nursing 251 exam 3 Questions With Complete Solutions
A "crackling" sensation when palpating Correct Answer
crepitus
A 16 year old female is referred to the school nurse for a vision
test after the teacher notes her squinting to see the front
blackboard. The nurse uses which one of the following tools to
assess the patient's vision? Correct Answer Snellen eye chart
A criterion for testing the adequacy of a client's visual fields is
which one of the following? Correct Answer The
correspondence to visual fields of the examiner, if the examiner
has normal visual fields
A nurse is having difficulty separating the first heart sound, S1,
from other adventitious sounds while auscultating a patient's
heart sounds. What can the nurse do to assist in determining S1?
Correct Answer Palpate the carotid pulse while listening for S1
A patient is diagnosed with hypertrophic cardiomyopathy - -a
disease leading to an enlarged heart. While palpating the apical
pulse or point of maximal impulse (PMI) for this patient, the
nurse may note which of the following findings? The PMI is
located at the . . . Correct Answer Sixth ICS, just medial to
the AAL
A patient is noted to be leaning forward with his arms
supporting his body weight as the nurse enters the exam room.
For what disease process should the nurse assess the patient for
, completely? Correct Answer Chronic obstructive pulmonary
disease (COPD)
Absence of lower extremity pitting edema bilaterally in a patient
with heart failure Correct Answer normal
AC = BC with Rinne test Correct Answer abnormal
An infection of the middle ear is called which of the following?
Correct Answer Otitis media
AP:LAT chest diameter = 1:1 Correct Answer abnormal
Bluish-tinged lips and fingernail beds Correct Answer
abnormal
Bulging tympanic membrane Correct Answer abnormal
Caused by the closure of the semilunar valves Correct Answer
s2
Cessation of breathing Correct Answer apnea
Corresponds with the carotid pulse Correct Answer s1
Crackles in the bases bilaterally Correct Answer abnormal
Difficulty breathing when lying supine Correct Answer
orthopnea
Double vision Correct Answer diplopia
A "crackling" sensation when palpating Correct Answer
crepitus
A 16 year old female is referred to the school nurse for a vision
test after the teacher notes her squinting to see the front
blackboard. The nurse uses which one of the following tools to
assess the patient's vision? Correct Answer Snellen eye chart
A criterion for testing the adequacy of a client's visual fields is
which one of the following? Correct Answer The
correspondence to visual fields of the examiner, if the examiner
has normal visual fields
A nurse is having difficulty separating the first heart sound, S1,
from other adventitious sounds while auscultating a patient's
heart sounds. What can the nurse do to assist in determining S1?
Correct Answer Palpate the carotid pulse while listening for S1
A patient is diagnosed with hypertrophic cardiomyopathy - -a
disease leading to an enlarged heart. While palpating the apical
pulse or point of maximal impulse (PMI) for this patient, the
nurse may note which of the following findings? The PMI is
located at the . . . Correct Answer Sixth ICS, just medial to
the AAL
A patient is noted to be leaning forward with his arms
supporting his body weight as the nurse enters the exam room.
For what disease process should the nurse assess the patient for
, completely? Correct Answer Chronic obstructive pulmonary
disease (COPD)
Absence of lower extremity pitting edema bilaterally in a patient
with heart failure Correct Answer normal
AC = BC with Rinne test Correct Answer abnormal
An infection of the middle ear is called which of the following?
Correct Answer Otitis media
AP:LAT chest diameter = 1:1 Correct Answer abnormal
Bluish-tinged lips and fingernail beds Correct Answer
abnormal
Bulging tympanic membrane Correct Answer abnormal
Caused by the closure of the semilunar valves Correct Answer
s2
Cessation of breathing Correct Answer apnea
Corresponds with the carotid pulse Correct Answer s1
Crackles in the bases bilaterally Correct Answer abnormal
Difficulty breathing when lying supine Correct Answer
orthopnea
Double vision Correct Answer diplopia
