ch 13,14,15,16,18,19,21 Jarvis Review Questions
With Complete Solutions
_____________ is free fluid in the peritoneal cavity and occurs
with heart failure, portal hypertension, cirrhosis, hepatitis,
pancreatitis, and cancer. Correct Answers Ascites
A 10 year old is at the clinic for a sore throat that has lasted 6
days. Which of these findings would be consistent with an acute
infection? Correct Answers Tonsils 3+/1-4+ with large white
spots
A 17-year-old student is a swimmer on her high schools swim
team. She has had three bouts of otitis externa this season and
wants to know what to do to prevent it. The nurse instructs her
to: Correct Answers Use rubbing alcohol or 2% acetic acid
eardrops after every swim.
A 19-year-old college student is brought to the emergency
department with a severe headache he describes as, Like nothing
Ive ever had before. His temperature is 40 C, and he has a stiff
neck. The nurse looks for other signs and symptoms of which
problem? Correct Answers Meningeal inflammation
A 22-year-old man comes to the clinic for an examination after
falling off his motorcycle and landing on his left side on the
handle bars. The nurse suspects that he may have injured his
spleen. Which of these statements is trueregarding assessment of
the spleen in this situation? Correct Answers An enlarged
spleen should not be palpated because it can easily rupture.
,A 25-year-old woman in her fifth month of pregnancy has a
blood pressure of 100/70 mm Hg. In reviewing her previous
examination, the nurse notes that her blood pressure in her
second month was 124/80 mm Hg. In evaluating this change,
what does the nurse know to be true? Correct Answers This
decline in blood pressure is the result of peripheral
vasodilatation and is an expected change.
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 palpates a thrill and lift at the fifth left
intercostal space midclavicular line. In the same area, the nurse
also auscultates a blowing, swishing sound right after the S1.
These findings would be most consistent with: Correct Answers
mitral regurgitation
A 31-year-old patient tells the nurse that he has noticed a
progressive loss in his hearing. He says that it does seem to help
when people speak louder or if he turns up the volume of a
television or radio. The most likely cause of his hearing loss is:
Correct Answers Otosclerosis
A 31-year-old patient tells the nurse that he has noticed pain in
his left ear when people speak loudly to him. The nurse knows
that this finding: Correct Answers Is a characteristic of
recruitment.
A 32-year-old woman is at the clinic for little white bumps in
my mouth. During the assessment, the nurse notes that she has a
,0.5 cm white, nontender papule under her tongue and one on the
mucosa of her right cheek. What would the nurse tell the
patient? Correct Answers These bumps are Fordyce granules,
which are sebaceous cysts and are not a serious condition.
A 35-year-old recent immigrant is being seen in the clinic for
complaints of a cough that is associated with rust-colored
sputum, low-grade afternoon fevers, and night sweats for the
past 2 months. The nurses preliminary analysis, based on this
history, is that this patient may be suffering from: Correct
Answers Tuberculosis
A 40-year-old man states that his physician told him that he has
a hernia. He asks the nurse to explain what a hernia is. Which
response by the nurse is appropriate? Correct Answers A
hernia is a loop of bowel protruding through a weak spot in the
abdominal muscles.
A 40-year-old patient who has just finished chemotherapy for
breast cancer tells the nurse that she is concerned about her
mouth. During the assessment the nurse finds areas of buccal
mucosa that are raw and red with some bleeding, as well as
other areas that have a white, cheesy coating. The nurse
recognizes that this abnormality is: Correct Answers
Candidiasis.
A 45-year-old man is in the clinic for a physical examination.
During the abdominal assessment, the nurse percusses the
abdomen and notices an area of dullness above the right costal
margin of approximately 11 cm. The nurse should: Correct
, Answers Consider this finding as normal, and proceed with the
examination.
A 45-year-old man is in the clinic for a routine physical
examination. During the recording of his health history, the
patient states that he has been having difficulty sleeping. Ill be
sleeping great, and then I wake up and feel like I cant get my
breath. The nurses best response to this would be: Correct
Answers Do you have any history of problems with your heart?
A 65-year-old patient with a history of heart failure comes to the
clinic with complaints of being awakened from sleep with
shortness of breath. Which action by the nurse is most
appropriate? Correct Answers Assessing for other signs and
symptoms of paroxysmal nocturnal dyspnea
A 70-year-old patient is being seen in the clinic for severe
exacerbation of his heart failure. Which of these findings is the
nurse most likely to observe in this patient? Correct Answers
Shortness of breath, orthopnea, paroxysmal nocturnal dyspnea,
and ankle edema
A 70-year-old patient tells the nurse that he has noticed that he is
having trouble hearing, especially in large groups. He says that
he cant always tell where the sound is coming from and the
words often sound mixed up. What might the nurse suspect as
the cause for this change? Correct Answers Nerve degeneration
in the inner ear
A 70-year-old patient with a history of hypertension has a blood
pressure of 180/100 mm Hg and a heart rate of 90 beats per
With Complete Solutions
_____________ is free fluid in the peritoneal cavity and occurs
with heart failure, portal hypertension, cirrhosis, hepatitis,
pancreatitis, and cancer. Correct Answers Ascites
A 10 year old is at the clinic for a sore throat that has lasted 6
days. Which of these findings would be consistent with an acute
infection? Correct Answers Tonsils 3+/1-4+ with large white
spots
A 17-year-old student is a swimmer on her high schools swim
team. She has had three bouts of otitis externa this season and
wants to know what to do to prevent it. The nurse instructs her
to: Correct Answers Use rubbing alcohol or 2% acetic acid
eardrops after every swim.
A 19-year-old college student is brought to the emergency
department with a severe headache he describes as, Like nothing
Ive ever had before. His temperature is 40 C, and he has a stiff
neck. The nurse looks for other signs and symptoms of which
problem? Correct Answers Meningeal inflammation
A 22-year-old man comes to the clinic for an examination after
falling off his motorcycle and landing on his left side on the
handle bars. The nurse suspects that he may have injured his
spleen. Which of these statements is trueregarding assessment of
the spleen in this situation? Correct Answers An enlarged
spleen should not be palpated because it can easily rupture.
,A 25-year-old woman in her fifth month of pregnancy has a
blood pressure of 100/70 mm Hg. In reviewing her previous
examination, the nurse notes that her blood pressure in her
second month was 124/80 mm Hg. In evaluating this change,
what does the nurse know to be true? Correct Answers This
decline in blood pressure is the result of peripheral
vasodilatation and is an expected change.
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 palpates a thrill and lift at the fifth left
intercostal space midclavicular line. In the same area, the nurse
also auscultates a blowing, swishing sound right after the S1.
These findings would be most consistent with: Correct Answers
mitral regurgitation
A 31-year-old patient tells the nurse that he has noticed a
progressive loss in his hearing. He says that it does seem to help
when people speak louder or if he turns up the volume of a
television or radio. The most likely cause of his hearing loss is:
Correct Answers Otosclerosis
A 31-year-old patient tells the nurse that he has noticed pain in
his left ear when people speak loudly to him. The nurse knows
that this finding: Correct Answers Is a characteristic of
recruitment.
A 32-year-old woman is at the clinic for little white bumps in
my mouth. During the assessment, the nurse notes that she has a
,0.5 cm white, nontender papule under her tongue and one on the
mucosa of her right cheek. What would the nurse tell the
patient? Correct Answers These bumps are Fordyce granules,
which are sebaceous cysts and are not a serious condition.
A 35-year-old recent immigrant is being seen in the clinic for
complaints of a cough that is associated with rust-colored
sputum, low-grade afternoon fevers, and night sweats for the
past 2 months. The nurses preliminary analysis, based on this
history, is that this patient may be suffering from: Correct
Answers Tuberculosis
A 40-year-old man states that his physician told him that he has
a hernia. He asks the nurse to explain what a hernia is. Which
response by the nurse is appropriate? Correct Answers A
hernia is a loop of bowel protruding through a weak spot in the
abdominal muscles.
A 40-year-old patient who has just finished chemotherapy for
breast cancer tells the nurse that she is concerned about her
mouth. During the assessment the nurse finds areas of buccal
mucosa that are raw and red with some bleeding, as well as
other areas that have a white, cheesy coating. The nurse
recognizes that this abnormality is: Correct Answers
Candidiasis.
A 45-year-old man is in the clinic for a physical examination.
During the abdominal assessment, the nurse percusses the
abdomen and notices an area of dullness above the right costal
margin of approximately 11 cm. The nurse should: Correct
, Answers Consider this finding as normal, and proceed with the
examination.
A 45-year-old man is in the clinic for a routine physical
examination. During the recording of his health history, the
patient states that he has been having difficulty sleeping. Ill be
sleeping great, and then I wake up and feel like I cant get my
breath. The nurses best response to this would be: Correct
Answers Do you have any history of problems with your heart?
A 65-year-old patient with a history of heart failure comes to the
clinic with complaints of being awakened from sleep with
shortness of breath. Which action by the nurse is most
appropriate? Correct Answers Assessing for other signs and
symptoms of paroxysmal nocturnal dyspnea
A 70-year-old patient is being seen in the clinic for severe
exacerbation of his heart failure. Which of these findings is the
nurse most likely to observe in this patient? Correct Answers
Shortness of breath, orthopnea, paroxysmal nocturnal dyspnea,
and ankle edema
A 70-year-old patient tells the nurse that he has noticed that he is
having trouble hearing, especially in large groups. He says that
he cant always tell where the sound is coming from and the
words often sound mixed up. What might the nurse suspect as
the cause for this change? Correct Answers Nerve degeneration
in the inner ear
A 70-year-old patient with a history of hypertension has a blood
pressure of 180/100 mm Hg and a heart rate of 90 beats per
