6020 MidTerm NSG Exam Questions
and Answers
A patient tells the nurse that she has had abdominal pain for the past week.
What would be the best response by the nurse? - -"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: - -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? - -
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? - -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: - -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 - -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: - -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? - -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. - -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? - -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? - -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?" - -1. "Do you
perform testicular self-exams?"
-When examining a 16-year-old male teenager, the examiner should: - -
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? - -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.
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