Exam (elaborations)
NURS 210 - Physical Assessment Exam 2.
- Module
- JURISPRUDENCE EXAM
- Institution
- JURISPRUDENCE EXAM
NURS 210 - Physical Assessment Exam 2.
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NURS 210 - Physical Assessment Exam 2A 42 year old female patient come to the clinic with complaints of pain behind the right
ear. The nurse notes that the right side of the face is paralyzed including inability to
wrinkle forehead, raise eyebrow, close eye, whistle or show teeth. The nurse suspects: -
ANS-D.
Bell's palsy (cranial nerve VII paralysis)
Describe the technique for auscultating the abdominal aorta
A.
Place the bell of the stethoscope lightly on the skin about 2 inches superior to the
umbilicus
B.
Place the diaphragm firmly on the skin halfway between the umbilicus and the groin on
the right and left sides.
C.
Place the bell of the stethoscope lightly on the skin at the mid line, 2 inches below the
umbilicus.
D.
Place the diaphragm of the stethoscope firmly on the skin about 2 inches superior to the
umbilicus - ANS-a
How will the nurse assess for visible thyroid enlargement? - ANS-.
Note a lump or diffuse enlargement of the thyroid at the base of the neck
How will the nurse check for strabismus in an infant or child?
A.
Perform the corneal light reflex test.
B.
Perform the pupillary light reflex test.
C.
Inspect the external ocular structures
D.
Perform the confrontation test. - ANS-a
How will the nurse document a small round, "punched-out" ulcer with a white base
surrounded by a red halo?
A.
, Carcinoma
B.
Candidiasis
C.
Herpes simplex 1
D.
Aphthous Ulcers - ANS-d
How will the nurse document the contour of a distended abdomen? - ANS-Protuberant
How will the nurse test the patency of each notril?
A.
Have the patient close the lips and breath in and out through the nose.
B.
Push the nasal wing of one nare shut with the finger while asking the person to smell a
lemon.
C.
Push the nasal wing of one nare shut with the finger while asking the person to breath
out through the other nare.
D.
Push the nasal wing of one nare shut with the finger while asking the person to sniff
inward. - ANS-c
Identify etiologies of an everted umbilicus
A.
ascites
B.
pregnancy
C.
distended bowel loops
D.
underlying mass - ANS-a
b
d
Increasing the amplitude of your voice will improve communication with an elderly
patient experiencing prebycusis - ANS-False
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