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1. Describe why the left lateral position is preferred for hearing S1 during a
cardiac assessment.
The left lateral position allows for better access to the patient's arms.
The left lateral position reduces the impact of lung sounds on heart
auscultation.
The left lateral position brings the heart closer to the chest wall,
enhancing the clarity of S1 sounds.
The left lateral position is more comfortable for the patient.
2. If a lesion is described as annular, it appears:
as if the lesions run together.
as distinct, individual lesions that remain separate.
with concentric rings of color in the lesions.
circular and begins in center and spreads to periphery.
3. What is the primary characteristic of S4 heart sounds?
A sound associated with rapid ventricular filling.
A low-frequency sound occurring just before S1.
A sound that indicates normal heart function.
A high-pitched sound occurring after S2.
4. Which of the following is an abnormal finding during a female genital
assessment?
, Symmetrical labia minora
Presence of clear, odorless vaginal discharge
Pink-colored vaginal mucosa
Enlarged clitoris
5. What is the primary purpose of a focused assessment in nursing?
To perform routine checks on vital signs.
To conduct a comprehensive evaluation of the patient.
To assess the patient's overall health history.
To gather specific information about a particular health issue.
6. The adult-gerontology primary care NP describes an annular skin lesion as
usually arranged in:
A pattern of merging together, not discrete
A circle, or ring shape
Groups of vesicles erupting unilaterally
A line
7. Describe how body structure evaluation during a general survey can impact
patient care.
Evaluating body structure helps identify potential health issues and
informs care planning.
It only focuses on cosmetic appearance.
Body structure evaluation is irrelevant to patient care.
It is solely for research purposes.
,8. Costovertebral angle tenderness (CVAT) may indicate which of the following
problems?
GERD
Hepatitis
Pyelonephritis
Ulcerative colitis
9. S2 is
Caused by the closure of the AV valves at the beginning of ventricular
contraction.
All of the above are true.
The heart sound caused by the opening of valves.
The second heart sound.
10. If a patient presents with a stage 2 pressure injury, what immediate nursing
intervention should be prioritized?
Applying a topical anesthetic.
Administering antibiotics immediately.
Performing a surgical debridement.
Implementing a pressure-relieving strategy.
11. Describe how gait and posture contribute to a nursing assessment during a
general survey.
Gait and posture provide insights into a patient's mobility, balance,
and overall physical condition.
Gait and posture are irrelevant to the assessment process.
, Gait and posture are assessed only in elderly patients.
Gait and posture only indicate psychological health.
12. Stage-two pressure injuries involve damage to
the skeletal system.
the muscles.
the subcutaneous tissue.
the dermis & epidermis.
13. What is a zosteriform lesion?
bullseye appearance
follow a nerve root
circular shape
lesions run together
14. Costovertebral angle tenderness on fist percussion suggests:
abdominal aortic aneurysm
hepatitis
degenerative disc disease
mononucleosis
pyelonephritis
15. A patient presents with shortness of breath and an S3 heart sound is
auscultated. What should be the next step in the nursing assessment?