NSG6020 Midterm Exam correct and
approved.
NSG6020 Midterm Exam correct and
approved.
A patient tells the nurse that she has had abdominal pain for the past week. What would be the best
response by the nurse? - ANSWER "Can you point to where it hurts?"
A patient's laboratory data reveal an elevated thyroxine level. The nurse would proceed with an
examination of the: - ANSWER Thyroid
A 6-month-old infant has been brought to the well-child clinic for a check-up. She is currently sleeping.
What should the examiner do first? - ANSWER Auscultate the lungs and heart while the infant is still
sleeping
When preparing to examine a 6-year-old child, which action is most appropriate? - ANSWER Start with
the thorax, abdomen, and genitalia before examining the head. Avoid talking about the equipment
being used because it may increase the child's anxiety. Keep in mind that a child this age will have a
sense of modesty. Have the child undress from the waist up.
68-year-old woman is in the eye clinic for a checkup. She tells the nurse that she has been having
trouble with reading the paper, sewing, and even seeing the faces of her grandchildren. On examination,
the nurse notes that she has some loss of central vision but her peripheral vision is normal. These
findings suggest that: - ANSWER She may have macular degeneration
In assessing a patient's major risk factors for heart disease, which would the nurse want to include when
taking a history?
1.Family history, hypertension, stress, age
2.Personality type, high cholesterol, diabetes, smoking
3.Smoking, hypertension, obesity, diabetes, high cholesterol
4.Alcohol consumption, obesity, diabetes, stress, high cholesterol - ANSWER 3. Smoking, hypertension,
obesity, diabetes, high cholesterol
, NSG6020 Midterm Exam correct and
approved.
A teenage patient comes to the emergency department with complaints of an inability to breathe and a
sharp pain in the left side of his chest. The assessment findings include cyanosis, tachypnea, tracheal
deviation to the right, decreased tactile fremitus on the left, hyperresonance on the left, and decreased
breath sounds on the left. The nurse interprets that these assessment findings are consistent
with: - ANSWER a pneumothorax
During a hearing assessment the nurse practitioner finds that sound lateralizes to the patient's left ear
with the Weber test. What can the nurse practitioner conclude from this? - ANSWER The patient has a
conductive hearing loss in the right ear. Lateralization is a normal finding with the Weber test. The
patient could have either a sensorineural or a conductive loss. A mistake has occurred; the test must be
repeated.
The most important reason to share information and offer brief teaching while performing the physical
examination is to help:
1.the examiner feel more comfortable and gain control of the situation.
2.build rapport and increase the patient's confidence in the examiner.
3.the patient understand his or her disease process and treatment modalities.
4.the patient identify questions about his or her disease and potential areas of patient education. -
ANSWER 2. build rapport and increase the patient's confidence in the examiner.
In assessing the sclera of a black patient, which of the following would be an expected finding? -
ANSWER The presence of small brown macules on the sclera
During an examination, the nurse knows that the best way to palpate the lymph nodes in the neck is
described by which statement? - ANSWER Using gentle pressure, palpate with both hands to compare
the two sides.
The nurse is obtaining a history from a 30-year-old male patient and is concerned about health
promotion activities. Which of the following questions would be appropriate to use to assess health
promotion activities for this patient?
1. "Do you perform testicular self-exams?"
2. "Have you ever noticed any pain in your testicles?"
approved.
NSG6020 Midterm Exam correct and
approved.
A patient tells the nurse that she has had abdominal pain for the past week. What would be the best
response by the nurse? - ANSWER "Can you point to where it hurts?"
A patient's laboratory data reveal an elevated thyroxine level. The nurse would proceed with an
examination of the: - ANSWER Thyroid
A 6-month-old infant has been brought to the well-child clinic for a check-up. She is currently sleeping.
What should the examiner do first? - ANSWER Auscultate the lungs and heart while the infant is still
sleeping
When preparing to examine a 6-year-old child, which action is most appropriate? - ANSWER Start with
the thorax, abdomen, and genitalia before examining the head. Avoid talking about the equipment
being used because it may increase the child's anxiety. Keep in mind that a child this age will have a
sense of modesty. Have the child undress from the waist up.
68-year-old woman is in the eye clinic for a checkup. She tells the nurse that she has been having
trouble with reading the paper, sewing, and even seeing the faces of her grandchildren. On examination,
the nurse notes that she has some loss of central vision but her peripheral vision is normal. These
findings suggest that: - ANSWER She may have macular degeneration
In assessing a patient's major risk factors for heart disease, which would the nurse want to include when
taking a history?
1.Family history, hypertension, stress, age
2.Personality type, high cholesterol, diabetes, smoking
3.Smoking, hypertension, obesity, diabetes, high cholesterol
4.Alcohol consumption, obesity, diabetes, stress, high cholesterol - ANSWER 3. Smoking, hypertension,
obesity, diabetes, high cholesterol
, NSG6020 Midterm Exam correct and
approved.
A teenage patient comes to the emergency department with complaints of an inability to breathe and a
sharp pain in the left side of his chest. The assessment findings include cyanosis, tachypnea, tracheal
deviation to the right, decreased tactile fremitus on the left, hyperresonance on the left, and decreased
breath sounds on the left. The nurse interprets that these assessment findings are consistent
with: - ANSWER a pneumothorax
During a hearing assessment the nurse practitioner finds that sound lateralizes to the patient's left ear
with the Weber test. What can the nurse practitioner conclude from this? - ANSWER The patient has a
conductive hearing loss in the right ear. Lateralization is a normal finding with the Weber test. The
patient could have either a sensorineural or a conductive loss. A mistake has occurred; the test must be
repeated.
The most important reason to share information and offer brief teaching while performing the physical
examination is to help:
1.the examiner feel more comfortable and gain control of the situation.
2.build rapport and increase the patient's confidence in the examiner.
3.the patient understand his or her disease process and treatment modalities.
4.the patient identify questions about his or her disease and potential areas of patient education. -
ANSWER 2. build rapport and increase the patient's confidence in the examiner.
In assessing the sclera of a black patient, which of the following would be an expected finding? -
ANSWER The presence of small brown macules on the sclera
During an examination, the nurse knows that the best way to palpate the lymph nodes in the neck is
described by which statement? - ANSWER Using gentle pressure, palpate with both hands to compare
the two sides.
The nurse is obtaining a history from a 30-year-old male patient and is concerned about health
promotion activities. Which of the following questions would be appropriate to use to assess health
promotion activities for this patient?
1. "Do you perform testicular self-exams?"
2. "Have you ever noticed any pain in your testicles?"
