Nurs 202 Health Assessment Prep
A gerontologic nurse is inspecting the genitalia of an older adult male client. Which
assessment findings are of the most concern? Select all that apply.
Decreased penis size
Scant amount of pubic hair
Less firmness of the testes
Scant yellow discharge
Bulge to the left inguinal area - CORRECT ANSWER-Bulge to the left inguinal area
Scant yellow discharge
A community nurse is participating in a health promotion fair and has been asked by a
middle-aged woman about the necessity of breast self-examination (BSE). How should
the nurse respond to the woman's inquiry? - CORRECT ANSWER-"Breast self-
examination is no longer a recommended screening activity."
A nurse auscultates the right carotid artery in an older adult client and identifies a bruit.
What does this assessment finding mean?
It is distended.
It is dissecting.
It is inflamed.
It is normal. - CORRECT ANSWER-It is distended.(swollen due to pressure from
inside;)
The nurse is palpating a client's precordium. Which result is an expected clinical
finding?
Palpable pulsation over the mitral area
Palpable vibration over the right sternal border
Palpable heave over the pulmonic area
Palpable thrill over the aortic area - CORRECT ANSWER-Palpable pulsation over the
mitral area
A client states during the interview that he has pain in his lower back. He states it is a
10 on a scale of 0 to 10 when he is asked to turn. The nurse should:
elevate the legs, bending at the knee while the client is supine.
have the client lay on his right side, then palpate the area.
have the client turn from side to side and assess pain.
avoid a position change that requires turning. - CORRECT ANSWER-avoid a position
change that requires turning.
A nurse examining the lungs of a client percusses over the anterior thorax using the
proper sequence. This technique helps to identify:
A gerontologic nurse is inspecting the genitalia of an older adult male client. Which
assessment findings are of the most concern? Select all that apply.
Decreased penis size
Scant amount of pubic hair
Less firmness of the testes
Scant yellow discharge
Bulge to the left inguinal area - CORRECT ANSWER-Bulge to the left inguinal area
Scant yellow discharge
A community nurse is participating in a health promotion fair and has been asked by a
middle-aged woman about the necessity of breast self-examination (BSE). How should
the nurse respond to the woman's inquiry? - CORRECT ANSWER-"Breast self-
examination is no longer a recommended screening activity."
A nurse auscultates the right carotid artery in an older adult client and identifies a bruit.
What does this assessment finding mean?
It is distended.
It is dissecting.
It is inflamed.
It is normal. - CORRECT ANSWER-It is distended.(swollen due to pressure from
inside;)
The nurse is palpating a client's precordium. Which result is an expected clinical
finding?
Palpable pulsation over the mitral area
Palpable vibration over the right sternal border
Palpable heave over the pulmonic area
Palpable thrill over the aortic area - CORRECT ANSWER-Palpable pulsation over the
mitral area
A client states during the interview that he has pain in his lower back. He states it is a
10 on a scale of 0 to 10 when he is asked to turn. The nurse should:
elevate the legs, bending at the knee while the client is supine.
have the client lay on his right side, then palpate the area.
have the client turn from side to side and assess pain.
avoid a position change that requires turning. - CORRECT ANSWER-avoid a position
change that requires turning.
A nurse examining the lungs of a client percusses over the anterior thorax using the
proper sequence. This technique helps to identify:
