Health Assessment And Physical Examination

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Nursing Today
The Health Care Delivery System
Community-Based Nursing Practice
Theoretical Foundations of Nursing Practice
Evidence-Based Practice
Health and Wellness
Caring in Nursing Practice
Caring for the Cancer Survivor
Cultural Awareness
Caring for Families
Developmental Theories
Conception Through Adolescence
Young and Middle Adults
Older Adult
Critical Thinking in Nursing Practice
Nursing Assessment
Nursing Diagnosis
Planning Nursing Care
Implementing Nursing Care
Evaluation
Managing Patient Care
Ethics and Values
Legal Implications in Nursing Practice
Communication
Patient Education
Documentation and Informatics
Patient Safety and Quality
Immobility
Infection Prevention and Control
Vital Signs
Health Assessment and Physical Examination
Medication Administration
Complementary and Alternative Therapies
Self-Concept
Sexuality
Spiritual Health
The Experience of Loss, Death, and Grief
Stress and Coping
Activity and Exercise
Hygiene
Oxygenation
Fluid, Electrolyte, and Acid-Base Balance
Sleep
Pain Management
Nutrition
Urinary Elimination
Bowel Elimination
Skin Integrity and Wound Care
Sensory Alterations
Care of Surgical Patients

All Questions

Question 1

Free

Multiple Choice

A nurse is a preceptor for a nurse who just graduated from nursing school. When caring for a patient, the new graduate nurse begins to explain to the patient the purpose of completing a physical assessment. Which statement made by the new graduate nurse requires the preceptor to intervene?

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"I will use the information from my assessment to figure out if your antihypertensive medication is working effectively."

"Nursing assessment data are used only to provide information about the effectiveness of your medical care."

"Nurses use data from their patient's physical assessment to determine a patient's educational needs."

"Information gained from physical assessment helps nurses better understand their patients' emotional needs."

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Question 2

Free

Multiple Choice

Having misplaced a stethoscope, a nurse borrows a colleague's stethoscope. The nurse next enters the patient's room and identifies self, washes hands with soap, and states the purpose of the visit. The nurse performs proper identification of the patient before auscultating the patient's lungs. Which critical health assessment step should the nurse have performed?

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Running warm water over stethoscope

Draping stethoscope around the neck

Rubbing stethoscope with betadine

Cleaning stethoscope with alcohol

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Question 3

Free

Multiple Choice

A nurse is preparing to perform a complete physical examination on a weak, older-adult patient with bilateral basilar pneumonia. Which position will the nurse use?

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Prone

Sims'

Supine

Lateral recumbent

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Question 4

Free

Multiple Choice

A nurse is conducting Weber's test. Which action will the nurse take?

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Place a vibrating tuning fork in the middle of patient's forehead.

Place a vibrating tuning fork on the patient's mastoid process.

Compare the number of seconds heard by bone versus air conduction.

Compare the patient's degree of joint movement to the normal level.

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Question 5

Free

Multiple Choice

A head and neck physical examination is completed on a 50-year-old female patient. All physical findings are normal except for fine brittle hair. Which laboratory test will the nurse expect to be ordered, based upon the physical findings?

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Oxygen saturation

Liver function test

Carbon monoxide

Thyroid-stimulating hormone test

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Question 6

Multiple Choice

A febrile preschool-aged child presents to the after-hours clinic. Varicella (chickenpox) is diagnosed on the basis of the illness history and the presence of small, circumscribed skin lesions filled with serous fluid. Which type of skin lesion will the nurse report?

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Vesicles

Wheals

Papules

Pustules

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Question 7

Multiple Choice

A school nurse recognizes a belt buckle-shaped ecchymosis on a 7-year-old student. When privately asked about how the injury occurred, the student described falling on the playground. Which action will the nurse take next?

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Talk to the principal about how to proceed.

Disregard the finding based upon child's response.

Interview the patient in the presence of the teacher.

Contact social services and report suspected abuse.

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Question 8

Multiple Choice

A nurse identifies lice during a child's scalp assessment. The nurse teaches the parents about hair care. Which information from the parents indicates the nurse needs to follow up?

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We will use lindane-based shampoos.

We will use the sink to wash hair.

We will use a fine-toothed comb.

We will use a vinegar hair rinse.

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Question 9

Multiple Choice

A parent calls the school nurse with questions regarding the recent school vision screening. Snellen chart examination revealed 20/60 for both eyes. Which response by the nurse is the best regarding the eye examination results?

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Your child needs to see an ophthalmologist.

Your child is suffering from strabismus.

Your child may have presbyopia.

Your child has cataracts.

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Question 10

Multiple Choice

During a routine pediatric history and physical, the parents report that their child was a very small, premature infant that had to stay in the neonatal intensive care unit longer than usual. They state that the infant was yellow when born and developed an infection that required "every antibiotic under the sun" to reach a cure. Which exam is a priority for the nurse to conduct on the child?

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Cardiac

Respiratory

Ophthalmic

Hearing acuity

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Question 11

Multiple Choice

During a sexually transmitted illness presentation to high-school students, the nurse recommends the human papillomavirus (HPV) vaccine series. Which condition is the nurse trying to prevent?

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Breast cancer

Ovarian cancer

Cervical cancer

Testicular cancer

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Question 12

Multiple Choice

A male student comes to the college health clinic. He hesitantly describes that he found something wrong with his testis when taking a shower. Which assessment finding will alert the nurse to possible testicular cancer?

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Hard, pea-sized testicular lump

Rubbery texture of testes

Painful enlarged testis

Prolonged diuretic use

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Question 13

Multiple Choice

The nurse is urgently called to the gymnasium regarding an injured student. The student is crying in severe pain with a malformed fractured lower leg. Which proper sequence will the nurse follow to perform the initial assessment?

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Light palpation, deep palpation, and inspection

Inspection, light palpation, and deep palpation

Auscultation and light palpation

Inspection and light palpation

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Question 14

Multiple Choice

The nurse is examining a female with vaginal discharge. Which position will the nurse place the patient for proper examination?

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Sitting

Lithotomy

Knee-chest

Dorsal recumbent

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Question 15

Multiple Choice

On admission, a patient weighs 250 pounds. The weight is recorded as 256 pounds on the second inpatient day. Which condition will the nurse assess for in this patient?

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Anorexia

Weight loss

Fluid retention

Increased nutritional intake

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Question 16

Multiple Choice

The patient is a 45-year-old African-American male who has come in for a routine annual physical. Which type of preventive screening does the nurse discuss with the patient?

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Digital rectal examination of the prostate

Complete eye examination every year

CA 125 blood test once a year

Colonoscopy every 3 years

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Question 17

Multiple Choice

An advanced practice nurse is preparing to assess the external genitalia of a 25-year-old American woman of Chinese descent. Which action will the nurse do first?

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Place the patient in the lithotomy position.

Drape the patient to enhance patient comfort.

Assess the patient's feelings about the examination.

Ask the patient if she would like her mother to be present in the room.

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Question 18

Multiple Choice

An older-adult patient is being seen for chronic entropion. Which condition will the nurse assess for in this patient?

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Ptosis

Infection

Borborygmi

Exophthalmos

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Question 19

Multiple Choice

During a school physical examination, the nurse reviews the patient's current medical history. The nurse discovers the patient has allergies. Which assessment finding is consistent with allergies?

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Clubbing

Yellow discharge

Pale nasal mucosa

Puffiness of nasal mucosa

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Question 20

Multiple Choice

Upon assessment, the patient is breathing normally and has normal vesicular lung sounds. Which expected inspiratory-to-expiratory breath sounds will the nurse hear?

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The expiration phase is longer than the inspiration phase.

The inspiratory phase lasts exactly as long as the expiratory phase.

The expiration phase is 2 times longer than the inspiration phase.

The inspiratory phase is 3 times longer than the expiratory phase.

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