(A+)
Quiz :A 65-year-old patient remarks that she just can't believe that
her breasts sag so much. She states it must be from lack of exercise.
What explanati on should the nurse off er her? - Answer :Aft er
menopause, the glandular and fat ti ssue atrophies, causing breast size
and elasti city to diminish, resulti ng in breast that sag
Quiz :The mother of a 10-year-old boy asks the nurse to discuss the
recogniti on of puberty. The nurse should reply by saying? -
Answer :the fi rst sign of puberty is enlargement of the testes
Quiz :A pati ent has bilateral pitti ng edema of the feet. While
assessing the peripheral vascular system, the nurse's primary focus
should be: - Answer :venous functi on of the lower extremiti tes
Quiz :During an examinati on, the nurse notes severe nystagmus in
both eyes of a pati ent. Which of the following conclusions is correct?
- Answer :this may indicate disease of the cerebellum or brainstem
Quiz :When performing a musculoskeletal assessment, the nurse
knows the correct approach for the examinati on should be: -
Answer :proximal to distal
Quiz :A 43-year-old woman is at the clinic for a routine examinati on.
She reports that she has had a breast lump in her right breast for
years. Recently, it has begun to change in consistency and is
becoming harder. She reports that 5 years ago her physician
evaluated the lump and determined that it "was nothing to worry
about." The examinati on validates the presence of a mass in the right
appear upper outer quadrant at 1 o'clock, approximately 5 cm form
the nipple. It is frim, mobile, nontender, with borders that are not
,well defined. The nurse's recommendati on to her is: -
Answer :Because of the change in consistency of the lump, it should
be further evaluated by a physician
Quiz :The nurse practi ti oner is examining a 3-month-old infant. While
holding the thumbs on the infant's inner-mid-thighs and the fi ngers
outside on the hips, touching the greater trochanter, the nurse
practi ti oner adducts the legs unti l the nurse practi ti oner's thumbs
touch and then abducts the legs unti l the infant's knees touch the
table. The nurse practi ti oner does not note any "clunking" sounds and
is confi dent to record a: - Answer :Negati ve Ortolani's sign
Quiz :A pati ent's mother has noti ced that her son, who has been to a
new babysitt er, has some blisters and scabs on his face and butt ocks.
On examinati on, the nurse noti ces moist, thin-roofed vesicles with a
thin erythematous base and suspects: - Answer :Impeti go
Quiz :The nurse is testi ng superfi cial refl exes on an adult pati ent.
When stroking up the lateral side of the sole and across the ball of
the foot, the nurse noti ces the plantar fl exion of the toes. How would
the nurse document this fi nding? - Answer :Plantar refl ex present
Quiz :A woman is in the family planning clinic seeking birth control
informati on. She states that her breasts "change all month long" and
that she is worried that this is unusual. What is the nurse's best
response? - Answer :Tell her that, because of the changing hormones
during the monthly menstrual cycle, cyclic breast changes are
common.
Quiz :A pati ent states during the interview that she noti ced a new
breast lump in the shower a few days ago. It was on her left breast
near her axilla. The RN should plan to: - Answer :palpate the
unaff ected breast fi rst
, Quiz :1. A 16-yr-old girl is being seen at clinic for gastrointesti nal
complaints and weight loss. Nurse determines that many of her
complaints may be related to errati c eati ng patt erns, eating
predominantly fast foods, + high caff eine intake. In this situati on,
which is most appropriate when collecti ng current dietary intake
informati on? - Answer :Have the pati ent complete a food diary for 3
days=2 weekdays + 1 weekend day
Food diaries require the individual to write down everything
consumed for a certain ti me period. Because of the errati c eati ng
patt erns of this individual, assessing dietary intake over a few days
would produce more accurate informati on regarding eati ng patt erns.
Direct observati on is best used with young children or older adults.
Quiz :To assess the head control of a 4-month-old infant, the nurse
lift s the infant up in a prone positi on while supporting his chest. The
nurse looks for what normal response? - Answer :Raises head and
arches back.
Quiz :A pati ent has a positi ve Homans' sign. The nurse knows that a
positi ve Homans' sign may indicate: - Answer :deep vein thrombosis
Quiz :The nurse is discussing breast self-examinati on with a
postmenopausal woman. The best ti me for postmenopausal women to
perform breast self-examinati on is: - Answer :the same day every
month
Quiz :A 15-year-old boy is seen in the clinic for complaints of "dull
pain and pulling" in the scrotal area. On examinati on the nurse
palpates a soft , irregular mass posterior to and above the testi s on
the left . This mass collapses when the pati ent is supine and refi lls
when he is upright. This descripti on is consistent with: -
Answer :varicocele