of these?
A. Disease originates from the external environment
B. The individual human is a closed system
C. Nurses are responsible for a patient's health state
D. Holistic health views the mind, body and spirit as interdependent - ANS Holistic health views
the mind, body and spirit as interdependent.
The nurse just noted from a patient's medical record that the patient has a lesion that is
confluent in nature. What should the nurse find upon examination?
A. Lesions that run together
B. Annular lesions that have grown together
C. Lesions arranged in a line along a nerve route
D. Lesions that are grouped or clustered - ANS Lesions that run together
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. Tetracyclines for acne
B. Proton pump inhibitors for heartburn
C. Nonsteroidal anti-inflammatory drugs for pain
D. Thyroid replacement hormone for hypothyroidism - ANS Tetracyclines for acne
During an examination, the nurse finds that a patient has excessive dryness of the skin. How
should the nurse document this finding?
A. Xerosis
B. Pruritus
C. Alopecia
D. Seborrhea - ANS Xerosis
A patient has been admitted for severe psoriasis. The nurse expects to see what finding in the
patient's fingernails?
A. Pitting
B. Paronychia
C. Beau lines
D. Splinter hemorrhages - ANS Pitting
A mother and her 13-year-old daughter express their concern r/t the daughter's recent weight
gain and her increase in appetite. Which of these statement represents info the nurse should
discuss with them?
A. Dieting and exercising are necessary at this age
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