NSG 3160 Exam 1 Newest 2025/2026 Complete All
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Which of the following is considered when preparing to examine an older
adult?
a. Avoid physical touch to avoid making the older adult uncomfortable.
b. Confusion is a normal, expected finding in an older adult.
c. Be aware that loss will result in poor coping mechanisms.
d. Base the pace of the examination on the patient's needs and abilities.
......answer.....d. Base the pace of the examination on the patient's
needs and abilities.
The pace of the examination should be adjusted to match the possible
slowed pace of the aging person. Use physical touch (if it is not a cultural
contraindication) to offset the disadvantages of diminishing vision and
hearing. Be aware that loss is inevitable, and adaptation to loss affects health
status. Confusion with a sudden onset may signify a disease state and is not a
normal process of aging.
When performing percussion, the examiner
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a. taps fingertips over bony processes.
b. strikes the stationary finger at the distal interphalangeal joint.
c. strikes the flank area with the palm of the hand.
d. strikes the stationary finger at the proximal interphalangeal joint.
......answer.....b. strikes the stationary finger at the distal
interphalangeal joint.
To perform percussion, the examiner strikes the stationary finger at the
distal interphalangeal joint (just behind the nail bed).
At the end of the examination, the examiner should
a. compare objective and subjective data for discrepancies.
b. have findings confirmed by another provider.
c. review the findings with the patient.
d. complete documentation before leaving the examination room.
......answer.....c. review the findings with the patient.
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At the end of the examination, the examiner should summarize the findings
and share necessary information with the patient. The examiner may take
short notes during the examination; complete documentation should occur
after leaving the examination room. The examiner should have findings
confirmed only if the finding is abnormal and requires confirmation from
another examiner. Subjective and objective data should be compared
throughout the history and physical examination.
The examiner should use hand-washing instead of an alcohol-based hand
rub
a. if the patient is HIV positive.
b. if the patient has an infection with Clostridium difficile.
c. if the patient has an infection with Mycobacterium tuberculosis.
d. if the patient has an infection with hepatitis B virus. ......answer.....b. if the
patient has an infection with Clostridium difficile.
The examiner should use the mechanical action of soap-and-water
hand-washing when hands are visibly soiled and when patients are
infected with spore-forming organisms (e.g., C. difficile or Bacillus
anthracis). An alcohol-based hand rub would be effective against M.
tuberculosis. An alcohol-based hand rub would be effective against
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hepatitis B virus. An alcohol-based hand rub would be effective
against HIV.
The nurse documents the following findings for the behavioral portion of the
general survey assessment, "patient demonstrates flat affect, lack of eye
contact, hair not brushed, and strong body odor". The nurse should be
concerned that the patient is which of the following?
a. Depression
b. Bulimia
c. Dysarthria
d. Seizures ......answer.....a. Depression
Flat affect, lack of eye contact, unkempt appearance (hair not
brushed), and smelling of body odor are common warning signs that
the patient may be depressed. Dysarthria is unclear articulation of
speech commonly associated with a stroke or a speech disorder. A
person with a seizure disorder may have altered affect or eye contact,
but may not demonstrate an unkempt appearance. A person with
bulimia may have altered mood, affect, or facial expression, but
typically not have altered dress or personal hygiene.