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NUR 2092 Health Assessment Exam 2 Week 5 Review Questions with Answers Latest Update 2023/2024 (Already Graded A+)

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NUR 2092 Health Assessment Exam 2 Week 5 Review Questions with Answers Latest Update 2023/2024 (Already Graded A+) The nurse is asking the client for subjective data before performing a cardiac and great vessel assessment. Which of the following should the nurse ask? Select all that apply a. Do you ever have any dyspnea? b. Have you noticed any edema? e. Have you had any chest pain? 4. The nurse is teaching the patient about health promotion of the cardiovascular system. Which of the following statements would indicate a need for further teaching? c. “Even though my dad had a heart attack, I don’t need to get screened for heart issues earlier than anyone else.” 5. How should the nurse document mild, slight pitting edema on the ankles of a heart failure patient? a. 1+ 6. The nurse is educating the client about risk factors for cardiovascular disease. Which of the following risk factors for cardiovascular disease are modifiable? Select all that apply. A: Abnormal lipids B: Smoking D: Hypertension E: Diabetes 7. Which of the following is an appropriate position to have the patient assume when auscultating for extra heart sounds or murmurs? A. Roll toward the left side 8. Which statement is true regarding the arterial system? B. The arterial system is a high-pressure system. 9. When assessing a patient the nurse is unable to palpate the left dorsalis pedis pulse. What should the nurse do first? B) Use the doppler to assess the pulse 10. A 67-year-old patient states that he recently began to have pain in his left calf when climbing the 10 stairs to his apartment. This pain is relieved by sitting for approximately 2 minutes; then he is able to resume his activities. The nurse interprets that this patient is most likely experiencing: A. Intermittent Claudication. 11. The nurse is preparing to perform a modified Allen test. Which is an appropriate reason for this test? C. To evaluate the adequacy of collateral circulation before cannulating the radial artery 12. In assessing the carotid arteries of an older patient with cardiovascular disease, the nurse would: B) Listen with the bell of the stethoscope to assess for bruits. 13. When auscultating over a patient’s femoral arteries, the nurse notices the presence of abruit on the left side. The nurse knows that bruits: D. Occur with turbulent blood flow, indicating partial occlusion. Week 7 Review Questions: 1. The nurse is performing an assessment on a client. Which of the following should the nurses ask to obtain subject data related to the client’s gastrointestinal system? d. Both a and b 2. The nurse is caring for a client who reports having abdominal pain. After inspecting the client’s abdomen, the nurse would be correct in performing what assessment technique? d. Auscultation 3. The nurse is teaching a client about health promotion of the gastrointestinal system. Which of the following statements would indicate a need for further teaching? d. “The amount of alcohol I have should not affect my health if I dilute it with water.” 4. A nurse is performing an assessment on a client. Which of the following statements demonstrates her understanding of the rationale for correct sequencing for an abdominal assessment? c. “It is important to sequence the exam to avoid distorting the client’s bowel sounds.” 5. A nurse is performing an abdominal assessment. The nurse correctly observes the following assessment findings when inspecting a client’s abdomen. Select all that apply. a. Contour and symmetry b. Appearance of umbilicus c. Skin color d. Demeanor 6. During an abdominal assessment, the nurse is unable to hear bowel sounds in a client’s abdomen. The nurse understands that before reporting this finding as “absent bowel sounds” it is important to listen for at least _____ in each quadrant. b. 5 minutes 7. A nurse is performing an assessment on a client who reports abdominal pain. Which of the following actions should the nurse implement to promote relaxation of the client’s abdomen during the assessment? b. Examine the painful areas first. c. Distract the client. d. Both a and c 8. The nurse is aware that one change that may occur in the gastrointestinal system of an aging client is: d. Decreased gastric acid secretion. 9. The nurse is performing percussion by tapping on a client’s abdomen in the left upper quadrant ((spleen) and right upper quadrant (liver). Which of the following would be an expected assessment finding in these two areas of the GI system? b. Dullness 10. During an assessment, the nurse notices that the client’s umbilicus is enlarged and everted. The nurse recognizes this as: a. Abnormal: May be an umbilical hernia 11. The nurse is preparing to examine a client who reports right lower abdominal pain. The nurse’s priority would be to: b. Palpate the tender area last. 12. The nurse is assessing a client's abdomen. She places the diaphragm of the stethoscope in the area where bowel sounds are prominent which is: a. The RLQ of the abdomen 13. In performing a breast examination, the nurse knows that examining the upper outer quadrant of the breast is especially important. The reason for this is that the upper outer quadrant is: b. The location of most breast tumors. 14. The nurse is teaching a client about risk factors for breast cancer. She correctly includes which of the following risk factors? d. Menstruation before age 12 or menopause after age 55. 15. During a breast health assessment, the client states that she has noticed pain in her left breast. An appropriate response to this by the nurse would be: b. “I would like some more information about the pain in your left breast.” 16. During an annual physical examination, a 43-year-old client states that she does not perform monthly breast self-examinations (BSEs). She tells the nurse that she believes that mammograms “do a much better job than I ever could to find a lump.” The nurse should explain to her that: a. BSEs may detect lumps that appear between mammograms. 17. During an examination of a client, the nurse notices that her left breast is slightly larger than her right breast. Which of these statements is true about this finding? c. Asymmetry is not unusual, but the nurse should verify that this change is not new. 18. During the physical examination, the nurse notices that the client has an inverted left nipple. Which statement regarding this is most accurate? c. The nurse should determine whether the inversion is a recent change. 19. The nurse is assessing a client’s breasts during an examination. Which of these positions is most likely to make significant lumps more distinct during breast palpation by displaying the breast against the chest wall? a. Supine with the arms raised over her head 20. A nurse is performing a client assessment. Which of these clinical situations, if noted, should the nurse consider to be outside normal limits? d. The client has had two pregnancies. Her breast examination reveals breast tissue that is somewhat soft, and she has a small amount of thick yellow discharge from both nipples. 21. The nurse is educating a client on breast self-examination (BSE). Which of these statements by the client indicates understanding of the proper BSE technique? c. “The best time to perform the BSE is 4 to 7 days after the first day of my menstrual cycle.” 22. The nurse is educating a 55-year-old client on breast selfexamination (BSE.) Which of these statements by the client indicates understanding of the information provided? “The best time for postmenopausal women to perform BSEs is____________” a. “On the same day every month.” 23. A client comes to the clinic with what he calls a “horrible problem.” He tells the nurse that he has just discovered a lump on his breast and is fearful of cancer. Which of the following statements is true about breast cancer? b. Gynecomastia is a benign growth of the breast tissue. 24. The nurse is palpating a client’s breasts during a seated examination. She notes the client has large pendulous breasts. What is the most appropriate course of action for the nurse to take? c. Use the bimanual technique to perform the assessment Week 8 Review Questions: 1. During a client examination, the nurse knows that the best way to palpate the lymph nodes in the neck is described by which statement? A) Using gentle pressure, palpate with both hands to compare the two sides. 2. The nurse is palpating a client’s temporomandibular joint (TMJ) which is located just below the temporal artery and anterior to the tragus. Which of the following would be a normal finding? A) Nontender to palpation 3. Which of the following subjective data would the nurse want to collect for the client when performing a Head, Face and Neck Exam? (Select all that apply) a. If they have unusually frequent or severe headaches b. If they have any dizziness c. If they have any neck pain e. If they have any history of neck injury or surgery 4. A client’s thyroid gland is enlarged, and the nurse is preparing to auscultate the thyroid gland for the presence of a bruit. A bruit is a __________ sound that is heard best with the __________ of the stethoscope. C) Soft, whooshing, pulsatile; bell 5. The nurse is assessing the client’s trachea. Which of the following would be a normal finding? a. The trachea rising to midline when the client swallows

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Uploaded on
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  • nur 2092
  • health assessment

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