59. The nurse suspects that a patient has hyperthyroidism and laboratory data indicate
that the patient's thyroxine and tri-iodothyronine hormone levels are elevated. Which
of these findings would the nurse most likely find on examination?
A) Tachycardia
B) Constipation
C) Rapid dyspnea
D) Atrophied nodular thyroid
Give this one a try later!
, A) Tachycardia
Thyroxine and tri-iodothyronine are thyroid hormones that stimulate the
rate of cellular metabolism, resulting in tachycardia. With an enlarged
thyroid as in hyperthyroidism, the nurse might expect to find diffuse
enlargement (goiter) or a nodular lump, but not an atrophied gland.
Dyspnea and constipation are not findings associated with
hyperthyroidism.
29. The nurse is preparing to do a mental status examination. Which statement is true
regarding the mental status examination?
A) A patient's family is the best resource for information about the patient's coping
skills.
B) It is usually sufficient to gather mental status information during the health history
interview.
C) It takes an enormous amount of extra time to integrate the mental status
examination into the health history interview.
D) It is usually necessary to perform a complete mental status examination to get a
good idea of the patient's level of functioning.
Give this one a try later!
B) It is usually sufficient to gather mental status information during the
health history interview.
Page: 73. The full mental status examination is a systematic check of
emotional and cognitive functioning. The steps described here, though,
rarely need to be taken in their entirety. Usually, one can assess mental
status through the context of the health history interview.
124. The nurse knows that determining whether a person is oriented to his or her
surroundings will test the functioning of which of these structures?
,A) Cerebrum
B) Cerebellum
C) Cranial nerves
D) Medulla oblongata
Give this one a try later!
A) Cerebrum
Pages: 621-622 | Page: 660. The cerebral cortex is responsible for thought,
memory, reasoning, sensation, and voluntary movement. The other options
structures are not responsible for a person's level of consciousness.
30. During a mental status examination, the nurse wants to assess a patient's affect.
The nurse should ask the patient which question?
A) "How do you feel today?"
B) "Would you please repeat the following words?"
C) "Have these medications had any effect on your pain?"
D) "Has this pain affected your ability to get dressed by yourself?"
Give this one a try later!
A) "How do you feel today?"
Page: 74. Judge mood and affect by body language and facial expression
and by asking directly, "How do you feel today?" or "How do you usually
feel?" The mood should be appropriate to the person's place and
condition and should change appropriately with topics.
62. The physician reports that a patient with a neck tumor has a tracheal shift. The
nurse is aware that this means that the patient's trachea is:
A) pulled to the affected side.
, B) pushed to the unaffected side.
C) pulled downward.
D) pulled downward in a rhythmic pattern.
Give this one a try later!
B) pushed to the unaffected side.
Pages: 262-263. The trachea is pushed to the unaffected side with an aortic
aneurysm, a tumor, unilateral thyroid lobe enlargement, and
pneumothorax. The trachea is pulled to the affected side with large
atelectasis, pleural adhesions, or fibrosis. Tracheal tug is a rhythmic
downward pull that is synchronous with systole and occurs with aortic arch
aneurysm.
64. The nurse is performing an assessment on a 7-year-old child who has symptoms of
chronic watery eyes, sneezing, and clear nasal drainage. The nurse notices the
presence of a transverse line across the bridge of the nose, dark blue shadows below
the eyes, and a double crease on the lower eyelids. These findings are characteristic
of:
A) allergies.
B) a sinus infection.
C) nasal congestion.
D) an upper respiratory infection.
Give this one a try later!
A) allergies.
Page: 275. Chronic allergies often develop chronic facial characteristics.
These include blue shadows below the eyes, a double or single crease on
the lower eyelids, open-mouth breathing, and a transverse line on the
nose.
that the patient's thyroxine and tri-iodothyronine hormone levels are elevated. Which
of these findings would the nurse most likely find on examination?
A) Tachycardia
B) Constipation
C) Rapid dyspnea
D) Atrophied nodular thyroid
Give this one a try later!
, A) Tachycardia
Thyroxine and tri-iodothyronine are thyroid hormones that stimulate the
rate of cellular metabolism, resulting in tachycardia. With an enlarged
thyroid as in hyperthyroidism, the nurse might expect to find diffuse
enlargement (goiter) or a nodular lump, but not an atrophied gland.
Dyspnea and constipation are not findings associated with
hyperthyroidism.
29. The nurse is preparing to do a mental status examination. Which statement is true
regarding the mental status examination?
A) A patient's family is the best resource for information about the patient's coping
skills.
B) It is usually sufficient to gather mental status information during the health history
interview.
C) It takes an enormous amount of extra time to integrate the mental status
examination into the health history interview.
D) It is usually necessary to perform a complete mental status examination to get a
good idea of the patient's level of functioning.
Give this one a try later!
B) It is usually sufficient to gather mental status information during the
health history interview.
Page: 73. The full mental status examination is a systematic check of
emotional and cognitive functioning. The steps described here, though,
rarely need to be taken in their entirety. Usually, one can assess mental
status through the context of the health history interview.
124. The nurse knows that determining whether a person is oriented to his or her
surroundings will test the functioning of which of these structures?
,A) Cerebrum
B) Cerebellum
C) Cranial nerves
D) Medulla oblongata
Give this one a try later!
A) Cerebrum
Pages: 621-622 | Page: 660. The cerebral cortex is responsible for thought,
memory, reasoning, sensation, and voluntary movement. The other options
structures are not responsible for a person's level of consciousness.
30. During a mental status examination, the nurse wants to assess a patient's affect.
The nurse should ask the patient which question?
A) "How do you feel today?"
B) "Would you please repeat the following words?"
C) "Have these medications had any effect on your pain?"
D) "Has this pain affected your ability to get dressed by yourself?"
Give this one a try later!
A) "How do you feel today?"
Page: 74. Judge mood and affect by body language and facial expression
and by asking directly, "How do you feel today?" or "How do you usually
feel?" The mood should be appropriate to the person's place and
condition and should change appropriately with topics.
62. The physician reports that a patient with a neck tumor has a tracheal shift. The
nurse is aware that this means that the patient's trachea is:
A) pulled to the affected side.
, B) pushed to the unaffected side.
C) pulled downward.
D) pulled downward in a rhythmic pattern.
Give this one a try later!
B) pushed to the unaffected side.
Pages: 262-263. The trachea is pushed to the unaffected side with an aortic
aneurysm, a tumor, unilateral thyroid lobe enlargement, and
pneumothorax. The trachea is pulled to the affected side with large
atelectasis, pleural adhesions, or fibrosis. Tracheal tug is a rhythmic
downward pull that is synchronous with systole and occurs with aortic arch
aneurysm.
64. The nurse is performing an assessment on a 7-year-old child who has symptoms of
chronic watery eyes, sneezing, and clear nasal drainage. The nurse notices the
presence of a transverse line across the bridge of the nose, dark blue shadows below
the eyes, and a double crease on the lower eyelids. These findings are characteristic
of:
A) allergies.
B) a sinus infection.
C) nasal congestion.
D) an upper respiratory infection.
Give this one a try later!
A) allergies.
Page: 275. Chronic allergies often develop chronic facial characteristics.
These include blue shadows below the eyes, a double or single crease on
the lower eyelids, open-mouth breathing, and a transverse line on the
nose.
