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N125 EXAM 2 STUDY Q'S 152 QUESTIONS WITH COMPLETE SOLUTIONS.

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N125 EXAM 2 STUDY Q'S 152 QUESTIONS WITH COMPLETE SOLUTIONS.

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N125 EXAM 2 STUDY Q'S 152 QUESTIONS
WITH COMPLETE SOLUTIONS.




1 of 150

Term


A patient reports excruciating headache pain on one side of
his head, especially around his eye, forehead, and cheek
that has lasted approximately to 2 hours, occurring once or
twice each day. The
nurse should suspect:
a. Hypertension.
b. Cluster headaches.
c.Tension headaches.
d. Migraine headaches.



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, ANS: D
Clubbing of the nails occurs with congenital cyanotic heart disease and
neoplastic and pulmonary diseases. The other responses are
assessment findings not associated with pulmonary diseases.




ANS: C
Acutely infected lymph nodes are bilateral, enlarged, warm, tender, and
firm but freely movable. Unilaterally enlarged nodes that are firm and
nontender may
indicate cancer.




ANS: C
If the thyroid gland is enlarged, then the nurse should auscultate it for the
presence of a bruit, which is a soft, pulsatile, whooshing, blowing
sound heard best with the bell of the stethoscope.




ANS: B
Cluster headaches produce pain around the eye, temple,
forehead, and cheek and are unilateral and always on the same
side of the head. They are excruciating and occur once or twice
per day and last to 2 hours each.


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2 of 150

Term


Which statement about the apices of the lungs is true? The
apices of the lungs:
a.
Are at the level of the second rib
anteriorly. b.
Extend 3 to 4 cm above the inner third of the
clavicles. c.
Are located at the sixth rib anteriorly and the eighth rib

,laterally.

, d.
Rest on the diaphragm at the fifth intercostal space in the
midclavicular line (MCL).



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ANS: A
The left lung has two lobes, and the right lung has three lobes. The right
lung is shorter than the left lung because of the underlying liver. The left
lung is
narrower than the right lung because the heart bulges to the left. The
posterior chest is almost all lower lobes.




ANS: A
The pericardium is a tough, fibrous double-walled sac that
surrounds and protects the heart. It has two layers that
contain a few milliliters of serous pericardial fluid.




ANS: C
The spinothalamic tract contains sensory fibers that transmit the
sensations of pain, temperature, and crude or light touch. Fibers
carrying pain and
temperature sensations ascend the lateral spinothalamic tract, whereas
the
sensations of crude touch form the anterior spinothalamic tract. At the
thalamus, the fibers synapse with another sensory neuron, which
carries the message to the sensory cortex for full interpretation. The
other options are not correct.




ANS: B
The apex of the lung on the anterior chest is 3 to 4 cm above
the inner third of the clavicles. On the posterior chest, the
apices are at the level of C7.


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