A nurse is assessing the shape of a client's abdomen. Which of the following terms
would the nurse use to document an abdomen that is excessively convex and
distended?
a. Scaphoid
b. Protuberant
c. Flat
d. Rounded
Give this one a try later!
Answer: b. Protuberant
Rationale: A protuberant abdomen is excessively convex and distended,
indicating the presence of gas, fluid, or an enlarging organ.
Which of the following is a common symptom of a deviated septum?
a. Congestion
,b. Nosebleeds
c. Loss of smell
d. None of the above
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Answer: a. Congestion
Rationale: Congestion is a common symptom of a deviated septum, which
is a condition in which the cartilage that separates the nostrils is misaligned.
The nurse is assessing a client for possible allergic reactions. Which of the following is
a common symptom of an allergic reaction?
a. Hypertension
b. Bradycardia
c. Bronchospasm
d. Bradypnea
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Answer: c. Bronchospasm
Rationale: Bronchospasm is a common symptom of an allergic reaction.
Other common symptoms include hives, itching, swelling, and anaphylaxis.
The nurse is assessing a patient with chronic sinusitis. Which of the following signs
would the nurse expect to find during a physical examination?
a. Normal nasal mucosa
b. Clear nasal discharge
c. Tenderness over the sinuses
d. No facial pain or pressure
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, Answer: c.
Tenderness over the sinuses. Chronic sinusitis is characterized by long-term
inflammation of the sinuses. Patients may have tenderness over the sinuses,
as well as nasal congestion, facial pain, and pressure. The nurse should
expect to find these signs during a physical examination.
A nurse is assessing a client's facial hair growth during a physical examination. Which
of the following findings would the nurse document as abnormal?
a. Patchy or uneven facial hair growth
b. Absence of facial hair growth
c. Straight and evenly distributed facial hair
d. Sparse facial hair growth on the chin and upper lip
Give this one a try later!
Answer: b. Absence of facial hair growth
Rationale: Absence of facial hair growth is an abnormal finding during a
facial assessment and may indicate hormonal imbalances or other
underlying health conditions. The other findings listed are normal or may
indicate minor variations in facial hair growth.
A nurse is assessing a client's neck during a head assessment. Which of the following
findings would the nurse document as abnormal?
a. Full range of motion
b. Soft, non-tender lymph nodes
c. Absence of masses or pulsations
d. Tracheal deviation to one side
Give this one a try later!
Answer: d. Tracheal deviation to one side
Rationale: Tracheal deviation to one side is an abnormal finding during a
, head and neck assessment. The other findings listed are normal or may
indicate minor variations in lymph node size or texture.
A nurse is assessing a client's abdomen for the presence of appendicitis. Which of the
following findings should the nurse expect to observe?
a. A pulsatile mass in the lower abdomen
b. Dullness to percussion in the upper abdomen
c. Hyperactive bowel sounds in the lower abdomen
d. Rebound tenderness in the right lower quadrant
Give this one a try later!
d. Rebound tenderness in the right lower quadrant
Rationale: Appendicitis is an inflammation of the appendix, which is located
in the right lower quadrant of the abdomen. Rebound tenderness, which is
pain that occurs when pressure is released from the abdomen, may be
present in the right lower quadrant in clients with appendicitis. A pulsatile
mass in the lower abdomen may be a sign of aortic aneurysm. Dullness to
percussion in the upper abdomen may be a sign of ascites. Hyperactive
bowel sounds in the lower abdomen may be a sign of increased peristalsis.
A client reports a headache that is located on one side of the head and is described
as a sharp, stabbing pain. Which type of headache is this client most likely
experiencing?
a. Cluster headache
b. Migraine headache
c. Tension headache
d. Sinus headache
Give this one a try later!
would the nurse use to document an abdomen that is excessively convex and
distended?
a. Scaphoid
b. Protuberant
c. Flat
d. Rounded
Give this one a try later!
Answer: b. Protuberant
Rationale: A protuberant abdomen is excessively convex and distended,
indicating the presence of gas, fluid, or an enlarging organ.
Which of the following is a common symptom of a deviated septum?
a. Congestion
,b. Nosebleeds
c. Loss of smell
d. None of the above
Give this one a try later!
Answer: a. Congestion
Rationale: Congestion is a common symptom of a deviated septum, which
is a condition in which the cartilage that separates the nostrils is misaligned.
The nurse is assessing a client for possible allergic reactions. Which of the following is
a common symptom of an allergic reaction?
a. Hypertension
b. Bradycardia
c. Bronchospasm
d. Bradypnea
Give this one a try later!
Answer: c. Bronchospasm
Rationale: Bronchospasm is a common symptom of an allergic reaction.
Other common symptoms include hives, itching, swelling, and anaphylaxis.
The nurse is assessing a patient with chronic sinusitis. Which of the following signs
would the nurse expect to find during a physical examination?
a. Normal nasal mucosa
b. Clear nasal discharge
c. Tenderness over the sinuses
d. No facial pain or pressure
Give this one a try later!
, Answer: c.
Tenderness over the sinuses. Chronic sinusitis is characterized by long-term
inflammation of the sinuses. Patients may have tenderness over the sinuses,
as well as nasal congestion, facial pain, and pressure. The nurse should
expect to find these signs during a physical examination.
A nurse is assessing a client's facial hair growth during a physical examination. Which
of the following findings would the nurse document as abnormal?
a. Patchy or uneven facial hair growth
b. Absence of facial hair growth
c. Straight and evenly distributed facial hair
d. Sparse facial hair growth on the chin and upper lip
Give this one a try later!
Answer: b. Absence of facial hair growth
Rationale: Absence of facial hair growth is an abnormal finding during a
facial assessment and may indicate hormonal imbalances or other
underlying health conditions. The other findings listed are normal or may
indicate minor variations in facial hair growth.
A nurse is assessing a client's neck during a head assessment. Which of the following
findings would the nurse document as abnormal?
a. Full range of motion
b. Soft, non-tender lymph nodes
c. Absence of masses or pulsations
d. Tracheal deviation to one side
Give this one a try later!
Answer: d. Tracheal deviation to one side
Rationale: Tracheal deviation to one side is an abnormal finding during a
, head and neck assessment. The other findings listed are normal or may
indicate minor variations in lymph node size or texture.
A nurse is assessing a client's abdomen for the presence of appendicitis. Which of the
following findings should the nurse expect to observe?
a. A pulsatile mass in the lower abdomen
b. Dullness to percussion in the upper abdomen
c. Hyperactive bowel sounds in the lower abdomen
d. Rebound tenderness in the right lower quadrant
Give this one a try later!
d. Rebound tenderness in the right lower quadrant
Rationale: Appendicitis is an inflammation of the appendix, which is located
in the right lower quadrant of the abdomen. Rebound tenderness, which is
pain that occurs when pressure is released from the abdomen, may be
present in the right lower quadrant in clients with appendicitis. A pulsatile
mass in the lower abdomen may be a sign of aortic aneurysm. Dullness to
percussion in the upper abdomen may be a sign of ascites. Hyperactive
bowel sounds in the lower abdomen may be a sign of increased peristalsis.
A client reports a headache that is located on one side of the head and is described
as a sharp, stabbing pain. Which type of headache is this client most likely
experiencing?
a. Cluster headache
b. Migraine headache
c. Tension headache
d. Sinus headache
Give this one a try later!
