NSG 3160 Exam 1 Newest 2025/2026
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Which of the following is considered when preparing to examine an older adult?
a. Avoid physical touch to avoid making the older adult uncomfortable.
b. Confusion is a normal, expected finding in an older adult.
c. Be aware that loss will result in poor coping mechanisms.
d. Base the pace of the examination on the patient's needs and abilities.
- Answer ✓✓d. Base the pace of the examination on the patient's needs and
abilities.
The pace of the examination should be adjusted to match the possible slowed
pace of the aging person. Use physical touch (if it is not a cultural
contraindication) to offset the disadvantages of diminishing vision and hearing. Be
aware that loss is inevitable, and adaptation to loss affects health status.
Confusion with a sudden onset may signify a disease state and is not a normal
process of aging.
When performing percussion, the examiner
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a. taps fingertips over bony processes.
b. strikes the stationary finger at the distal interphalangeal joint.
c. strikes the flank area with the palm of the hand.
d. strikes the stationary finger at the proximal interphalangeal joint.
- Answer ✓✓b. strikes the stationary finger at the distal interphalangeal joint.
To perform percussion, the examiner strikes the stationary finger at the distal
interphalangeal joint (just behind the nail bed).
At the end of the examination, the examiner should
a. compare objective and subjective data for discrepancies.
b. have findings confirmed by another provider.
c. review the findings with the patient.
d. complete documentation before leaving the examination room.
- Answer ✓✓c. review the findings with the patient.
At the end of the examination, the examiner should summarize the findings and
share necessary information with the patient. The examiner may take short notes
during the examination; complete documentation should occur after leaving the
examination room. The examiner should have findings confirmed only if the
finding is abnormal and requires confirmation from another examiner. Subjective
and objective data should be compared throughout the history and physical
examination.
The examiner should use hand-washing instead of an alcohol-based hand rub
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a. if the patient is HIV positive.
b. if the patient has an infection with Clostridium difficile.
c. if the patient has an infection with Mycobacterium tuberculosis.
d. if the patient has an infection with hepatitis B virus.
- Answer ✓✓b. if the patient has an infection with Clostridium difficile.
The examiner should use the mechanical action of soap-and-water hand-washing
when hands are visibly soiled and when patients are infected with spore-forming
organisms (e.g., C. difficile or Bacillus anthracis). An alcohol-based hand rub would
be effective against M. tuberculosis. An alcohol-based hand rub would be effective
against hepatitis B virus. An alcohol-based hand rub would be effective against
HIV.
The nurse documents the following findings for the behavioral portion of the
general survey assessment, "patient demonstrates flat affect, lack of eye contact,
hair not brushed, and strong body odor". The nurse should be concerned that the
patient is which of the following?
a. Depression
b. Bulimia
c. Dysarthria
d. Seizures
- Answer ✓✓a. Depression
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Flat affect, lack of eye contact, unkempt appearance (hair not brushed), and
smelling of body odor are common warning signs that the patient may be
depressed. Dysarthria is unclear articulation of speech commonly associated with
a stroke or a speech disorder. A person with a seizure disorder may have altered
affect or eye contact, but may not demonstrate an unkempt appearance. A person
with bulimia may have altered mood, affect, or facial expression, but typically not
have altered dress or personal hygiene.
An adult with a body mass index (BMI) less than 18.5 kg/m2 is considered which of
the following?
a. Underweight
b. Obesity
c. Normal weight
d. Overweight
- Answer ✓✓a. Underweight
A person with a body mass index (BMI) less than 18.5 kg/m2 is classified as
underweight. Classification of obesity is a body mass index (BMI) of 30 to 39.9
kg/m2. Classification of normal weight is a body mass index (BMI) of 18.5 to 24.9
kg/m2. Classification of overweight is a body mass index (BMI) of 25 to 29.9 kg/m2.
The general survey consists of four distinct areas. These areas include
a. gait, range of motion, mental status, and behavior.
b. level of consciousness, personal hygiene, mental status, and physical condition.
c. physical appearance, body structure, mobility, and behavior.
d. mental status, speech, behavior, and mood and affect.
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