NR 325 Health Assessment Test 5 Questions and Answers Latest Update 2022

NR 325 Health Assessment Test 5 Questions and Answers Latest Update 2022 The physician comments that a patient has abdominal borborygmi. The nurse knows that this term refers to: -Correct Answer= Hyperactive bowel sounds A 52 year-old patient states then when she sneezes or coughs she "wets herself a little". She is very concerned something may be wrong with her. The nurse suspects that the problem is: -Correct Answer= Stress incontinence A 70-year old woman tells the nurse that every time she gets up in the morning or after she's been sitting she gets "really dizzy" and feels like she is going to fall over. The nurse's best response would be: - Correct Answer= "You need to get up slowly when you've been lying or sitting " During an assessment of the cranial nerves, the nurse finds the following: asymmetry when the patient smiles or frowns, uneven lifting of the eyebrows, sagging go the lower eyelids, and escape of air when the nurse presses against right puffed cheek. This would be dysfunction of which of the cranial nerves? - Correct Answer= Motor Component of VII While examining a patient, the nurse observes abdominal pulsations between the xiphoid and umbilicus. The nurse would expect that there are: -Correct Answer= Normal abdominal aortic pulsations The nurse suspects that a patient has carpal tunnel syndrome and wants to perform the Phalen's test. To perform this test, the nurse should instruct the patient to: -Correct Answer= Hold both hands back to back while flexing the wrists 90 degrees for 60 seconds An 11 year-old girl is in the clinic for a sports physical. The nurse notices that she has begun to develop breasts, and during the conversation the girl reveals she is worried about her development. The nurse should use which of these techniques to best assist the young girl in understanding the expected sequence for development. The nurse should: -Correct Answer= Use the Tanner's table on the five steps of sexual development The nurse suspects that a patient has a distended bladder. How should the nurse assess for this condition? -Correct Answer= Percuss and palpate the midline area above the suprapubic bone The nurse is explaining to a patient that there are "shock absorbers" in his back to cushion the spine and help it move. The nurse is referring to his: -Correct Answer= Intervertebral disks A nurse is assessing a patient's risk of contracting a sexually transmitted infection (STI). An appropriate question to ask would be: -Correct Answer= "Do you use a condom with each episode of sexual intercourse?" During the interview a patient reveals that she has some vaginal discharge. She is worried that it might be a sexually transmitted infection. The nurse's most appropriate response to this would be: -Correct Answer= "I'd like some information about the discharge. What color is it?" A 40 year-old man has come into the clinic with complaints of "extreme tenderness in my toes." The nurse notices that his toes are slightly swollen, reddened, and warm to touch. His complaints would suggest: -Correct Answer= Acute gout The nurse is listening to bowel sounds. Which of these statements is true of bowel sounds? -Correct Answer= They are usually high-pitched, gurgling, irregular sounds. A 60 year-old man has just been told he has benign prostatic hypertrophy. He has a friend who just died from cancer of the prostate, and he is concerned this will happen to him. How should the nurse respond? -Correct Answer= "The enlargement of your prostate is caused by hormone changes and not cancer" During the interview with a female patient, the nurse gathers data that indicates that the patient is perimenopausal. Which of these statements made by this patient leads to this conclusion? -Correct Answer= "I have been noticing that I sweat a lot more than I used to , especially at night." A patient is being assessed for range of joint movement. The nurse asks him to move his arm in toward the center of his body. This movement is called: -Correct Answer= Adduction During the neurologic assessment of a "healthy" 35 year-old patient, the nurse asks him to relax his muscles completely. The nurse then moves each extremity through full range of motion. Which of these results would the nurse expect to find? -Correct Answer= Mild, even resistance to movement A 62 year-old man states that his doctor told him that he has an "inguinal hernia." He asks the nurse to explain what a hernia is. The nurse should: -Correct Answer= Explain that a hernia is a loop of bowel protruding through a weak spot in the abdominal muscles. The nurse is caring for a newborn infant. Thirty hours after birth, the infant passes a dark green meconium stool. The nurse recognizes that this is important because: -Correct Answer= This stool would indicate anal patency. Which of these statements about the anal canal is true? The anal canal: -Correct Answer= Is the outlet for the gastrointestinal tract. A patient's abdomen is bulging and stretched in appearance. The nurse should describe this finding as: - Correct Answer= Protuberant An accessory glandular structure for the male genital organs is the: -Correct Answer= Prostate Of the 33 vertebrae in the spinal column, there are: -Correct Answer= 5 Lumbar A 30 year-old women tells the nurse the she has been very unsteady and has had difficulty in maintaining her balance. Which area of the brain would the nurse be concerned about with these findings? -Correct Answer= Cerebellum The nurse is testing the function of the cranial nerve XI. Which of these best describes the response the nurse should expect if the nerve is intact? The patient: -Correct Answer= Moves the head and shoulders against resistance with equal strength. The nurse is checking the range of motion in a patient's knee and knows that the knee is capable of which movement(s)? -Correct Answer= Flexion and extension The two parts of the nervous system are the: -Correct Answer= Central and peripheral A woman who is 8 months pregnant comments that she has noticed a change in posture and is having lower back pain. The nurse tells her that during pregnancy women have a posture shift to compensate for the enlarging fetus. The shift position is known as: -Correct Answer= Lordosis A woman is in the clinic for an annual gynecologic examination. The nurse should plan to begin the interview with the: -Correct Answer= Menstrual history because it is generally nonthreatening. When performing a genital examination on a 25 year-old man, the nurse notices deeply pigmented, wrinkled scrotal skin with large sebaceous follicles. On the basis of this information the nurse would: - Correct Answer= Consider this a normal finding and proceed with the examination. During a speculum inspection of the vagina, the nurse would expect to see what at the end of the vaginal canal? -Correct Answer= Cervix A male patient with possible fertility problems asks the nurse where sperm is produced. The nurse knows that sperm production occurs in the: -Correct Answer= Testes The nurse is preparing to interview a postmenopausal woman. Which of these statements is true with regard to the history of a postmenopausal woman? -Correct Answer= The nurse should ask a postmenopausal woman if she ever has vaginal bleeding. A 22 year-old woman has been considering using oral contraceptives. As part of her history, the nurse should ask: -Correct Answer= "If you smoke, how many cigarettes do you smoke a day?" The functional units of the musculoskeletal system are the: -Correct Answer= Joints A 50 year-old woman is in the clinic for weakness in her left arm and leg that she has noticed for the past week. The nurse should perform which type of neurologic examination? -Correct Answer= Complete neurologic examination The nurse is watching a new graduate nurse perform auscultation of a patient's abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultating precedes percussion and palpation of the abdomen? -Correct Answer= "It prevents distortion of bowel sounds that might occur after percussion and palpation." During the history of a 78 year-old man, his wife states that he occasionally has problems with short- term memory loss and confusion. "He can't even remember how to button his shirt." In doing the assessment of his sensory system, which action by the nurse is most appropriate? -Correct Answer= Before testing, the nurse would assess the patient's mental status and ability to follow directions at this time. Fibrous bands running directly from one bone to another that strengthen the joint and movement in undesirable directions are called: -Correct Answer= Ligaments The nurse is caring for a patient who has just had neurosurgery. To assess for increased intracranial pressure, what would the nurse include in the assessment? -Correct Answer= Level of consciousness, motor function, pupillary response, and vital signs A nurse notices that a patient has ascites, which indicates the presence of: -Correct Answer= Fluid The nurse is performing a neurologic assessment on a 41 year-old woman with a history of diabetes. When testing her ability to feel vibrations of a tuning fork, the nurse notices that the patient is unable to feel vibrations on the great toe or ankle bilaterally , but she is able to feel vibrations on both patellae. Given this information, what would the nurse suspect? -Correct Answer= Peripheral neuropathy The external male genital structures include the: -Correct Answer= Scrotum During an assessment of a 22 year-old woman who has had a head injury form a car accident 4 hours ago, the nurse notices the following change: pupils were equal, but now the right pupil is fully dilated and nonreactive, left pupil is 4 mm and reacts to light. What does finding this suggest? -Correct Answer= Increased intracranial pressure The changes normally associated with menopause occur generally because the cells in the reproductive tract are: -Correct Answer= Estrogen dependent To palpate the temporomandibular joint, the nurse's fingers should be placed in the depression of the ear. -Correct Answer= Anterior to the tragus During the history, a patient tells the nurse that "it feels like the room is spinning around me." The nurse would document this as: -Correct Answer= Vertigo 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: -Correct Answer= Side effects of medication A patient states, "I can hear a crunching or grating sound when i kneel." She also states that, "it is very difficult to get out of bed in the morning because of stiffness and pain in my joints." The nurse should assess for signs of what problem? -Correct Answer= Crepitation A patient is having difficulty in swallowing medications and food. The nurse would document that this patient has: -Correct Answer= Dysphagia