NursGuru

    Exam Review

    1. The nurse is reviewing a client's medical record with a documented Snellen exam of 20/50, uncorrected.Patient could read the Rosenbaum chart without difficulty.Based on this information, the client has:
      A)
      Myopia.
      B)
      Normal vision.
      C)
      Presbyopia.
      D)
      Hyperopia.
    2. A nurse is assessing cranial nerve VIII.What tests will be administered on the client?
      A)
      Whisper and Romberg tests.
      B)
      PERRLA and EOMs.
      C)
      Snellen and Rosenbaum tests.
      D)
      Rinne and Weber tests.
    3. A nurse is assessing a client at a dermatology clinic.Which of the following findings places the client at risk for developing malignant melanoma?
      A)
      Age 19 to 30 years.
      B)
      Dark hair.
      C)
      Female gender.
      D)
      History of repeated sunburn.
    4. The nurse is assessing the peripheral vascular system of a client.On inspection, the client's legs are cold and the client reports she no longer has hair growing on the legs.What does the nurse suspect the client is experiencing?
      A)
      DVT.
      B)
      Venous insufficiency.
      C)
      Varicosities.
      D)
      Arterial insufficiency.

    Exam Review

    1. A client reports dizziness on her yearly physical exam.Which of the following tests would be the most appropriate to assess the client's equilibrium?
      A)
      Romberg test.
      B)
      Weber test.
      C)
      Rinne test.
      D)
      Cover test.
    2. A 65-year-old man with emphysema and bronchitis has come to the clinic for a follow-up appointment.On assessment the nurse might expect to see which finding?
      A)
      Scleroderma.
      B)
      Pedal erythema.
      C)
      Anasarca.
      D)
      Clubbing of the nails.
    3. The nurse notices the client's physical appearance, behavior, mobility, and neurological status when they enter the room.Which of the following is the nurse assessing?
      A)
      General survey.
      B)
      Medical history.
      C)
      Biographical data.
      D)
      Social history.
    4. When inspecting a patient's eyes, the nurse assesses the presence of cranial nerve III (oculomotor nerve) by observing the eyelids open and close bilaterally.What other technique does a nurse use to test the function of this cranial nerve?
      A)
      Visual acuity.
      B)
      Peripheral vision.
      C)
      Presence of the red reflex.
      D)
      Pupillary constriction to light.

    Exam Review

    1. A patient is complaining of a black large spot in the center of their vision.The nurse determines this manifestation as central vision loss.Which eye disorder below is consistent with this symptom?
      A)
      Glaucoma.
      B)
      Detached retina.
      C)
      Macular degeneration.
      D)
      Diabetic retinopathy.
    2. A patient is especially worried about an area of skin on her feet that has turned white.The health care provider has told her that her condition is vitiligo.The nurse explains to her that vitiligo is:
      A)
      Caused by the complete absence of melanin pigment.
      B)
      Caused by an excess of apocrine glands in her feet.
      C)
      Related to impetigo and can be treated with an ointment.
      D)
      Caused by an excess of melanin pigment.
    3. A patient has been admitted to the hospital after the staff at a nursing home noticed a pressure ulcer on his sacral area.The nurse examines the sacral ulcer and determines it is a Stage II ulcer.Which of these findings is characteristic of a Stage II pressure ulcer?
      A)
      Patches of eschar cover parts of the wound.
      B)
      Partial thickness skin erosion is observed with a loss of dermis and epidermis.
      C)
      Ulcer extends into the subcutaneous tissue.
      D)
      Intact skin appears red but not broken.
      E)
      Open blister areas have a red-pink wound bed.
      F)
      Localized redness in light skin will blanch with fingertip pressure.
    4. After auscultating which adventitious breath sound should the nurse have the patient cough and then auscultate again?
      A)
      Rhonchi.
      B)
      Wheeze.
      C)
      Crackles.
      D)
      Stridor.

    Exam Review

    1. A student nurse is reviewing for an upcoming final examination and recognizes in the ECG readings that the T wave represents which of the following?
      A)
      Atrial depolarization.
      B)
      Atrial repolarization.
      C)
      Ventricular depolarization.
      D)
      Ventricular repolarization.
    2. A nurse is performing an assessment on the fingers and toes of a patient.What finding is consistent with clubbing?
      A)
      Decreased angle between the cuticles and the nails.
      B)
      Upward curving of the nails.
      C)
      Blue nails.
      D)
      Angle of nails > 160 degrees.
    3. During the breast examination of a client, the nurse notes an orange-peel or "peau d'orange" appearance of the skin of the breast.The nurse understands that this appearance of the skin is due to what type of breast condition?
      A)
      Fibrocystic lesions.
      B)
      A normal finding of the breast.
      C)
      Carcinoma of the breast.
      D)
      Fibroadenoma.
    4. The nurse plans to assess the client's hearing.What action should the nurse take when performing the Weber's test?
      A)
      The nurse will understand the unaffected ear will show lateralization to the Weber's test.
      B)
      Place the activated tuning fork to the mid skull and ask if the patient can hear it louder in either ear.
      C)
      Place the activated tuning fork to the patient's mastoid bone first then place over air.
      D)
      Place the activated tuning fork to the client's ear over the mastoid bone then activate it again over the air.

    Exam Review

    1. A student nurse is reviewing for an upcoming examination and recognizes in the ECG readings that the QRS wave represents which of the following?
      A)
      Atrial depolarization.
      B)
      Ventricular repolarization.
      C)
      Atrial repolarization.
      D)
      Ventricular depolarization.
    2. A nurse is preparing the client for an electrocardiogram (ECG). The client asks the nurse what is an electrocardiogram.Which is the best description for an electrocardiogram?
      A)
      Electrical representations of the cardiac cycle that are documented by deflections on recording paper.
      B)
      The amount of blood ejected from the left ventricle over 1 minute.
      C)
      The amount of blood that is ejected with every heartbeat.
      D)
      Electrical impulses of the heart displayed on a screen.
    3. Which of the following are considered normal findings for assessment of the respiratory system? Select all that apply.
      A)
      Elliptical chest configuration.
      B)
      Eupnea.
      C)
      Resonance.
      D)
      Inspiratory wheezing.
    4. A nurse expects to hear which percussion sounds over muscles and tissues?
      A)
      Flatness.
      B)
      Dullness.
      C)
      Tympany.
      D)
      Resonance.

    Exam Review

    1. A nurse is providing education for a client who has glaucoma.Which of the following statements should the nurse include in the teaching?
      A)
      Without treatment, glaucoma can cause blindness.
      B)
      Double vision is a common symptom of glaucoma.
      C)
      Glaucoma is caused by inadequate production of fluid within the eye.
      D)
      Use of eye drops will improve vision over time.
    2. A nurse is caring for a patient diagnosed with cataracts.What cue is consistent with cloudiness in the lens during the inspection of the eyes?
      A)
      Redness in the sclera.
      B)
      Pupil constriction.
      C)
      Cloudiness in the lens.
      D)
      Blurred vision.
    3. The instructor asks the student nurse to auscultate the client's Erb's Point. Where is the cardiac landmark referred to as the Erb's Point located?
      A)
      5th ICS Left MCL.
      B)
      3rd ICS Left SB.
      C)
      2nd ICS Left SB.
      D)
      4th ICS Left SB.
    4. A nurse is auscultating the breath sounds of a client who has chronic obstructive pulmonary disease.When the client exhales, the nurse hears continuous high-pitched whistling sound.The nurse should document this as?
      A)
      Rhonchi.
      B)
      Stridor.
      C)
      Wheezes.
      D)
      Crackles.