Health assessment nclex questions and correct answers 2022

Health assessment nclex questions and correct answers 2022The external male genital structures include the: A) testis. B) scrotum. C) epididymis. D) vas deferens. B During an examination of an aging male, the nurse recognizes that normal changes to expect would be: A) enlarged scrotal sac. B) increased pubic hair. C) decreased penis size. D) increased rugae over the scrotum. C 00:02 00:58 An older man is concerned about his sexual performance. The nurse knows that in the absence of disease, a withdrawal from sexual activity later in life may be due to: A) side effects of medications. B) decreased libido with aging. C) decreased sperm production. D) decreased pleasure from sexual intercourse. A A 59-year-old patient has been diagnosed with prostatitis and is being seen at the clinic for complaints of burning and pain during urination. He is experiencing: A) dysuria. B) nocturia. C) polyuria. D) hematuria. A The nurse is providing patient teaching about an erectile dysfunction drug. One of the drug's potential side effects is prolonged, painful erection of the penis without sexual stimulation, which is known as: A) orchitis. B) stricture. C) phimosis. D) priapism. D The nurse is assessing a male client who complains of scrotal pain. There is marked swelling on the right side of the scrotum. What is the next best exam technique to investigate the finding? A. Ask the client how long he has noticed the asymmetry B. Inform the client he will need to see a urologist C. Transilluminate the scrotum with a penlight D. Alert the doctor the patient will need an ultrasound C A 45 year old male with history of prostate problems describes his urine as cola colored when he voided this morning. How should the nurse document this in the client's medical record? A. Polyuria B. Nocturia C. Hematuria D. Dysuria C The advanced practice nurse is examining the prostate of a 60 year old client. Which of the following findings are considered normal? (Select all that apply) A. Heart shape, with palpable central grove B. Nodular surface on bilateral prostate lobes C. Nontender to palpation D. Fluctuant consistency without pain and fever E. Atrophied gland without protrusion into rectum A, C The nurse is examining a childbearing woman who has a urinary tract infection and fever. What is the next best step in the physical exam to assess for complications? A. Send the patient to the lab for a urine dip B. Palpate the suprapubic area for pain C. Check for costovertebral tenderness D. Palpate the abdomen for diffuse tenderness C What should every childbearing woman be asked during the physical exam? A. What is the average age of menopause in the family? B. Is there a history of tubal ligation C. The date of the last menstrual period D. Any past medical or surgical history C When examining the eye, the nurse notices that the patient's eyelid margins approximate completely. The nurse recognizes that this assessment finding: A) is expected. B) may indicate a problem with extraocular muscles. C) may result in problems with tearing. D) indicates increased intraocular pressure. A The nurse is conducting a visual examination. Which of these statements regarding visual pathways and visual fields is true? A) The right side of the brain interprets vision for the right eye. B) The image formed on the retina is upside down and reversed from its actual appearance in the outside world. C) Light rays are refracted through the transparent media of the eye before striking the pupil. D) The light impulses are conducted through the optic nerve to the temporal lobes of the brain. B 00:02 00:58 The nurse is testing a patient's visual accommodation, which refers to which action? A) Pupillary constriction when looking at a near object B) Pupillary dilation when looking at a far object C) Changes in peripheral vision in response to light D) Involuntary blinking in the presence of bright light A The nurse is reviewing for a class in age-related changes in the eye. Which of these physiological changes is responsible for presbyopia? A) Degeneration of the cornea B) Loss of lens elasticity C) Decreased adaptation to darkness D) Decreased distance vision abilities B When examining the ear with an otoscope, the nurse notes that the tympanic membrane should appear: A) light pink with a slight bulge. B) pearly gray and slightly concave. C) pulled in at the base of the cone of light. D) whitish with a small fleck of light in the superior portion. B The nurse is assessing a patient who may have hearing loss. Which of these statements is true concerning air conduction? A) It is the normal pathway for hearing. B) It is caused by the vibrations of bones in the skull. C) The amplitude of sound determines the pitch that is heard. D) A loss of air conduction is called a conductive hearing loss. A The nurse is testing the hearing of a 78-year-old man and keeps in mind the changes in hearing that occur with aging include which of the following? Select all that apply. A) Hearing loss related to aging begins in the mid 40s. B) The progression is slow. C) The aging person has low-frequency tone loss. D) The aging person may find it harder to hear consonants than vowels. E) Sounds may be garbled and difficult to localize. F) Hearing loss reflects nerve degeneration of the middle ear. B, D, E In an individual with otitis externa, which of these signs would the nurse expect to find on assessment? A) Rhinorrhea B) Periorbital edema C) Pain over the maxillary sinuses D) Enlarged superficial cervical nodes D In assessing the tonsils of a 30 year old, the nurse notices that they are involuted, granular in appearance, and appear to have deep crypts. What is correct response to these findings? A) Refer the patient to a throat specialist. B) Nothing, because this is the appearance of normal tonsils. C) Continue with assessment looking for any other abnormal findings. D) Obtain a throat culture on the patient for possible strep infection. B The nurse is assessing an 80-year-old patient. Which of these findings would be expected for this patient? A) Hypertrophy of the gums B) An increased production of saliva C) A decreased ability to identify odors D) Finer and less prominent nasal hair C During an assessment, a patient mentions that "I just can't smell like I used to. I can barely smell the roses in my garden. Why is that?" The nurse will assess for what possible causes of changes in the sense of smell? Select all that apply. A) Chronic alcohol use B) Cigarette smoking C) Frequent episodes of strep throat D) Chronic allergies E) Aging F) Herpes simplex I B, D, E When examining the mouth of an elderly patient, the nurse recognizes that which finding is due to the aging process? A) Teeth that appear shorter B) A tongue that looks smoother in appearance C) Buccal mucosa that is beefy red in appearance D) A small, painless lump on the dorsum of the tongue B The nurse educator is preparing an education module for the nursing staff on the epidermal layer of skin. Which of these statements would be included in the module? The epidermis is: A) highly vascular. B) thick and tough. C) thin and nonstratified. D) replaced every 4 weeks. D The nurse educator is preparing an education module for the nursing staff on the dermis layer of skin. Which of these statements would be included in the module? The dermis: A) contains mostly fat cells. B) consists mostly of keratin. C) is replaced every 4 weeks. D) contains sensory receptors. D The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and dry. This finding would be related to which factor? A) Increased vascularity of the skin in the elderly B) Increased numbers of sweat and sebaceous glands in the elderly C) An increase in elastin and a decrease in subcutaneous fat in the elderly D) An increased loss of elastin and a decrease in subcutaneous fat in the elderly D The nurse notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in diameter. When documenting this finding, the nurse would report this as a: A) bulla. B) wheal. C) nodule. D) papule. D A physician has diagnosed a patient with purpura. After leaving the room, a nursing student asks the nurse what the physician saw that led to that diagnosis. The nurse should say, "The physician is referring to: A) that blue dilation of blood vessels in a star-shaped linear pattern on the legs." B) that fiery red, star-shaped marking on the cheek that has a solid circular center." C) that confluent and extensive patch of petechiae and ecchymoses on the feet." D) those tiny little areas of hemorrhage that are less than 2 mm, round, discrete, and dark red in color." C Which of the following statements warrants an immediate referral? A."This is the worst migraine of my life." B. "This is the worst headache I've had since puberty." C. "I have never had a headache like this before, it is so bad I can't function." D. "I have had daily headaches for years." C A healthy, older adult client complains of dry, itchy skin. The correct response by the nurse is: A. "Avoid scratching the skin to minimize the risk of infection." B. "Drink fluids and shower instead of taking a bath." C. "Take fewer baths, use soap sparingly, and apply lotion afterward." D. "Wear cotton clothing and use a hypoallergenic soap." C A 60-year old client reports to the nurse that he has a rash on his back and right flank area. The nurse observes elevated, round, blister-like lesions that are filled with clear fluid. When documenting these findings, what medical term should the nurse use to describe these lesions? A. Pustules B. Papule C. Plaque D. Vesicles D The nurse is assessing a client who has a rash on his chest and upper arms. Which questions should the nurse ask in order to gain further information about the client's rash? (Select all that apply) A. "When did the rash start?" B. "Are you allergic to any medications, food, or pollen?" C. "How old are you?" D. "What have you been using to treat the rash?" E. "Have you recently traveled outside the country?" F. "Do you smoke cigarettes or drink alcohol?" A, B, D, E A client exhibits signs of heightened anxiety. Which response by the nurse is most likely to reduce the client's anxiety? A. "Everything will be fine. Don't worry." B. "Read this manual and then ask me any questions you may have." C. "Why don't you listen to the radio?" D. "Let's talk about what is bothering you." D The two parts of the nervous system are the: A) motor and sensory. B) central and peripheral. C) peripheral and autonomic. D) hypothalamus and cerebral. B The area of the nervous system that is responsible for mediating reflexes is the: A) medulla. B) cerebellum. C) spinal cord. D) cerebral cortex. C During the assessment of deep tendon reflexes, the nurse finds that a patient's responses are normal bilaterally. What number is used to indicate "normal" deep tendon reflexes when the documenting this finding. _____+ 2 The nurse is assessing the neurologic status of a patient who has a late-stage brain tumor. With the reflex hammer, the nurse draws a light stroke up the lateral side of the sole of the foot and inward, across the ball of the foot. In response, the patient's toes fan out, and the big toe shows dorsiflexion. The nurse interprets this result as: A) a negative Babinski's sign, which is normal for adults. B) a positive Babinski's sign, which is abnormal for adults. C) clonus, which is a hyperactive response. D) the Achilles reflex, which is an expected response. B