PNE 143 final written Questions With Complete Solutions
A 13-year old girl is interested in obtaining information about
the cause of her acne. The nurse would share with her that acne:
A. is contagious.
B. is caused by a poor diet.
C. has been found to be related to poor hygiene.
D. has no known cause. Correct Answers D
A 19-year-old woman comes to the clinic at the insistence of her
brother. She is wearing black combat boots and a black lace
nightgown over the top of her other clothes. Her hair is dyed
pink with black streaks throughout. She has several pierced
holes in her nares and ears and is wearing an earring through her
eyebrow and heavy black makeup. The nurse concludes:
A. she is just trying to shock people and her dress should be
ignored.
B. she has manic syndrome because of her abnormal dress and
grooming.
C. that more information should be gathered to decide whether
her dress is appropriate.
D. she probably doesn't have any problems at all. Correct
Answers C
A 22-year-old-woman comes to the clinic because of a severe
sunburn and states, "I was just out in the sun for a couple of
minutes." The nurse begins a medication review with her,
paying special attention to which medication class?
A. Tetracyclines for acne
B. Thyroid replacement hormone for hypothyroidism
C. Proton pump inhibitors for heartburn
,D. Nonsteroidal anti-inflammatory drugs for pain Correct
Answers A
A 35-year-old man is seen in the clinic for an infection in his left
foot. Which of these findings should the nurse expect to see
during an assessment of this patient?
A. Pellet-like" nodes in the supraclavicular region
B. Bilateral enlargement of the popliteal nodes
C. Hard and fixed cervical nodes
D. Enlarged and tender inguinal nodes Correct Answers D
A 50-year-old woman is in the clinic for weakness in her left
arm and leg that she has noticed for the past week. The nurse
should perform which type of neurologic examination?
A. Glasgow Coma Scale
B. Neurologic recheck examination
C. Screening neurologic examination
D. Complete neurologic examination Correct Answers D
A 65-year-old man with emphysema and bronchitis has come to
the clinic for a follow-up appointment. On assessment, the nurse
might expect to see which assessment finding?
A. Anasarca
B. Clubbing of the nails
C. Scleroderma
D. Pedal erythema Correct Answers B
A 65-year-old patient remarks that she just can't believe that her
breasts sag so much. She states it must be from lack of exercise.
What explanation should the nurse offer her?
, A. After menopause, the glandular and fat tissue atrophies,
causing breast size and elasticity to diminish, resulting in breasts
that sag.
B. After menopause, sagging is usually due to decreased muscle
mass within the breast.
C. After menopause, a diet that is high in protein will help
maintain muscle mass, which keeps the breasts from sagging.
D. After menopause, only women with large breasts experience
sagging. Correct Answers A
A 70-year-old woman tells the nurse that every time she gets up
in the morning or after she's been sitting she gets "really dizzy"
and feels like she is going to fall over. The nurse's best response
would be:
A. Have you been extremely tired lately?"
B. You probably just need to drink more liquids."
C. I'll refer you for a complete neurologic examination."
D. You need to get up slowly when you've been lying or
sitting." Correct Answers D
A 75-year-old woman who has a history of diabetes and
peripheral vascular disease has been trying to remove a corn on
the bottom of her foot with a pair of scissors. The nurse will
encourage her to stop trying to remove the corn with scissors
because:
A. with her diabetes, she has increased circulation to her foot
and it could cause severe bleeding.
B. with her peripheral vascular disease, her range of motion is
limited and she may not be able to reach the corn safely.
C. the woman could be at increased risk for infection and
lesions because of her chronic disease.
, D. she is 75 years old and is unable to see, so she puts herself at
greater risk for self-injury with the scissors. Correct Answers C
A 9-year-old girl is in the clinic for a sports physical. After some
initial shyness she finally asks, "Am I normal? I don't seem to
need a bra yet, but I have some friends who do. What if I never
get breasts?" The nurse's best response would be:
A. I understand that it is hard to feel different from your friends.
Breasts usually develop between 8 and 10 years of age."
B. I know just how you feel, I was a late bloomer myself. Just
be patient and they will grow."
C. Don't worry, you still have plenty of time to develop."
D. You will probably get your periods before you notice any
significant growth in your breasts." Correct Answers A
A female nurse is interviewing a male patient who is near the
same age as the nurse. During the interview, the patient makes
an overtly sexual comment. The nurse's best reaction would be:
A. Do you really think I would be interested?"
B. It makes me uncomfortable when you talk that way. Please
stop."
C. Oh, you are too funny. Let's keep going with the interview."
D. Stop that immediately!" Correct Answers B
A female patient does not speak English well, and the nurse
needs to choose an interpreter. Which of the following would be
the most appropriate choice?
A. A female family member
B. A volunteer college student from the foreign C. language
studies department
A 13-year old girl is interested in obtaining information about
the cause of her acne. The nurse would share with her that acne:
A. is contagious.
B. is caused by a poor diet.
C. has been found to be related to poor hygiene.
D. has no known cause. Correct Answers D
A 19-year-old woman comes to the clinic at the insistence of her
brother. She is wearing black combat boots and a black lace
nightgown over the top of her other clothes. Her hair is dyed
pink with black streaks throughout. She has several pierced
holes in her nares and ears and is wearing an earring through her
eyebrow and heavy black makeup. The nurse concludes:
A. she is just trying to shock people and her dress should be
ignored.
B. she has manic syndrome because of her abnormal dress and
grooming.
C. that more information should be gathered to decide whether
her dress is appropriate.
D. she probably doesn't have any problems at all. Correct
Answers C
A 22-year-old-woman comes to the clinic because of a severe
sunburn and states, "I was just out in the sun for a couple of
minutes." The nurse begins a medication review with her,
paying special attention to which medication class?
A. Tetracyclines for acne
B. Thyroid replacement hormone for hypothyroidism
C. Proton pump inhibitors for heartburn
,D. Nonsteroidal anti-inflammatory drugs for pain Correct
Answers A
A 35-year-old man is seen in the clinic for an infection in his left
foot. Which of these findings should the nurse expect to see
during an assessment of this patient?
A. Pellet-like" nodes in the supraclavicular region
B. Bilateral enlargement of the popliteal nodes
C. Hard and fixed cervical nodes
D. Enlarged and tender inguinal nodes Correct Answers D
A 50-year-old woman is in the clinic for weakness in her left
arm and leg that she has noticed for the past week. The nurse
should perform which type of neurologic examination?
A. Glasgow Coma Scale
B. Neurologic recheck examination
C. Screening neurologic examination
D. Complete neurologic examination Correct Answers D
A 65-year-old man with emphysema and bronchitis has come to
the clinic for a follow-up appointment. On assessment, the nurse
might expect to see which assessment finding?
A. Anasarca
B. Clubbing of the nails
C. Scleroderma
D. Pedal erythema Correct Answers B
A 65-year-old patient remarks that she just can't believe that her
breasts sag so much. She states it must be from lack of exercise.
What explanation should the nurse offer her?
, A. After menopause, the glandular and fat tissue atrophies,
causing breast size and elasticity to diminish, resulting in breasts
that sag.
B. After menopause, sagging is usually due to decreased muscle
mass within the breast.
C. After menopause, a diet that is high in protein will help
maintain muscle mass, which keeps the breasts from sagging.
D. After menopause, only women with large breasts experience
sagging. Correct Answers A
A 70-year-old woman tells the nurse that every time she gets up
in the morning or after she's been sitting she gets "really dizzy"
and feels like she is going to fall over. The nurse's best response
would be:
A. Have you been extremely tired lately?"
B. You probably just need to drink more liquids."
C. I'll refer you for a complete neurologic examination."
D. You need to get up slowly when you've been lying or
sitting." Correct Answers D
A 75-year-old woman who has a history of diabetes and
peripheral vascular disease has been trying to remove a corn on
the bottom of her foot with a pair of scissors. The nurse will
encourage her to stop trying to remove the corn with scissors
because:
A. with her diabetes, she has increased circulation to her foot
and it could cause severe bleeding.
B. with her peripheral vascular disease, her range of motion is
limited and she may not be able to reach the corn safely.
C. the woman could be at increased risk for infection and
lesions because of her chronic disease.
, D. she is 75 years old and is unable to see, so she puts herself at
greater risk for self-injury with the scissors. Correct Answers C
A 9-year-old girl is in the clinic for a sports physical. After some
initial shyness she finally asks, "Am I normal? I don't seem to
need a bra yet, but I have some friends who do. What if I never
get breasts?" The nurse's best response would be:
A. I understand that it is hard to feel different from your friends.
Breasts usually develop between 8 and 10 years of age."
B. I know just how you feel, I was a late bloomer myself. Just
be patient and they will grow."
C. Don't worry, you still have plenty of time to develop."
D. You will probably get your periods before you notice any
significant growth in your breasts." Correct Answers A
A female nurse is interviewing a male patient who is near the
same age as the nurse. During the interview, the patient makes
an overtly sexual comment. The nurse's best reaction would be:
A. Do you really think I would be interested?"
B. It makes me uncomfortable when you talk that way. Please
stop."
C. Oh, you are too funny. Let's keep going with the interview."
D. Stop that immediately!" Correct Answers B
A female patient does not speak English well, and the nurse
needs to choose an interpreter. Which of the following would be
the most appropriate choice?
A. A female family member
B. A volunteer college student from the foreign C. language
studies department
