HIM exam Multiple-choice Questions and Answers verified 100%

HIM exam Multiple-choice Questions and Answers verified 100% A nurse in a provider's office is preparing to test a client's cranial nerve function. Which of the following directions should the nurse include when testing cranial nerve V? Select all that apply. A.) "Close your eyes." B.) "Tell me what you can taste." C.) "Clench your teeth." D.) "Raise your eyebrows." E.) "Tell me when you feel a touch." - C & E A nurse is assessing a client's thyroid gland as part of a comprehensive physical examination. Which of the following findings should the nurse expect? Select all that apply. A.) Palpating the thyroid in the lower half of the neck B.) Visualizing the thyroid on inspection of the neck C.) Hearing a bruit when auscultating the thyroid D.) Feeling the thyroid ascend as the client swallows E.) Finding symmetric extension off the trachea on both sides of the midline - A, D, E A nurse is assessing an adult client's internal ear canals with an otoscope as part of a head and neck examination. Which of the following actions should the nurse take? Select all that apply. A.) Pull the auricle down and back. B.) Insert the speculum slightly down and forward. C.) Insert the speculum 2 to 2.5 cm (0.8 to 1 in). D.) Make sure the speculum does not touch the ear canal. E.) Use the light to visualize the tympanic membrane in a cone shape. - B, D, E A nurse is caring for a client who asks what their Snellen eye test results mean. The client's visual acuity is 20/30. Which of the following responses should the nurse make? A.) "Your eyes see at 20 feet what visually unimpaired eyes see at 30 feet." B.) "Your right eye can see the chart clearly at 20 feet, and your left eye can see the chart clearly at 30 feet." C.) "Your eyes see at 30 feet what visually unimpaired eyes see at 20 feet." D.) "Your left eye can see the chart clearly at 20 feet, and your right eye can see the chart clearly at 30 feet." - A.) "Your eyes see at 20 feet what visually unimpaired eyes see at 30 feet." A nurse is performing a head and neck examination for an older client. Which of the following age-related findings should the nurse expect? Select all that apply. A.) Reddened gums B.) Lowered vocal pitch C.) Tooth loss D.) Glare intolerance E.) Thickened eardrums - C, D, E A nurse is caring for a client who had a stroke and has aphasia. Which of the following interventions should the nurse use to promote communication with this client? Select all that apply. A.) Speak at a higher volume to the client. B.) Make sure only one person speaks at a time. C.) Avoid discouraging the client by indicating that they cannot be understood. D.) Allow plenty of time for the client to respond. E.) Use brief sentences with simple words. - B, D, E A nurse is caring for a client who had an amphetamine toxicity and has sensory overload. Which of the following interventions should the nurse implement? A.) Immediately complete a thorough assessment B.) Encourage visitors to distract the client C.) Provide a private room, and limit stimulation D.) Speak at a higher volume to the client - C.) Provide a private room, and limit stimulation A nurse is caring for a client who reports difficulty hearing. Which of the following assessment findings indicate a sensorineural hearing loss in the left ear? Select all that apply. A.) Weber test showing lateralization to the right ear B.) Light reflex at 10 o'clock in the left ear C.) Indications of obstruction in the left ear canal D.) Rinne test showing less time for air and bone conduction E.) Rinne test showing air conduction less than bone conduction in the left ear - A & D A nurse is caring for a client who has several risk factors for hearing loss. Which of the following medications the client currently takes should alert the nurse to a further risk for ototoxicity? Select all that apply. A.) Furosemide B.) Ibuprofen C.) Cimetidine D.) Simvastatin E.) Amiodarone - A & B A nurse is reviewing instructions with a client who has a hearing loss and has just started wearing hearing aids. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A.) "I use a damp cloth to clean the outside part of my hearing aids." B.) "I clean the ear molds of my hearing aids with rubbing alcohol." C.) "I keep the volume of my hearing aids turned up so I can hear better." D.) "I take the batteries out of my hearing aids when I take them off at night." - D.) "I take the batteries out of my hearing aids when I take them off at night." When entering a client's room to change a surgical dressing, a nurse notes that the client is coughing and sneezing. Which of the following actions should the nurse take when preparing the sterile field? A.) Keep the sterile field at least 6 ft away from the client's bedside B.) Instruct the client to refrain from coughing and sneezing during the dressing change C.) Place a mask on the client to limit the spread of microorganisms into the surgical wound D.) Keep a box of facial tissues nearby for the client to use during the dressing change - C.) Place a mask on the client to limit the spread of microorganisms into the surgical wound A nurse has removed a sterile pack from its outside cover and placed it on a clean work surface in preparation for an invasive procedure. Which of the following flaps should the nurse unfold first? A.) The flap closest to the body B.) The right side flap C.) The left side flap D.) The flap farthest from the body - D.) The flap farthest from the body A nurse is wearing sterile gloves in preparation for performing a sterile procedure. Which of the following objects can the nurse touch without breaching sterile technique? Select all that apply. A.) A bottle containing a sterile solution B.) The edge of the sterile drape at the base of the field C.) The inner wrapping of an item on the sterile field D.) An irrigation syringe on the sterile field E.) One gloved hand with the other gloved hand - C, D, E A nurse is reviewing hand hygiene techniques with a group of assistive personnel (AP). Which of the following instructions should the nurse include when discussing handwashing? Select all that apply. A.) Apply 3 to 5 mL of liquid soap to dry hands B.) Wash the hands with soap and water for at least 15 seconds C.) Rinse the hands with hot water D.) Use a clean paper towel to turn off hand faucets E.) Allow the hands to air dry after washing - B & D A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the following events should the nurse recognize as contaminating the sterile field? Select all that apply. A.) The provider drops a sterile instrument onto the near side of the sterile field. B.) The nurse moistens a cotton ball with sterile normal saline and places it on the sterile field. C.) The procedure is delayed 1 hr because the provider receives an emergency call. D.) The nurse turns to speak to someone who enters through the door behind the nurse. E.) The client's hand brushes against the outer edge of the sterile field. - B, C, D A nurse is caring for a client who has sever acute respiratory syndrome (SARS). The nurse knows that health care professionals are required to report communicable and infectious diseases. Which of the following illustrate the rationale for reporting? Select all that apply. A.) Planning and evaluating control and prevention strategies B.) Determining public health priorities C.) Ensuring proper medical treatment D.) Identifying endemic diseases E.) Monitoring for common-source outbreaks - A, B, C, E A nurse is caring for a client who has had a cough for 3 weeks and is beginning to cough up blood. The client has manifestations of which of the following conditions?