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NUR 310 Health Assessment Exam 2 | Score 42/50 | Denver College of Nursing

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NUR 310 Health Assessment Exam 2 | Score 42/50 | Denver College of Nursing

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Exam 2 Ch 12-17
Due May 10 at 3pm Points 50 Questions 50
Available after May 10 at 8am Time Limit 80 Minutes




Attempt History
Attempt Time Score
LATEST Attempt 1 60 minutes 42 out of 50




Score for this quiz: 42 out of 50
Submitted May 10 at 12:29pm
This attempt took 60 minutes.


Question 1 pts



The nurse is examining a client with elevated T4 and T3 hormone
levels. Which of these findings would the nurse most likely find on
examination?


Cool, dry skin.


Constipation.


Periorbital edema.

Correct!
Tachycardia.

, T4 and T3 are thyroid hormones that stimulate the rate of
cellular metabolism, resulting in tachycardia. 




Question 2 pts



The nurse is examining a patient with Hashimoto's disease. What sign
or symptom is consistent with an underactive thyroid?


Correct! Weight gain.


Diaphoresis.


Exophthalmos.


Tremors.




Common signs and symptoms of hypothyroidism include
decreased vital signs, weight gain, depression, facial puffiness,
cool skin, and coarse/dry hair. The other options are
common with hyperthyroidism.




Question 3 pts

, The nurse has just identified a Stage II pressure injury in a hospitalized
client. What led the nurse to this conclusion?


u Answered Red, nonblanching area of intact skin.


rrect Answe r A shallow erosion extending into the dermis.


Full thickness wound exposing muscle.


Deep tissue loss extending into the subcutaneous layer.




The other options describe other stages of pressure injuries.




Question 4 pts



During a complete thyroid examination of a client presenting with
“anxiety”, the nurse observes no obvious enlargement. What should the
nurse do next?


Percuss the area for dullness.


Assume no abnormalities and document “no enlargement.”


Auscultate the area for a bruit.


Correct! Palpate the gland using a posterior approach.

, A complete thyroid exam involves inspection, palpation, and
auscultation, in that order. Percussion of the thyroid is not a valid
assessment. 




Question 5 pts



During an eye assessment of a black patient, the nurse would consider
which of these an expected finding?


Asymmetry of the palpebral fissures.


Yellow nodules covering the cornea.


Pale conjunctivae.

Correct!
Gray-blue tint to the sclera.




Normally in dark-skinned people, small brown macules or a
gray-blue tint may be observed in the sclera (Jarvis p. 288)




Question 6 pts

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