ANSWERS SCORE A+
A 16-year-old girl is being seen at clinic for gastrointestinal
complaints and weight loss. Nurse determines that many of
her complaints may be related to erratic eating patterns,
eating predominantly fast foods, and high caffeine intake. In
this situation, which is most appropriate when collecting
current dietary intake information?
Have the patient complete a food diary for 3 day= 2 weekdays +
2 weekend day.
To assess the head control of a 4-month-old infant, the nurse
lifts the infant up in a prone position while supporting his
chest. The nurse looks for what normal response?
Raises head and arches back
A patient has a positive homans' sign. The nurse know that a
positive homans' sign may indicate:
Deep vein thrombosis
,The nurse is discussing breast self- examination with a
postmenopausal woman to perform breast self examination is:
The same day every month
A 15-year-old boy is seen in the clinic for complaints of "dull
pain and pulling" in the scrotal area. On examination the nurse
palpates a soft, irregular mass posterior to and above the
testis on the left. This mass collapses when the patient is
supine and refills when he is upright. This descriptions is
consistent with:
Varicocele
The nurse is bathing an 80- year-old man and notices that his
skin is wrinkled, thin, lax, and dry. This finding would be
related to which factor?
An increased loss of elastin and a decrease in subcutaneous
fat in the elderly.
A woman who is 22 weeks pregnant has a vaginal infection.
She tells the nurse that she is afraid that this infection with
hurt the fetus. The nurse knows that which of these
statements are true?
, A thick mucus plug forms that protects the fetus from infection
In assessment of 1-month-old, nurse notes a lack of response
to noise or stimulation. Mother reports that in the last week he
has been sleeping all the time and when awake all he does is
cry. The nurse hears that infant's cries are very high pitched
and shrill. What would be nurse's appropriate response?
Refer the infant for further testing
A female patient is 8-months-pregnant. She comments that
she has noticed a change in posture and is having lower back
pain. The nurse tells her that during pregnancy women have a
posture shift to compensate for the enlarging fetus. This shift
in posture is:
Lordosis
A 14-year-old girl is anxious about not having reached
menarche. When taking the history, the nurse should ascertain
which of the following? The age:
She began to develop breasts