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Exam (elaborations)

NSG 6020 Week 5 Midterm Exam 1 - Guaranteed A

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.When preparing to perform a physical examination on an infant, the examiner should: 2. A patient’s laboratory data reveal an elevated thyroxine level. The nurse would proceed with an examination of the: 3. The nurse practitioner is doing an oral assessment on a 40-year-old black patient and notes the presence of a 1-cm, nontender, grayish-white lesion on the left buccal mucosa. Which of the following is true concerning this lesion? 4. During an examination, the nurse knows that Paget’s disease would be indicated by which of the following findings? 5. A 30-year-old woman with a history of mitral valve problems states that she has been “very tired.” She has started waking up at night and feels like her “heart is pounding.” During the assessment, the nurse practitioner palpates a thrill and lift at the fifth left intercostal space midclavicular line. In the same area the nurse practitioner also auscultates a blowing, swishing sound right after S1. These findings would be most consistent with: 6. The nurse practitioner notices that a patient’s submental lymph nodes are enlarged. In an effort to identify the cause of the node enlargement, the nurse would assess the: 7. During an assessment of a newborn infant, the nurse practitioner recalls that pyloric stenosis would be manifested by: 8. A patient has been shown to have a sensorineural hearing loss. During the assessment, it would be important for the nurse to: 9. The most important reason to share information and offer brief teaching while performing the physical examination is to help: 10. A patient’s thyroid is enlarged, and the nurse practitioner is preparing to auscultate the thyroid for the presence of a bruit. A bruit is a: 11. During a cardiac assessment on an adult patient in the hospital for “chest pain,” the nurse practitioner finds the following: jugular vein pulsations 4 cm above sternal angle when he is elevated at 45 degrees, BP 98/60, HR 130; ankle edema; difficulty in breathing when supine; and an S3 on auscultation. Which of the following best explains the cause of these findings? 12. When examining an infant, the nurse practitioner should examine which area first? 14. An example of objective information obtained during the physical assessment includes the: 15. The nurse practitioner is obtaining a history from a 30-year-old male patient and is concerned about health promotion activities. Which of the following questions would be appropriate to use to assess health promotion activities for this patient?


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