End of Semester 1 Updated Exam 2026
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A patient tells the nurse that she has had abdominal pain for the past week. What would
be the best response by the nurse? - ANSWERS-"Can you point to where it hurts?"
A teenage patient comes to the emergency department with complaints of an inability to
breathe and a sharp pain in the left side of his chest. The assessment findings include
cyanosis, tachypnea, tracheal deviation to the right, decreased tactile fremitus on the
left, hyperresonance on the left, and decreased breath sounds on the left. The nurse
interprets that these assessment findings are consistent with: - ANSWERS-a
pneumothorax
During a hearing assessment the nurse practitioner finds that sound lateralizes to the
patient's left ear with the Weber test. What can the nurse practitioner conclude from
this? - ANSWERS-The patient has a conductive hearing loss in the right ear.
Lateralization is a normal finding with the Weber test. The patient could have either a
sensorineural or a conductive loss. A mistake has occurred; the test must be repeated.
, The most important reason to share information and offer brief teaching while
performing the physical examination is to help:
1.the examiner feel more comfortable and gain control of the situation.
2.build rapport and increase the patient's confidence in the examiner.
3.the patient understand his or her disease process and treatment modalities.
4.the patient identify questions about his or her disease and potential areas of patient
education. - ANSWERS-2. build rapport and increase the patient's confidence in the
examiner.
In assessing the sclera of a black patient, which of the following would be an expected
finding? - ANSWERS-The presence of small brown macules on the sclera
During an examination, the nurse knows that the best way to palpate the lymph nodes
in the neck is described by which statement? - ANSWERS-Using gentle pressure,
palpate with both hands to compare the two sides.
The nurse 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?
1. "Do you perform testicular self-exams?"
2. "Have you ever noticed any pain in your testicles?"
3. "Have you had any problems with passing your urine?"
4. "Do you have any history of sexually transmitted disease?" - ANSWERS-1. "Do you
perform testicular self-exams?"
When examining a 16-year-old male teenager, the examiner should: - ANSWERS-
provide feedback that his body is developing normally and discuss the wide variation
among teenagers on the rate of growth and development.
A patient's laboratory data reveal an elevated thyroxine level. The nurse would proceed
with an examination of the: - ANSWERS-Thyroid