22, 23, 24, 25, AND 26 NEWEST STUDY
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,NURS 5220 TEST EXAM 2 MODULE 21, 22, 23, 24, 25, AND 26
NEWEST STUDY QUESTIONS WITH CORRECT ANSWERS
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Mike complains of severe rib pain. His coworkers state that he was hurt on the job when a large
pipe struck him across the chest. Given this history, which type of problem should be considered
during the secondary assessment?
A. Flail chest
B. Rebound tenderness
C. Pulmonary embolus
D. Pupillary constriction - Answer>>> A: CorrectFlail chest is a condition in which a section of
the chest is disconnected from the bony structure as may occur with multiple rib fractures. A flail
chest also indicates an underlying lung injury (pulmonary contusion). Paradoxical chest
movement may occur with a flail chest.
For which assessment might a patient be placed in the lateral decubitus position?
A. Eliciting the plantar reflex
B. Measuring jugular venous pressure
C. Checking for a femoral hernia
D. Performing a rectal examination - Answer>>> D: CorrectRectal examination can be done
with the patient in lateral decubitus position. Other positions for rectal examination include knee-
chest position, leaning over the examination table, and for female patients, lithotomy position.
Mr. Simmons brings in his 17-year-old son for a preparticipation examination for wrestling.
What is the importance of looking for asymmetries in range of motion, strength, and muscle bulk
as part of the orthopedic component of the examination?
,A. Degree of physical development can be assessed.
B. Acute or old poorly rehabilitated injuries are identified.
C. Need for safety or supportive equipment can be determined.
D. Appropriate training exercises can be prescribed. - Answer>>> B: CorrectThe examination
consists of observing the athlete in a variety of positions and postures that highlight asymmetries
in range of motion, strength, and muscle bulk. These asymmetries serve to identify acute or old,
poorly rehabilitated injuries.
To assess muscle strength of the temporalis and masseter muscles, the examiner will ask the
patient to:
A. push the jaw forward while the examiner applies counterforce.
B. attempt to open his or her mouth while the examiner applies counterforce.
C. clench his or her teeth while the examiner palpates the contracted muscles and applies
opposing force.
D. move the mandible 2 cm or more to each side against an opposing force. - Answer>>> C;
CorrectStrength of the temporalis and masseter muscles may be evaluated by asking the patient
to clench the teeth while you palpate the contracted muscles and apply opposing force. This
maneuver simultaneously tests cranial nerve V.
Which example best describes how firm you expect a healthy prostate gland to feel?
A. It feels like a soft olive or grape.
B. It feels like the topside of a plastic LEGO piece.
C. It feels like a small baseball.
, D. It feels like a pencil eraser - Answer>>> D: . CorrectThe gland should feel like a pencil
eraser—firm, smooth, and slightly movable—and it should be nontender.
Mrs. Jones brings in her 16-year-old daughter for a routine preparticipation examination. Your
concerns include the female athlete triad. This triad includes:
A. eating disorder, amenorrhea, and osteoporosis.
B. thyroid dysfunction, eating disorder, and amenorrhea.
C. stress fractures, thyroid dysfunction, and oligomenorrhea.
D. eating disorder, thyroid dysfunction, and osteoporosis. - Answer>>> A: CorrectA trio of
problems, disordered eating, amenorrhea, and osteoporosis, define the female athlete triad. The
greatest risk is for athletes whose sport stresses the need to be lean (gymnastics, figure skating,
diving, ballet) or to be able to endure (distance running, swimming, cross-country skiing). Early
recognition of a possible problem is essential, and the sports preparticipation physical evaluation
(PPE) is the right time to begin.
What is the best method of verifying anal patency in a newborn?
A. Inserting a lubricated thermometer through the anus and into the rectum
B. Inserting the fifth digit through the anus and into the rectum
C. Checking for the passage of meconium in the first 24 to 48 hours after birth
D. Inspecting the anus for an anal opening - Answer>>> C: CorrectIf there is no passage of stool
in 24 hours in a newborn, suspect rectal atresia, Hirschsprung disease (congenital megacolon), or
cystic fibrosis.