NURS303 Exam 1 – Questions With Verified
Solutions
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Terms in this set (124)
Which of the following areas should Sinus cavities
the technique of palpation be used as Palpate the sinus cavities to assess for pain that can
part of the assessment? indicate the presence of a sinus infection.
A
Eye structure
B
Trachea
C
Tongue
D
Sinus cavities
Which of the following tools are used Penlight
in an assessment of the head and A penlight is needed to assess pupil response and to
neck? improve visualization of the client's mouth and nares.
Select all that apply.
A Examination gloves
Tape measure Examination gloves are needed when inspecting the
B mouth and eyes and if there is drainage present from
Penlight the ears or nose.
C
Examination gloves
D
Stethoscope
E
Doppler
F
Watch with a second hand
,Which of the following are Subconjunctival hemorrhage
unexpected findings of the eye? A subconjunctival hemorrhage is a localized
Select all that apply. collection of blood on the sclera. It is caused by
A increased pressure in the eye from situations such as
Subconjunctival hemorrhage coughing, vomiting, or trauma.
B
Gingivitis Ptosis
C Ptosis is drooping of the eye lid over the pupil and is
Ptosis often the result of edema or a neurological disorder.
D
Thrush
E Conjunctivitis
Conjunctivitis Conjunctivitis is an inflammation of the eye that can
F be caused by viral or bacterial infections, allergies, or
Entropion chemical irritation.
Entropion
Entropion is a condition in which the eyelids roll
inward and can cause t
Place the following steps in the 1
correct order to perform an Have the client sit facing you at eye level.
assessment of a client's pupillary
reaction to light. 2
Observe the pupils for size.
3
Darken the room.
4
Instruct the client to look at a distant object.
5
Move your penlight in from the side to shine on one
pupil.
6
Observe the pupillary response in both eyes.
,Which of the following questions "What is your birthday?"
should you ask the client when "Do you know why you are here?"
assessing for an orientation deficit? "Who is the president?"
Select all that apply. "Where are you?"
A
"What is the date?"
B
"What is your birthday?"
C
"Do you know why you are here?"
D
"Who is the president?"
E
"What time is it?"
F
"Where are you?"
For which of the following findings Clear one-sided nasal drainage in a client who fell
should you contact the provider? down the stairs
A A client who has clear or blood-tinged unilateral
Clear one-sided nasal drainage in a nasal drainage following head trauma might have a
client who fell down the stairs fracture at the base of their skull. Notify the provider
B of this finding.
A clearly defined collection of blood
in the sclera of a client who has been
vomiting
C
Dark yellow cerumen in the outer ear
canal of a client who has been
coughing
D
Palpable lymph nodes in the neck of a
client who has an upper respiratory
infection
, contacting the provider? Bloody drainage from the ear following head trauma
A The presence of this type of drainage from the ear
Conductive hearing loss following head trauma could signify the presence of
B a fracture at the base of the client's skull. This is a
Bloody drainage from the ear
following head trauma
C
Edematous outer ear canal
D
Yellow or green malodorous
discharge
A nurse is collecting a health history have noticed that it burns when I urinate."
from a client, Which of the following
cilent statements requires further
investigation?
" urinate a lot when I get up in the
morning."
" have a bowel movement every
morning after breakfast."
" have noticed that it burns when
lurinate."
"I empty my bladder several times a
day."
A nurse is preparing to assess a client Inguinal area
for the presence of a hernia in a client Femoral area
who is assigned male at birth. Which Rectal area
of the following areas should the
nurse plan to inspect? (Select all that
apply.)
Length of the shaft
The circumference of the glans
Inguinal area
Femoral area
Rectal area
Solutions
Save
Terms in this set (124)
Which of the following areas should Sinus cavities
the technique of palpation be used as Palpate the sinus cavities to assess for pain that can
part of the assessment? indicate the presence of a sinus infection.
A
Eye structure
B
Trachea
C
Tongue
D
Sinus cavities
Which of the following tools are used Penlight
in an assessment of the head and A penlight is needed to assess pupil response and to
neck? improve visualization of the client's mouth and nares.
Select all that apply.
A Examination gloves
Tape measure Examination gloves are needed when inspecting the
B mouth and eyes and if there is drainage present from
Penlight the ears or nose.
C
Examination gloves
D
Stethoscope
E
Doppler
F
Watch with a second hand
,Which of the following are Subconjunctival hemorrhage
unexpected findings of the eye? A subconjunctival hemorrhage is a localized
Select all that apply. collection of blood on the sclera. It is caused by
A increased pressure in the eye from situations such as
Subconjunctival hemorrhage coughing, vomiting, or trauma.
B
Gingivitis Ptosis
C Ptosis is drooping of the eye lid over the pupil and is
Ptosis often the result of edema or a neurological disorder.
D
Thrush
E Conjunctivitis
Conjunctivitis Conjunctivitis is an inflammation of the eye that can
F be caused by viral or bacterial infections, allergies, or
Entropion chemical irritation.
Entropion
Entropion is a condition in which the eyelids roll
inward and can cause t
Place the following steps in the 1
correct order to perform an Have the client sit facing you at eye level.
assessment of a client's pupillary
reaction to light. 2
Observe the pupils for size.
3
Darken the room.
4
Instruct the client to look at a distant object.
5
Move your penlight in from the side to shine on one
pupil.
6
Observe the pupillary response in both eyes.
,Which of the following questions "What is your birthday?"
should you ask the client when "Do you know why you are here?"
assessing for an orientation deficit? "Who is the president?"
Select all that apply. "Where are you?"
A
"What is the date?"
B
"What is your birthday?"
C
"Do you know why you are here?"
D
"Who is the president?"
E
"What time is it?"
F
"Where are you?"
For which of the following findings Clear one-sided nasal drainage in a client who fell
should you contact the provider? down the stairs
A A client who has clear or blood-tinged unilateral
Clear one-sided nasal drainage in a nasal drainage following head trauma might have a
client who fell down the stairs fracture at the base of their skull. Notify the provider
B of this finding.
A clearly defined collection of blood
in the sclera of a client who has been
vomiting
C
Dark yellow cerumen in the outer ear
canal of a client who has been
coughing
D
Palpable lymph nodes in the neck of a
client who has an upper respiratory
infection
, contacting the provider? Bloody drainage from the ear following head trauma
A The presence of this type of drainage from the ear
Conductive hearing loss following head trauma could signify the presence of
B a fracture at the base of the client's skull. This is a
Bloody drainage from the ear
following head trauma
C
Edematous outer ear canal
D
Yellow or green malodorous
discharge
A nurse is collecting a health history have noticed that it burns when I urinate."
from a client, Which of the following
cilent statements requires further
investigation?
" urinate a lot when I get up in the
morning."
" have a bowel movement every
morning after breakfast."
" have noticed that it burns when
lurinate."
"I empty my bladder several times a
day."
A nurse is preparing to assess a client Inguinal area
for the presence of a hernia in a client Femoral area
who is assigned male at birth. Which Rectal area
of the following areas should the
nurse plan to inspect? (Select all that
apply.)
Length of the shaft
The circumference of the glans
Inguinal area
Femoral area
Rectal area
