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6020 MidTerm Questions and Answers with
Complete Solutions UPDATED!!!
A patient tells the nurse that she has had abdominal pain for
the past week. What would be the best response by the nurse?
- ANSWER "Can you point to where it hurts?"
A patient's laboratory data reveal an elevated thyroxine level.
The nurse would proceed with an examination of the: -
ANSWER Thyroid
A 6-month-old infant has been brought to the well-child clinic
for a check-up. She is currently sleeping. What should the
examiner do first? - ANSWER Auscultate the lungs and heart
while the infant is still sleeping
When preparing to examine a 6-year-old child, which action is
most appropriate? - ANSWER Start with the thorax, abdomen,
and genitalia before examining the head. Avoid talking about
the equipment being used because it may increase the child's
anxiety. Keep in mind that a child this age will have a sense of
modesty. Have the child undress from the waist up.
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68-year-old woman is in the eye clinic for a checkup. She tells
the nurse that she has been having trouble with reading the
paper, sewing, and even seeing the faces of her grandchildren.
On examination, the nurse notes that she has some loss of
central vision but her peripheral vision is normal. These findings
suggest that: - ANSWER She may have macular degeneration
In assessing a patient's major risk factors for heart disease,
which would the nurse want to include when taking a history?
1.Family history, hypertension, stress, age
2.Personality type, high cholesterol, diabetes, smoking
3.Smoking, hypertension, obesity, diabetes, high cholesterol
4.Alcohol consumption, obesity, diabetes, stress, high
cholesterol - ANSWER 3. Smoking, hypertension, obesity,
diabetes, high cholesterol
A teenage patient comes to the emergency department with
complaints of an inability to breathe and a sharp pain in the left
side of his chest. The assessment findings include cyanosis,
tachypnea, tracheal deviation to the right, decreased tactile
fremitus on the left, hyperresonance on the left, and decreased
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breath sounds on the left. The nurse interprets that these
assessment findings are consistent
with: - ANSWER a pneumothorax
During a hearing assessment the nurse practitioner finds that
sound lateralizes to the patient's left ear with the Weber test.
What can the nurse practitioner conclude from this? - ANSWER
The patient has a conductive hearing loss in the right ear.
Lateralization is a normal finding with the Weber test. The
patient could have either a sensorineural or a conductive loss. A
mistake has occurred; the test must be repeated.
The most important reason to share information and offer brief
teaching while performing the physical examination is to help:
1.the examiner feel more comfortable and gain control of the
situation.
2.build rapport and increase the patient's confidence in the
examiner.
3.the patient understand his or her disease process and
treatment modalities.
6020 MidTerm Questions and Answers with
Complete Solutions UPDATED!!!
A patient tells the nurse that she has had abdominal pain for
the past week. What would be the best response by the nurse?
- ANSWER "Can you point to where it hurts?"
A patient's laboratory data reveal an elevated thyroxine level.
The nurse would proceed with an examination of the: -
ANSWER Thyroid
A 6-month-old infant has been brought to the well-child clinic
for a check-up. She is currently sleeping. What should the
examiner do first? - ANSWER Auscultate the lungs and heart
while the infant is still sleeping
When preparing to examine a 6-year-old child, which action is
most appropriate? - ANSWER Start with the thorax, abdomen,
and genitalia before examining the head. Avoid talking about
the equipment being used because it may increase the child's
anxiety. Keep in mind that a child this age will have a sense of
modesty. Have the child undress from the waist up.
,2|Page
68-year-old woman is in the eye clinic for a checkup. She tells
the nurse that she has been having trouble with reading the
paper, sewing, and even seeing the faces of her grandchildren.
On examination, the nurse notes that she has some loss of
central vision but her peripheral vision is normal. These findings
suggest that: - ANSWER She may have macular degeneration
In assessing a patient's major risk factors for heart disease,
which would the nurse want to include when taking a history?
1.Family history, hypertension, stress, age
2.Personality type, high cholesterol, diabetes, smoking
3.Smoking, hypertension, obesity, diabetes, high cholesterol
4.Alcohol consumption, obesity, diabetes, stress, high
cholesterol - ANSWER 3. Smoking, hypertension, obesity,
diabetes, high cholesterol
A teenage patient comes to the emergency department with
complaints of an inability to breathe and a sharp pain in the left
side of his chest. The assessment findings include cyanosis,
tachypnea, tracheal deviation to the right, decreased tactile
fremitus on the left, hyperresonance on the left, and decreased
, 3|Page
breath sounds on the left. The nurse interprets that these
assessment findings are consistent
with: - ANSWER a pneumothorax
During a hearing assessment the nurse practitioner finds that
sound lateralizes to the patient's left ear with the Weber test.
What can the nurse practitioner conclude from this? - ANSWER
The patient has a conductive hearing loss in the right ear.
Lateralization is a normal finding with the Weber test. The
patient could have either a sensorineural or a conductive loss. A
mistake has occurred; the test must be repeated.
The most important reason to share information and offer brief
teaching while performing the physical examination is to help:
1.the examiner feel more comfortable and gain control of the
situation.
2.build rapport and increase the patient's confidence in the
examiner.
3.the patient understand his or her disease process and
treatment modalities.
