NR302 / NR-302 Exam 2 (Latest Update 2024 /
2025): Health Assessment | Complete Guide with
Questions and Verified Answers | 100% Correct -
Chamberlain
The examiner is preparing to examine the lymph nodes of a 38-year-old client. Which of the findings
should be reported to the care provider as being abnormal?
firm, matted nodes
The examiner sees an opening in the roof of the mouth. Which documentation entry reflects this
observation correctly?
The exudate is present in both tonsils.
The uvula is displaced to the right.
There is a 2 cm ulceration located in the left buccal mucosa.
There is a 2 cm opening in the posterior palate.
there is a 2cm opening in the posterior palate
an infant should be able to turn their head side to side by
2 weeks
The examiner is planning to assess the mouth of an adult client. What should be done first?
Have the client cough.
Place the client in a supine position.
Ask the client to swish with mouthwash.
Don gloves.
don gloves
The nurse is demonstrating palpation of the sinuses to a group of nursing students. Which statement
made by the students requires follow-up by the nurse?
"The ethmoid sinuses of a client are usually very large and easily accessible for palpation."
"The frontal sinuses are assessed by palpating the bony ridge above the eyes."
"Complaints of tenderness during palpation by the client may indicate sinus infection."
"The maxillary sinuses are assessed by palpating the bony ridge beneath the eye."
"The ethmoid sinuses of a client are usually very large and easily accessible for palpation."
,.
select the findings that an examiner should consider abnormal in the mouth during a physical exam
dry mucous membranes
pink mucous membrane
lesion on the tongue
uvula midline
dental caries
tongue midlines
bleeding gums
tonsils +0
tonsils +3
dry mucous membrane
lesion on the tongue
dental caries
bleeding gums
tonsils +3
A client is a long-time user of chewing tobacco. Drag and drop the single most important education
topic that the examiner should discuss with the client.
oral cancer
Which statement made by the client regarding head and neck care should be corrected by the examiner?
"If I notice a large lump on my neck, I should call a provider."
"I should floss and brush my teeth."
"Bike helmets are required only for children."
"I should wear proper mouth protection when playing football."
"bike helmets are required only for children."
Which conditions contribute to the development of a goiter?
Asthma and bronchitis
Hyperthyroidism and hypothyroidism
Tonsillitis and strep throat
Allergies and sinusitis
hyperthyroidism and hypothyroidism
select the assessment data the nurse would expect to find in a client with hypothyroidism:
weakness
diarrhea
goiter
weight loss
,dry skin
fast heart rate
fatigue
constipation
heat sensitivity
weakness
goiter
dry skin
fatigue
constipation
A client with hypothyroidism reports difficulty with activities of daily living and being "too tired to do
anything."
Which nursing diagnosis would be most appropriate when planning interventions for this client?
Fatigue related to role demands
Depression related to fatigue
Altered nutrition: More than body requirements related to excessive intake
Activity intolerance related to fatigue
activity intolerance related to fatigue
A client with hypothyroidism asked the nurse why the physician ordered levothyroxine for them. Which
response provided by the nurse is correct?
Levothyroxine decreases inflammation.
Levothyroxine increases thyroid stimulating hormone (TSH) levels.
Levothyroxine dissolves the goiter.
Levothyroxine replaces the missing hormones.
levothyroxine replaces the missing hormone
Which outcome would be appropriate for a client being treated with levothyroxine for hypothyroidism
who has been discharged to home?
The client states they will call the physician for daily check-ups.
The client states that the levothyroxine dosage may have to be adjusted.
The client will increase their daily intake of table salt.
The client will demonstrate how to check their neck for masses.
the client states that the levothyroxine dosage may have to be adjusted.
A nurse cares for a 25-year-old client who is diagnosed with Hashimoto's thyroiditis. The client asks,
"What does this mean?" How should the nurse respond correctly?
"This is an autoimmune disease that damages the thyroid."
"You will develop hyperthyroidism as you get older."
, "This is a genetic disease that causes the thyroid to stop secreting thyroid stimulating hormone (TSH)."
"It is a type of cancer that effects the thyroid."
"This is an autoimmune disease that damages the thyroid."
in a client with hypothyroidism, the nurse would expect to find ______ edema, ______ skin, and weight
______
facial
dry
gain
select the supplements and medications that interfere with levothyroxine:
iron
vitamin d
calcium
multivitamins
antihistamines
antacids
laxatives
biotin
vitamin c
iron
calcium
multivitamins
antacids
biotin
Which are the expected laboratory findings for a client with hypothyroidism? Select all that apply.
High T4
High T3
Low T4
High TSH
Low TSH
low T4
high TSH
A client is newly diagnosed with hypothyroidism. The nurse is providing education to the client about
this disease process. Which statement made by the client indicates comprehension of the education
about this condition?
"The only treatment for me is a thyroidectomy."
"If I stop using salt, I can cure my hypothyroidism."
"Complications from hypothyroidism can lead to arrhythmias."
"Untreated severe hypothyroidism can cause a coma.""
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