NSG 6020 Midterm Answers South University Online

NSG 6020 Midterm Answers (South University Online)

• When preparing to perform a physical examination on an infant, the examiner should:

have the parent remove all clothing except the diaper on a boy.instruct the parent to feed the infant immediately before the exam.encourage the infant to suck on a pacifier during the abdominal exam.ask the parent to briefly leave the room when assessing the infant’s vital signs.

• A patient’s laboratory data reveal an elevated thyroxine level. The nurse would proceed with an

examination of the:

thyroid gland.parotid gland.adrenal gland.thyroxine gland.

• The nurse practitioner is doing an oral assessment on a 40-year-old black patient and notes the

presence of a 1-cm, nontender, grayish-white lesion on the left buccal mucosa. Which of the following is true concerning this lesion?This lesion is leukoedema and is common in blacks.This is the result of hyperpigmentation and is normal.This is torus palatinus and would normally only be found in smokers.This type of lesion is indicative of cancer and should be tested immediately.

• During an examination, the nurse knows that Paget’s disease would be indicated by which of the

following findings?Positive Macewen’s sign Premature closure of the sagittal suture Headache, vertigo, tinnitus, and deafness Elongated head with heavy eyebrow ridge

• 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 This study source was downloaded by 100000844317073 from CourseHero.com on 03-15-2023 00:13:11 GMT -05:00

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practitioner palpates a thrill and lift at the fifth left intercostal space midclavicular line. In the same area the nurse practitioner also auscultates a blowing, swishing sound right after S1. These findings would be most

consistent with:

heart failure.aortic stenosis.pulmonary edema.mitral regurgitation.

• The nurse practitioner notices that a patient’s submental lymph nodes are enlarged. In an effort to

identify the cause of the node enlargement, the nurse would assess the:

infraclavicular area.supraclavicular area.area distal to the enlarged node.area proximal to the enlarged node.

• During an assessment of a newborn infant, the nurse practitioner recalls that pyloric stenosis would be

manifested by:

projectile vomiting.hypoactive bowel activity.palpable olive-sized mass in right lower quadrant.pronounced peristaltic waves crossing from right to left.

• A patient has been shown to have a sensorineural hearing loss. During the assessment, it would be

important for the nurse to:

speak loudly so he can hear the questions.assess for middle ear infection as a possible cause.ask the patient what medications he is currently taking.look for the source of the obstruction in the external ear.

• The most important reason to share information and offer brief teaching while performing the physical

examination is to help:

the examiner feel more comfortable and gain control of the situation. This study source was downloaded by 100000844317073 from CourseHero.com on 03-15-2023 00:13:11 GMT -05:00

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build rapport and increase the patient’s confidence in the examiner.the patient understand his or her disease process and treatment modalities.the patient identify questions about his or her disease and potential areas of patient education.

• A patient’s thyroid is enlarged, and the nurse practitioner is preparing to auscultate the thyroid for the

presence of a bruit. A bruit is a:

low gurgling sound best heard with the diaphragm of the stethoscope.loud, whooshing, blowing sound best heard with the bell of the stethoscope.soft, whooshing, pulsatile sound best heard with the bell of the stethoscope.high-pitched tinkling sound best heard with the diaphragm of the stethoscope.

• During a cardiac assessment on an adult patient in the hospital for “chest pain,” the nurse practitioner

finds the following: jugular vein pulsations 4 cm above sternal angle when he is elevated at 45 degrees, BP 98/60, HR 130; ankle edema; difficulty in breathing when supine; and an S3 on auscultation. Which of the following best explains the cause of these findings?Fluid overload Atrial septal defect Myocardial infarction Heart failure

• When examining an infant, the nurse practitioner should examine which area first?

Ear Nose Throat Abdomen

• Which of the following techniques uses the sense of touch when assessing a patient?

Palpation Inspection Percussion Auscultation

• An example of objective information obtained during the physical assessment includes the:

patient’s history of allergies. This study source was downloaded by 100000844317073 from CourseHero.com on 03-15-2023 00:13:11 GMT -05:00

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patient’s use of medications at home.last menstrual period 1 month ago.

• Χ 5 cm scar present on the right lower forearm.
• The nurse practitioner is obtaining a history from a 30-year-old male patient and is concerned about

health promotion activities. Which of the following questions would be appropriate to use to assess health promotion activities for this patient?“Do you perform testicular self-exams?” “Have you ever noticed any pain in your testicles?” “Have you had any problems with passing your urine?” “Do you have any history of sexually transmitted disease?”

• The nurse practitioner notices that an infant has a large, soft lump on the side of his head and that his

mother is very concerned. She tells the nurse practitioner that she noticed the lump about 8 hours after her baby’s birth, and that it seems to be getting bigger. One possible explanation for this is: hydrocephalus.craniosynostosis.cephalhematoma.caput succedaneum.

• A mother asks when her newborn infant’s eyesight will be developed. The nurse practitioner should

reply:

“Vision is not totally developed until 2 years of age.” “Infants develop the ability to focus on an object at around 8 months.” “By about 3 months, infants develop more coordinated eye movements and can fixate on an object.” “Most infants have uncoordinated eye movements for the first year of life.”

• The temporomandibular joint is just below the temporal artery and anterior to the:

hyoid.vagus.tragus.mandible.

• The nurse practitioner notes the presence of periorbital edema when performing an eye assessment

on a 70-year-old patient. The nurse practitioner will: This study source was downloaded by 100000844317073 from CourseHero.com on 03-15-2023 00:13:11 GMT -05:00

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