Nurs 5220 Advanced Health Assessment Exam 3
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Mr. Harris presents to the emergency department. On
examination, you note crepitation. For which of the
following clinical problems would crepitation be an
expected finding?
A. Myocardial infarction
B. Cardiovascular accident
C. Blunt abdominal trauma
D. Pneumothorax - ANSWER-D: CorrectPalpate the upper
chest and neck for crepitation, a sign of air leakage into
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soft tissue. Bruising should alert you to the possibility of a
pulmonary contusion (bruising of the lung tissue caused
by the energy of an external impact transmitted through
the chest wall). This injury may result in a pneumothorax.
What is the best method of verifying anal patency in a
newborn?
A. Inserting a lubricated thermometer through the anus
and into the rectum
B. Inserting the fifth digit through the anus and into the
rectum
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C. Checking for the passage of meconium in the first 24 to
48 hours after birth
D. Inspecting the anus for an anal opening - ANSWER-C:
CorrectIf there is no passage of stool in 24 hours in a
newborn, suspect rectal atresia, Hirschsprung disease
(congenital megacolon), or cystic fibrosis.
Mr. Santos is a 67-year-old patient who presents to your
office. On examination, you palpate his prostate, noting
that it is hard and irregular. The median sulcus is not
palpable. These findings are consistent with:
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A. prostate cancer.
B. benign prostate hypertrophy.
C. prostatitis.
D. a rectal mass. - ANSWER-A: CorrectWith cancer of the
prostate, a hard, irregular nodule may be palpable on
prostate examination.
Mr. Mills, a 38-year-old patient, presents with severe rectal
pain and fever. Which condition might be the cause of the
symptoms?
A. An imperforate anus
B. A perianal abscess
C. Benign prostatic hypertrophy