NSG 6020 Midterm EXAM

When preparing to perform a physical examination on an infant, the examiner should: Question 1 options: have the parent remove all clothing except the diaper on a boy. instruct the parent to feed the infant immediately before the exam. encourage the infant to suck on a pacifier during the abdominal exam. ask the parent to briefly leave the room when assessing the infant’s vital signs. A patient’s laboratory data reveal an elevated thyroxine level. The nurse would proceed with an examination of the: Question 2 options: thyroid gland. parotid gland. adrenal gland. thyroxine gland. The nurse practitioner is doing an oral assessment on a 40-year-old black patient and notes the presence of a 1-cm, nontender, grayish-white lesion on the left buccal mucosa. Which of the following is true concerning this lesion? Question 3 options: This lesion is leukoedema and is common in blacks. This is the result of hyperpigmentation and is normal. This is torus palatinus and would normally only be found in smokers. This type of lesion is indicative of cancer and should be tested immediately. During an examination, the nurse knows that Paget’s disease would be indicated by which of the following findings? Question 4 options: Positive Macewen’s sign Premature closure of the sagittal suture Headache, vertigo, tinnitus, and deafness Elongated head with heavy eyebrow ridge A 30-year-old woman with a history of mitral valve problems states that she has been “very tired.” She has started waking up at night and feels like her “heart is pounding.” During the assessment, the nurse practitioner palpates a thrill and lift at the fifth left intercostal space midclavicular line. In the same area the nurse practitioner also auscultates a blowing, swishing sound right after S1. These findings would be most consistent with: Question 5 options: heart failure.