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1. During assessment of the lower extremities of a male C. Ask the Client if this is
client the nurse is unable to palpate the dorsalis pedis normal
pulse. What action should the nurse take first?
a. Notify the Physician
b. Return in a few hours and reassess
c. Ask the client if this is "normal" for him
d. Reposition the fingers and assess again
2. An example of objective data obtained during the b.Audible wheeze
physical assessment includes: Select all that apply
e.Pressure ulcer rt. ankle
a.Sore throat
b.Audible wheeze
c.Headache
d.Tinnitus
e.Pressure ulcer rt. ankle
3. A mother is at the clinic with her 2-year-old son and b."Tell me what you mean
states "he won't go to sleep at night & during the day by fits."
he has several fits. I get so upset when this happens."
The nurse's best verbal response should be:
a."Go on, I'm listening
b."Tell me what you mean by fits."
c."Yes, it can be upsetting when a child has a fit."
d."Don't be upset when he has a fit, all 2-year-olds have
fits
4. Which of the following statements illustrates the use b.Builds & enhances rap-
of open-ended questions? Select all that apply port
a.Elicits cold facts
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b.Builds & enhances rapport e.Used when narrative in-
c.Leaves interactions neutral formation is needed
d.Calls for short one-to two-word answers
e.Used when narrative information is needed
5. A client's reason for seeking care is "shortness of a. Will you please describe
breath". When obtaining a health history, which of the activities that cause
these questions, by the nurse, would obtain the most you to be short of breath?
helpful information?
a.Will you please describe the activities that cause you
to be short of breath?
b.Have you been short of breath for long?
c.Hon, are you short of breath now?
d.Do you have interstitial pneumonia?
6. During an exam the nurse notices the client has round, a. Petechiae
flat red lesions on the skin of the forearm. The nurse
suspects:
a.Petechiae
b.Pruritis
c.Herpes zoster
d.Psoriasis
7. A 65-year-old man with emphysema has come to the d. Clubbing of the nails
clinic for a follow-up appt. On assessment of the skin,
the nurse might expect to assess the following:
a.Jaundice
b.Senile angiomas
c.Herpes zoster
d.Clubbing of the nails
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8. A mother presents with her son, who has been in a new b. Impetigo
day care facility. On examination the nurse assesses
moist, thin vesicles with an erythematous base around
the nose and mouth. The nurse suspects:
a.Eczema
b.Impetigo
c.Herpes zoster
d.Dermatitis
9. A healthcare provider has diagnosed a client with pur- c. Confluent & extensive
pura. The nurse knows this is: patches of petechiae
a.Blue dilation of blood vessels in a star-shaped linear
pattern on the legs
b.Fiery red star-shaped markings on the cheek with a
solid center
c.Confluent & extensive patches of petechiae
d.Tiny little areas of hemorrhage less than 2 mm,
round & discrete
10. Match the following: ___Lentigine
1)Tiny punctuate hemorrhages ___Petechiae
2)A large patch of capillary bleeding into tissues ___Nodule
3)A hypertrophic scar ___Keloid
4)Elevated cavity containing free fluid up to 1 cm ___Vesicle
5)Variations of hyperpigmentation ___Ecchymosis
6)Solid, elevated, hard or soft lesion larger than 1 cm
___Lentigine
___Petechiae
___Nodule