PA_MIDTERM_2020_Kim_Hein.docx (2).pdf. VERIFIED
1.
The nurse is performing a comprehensive skin assessment. Which of the following pieces of equipment
is appropriate to use during the skin assessment?
(2 Points)
dop
...
PA_MIDTERM_2020_Kim_Hein.docx (2).pdf. VERIFIED
1.
The nurse is performing a comprehensive skin assessment. Which of the following pieces of equipment
is appropriate to use during the skin assessment?
(2 Points)
doppler
Wood's lamp
Reflex hammer
Goniometer
2.
Which of the following is an expected finding in a healthy client on assessment of Stensen's ducts?
(2 Points)
red glow is present
midline and symmetric
saliva is present
redness is present
3.
Which of the following signs or symptoms does the nurse recognize in a client with hypothyroidism?
(Select all that apply)
(2 Points)
Fatigue
intolerance to cold
increased cardiac output
constipation
4.
The client has a new diagnosis of right sided heart failure. The nurse understands a client with right sided
heart failure may have edema and jugular vein distension.
(2 Points)
True
False
NURSING
5.
The nurse performs the Romberg test to assess for:
(2 Points)
balance
hearing
vision loss
cranial nerve 6 dysfunction
6.
Which of the following techniques will the nurse perform to assess for signs of breast abnormalities?
(2 Points)
inspection, palpation, and auscultation
inspection and palpation
inspection, palpation, and percussion
palpation and auscultation
7. The nurse is caring for a client with obesity. The nurse places the client in which of the following
positions to best hear heart sounds?
supine
prone
sitting upright
left lateral
8.
State at which location(s) the S1 sound (lub) is heard loudest on cardiac auscultation. State why the S1 is
loudest at these locations. (Write 1-2 sentences).
If you are you are at the proper location, you will hear the sound the loudest.
(2 Points)
9.
The nurse palpates an enlarged lymph node at the back of the ear, over the mastoid bone. The nurse
documents this location as:
(2 Points)
posterior auricular
submental
posterior occular
occipital
10.
The older adult client is admitted with new onset pain and pressure to their eyes. On inspection, the
sclera is red and the pupil is an irregular shape to the left eye. The nurse should further assess for:
(2 Points)
macular degeneration
cataracts
presbyopia
Glaucoma BOOK REF. PG 253
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