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NURS 218 Exam 1 Questions 100% Solved.

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NURS 218 Exam 1 Questions 100% Solved. The two primary functions of the ovary are: - answerOvulation and hormone production. The uterus is a muscular, pear-shaped organ that is responsible for: - answerCycle menstruation. Unique muscle fibers make the uterine myometrium ideally suited for: - an...

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  • October 19, 2024
  • 144
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 218
  • NURS 218
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sirjoel
©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM



NUR 218 Exam 2 Questions 100% Solved.


Objective data can be gathered from the patient during which aspects of the physical assessment

process? (Select all that apply.)

a. Patient interview

b. Health history

c. General survey

d. Physical examination


e. Laboratory testing - answer✔a, b, c, d, e




Objective data consist of observed information or signs that can be collected during all stages of

the physical assessment process. Even while the patient is answering questions, providing

subjective data or symptom information, the nurse observes for physical signs of abnormalities

or impairment.

Which sequence best identifies the order in which the nurse should complete an abdominal

assessment?

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


a. Inspection, palpation, percussion, auscultation

b. Auscultation, inspection, palpation, percussion

c. Auscultation, palpation, percussion, inspection


d. Inspection, auscultation, palpation, percussion - answer✔Inspection, auscultation, palpation,

percussion




Assessment of the abdominal cavity requires auscultation to immediately follow inspection,

before palpation or percussion, to avoid stimulating the bowel and eliciting inaccurate

assessment results

During examination of a patient's neck with the bell of the stethoscope, the nurse identifies a

carotid bruit. When are bruits audible in the neck?

a. When jugular vein distention is present

b. During normal examination of the neck

c. When the carotid artery is partially occluded


d. With complete occlusion of both carotid arteries - answer✔When the carotid artery is partially

occluded

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


A bruit indicates blood flow turbulence and occurs with partial occlusion of a carotid artery by

atherosclerosis. Bruits are not associated with jugular vein distention and are an abnormal

assessment finding. Bruits will not be heard if the artery is 100% occluded or if the artery blood

flow is normal, without partial obstruction.

A nurse is preparing to auscultate a patient's chest. In which area should the nurse listen to

evaluate the patient's aortic valve?

a. Second right intercostal space

b. Third left intercostal space

c. Fifth right intercostal space


d. Fifth left intercostal space along the midclavicular line - answer✔Second right intercostal

space




The second intercostal space on the right is the auscultation point for the aortic valve. The

ventricles and pulmonic valve are located on the left. The point of maximal impulse (PMI) over

the mitral valve is located between the left fourth and fifth intercostal spaces.

Which assessment finding would be most important to document in a patient with known liver

disease who has a distended, taut abdomen?

a. Abdominal girth

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


b. Dentition condition

c. Benign cardiac murmurs


d. Daily ambulatory distance - answer✔Abdominal girth




Increasing abdominal girth may be due to ascites, which is potentially life-threatening and could

cause respiratory arrest if the ascitic fluid is not drained. Dentition condition and benign

murmurs are not directly associated with liver disease. The patient's condition may affect

ambulatory distance; however, it is not the most important assessment finding listed.

The nurse notes the presence of ptosis when assessing an adult patient's eyes. Which potential

cause would be considered of most concern, requiring further evaluation as soon as possible?

a. Loss of skin elasticity

b. Levator muscle weakness

c. Congenital ocular abnormality


d. Oculomotor cranial nerve III paralysis - answer✔Oculomotor cranial nerve III paralysis




Oculomotor nerve paralysis may indicate the presence of a larger neurologic problem that

requires further investigation as soon as possible. Loss of skin elasticity and muscle weakness

may be due to aging, and congenital ptosis does not require immediate attention in an adult.

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