Exam Review
- The nurse is teaching a group of unlicensed assistive personnel about the stethoscope. Which statements about the stethoscope are appropriate for the nurse to include in the teaching session? (Select all that apply.)(SATA)A)The diaphragm of the stethoscope is used for low-pitched sounds.B)The binaural should fit snugly in the ears.C)Short tubing provides the listener with the most accurate sounds.D)The bell of the stethoscope is used for high-pitched sounds, such as lung sounds.E)The stethoscope works by blocking out environmental sounds.
- A nurse is performing an admission assessment on a client. Which finding should the nurse identify as an indication that the client is dehydrated?A)Blood pressure 178/90 mm HgB)Low body temperatureC)Jugular vein distentionD)Skin tenting present
- A nurse is caring for a client who has contact dermatitis of the neck and upper chest. Which assessment data is an expected finding?A)Report of generalized joint discomfortB)Systemic symptoms including elevated temperatureC)Denial of pruritusD)Report of exposure to a skin irritant
- A nurse is assessing a client for manifestations of pain. Which finding is a subjective indicator of pain?A)The client is restless.B)The client's pupils are dilated.C)The client reports a burning sensation.D)The client is grimacing
Exam Review
- A nurse has been assigned four patients, of which one of the patients has impaired immobility. Which complications should the nurse expect as a result of gout? (Select the four options that apply.)(SATA)A)ErythemaB)HyperuricemiaC)PainD)Diarrhea
- To determine the quality and intensity of a cardiac murmur, the nurse would take which action?A)Use the bell of the stethoscopeB)Palpate the chest wall to feel the intensity of the murmurC)Use a Doppler ultrasound deviceD)Percuss the thorax cavity
- A nurse is preparing to administer valproic acid 400 mg PO bid for migraine headaches. Available is valproic acid 250 mg/5mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Correct Answer:8 mL
- A nurse is assessing a client's circulatory system. Which pulse site should the nurse avoid assessing bilaterally at the same time?A)CarotidB)RadialC)Brachial
Exam Review
- When a patient is unable to see objects at a distance, which term is used to document this finding?A)PresbyopiaB)AstigmatismC)HyperopiaD)Myopia
- A nurse is assessing a client for early manifestations of rheumatoid arthritis (RA). Which change is a manifestation of RA?A)NodulesB)FremitusC)Tenderness in soles of feetD)Joint swelling
- Which shape should the nurse expect a client's chest to be when assessing a client who has COPD?A)PigeonB)BarrelC)KyphoticD)Funnel
- Which lung sounds are expected?A)BronchovesicularB)BronchialC)DullnessD)Flatness
Exam Review
- Mrs. Britton is a 34-year-old patient who presents to the office with complaints of skin rashes. You have noted a group of lesions larger than 0.5 cm, with an elevated area of psoriasis. This is an example of a:A)PustuleB)MaculeC)PapuleD)Patch
- A nurse is caring for a client and observes that the client's urine is cloudy, has an unpleasant odor, and contains hematuria. The nurse should recognize that these findings are associated with which urinary problem?A)Urinary frequencyB)Urinary retentionC)Urinary incontinenceD)Urinary tract infection
- A client has dysfunction of the cochlear division of the vestibulocochlear nerve (cranial nerve VIII). The nurse should determine that the client is adequately adapting to this problem if he or she states a plan to obtain which item?A)A pulse oximeterB)A hearing aidC)EyeglassesD)A bath thermometer
- The nurse in the clinic is preparing to perform a physical assessment on a client who arrived for a routine check-up. Before beginning the assessment, which four activities should the nurse carry out? (Select all that apply.)A)Wash handsB)Provide patient privacyC)Obtain a provider healthcare orderD)Position the client comfortably on the sturdy examination tableE)Explain the procedure to the client
Exam Review
- A nurse is preparing to administer hydrocortisone 100 mg IM daily to a client. Available is hydrocortisone 250 mg/2 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth number. Use a leading zero if it applies. Do not use a trailing zero.)
- A nurse is preparing to administer 250 mg of an antibiotic IM. Available is 3 g/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
- A nurse is caring for a client who has a body mass index (BMI) of 26. The nurse should place the client in which BMI category?A)ObeseB)UnderweightC)OverweightD)Healthy weight
- To assess the tympanic membrane mobility, which instrument is most appropriate for the nurse to use?A)AudiometerB)OphthalmoscopeC)Pneumatic otoscopeD)Tuning fork
Exam Review
- Which finding should the nurse expect when assessing a client who is cyanotic?A)BradypneaB)Pale reddish color in the skinC)SomnolenceD)Mottled blue color in skin
- The nurse is unable to palpate the dorsalis pedis pulse on an older adult client. What would be most appropriate for the nurse to do next?A)Auscultate the anatomic area with a stethoscope.B)Use Doppler ultrasonography to locate the pulse.C)Document absence of dorsalis pedis pulse.D)Ask a provider to assess the pulse.
- A nurse is assessing a client's cranial nerves as part of a neurological examination. Which action should the nurse take to assess cranial nerve II?A)Assess visual acuityB)Elicit gag reflexC)Checking for pupillary response to lightD)Observing for facial symmetryE)Bradycardia
- A nurse is teaching about the risk factors of developing a stroke with a group of older adult clients. Which nonmodifiable risk factors should the nurse include in the teaching?A)ObesityB)RaceC)History of smokingD)History of hypertension