NSG 6020: Health Assessment
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Question 1 (2 points)
In performing an examination of a 3-year-old with a suspected ear
infection, the nurse practitioner would:
Question 1 options:
omit the otoscopic exam if the child has a fever.
pull the ear up and back before inserting the speculum.
ask the mother to leave the room while examining the child.
perform the otoscopic examination at the end of the assessment.
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Question 2 (2 points)
A female patient tells the nurse that she has had six pregnancies, with
four live births at term and two spontaneous abortions. Her four children
are still living. How would the nurse record this information?
Question 2 options:
P-6, B-4, (S)Ab-2.
Grav 6, Term 4, (S)Ab 2, Living 4.
Patient has had four living babies.
Patient has been pregnant six times.
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Question 3 (2 points)
During an examination of a female patient, the nurse practitioner notes
lymphadenopathy and suspects an acute infection. Acutely infected lymph
nodes would be:
Question 3 options:
clumped.
unilateral.
firm but freely movable.
hard and nontender.
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Question 4 (2 points)
A visitor from Poland who does not speak English seems to be somewhat
apprehensive about the nurse practitioner examining his neck. He would
probably be most comfortable with the nurse practitioner examining his
thyroid:
Question 4 options:
from behind with the examiner’s hands placed firmly around his neck.
from the side with the examiner’s eyes averted toward the ceiling and thumbs on his neck.
from the front with the examiner’s thumbs placed on either side of his trachea and his head tilted forwar
from the front with the examiner’s thumbs placed on either side of his trachea and his head tilted
, backward.
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Question 5 (2 points)
When palpating the abdomen of a 20-year-old patient, the nurse
practitioner notes the presence of tenderness in the left upper quadrant
with deep palpation. Which of the following structures is most likely to be
involved?
Question 5 options:
Spleen
Sigmoid
Appendix
Gallbladder
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Question 6 (2 points)
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?
Question 6 options:
Auscultate the lungs and heart while the infant is still sleeping.
Examine the infant’s hips because this procedure is uncomfortable.
Begin with the assessment of the eye and continue with the remainder of the examination in a head-to-t
approach.