Exam Review
- Which factors are associated with cataracts? Select all that apply.(SATA)A)Sudden vision lossB)More common in young peopleC)Excessive exposure to UV light is a risk factorD)Cloudiness in the lens of the eye
- Cocaine use, trauma, chronic infection, and chronic nose picking may lead to which abnormality?A)Nasal polypsB)Canker soreC)Perforated septumD)Kaposi's sarcoma
- A nurse assesses an elderly patient diagnosed with age-related macular degeneration (AMD). Which of the following assessment findings would be most consistent with AMD?A)Loss of peripheral vision.B)Blurred or distorted central vision.C)Halos around lights at night.D)Sudden onset of total vision loss.
- The company transported an unconscious construction worker, who fell off the roof of a two-story building, to the hospital. Which clinical finding would the nurse report immediately?A)Breath sounds vesicular on the right middle lobeB)Increased body temperatureC)Bilaterally reactive pupilsD)Bleeding from the ears
Exam Review
- A client diagnosed with myxedema reports having experienced a lack of energy, cold intolerance, and puffiness around the eyes and face. Based on the patient's presentation, which of the following hormones is the patient most likely deficient in? Select all that apply.(SATA)A)Adrenocorticotropic hormone (ACTH)B)AldosteroneC)Thyroid Stimulating Hormone (TSH)D)Thyroxine (T4)E)Triiodothyronine (T3)
- A nurse is assigned to care for four patients. Which patient should the nurse assess first?A)A 50-year-old male with a blood pressure of 140/90 mmHg is complaining of a mild headache.B)A 35-year-old female who is 1 day post-appendectomy, with a temperature of 100.4°F (38°C).C)A 45-year-old female with a respiratory rate of 28 breaths per minute, complaining of shortness of breath.D)A 60-year-old male post-abdominal surgery, with a pain level of 8 out of 10, is requesting pain medication.
- Which recommendations should the nurse give to treat epistaxis? Select all that apply.(SATA)A)Pinch the nostrils shutB)Tilt the head backC)Hold the position for 10-15 minutesD)Tilt the head forwardE)Pinch just above the nostrils
- Which finding in the client's history will alert the nurse to the most likely cause of the sensorineural hearing loss?A)History of frequent earwax impactionB)History of seasonal allergies and sinus infectionsC)History of working in a factory with loud machineryD)History of recurrent otitis media with tympanic membrane scarring
Exam Review
- A patient is admitted with otitis media in the right ear. The nurse performs an ear examination with an otoscope. What would the nurse expect to see in this patient's right ear?A)Pearly gray colored tympanic membrane.B)Increased pain on palpation of pinnaC)Distorted or absent cone of lightD)The tympanic membrane moves inward with a slight puff of air
- The nurse notes bilateral enlargement of the parotid glands. Which condition does the nurse suspect?A)Bell's PalsyB)GoiterC)Graves diseaseD)MumpsE)Pancreatitis
- The nurse notes redness and tenderness at the patient's IV insertion site. What should the nurse do next?A)Apply a warm compress to the IV siteB)Flush the IV line with normal saline to check patencyC)Remove the IV and restart it in another locationD)Document the finding and continue to monitor
- The nurse is teaching a group of women about health-promoting interventions. Which health interventions are most responsible for the decline in cervical cancer rates? Select all that apply.A)Oral contraceptivesB)Female circumcisionC)Vitamin supplementationD)Vaccination against human papillomavirus (HPV)E)Pap test screening
Exam Review
- A nurse is performing a head assessment on a newborn. Which finding should the nurse report to the provider immediately?A)Caput succedaneum that crosses suture linesB)Overriding cranial suturesC)Enlarged cranial vault with the face appearing disproportionately smallD)Flat and soft anterior fontanel
- The nurse inspects the patient's eyes. Which condition is most concerning?A)Arcus senilisB)Yellow scleraC)Subconjunctival hemorrhageD)Pingueculae
- The nurse assesses a 14 year old patient who reports itchy eyes and matted eyelashes. Which parent and patient education is the top priority?A)Change pillowcaseB)Wash hands oftenC)Don't share eye make-upD)Use clean towels daily
- The nurse is treating a patient diagnosed with the beginning stages of open-angle glaucoma. Which assessment data support this diagnosis?A)Impaired central visionB)Impaired peripheral visionC)Patient reports eye painD)Opacity of the lens
Exam Review
- The nurse counsels a female patient who has been diagnosed with a sexually transmitted infection (STI). Which interventions should the nurse promote? Select all that apply.A)Use of an intra-uterine device (IUD)B)Frequent douchingC)Use of condomsD)Treatment of the patientE)Treatment of sexual partner(s)
- During an assessment, the nurse notes a trachea that is deviated to the client's left side. Which condition is the most critical for the nurse to suspect and prioritize intervention for?A)Unilateral lymphadenopathyB)GoiterC)Cervical muscle spasmD)Tension pneumothorax on the right side
- Patient: David Lee, 58-year-old male Given the above scenario, identify the priority patient condition, the most critical parameters to monitor, and the key interventions to perform.
- The nurse is assessing the vital signs of a 20-year-old marathon runner patient and documents the following vital signs: temperature-97 F; pulse-50 beats per minute; respirations-14/minute; blood pressure-96/68 mm Hg. Which of the following statements is true about these results?A)The patient is experiencing orthostatic hypotension.B)On the basis of today's readings, the patient should return to the clinic in 1 week.C)These are normal vital signs for a healthy, athletic adult.D)The patient's pulse rate is not normal and the physician should be notified.
Exam Review
- When teaching a rehabilitation class, what would be the most critical point to teach patients with dysphagia?A)Practice pronunciation of "light, tight, dynamite".B)The condition can lead to temporomandibular joint pain.C)Thoroughly chew small amounts of food with each mouthful.D)Brush the tongue twice a day to prevent bad breath.
- A nurse is assessing a patient suspected of having hyperthyroidism. Which of the following symptoms would support this diagnosis? (Select all that apply.)A)DiarrheaB)ConstipationC)BradycardiaD)Unintentional weight lossE)Heat intolerance
- The nurse is assessing a patient who reports dizziness and hearing loss. Which finding would most likely indicate inner ear involvement?A)Cloudy yellow drainage from the ear canalB)Tenderness of the tragusC)Impacted cerumenD)Reports of tinnitus
- A nurse is caring for a 78-year-old patient with end-stage heart failure on contact precautions for MRSA. The patient is wearing a purple DNR bracelet and has an advance directive stating "comfort measures only." The patient's oxygen saturation drops to 85%, and the patient becomes increasingly short of breath. Which action should the nurse take first?A)Don a gown and gloves, enter the room, and assess the patient's comfort level and provide oxygen and morphine as orderedB)Call a Code Blue and initiate CPR per hospital protocolC)Document the patient's conditionD)Contact the healthcare provider to discuss transferring the patient to the intensive care unit