UPDATED PAPER QUESTIONS AND ACCURATE
ANSWERS VERIFIED 100% NEWEST
A patient's annual physical examination reveals a lateral curvature of
the thoracic and lumbar segments of his spine; however, this curvature
disappears with forward bending. The nurse knows that this
abnormality of the spine is called:
A) structural scoliosis.
B) functional scoliosis.
C) herniated nucleus pulposus.
D) dislocated hip.
Functional scoliosis
A 43-year-old woman is at the clinic for a routine examination. She
reports that she has had a breast lump in her right breast for years.
Recently, it has begun to change in consistency and is becoming harder.
She reports that 5 years ago her physician evaluated the lump and
determined that it "was nothing to worry about." the examination
validates the presence of a mass in the right upper outer quadrant at 1
o'clock approximately 5 cm from the nipple. It is firm, mobile, non-
tender, with borders that are not well defined. The nurse's
recommendation to her is:
ANSWERS: Because of the change in consistency of the lump, it should
be further evaluated by a physician.
,A man found wandering in the park at 2am has been brought to
emergency department for examination because he said he fell and hit
his head. During examination, nurse ask him to use his index finger to
touch nurse's finger, the own nose, then nurse's finger again. Patient is
clumsy, unable to follow the instructions, overshoots mark, missing
finger. The nurse suspects:
ANSWERS: Acute alcohol intoxication
Which of the following assessment findings is most consistent with
clubbing of the fingernails?
ANSWERS: An angle of the nail base of 180 degrees or greater with a
nail base that feels spongy
A 45-year-old mother of two children is seen at the clinic for complaints
of "losing my urine when I sneeze". The nurse documents that she is
experiencing:
ANSWERS: Stress incontinence
A patient calls the clinic for instructions before having a PAP smear. The
most appropriate instructions from the nurse are:
ANSWERS: "Avoid intercourse, inserting anything into the vagina, or
douching within 24 hours of your appointment
Assessment of a 60-yr-old patient has taken longer than anticipated. in
testing pain perception nurse decides to complete the test as quickly as
possible. When nurse applies sharp point of pin on his arm several
times, he is only able to identify these as one 'very sharp prick.' most
accurate explanation?
ANSWERS: Most likely the result of the summation effect
Assessing a 7-month-old infant you make a loud noise and note the
following response: Abduction and flexion of arms and legs; fanning of
, fingers and curling of index finger and thumb in C-position; followed by
infant bringing in arms and legs to body. What do you know about this?
ANSWERS: This reflect should disappear between 1 and 4 months of
age
The nurse is assessing a 75-year-old man. As the nurse beings the
mental status portion of the assessment, the nurse expects that this
patient:
ANSWERS: May take a little longer to respond, but his general
knowledge and abilities should not have a decline
During an external genitalia examination of a woman, the nurse notices
several lesions around the vulva. The lesions are pink, moist, soft, and
pointed papules. The patient states that she is not aware of any
problems in that area. The nurse recognizes that these lesions may be:
ANSWERS: HPV or genital WARTs
A 40-year-old woman reports a change in mole size, accompanied by
color changes, itching, burning, and bleeding over the past month. She
has a dark complexion and has no family history of skin cancer, but she
has had many blistering sunburns in the past. The nurse would:
ANSWERS: Refer the patient because of the suspicion of melanoma on
the basis of her symptoms
Which of the following veins are responsible for most of the venous
return in the arm?
ANSWERS: Superficial veins
A man who has had gout for several years comes to the clinic with a
"problem with my toe." On examination, the nurse practitioner notes
the presence of hard, painless nodules over the great toe; one had
burst open with a chalky discharge. This finding is known as: