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    Exam Review

    1. Peripheral Vascular A 65-year-old patient is experiencing pain in his left calf when he exercises that disappears after resting for a few minutes. Choose the correct answer in the drop down menu to fill in the blank. The nurse recognizes that this description is most consistent with ▾ Claudication due to arterial abnormalities in the left leg.
      Dropdown 1:
      Option 1: Claudication due to arterial abnormalities in
      Option 2: Ischemia caused by a partial blockage of a vein supplying
      Option 3: Venous obstruction of
      Option 4: Ischemia caused by the complete blockage of an artery supplying
    2. A patient is reporting sharp pain along the costovertebral angles. What does this symptom most often indicate?
      A)
      Liver enlargement
      B)
      Spleen enlargement
      C)
      Ovarian infection
      D)
      Kidney inflammation
    3. A nurse is precepting a new graduate nurse on the telemetry unit. The new graduate nurse is preparing to perform an abdominal assessment on a hospitalized client without a history of gastrointestinal abnormalities. Click to indicate the corresponding number for each of the following assessment techniques in order of performance.
      1234
      Percussion✓
      Inspection✓
      Palpation✓
      Auscultation✓
    4. A patient comes into the clinic complaining of pain in her right eye. On examination, the nurse sees a pustule at the lid margin that is painful to touch, red, and swollen. The nurse recognizes that this is a:
      A)
      Blepharitis.
      B)
      Dacryocystitis.
      C)
      Chalazion
      D)
      Hordeolum (Stye)
    Page 1 of 10

    Exam Review

    1. A 70-year-old patient tells the nurse that he has noticed that he is having trouble hearing, especially in large groups. He says that he "can't always tell where the sound is coming from" and the words often sound "mixed up." What might the nurse suspect as the cause for this change?
      A)
      Nerve degeneration in the inner ear
      B)
      Cilia becoming coarse and stiff
      C)
      Scarring of the tympanic membrane
      D)
      Atrophy of the apocrine glands
    2. A nurse is precepting a new graduate nurse on the telemetry unit. The new graduate nurse is preparing to perform an abdominal assessment on a hospitalized client without a history of gastrointestinal abnormalities. The nurse preceptor reminds the new graduate nurse of normal and abnormal findings. Click to indicate whether the findings listed below are normal or abnormal.
      NormalAbnormal
      Tympany to percussion over the intestines✓
      Loose, watery stool✓
      Suprapubic tenderness
      A non-palpable spleen
      Aortic pulsation in the epigastric area
      Decreased bowel sounds
    3. A patient had abdominal surgery yesterday when auscultating his abdomen, you would expect to hear:
      A)
      High-pitched, tinkling sounds
      B)
      Normal bowel sound
      C)
      Hypoactive bowel sounds
      D)
      Hyperactive bowel sounds
    4. The nurse is describing how to perform a testicular self-examination to a patient. Which statement is most appropriate?
      A)
      "If you notice an enlarged testicle or a painless lump, call your health care provider."
      B)
      "The testicle is egg shaped and movable. It feels firm and has a lumpy consistency."
      C)
      "Perform a testicular examination at least once a week to detect the early stages of testicular cancer."
      D)
      "A good time to examine your testicles is just before you take a shower."
    Page 2 of 10

    Exam Review

    1. A nurse performs the Weber test on a healthy adult client. The nurse would expect which of the following normal finding?
      A)
      Air conduction greater than bone conduction.
      B)
      Bilateral hearing loss.
      C)
      No lateralization of vibrations.
      D)
      unilateral hearing loss.
    2. The nurse is performing an assessment on an adult. The adult's vital signs are normal, and capillary refill time is 5 seconds. What should the nurse do next?
      A)
      Consider this a normal capillary refill time that requires no further assessment.
      B)
      Consider this a delayed capillary refill time, and investigate further.
      C)
      Ask the patient about a history of frostbite.
      D)
      Suspect that the patient has venous insufficiency.
    3. A patient's vision is recorded as 20/30 when the Snellen eye chart is used. The nurse interprets these results to indicate that:
      A)
      The patient can read at 20 feet what a person with normal vision can read at 30 feet.
      B)
      The patient can read from 30 feet what a person with normal vision can read from 20 feet.
      C)
      At 30 feet the patient can read the entire chart.
      D)
      The patient can read the chart from 20 feet in the left eye and 30-feet in the right eye.
    4. The nurse suspects that a patient has appendicitis. Which of these procedures are appropriate for use when assessing for appendicitis or a perforated appendix? (Select all that apply)
      A)
      Test for the Murphy sign
      B)
      Test for shifting dullness
      C)
      Perform the obturator test
      D)
      Test for the Blumberg sign
      E)
      Perform the iliopsoas muscle test
      F)
      Test for fluid wave
    Page 3 of 10

    Exam Review

    1. When performing the corneal light reflex assessment, the nurse notes that the light is reflected at 2 o'clock in each eye. The nurse should:
      A)
      Stops any movement, and appears to listen for the sound
      B)
      Consider this a normal finding.
      C)
      Shows no obvious response to the noise.
      D)
      Shows a startle and acoustic blink reflex.
    2. A nurse is educating a patient regarding arterial insufficiency. The nurse knows the patient has a correct understanding of arterial risk factors by listing the following:
      A)
      Select all that apply.
      B)
      low fat diet
      C)
      diabetes mellitus
      D)
      decreased lipid levels
      E)
      smoking
      F)
      heavy alcohol use
      G)
      physical activity
      H)
      hypertension
      I)
      male
      J)
      Obesity
    3. The nurse is reviewing in age-related changes in the eye for a class. Which of these physiologic changes is responsible for presbyopia?
      A)
      Decreased adaptation to darkness
      B)
      Loss of lens elasticity
      C)
      Decreased distance vision abilities
      D)
      Degeneration of the cornea
    4. During an assessment of a 20-year-old Asian patient, the nurse notices that he has dry, flaky cerumen in his canal. What is the significance of this finding? This finding:
      A)
      Could be indicative of change in cilia; the nurse should assess for hearing loss.
      B)
      Represents poor hygiene.
      C)
      Is probably the result of lesions from eczema in his ear.
      D)
      Is a normal finding and no further follow-up is necessary
    Page 4 of 10

    Exam Review

    1. The nurse is performing an otoscopic examination on an adult. Which of these actions is correct?
      A)
      Using the smallest speculum to decrease the amount of discomfort
      B)
      Once the speculum is in the ear, releasing the traction
      C)
      Tilting the person's head forward during the examination
      D)
      Pulling the pinna up and back before inserting the speculum
    2. The nurse is performing an eye assessment on an 80-year-old patient. Which of these findings is considered abnormal?
      A)
      Decrease in tear production
      B)
      Unequal pupillary constriction in response to light
      C)
      Loss of the outer hair on the eyebrows attributable to a decrease in hair follicles
      D)
      Presence of arcus senilis observed around the cornea
    3. When auscultating over a patient's femoral arteries, the nurse notices the presence of a bruit on the left side. The nurse knows that bruits:
      A)
      Occur in the presence of lymphadenopathy.
      B)
      Occur with turbulent blood flow, indicating partial occlusion.
      C)
      In the femoral arteries are caused by hypermetabolic states.
      D)
      Are often associated with venous disease.
    4. During an abdominal assessment, the nurse is unable to hear bowel sounds in a patient's abdomen. How long should the nurse listen before reporting absent bowel sounds?
      A)
      1 minute
      B)
      2 minutes each quadrant
      C)
      5 minutes
      D)
      10 minutes
    Page 5 of 10

    Exam Review

    1. A 45-year-old man is in the clinic for a physical examination. During the abdominal assessment, the nurse percusses the abdomen and notices an area of dullness above the right costal margin of approximately 11 cm. How should the nurse proceed?
      A)
      Consider this finding as normal, and proceed with the examination.
      B)
      Describe this dullness as indicative of an enlarged liver, and refer him to a physician.
      C)
      Document the presence of hepatomegaly.
      D)
      Ask additional health history questions regarding his alcohol intake.
    2. When assessing the abdomen most health care providers divide the abdomen into how many sections?
      A)
      Six
      B)
      Four
      C)
      Eight
      D)
      Nine
    3. When performing a peripheral vascular assessment of the lower extremities, a nurse should place the fingertips just posterior to the medial malleolus in order to assess for which of the following peripheral pulses?
      A)
      Posterior tibial
      B)
      Femoral
      C)
      Popliteal
      D)
      Dorsalis pedis
    4. During an examination, the nurse notices that the patient stumbles a little while walking, and, when she sits down, she holds on to the sides of the chair. The patient states, "It feels like the room is spinning!" The nurse notices that the patient is experiencing:
      A)
      Subjective vertigo.
      B)
      Tinnitus.
      C)
      Dizziness.
      D)
      Objective vertigo.
    Page 6 of 10