HEALTH ASSESSMENT EXAM 3 PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS

HEALTH ASSESSMENT EXAM 3 PRACTICE QUESTIONS
WITH COMPLETE SOLUTIONS


Which assessment finding in a patient may indicate breast cancer? - ans-
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Presence of a unilateral, dense, irregular mass cx cx cx cx cx cx




The nurse is assessing the lungs of the patient on the anterior side of the chest. Where woul
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d the nurse find the highest point of the lung? - ans-
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It is found up to 3 to 4 cm above the clavicle
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What is the thin layer of endothelial tissue that lines the inner surface of the heart and the val
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ves called? - ans-Endocardium
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Which term can be used to describe the pacemaker of the heart? - ans-Sinoatrial node
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What is the term used by the nurse to describe pain in the breast? - ans-Mastalgia
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The nurse is assessing a patient's breasts. Which finding does the nurse identify as abnorm
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al? - ans-The presence of localized redness with heat
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Which assessment finding does the nurse associate with a diagnosis of peau d'orange? -
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ans-The skin is thickened, and the hair follicles exaggerated
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Which heart rate would be found in an infant with bradycardia? - ans-50 beats/minute
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The nurse notices edema on the breast skin of a patient that has a "pigskin" look. Which con
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dition does the nurse suspect from this observation? - ans-Peau d'orange
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Which group of patients is likely to be affected by scoliosis? - ans-Adolescents
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What does the term hypercapnia indicate about a patient's respiratory status? - ans-
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Increased carbon dioxide in the blood cx cx cx cx cx




While examining a patient, the nurse detects a loud heart murmur with a palpable thrill. How
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does the nurse record this finding? - ans-4/6
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Which blood vessel drains the blood from the head and upper extremities? - ans-
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Superior vena cava cx cx




During the physical examination of a prepubertal child, the nurse documents "premature th
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elarche." What does this indicate? - ans-Early development of breasts without hormone-
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dependent signs cx

,The nurse is assessing a patient who reports feeling nodules in the breast. Further assess
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ment reveals that the patient is in the midcycle of menstruation. What is the best interventio
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n by the nurse? - ans-Repeat the examination a week after menstration
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The nurse is assessing a patient who reports a cough that always occurs in the daytime or e
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arly evening but subsides at night. What is the most probable cause for the cough? - ans-
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Exposure to irritants at work cx cx cx cx




What is the pericardium? - ans- cx cx cx cx cxcx




The pericardium is the tough, fibrous sac surrounding the heart.
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How are the intercostal spaces of the thorax numbered? - ans-
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By the ribs present above the spaces
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Which heart sound occurs due to the closure of the semilunar valves? - ans-
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Second heart sound (S2) cx cx cx




A middle-
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aged patient comes to the clinic and states, "I can't get my breath when I walk." The nurse n
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otes that the patient has a barrel chest and is using the accessory muscles to breathe. The
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patient's respiratory rate is 28. On palpation, there is a limited expansion and decreased tac
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tile fremitus. Percussion yields hyperresonant sounds. On auscultation, prolonged expirati
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on, scattered wheezes, and rhonchi are present. Which disorder does the nurse suspect? -
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ans-Emphysema
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The nurse is assessing the respiratory pattern of an adult patient. Which assessment findin
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g should the nurse document as abnormal? - ans-Respiratory rate is 24 to 30 per minute
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While assessing the cardiac health of a middle-
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aged patient, which finding would the nurse consider abnormal?
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A) Presence of apical impulse
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B) Presence of a venous hum
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C) Presence of jugular venous pulse
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D) Presence of a third heart sound - ans-Presence of a third heart sound
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The nurse instructs a student nurse to palpate the carotid artery of a patient. Which action m
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ade by the student nurse needs correction?
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A) Having the patient sit during the exam
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B) Palpating both carotid arteries at once
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, C) Refraining from excess vagal stimulation
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D) Not compressing on the carotid sinuses - ans-Palpating both carotid arteries at once
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The nurse is going through the electrocardiogram (ECG) report of a patient complaining of
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chest pain. Which section of the electrocardiograph indicates atrial depolarization?
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A) T wave
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B) P wave
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C) QRS complex
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D) ST segment - ans-P wave
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During a physical assessment, a teenager tells the nurse, "My left breast is smaller than the
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right one and it makes me feel self-conscious." How should the nurse respond?
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A) "You may need a mammography."
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B)"Your breasts may not be developing properly."
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C) "You shouldn't worry; this is a normal condition."
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D) "You will be given medicine to cure the condition." -
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ans-"You shouldn't worry; this is a normal condition."
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The nurse is examining the most prominent spinous process in the vertebral column of a pa
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tient who may have spondylosis. Which posterior vertebral landmark is the nurse examinin
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g?

A) Cervical 1
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B) Lumbar 1
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C) Cervical 7
cx cx




D) Thoracic 12 - ans-Cervical 7
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What abnormality would the nurse expect in a patient with kyphosis? - ans-
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An exaggerated posterior curvature of the thoracic spine
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Which part of the breast is called the tail of Spence?
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A) The areola
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