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A 9-year-old girl is in the clinic for a sports physical. After some initial
shyness she finally asks, "Am I normal? I don't seem to need a bra yet,
but I have some friends who do. What if I never get breasts?" The nurse's
best response would be:
"I understand that it is hard to feel different from your friends. Breasts
usually develop between 8 and 10 years of age."
During an examination, the nurse notes a supernumerary nipple just
under the patient's left breast. The patient tells the nurse that she always
thought it was a mole. Which statement about this finding is correct?
It is a normal variation and not a significant finding
The major artery that supplies blood to arm
brachial artery
The nurse is testing the function of cranial nerve XI. Which of these best
describes the response the nurse should expect if the nerve is intact?
The patient
moves head and shoulder against resistance with equal strength
,In a person with an upper motor neuron lesion such as a
cerebrovascular accident, which of the following physical assessment
findings would the nurse expect to see?
Hyperreflexia
A few days after a summer hiking trip, a 25-year-old man comes to the
clinic with a rash. On examination, the nurse notes that the rash is red,
macular, with a bull's eye pattern across his midriff and behind his knees.
The nurse suspects:
lyme disease
To assess the dorsalis pedis artery, the nurse would palpate
lateral to the extensor tendon of the great toe. The dorsalis pedis artery
is located on the dorsum of the foot. Palpate just lateral to and parallel
with the extensor tendon of the big toe.
The nurse is performing a neurologic assessment on a 41-year-old
woman with a history of diabetes. When testing her ability to feel the
vibrations of a tuning fork, the nurse notes the following: unable to feel
vibrations on the great toe or ankle bilaterally; is able to feel vibrations
on both patellae. Given this information, what would the nurse suspect?
Peripheral neuropathy
The nurse is reviewing an assessment of a patient's peripheral pulses and
notices that the documentation states that the radial pulses are "2+." The
nurse recognizes that this reading indicates what type of pulse?
normal
, During an examination, you note that a male patient has a red, round,
superficial ulcer with a yellowish-serous discharge on his penis. Upon
palpation, you note a nontender base that feels like a small button
between your thumb and fingers. At this point you suspect that this
patient has:
syphilitic chancre
During an interview, a patient reveals that she is pregnant. She states
that she is not sure whether she will breastfeed her baby and asks for
some information about this. Which of these statements by the nurse is
accurate with regard to breastfeeding?
Breastfeeding provides the perfect food and antibodies for your baby."
To palpate the temporomandibular joint, the nurse's finger should be
placed in the depression of the ear.
anterior to the tragus
The nurse practitioner is examining only the rectal area of a woman and
should place the woman in what position?
The nurse should place the female patient in lithotomy position if
examining genitalia as well; use the left lateral decubitus position for the
rectal area alone.
The nurse is performing a genitourinary assessment on a 50-year-old
obese male laborer. On examination the nurse notices a painless round
swelling close to the pubis in the area of the internal inguinal ring that is
easily reduced when the individual is supine. These findings are most
consistent with a(n) _ hernia.
direct inguinal