NUR 245 - Hesi practice quiz with correct answers

NUR 245 - Hesi practice quiz with correct
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answers

A client is reporting chest pain. What statement made by
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the client, helps the nurse to understand this client has a
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naturalistic belief in the cause of illness? |\ |\ |\ |\ |\ |\ |\




A) "My life is really out of balance."
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B) "I knew I should have changed my diet."
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C) "I should have gone to church last week."
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D) "I forgot to take my medicines last night." - CORRECT
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ANSWERS ✔✔A. |\ |\




Rationale
The cause of disease may be viewed in three ways:
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biomedical, naturalistic, and magicoreligious. People who |\ |\ |\ |\ |\ |\



conform to the naturalistic perspective of disease|\ |\ |\ |\ |\ |\ |\



causation, believe that the forces of nature must be kept |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



in a natural balance or harmony.
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A Muslim male client refuses to let the female nurse listen
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to his breath sounds during the examination. How should
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the nurse respond? |\ |\

,A) Explain how the nursing skill will be performed before
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proceeding.
B) Examine client with an additional healthcare provider
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for support. |\




C) Request a male nurse or healthcare provider to
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perform the exam. |\ |\




D) Avoid any skills that involve touching the client during
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the exam. - CORRECT ANSWERS ✔✔C.
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Rationale
Modesty is an important value in the Muslim community,
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and Muslims are reluctant to expose any part of their
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body to healthcare members. Muslim clients are
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accustomed to examination by "same-sex" healthcare |\ |\ |\ |\ |\ |\



providers.


A client reports lower abdominal pain and a feeling of
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pressure in the bladder. Which assessment finding |\ |\ |\ |\ |\ |\ |\



indicates acute urinary retention? |\ |\ |\ |\


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Hyperactive bowel sounds. |\ |\




|\ Dull sound percussed over bladder.
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|\ Bruits auscultated in left lower quadrant.
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,Tenderness with palpation of lower back. - CORRECT
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ANSWERS ✔✔B. |\ |\




Rationale
Clients with acute urinary retention may present with
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lower abdominal pain and bladder distension. Percussion
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(tapping on the body wall) is performed to detect
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differences in pitch. A dull sound produced when |\ |\ |\ |\ |\ |\ |\ |\



percussing a distended urinary bladder is an indication of
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urinary retention. |\




While performing a head-to-toe assessment, the nurse
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assesses the client's pupillary accommodation. During the
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second portion of the test, the nurse notes that the
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client's pupils constrict and there is a convergence of the
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axes of the eyes. What action should the nurse implement
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next?
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A) Document a normal finding.
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B) Request a referral to an opthamologist.
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C) Repeat the test after having the client rest for 5
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minutes. |\




D)Ask the client, "Have you noticed that you cannot see
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things close up?" - CORRECT ANSWERS ✔✔A. Document a
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normal finding
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, When testing for pupillary accommodation, the nurse
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asks the client to focus on a distant object and then shift
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the gaze to a penlight tip near the nose. Focusing on a
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distant object causes both pupils to dilate; shifting the
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gaze to a near object (a finger or a penlight tip), which is
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held about 7 to 8 cm (3 inches) from the client's nose,
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should result in bilateral pupillary constriction with both
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eyes focused on the object simultaneously.
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The nurse performs a physical assessment on an older
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female client. Which change from the prior exam may be
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an indication of osteoporosis?
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A) Thick and brittle fingernails.
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B) Decreased range of motion.
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C) Weight gain of 15 pounds.
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D) Height reduction of 1.5 inches - CORRECT ANSWERS
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✔✔D. |\




Rationale
Osteoporosis is a loss of bone density that causes brittle |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



bones and an increased risk for fractures. Reduced height
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in older female clients with osteoporosis is generally the
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result of the shortening of the vertebral column due to
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loss of water and thinning of the intervertebral discs.
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