QUESTIONS AND CORRECT ANSWERS | LATEST
EXAM 2025 | VERIFIED ANSWERS | ALREADY
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The nurse records the following general inspection findings on a patient:
"41-year-old Hispanic male in no distress; very thin, skin tone slightly
jaundiced, disheveled appearance, and appears older than his states age.
Patient with flat affect and makes minimal eye contact." What additional
information should be added to this general inspection?
1. His body movement
2. The family history
3. The estimated size of his liver
4. His pulse rate ---------CORRECT ANSWER-----------------1. His body
movement
A patient is brought to the emergency department in severe respiratory
distress. Which method of temperature measurement would be the most
appropriate?
1. Oral
2. Axillary
3. Temporal
4. Rectal ---------CORRECT ANSWER-----------------3. Temporal
Which technique is used for palpating lymph nodes?
1. Apply firm pressure over the nodes with the pads of the fingers
2. Apply gentle pressure over the nodes with the tips of the fingers
3. Apply firm pressure anterior to the nodes with the tips of fingers
4. Apply gentle pressure over the nodes with the pads of fingers ---------
CORRECT ANSWER-----------------4. Apply gentle pressure over the nodes
with the pads of fingers
,A nurse suspects a viral infection or upper respiratory allergies when the
patient describes the sputum as being which color?
1. White
2. Clear
3. Yellow
4. Pink tinged ---------CORRECT ANSWER-----------------3. Yellow
During inspection of the respiratory system the nurse document which
finding as abnormal?
1. Skin color consistent with patients ethnicity
2. 1:2 ratio of AP diameter
3. Respiratory rate is 20 breaths per minute
4. Patient leaning forward with arms braced on the knees ---------
CORRECT ANSWER-----------------4. Patient leaning forward with arms
braced on the knees
A patient has an infection of the terminal bronchioles and alveoli that
involves the right lower lobe of the lung. Which abnormal findings are
expected?
1. Dyspnea with diminished breath sounds bilaterally
2. Asymmetrical chest expansion on the right side
3. Fever and tachypnea with crackles over the right lower lobe
4. Prolonged expiration with an occasional wheeze in the right lower lobe. -
--------CORRECT ANSWER-----------------3. Fever and tachypnea with
crackles over the right lower lobe
On auscultation of a patient's lungs, the nurse hears a low-pitched, coarse,
loud and low snoring sound. Which term does the nurse use to document
this finding?
1. Rhonchi
2. Wheeze
3. Crackles
4. Pleural friction rub ---------CORRECT ANSWER-----------------1. Rhonchi
,Which question gives the nurse further information about the patient's
complaint of chest pain?
1. "Have you had your influenza immunization this year?"
2. "Are there environmental conditions that may affect your breathing at
home?"
3. "How would you describe the chest pain?"
4. "Has the chest pain been interrupting your sleep?" ---------CORRECT
ANSWER-----------------3. "How would you describe the chest pain?"
A nurse finds the patient's anteroposterior diameter of the chest to be the
same as the lateral diameter. Based on this finding, what additional data
would the nurse anticipate?
1. Bronchial breath sounds in the posterior thorax
2. Decrease in respiratory rate
3. Decreased breath sounds on auscultation
4. Complaint of sharp chest pain on inspiration ---------CORRECT
ANSWER-----------------3. Decreased breath sounds on auscultation
How does the nurse palpate the chest for tenderness, bulges, and
symmetry?
1. Uses the fist of the dominant hand to gently tap the anterior, lateral and
posterior chest; comparing one side with another
2. Uses the ulnar surface of one hand to palpate the anterior, posterior and
lateral chest, comping one side with another
3. With the tips of the fingers, palpates the skin over the chest and
alignment of the vertebrae
4. With the palmar surface of both hands, feels the consistency of the skin
over the chest and the alignment of vertebrae ---------CORRECT ANSWER-
----------------4. With the palmar surface of both hands, feels the consistency
of the skin over the chest and the alignment of vertebrae
, A 62-year-old patient tells the nurse that he has recently had frequent
fainting spells. After palpating the radial pulse, 13 pulsations are counted in
15 seconds with a regularly irregular rhythm. What is the most appropriate
action for the nurse to take at this time?
1. Reassess the pulse rate after he walks around the room for several
rhythms
2. Reassess the pulse rate for 15 seconds using the carotid
3. Take an apical pulse for 5 full minutes, counting the number of skipped
beats
4. Palpate the pulse for 1 minutes and determine the pattern to the
irregularity. ---------CORRECT ANSWER-----------------4. Palpate the pulse
for 1 minutes and determine the pattern to the irregularity.
A patient has edema and redness of the skin surrounding the nail on his
right index finger. Which data elicited from his history best explains this
condition?
1. He has a family history of liver disease
2. There has been a scabies outbreak among his family members
3. He has a new full-time position as a dishwasher at a local restaurant
4. He had several warts removed from his hands 2 years ago. ---------
CORRECT ANSWER-----------------members
3. He has a new full-time position as a dishwasher at a local restaurant
When examining a 16-year-old male patient, the nurse notes multiple
pustules and comedones on the face. The nurse recognized that increased
activity of which cells or glands produce these manifestations?
1. Epidermal cells
2. Eccrine glands
3. Apocrine glands
4. Sebaceous glands ---------CORRECT ANSWER-----------------4.
Sebaceous glands