NR 509 WEEK 3 QUIZ / NR509 WEEK 3 QUIZ: LATEST,CHAMBERLAIN COLLEGE OF NURSING

NR 509 WEEK 3 QUIZ / NR509 WEEK 3 QUIZ: LATEST,CHAMBERLAIN COLLEGE OF NURSINGNR 509 WEEK 3 QUIZ Question 1. Question : 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? Student Answer: Increased vascularity of the skin in the elderly Increased numbers of sweat and sebaceous glands in the elderly An increase in elastin and a decrease in subcutaneous fat in the elderly An increased loss of elastin and a decrease in subcutaneous fat in the elderly Question 2. Question : A patient comes to the clinic and tells the nurse that he has been confined to his recliner chair for about three days with his feet down and he wants the nurse to evaluate his feet. During the assessment, the nurse might expect to find Student Answer: pallor. coolness. distended veins. prolonged capillary filling time. Question 3. Question : The nurse notices that a school-aged child has bluish-white, red-based spots in her mouth that are elevated about 1 mm to 3 mm. What other signs would the nurse expect to find in this patient? Student Answer: A pink, papular rash on the face and neck Pruritic vesicles over her trunk and neck Hyperpigmentation on the chest, abdomen, and the back of the arms A red-purple, maculopapular, blotchy rash behind the ears and on the face Question 4. Question : The nurse notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in diameter. When documenting this finding, the nurse would report this as a Student Answer: bulla. wheal. nodule. papule. Question 5. Question : 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? Student Answer: Anasarca Scleroderma Pedal erythema Clubbing of the nails Question 6. Question : A 19-year-old college student is brought to the emergency department with a severe headache he describes as “like nothing I’ve ever had before.” His temperature is 104° F, and he has a stiff neck. The nurse looks for other signs and symptoms of which problem? Student Answer: Head injury Cluster headache Migraine headache Meningeal inflammation Question 7. Question : During an examination of a female patient, the nurse notes lymphadenopathy and suspects an acute infection. Acutely infected lymph nodes would be Student Answer: clumped. unilateral. firm but freely movable. firm and nontender. Question 8. Question : A patient visits the clinic because he has recently noticed that the left side of his mouth is paralyzed. He states that he cannot raise his eyebrow or whistle. The nurse suspects that he has Student Answer: Cushing’s syndrome. Parkinson disease. Bell’s palsy. had a cerebrovascular accident (stroke). Question 9. Question : A male patient with a history of AIDS has come in for an examination and he states, “I think that I have the mumps.” The nurse would begin by examining the Student Answer: thyroid gland. parotid gland. cervical lymph nodes. mouth and skin for lesions. Question 10. Question : When examining the eye, the nurse notices that the patient’s eyelid margins approximate completely. The nurse recognizes that this assessment finding Student Answer: is expected. may indicate a problem with extraocular muscles. may result in problems with tearing. indicates increased intraocular pressure. Question 11. Question : During an assessment, the nurse notices that an elderly patient has tears rolling down his face from his left eye. Closer examination shows that the lower lid is loose and rolling outward. The patient complains of his eye feeling “dry and itchy.” Which action by the nurse is correct? Student Answer: Assess the eye for a possible foreign body. Document the finding as ptosis. Assess for other signs of ectropion. Contact the prescriber because these are signs of basal cell carcinoma. Question 12. Question : An ophthalmic examination reveals papilledema. The nurse is aware that this finding indicates Student Answer: retinal detachment. diabetic retinopathy. acute-angle glaucoma. increased intracranial pressure. Question 13. Question : The nurse is performing an eye assessment on an 80-year-old patient. Which of these findings is considered abnormal? Student Answer: A decrease in tear production Unequal pupillary constriction in response to light The presence of arcus senilis seen around the cornea Loss of the outer hair on the eyebrows due to a decrease in hair follicles Question 14. Question : A patient has been shown to have a sensorineural hearing loss. During the assessment, it would be important for the nurse to Student Answer: 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. Question 15. Question : A patient has been admitted after an accident at work. During the assessment, the patient is having trouble hearing and states, “I don’t know what the matter is. All of a sudden, I can’t hear you out of my left ear!” What should the nurse do next? Student Answer: Make note of this finding for report to the next shift. Prepare to remove cerumen from the patient’s ear. Notify the patient’s healthcare provider. Irrigate the ear with rubbing alcohol. Question 16. Question : An assessment of a 23-year-old patient reveals the following: an auricle that is tender and reddish-blue in color with small vesicles. Additional information the nurse would need to know includes which of these? Student Answer: Any change in the ability to hear Any recent drainage from the ear Recent history of trauma to the ear Any prolonged exposure to extreme cold Question 17. Question : The nurse is performing an ear examination of an 80-year-old patient. Which of these would be considered a normal finding? Student Answer: A high-tone frequency loss Increased elasticity of the pinna A thin, translucent membrane A shiny, pink tympanic membrane Question 18. Question : The nurse is assessing a 3-year-old for “drainage from the nose.” On assessment, it is found that there is a purulent drainage from the left nares that has a very foul odor and no drainage from the right nares. The child is afebrile with no other symptoms. What should the nurse do next? Student Answer: Refer to the physician for an antibiotic order. Have the mother bring the child back in 1 week. Perform an otoscopic examination of the left nares. Tell the mother that this is normal for children of this age. Question 19. Question : The nurse is assessing a patient in the hospital who has received numerous antibiotics and notices that his tongue appears to be black and hairy. In response to his concern, what would the nurse say? Student Answer: “We will need to get a biopsy and see what the cause is.” “This is an overgrowth of hair and will go away in a few days.” “This is a fungal infection caused by all the antibiotics you’ve received.” “This is probably caused by the same bacteria you had in your lungs.” Question 20. Question : The nurse is obtaining a history on a 3-month-old infant. During the interview, the mother states, “I think she is getting her first tooth because she has started drooling a lot.” The nurse’s best response would be Student Answer: “You’re right, drooling is usually a sign of the first tooth.” “It would be unusual for a 3-month-old to be getting her first tooth.” “This could be the sign of a problem with the salivary glands.” “She is just starting to salivate and hasn’t learned to swallow the saliva.” Question 21. Question : A woman who is in the second trimester of pregnancy mentions that she has had “more nosebleeds than ever” since she became pregnant. The nurse recognizes that this is due to Student Answer: a problem with the patient’s coagulation system. increased vascularity in the upper respiratory tract as a result of the pregnancy. increased susceptibility to colds and nasal irritation. inappropriate use of nasal sprays. Question 22. Question : A 45-year-old man is in the clinic for a physical examination. During the abdominal assessment, the nurse percusses the abdomen and notices an area of dullness above the right costal margin of about 10 cm. The nurse should Student Answer: document the presence of hepatomegaly. ask additional history questions regarding his alcohol intake. describe this as an enlarged liver and refer him to a physician. consider this a normal finding and proceed with the examination. Question 23. Question : The nurse is reviewing statistics for lactose intolerance. In the United States, the incidence of lactose intolerance is higher in adults of which ethnic group? Student Answer: African-Americans Hispanics Whites Asians Question 24. Question : During an abdominal assessment, the nurse would consider which of these findings as normal? Student Answer: The presence of a bruit in the femoral area A tympanic percussion note in the umbilical region A palpable spleen between the ninth and eleventh ribs in the left midaxillary line A dull percussion note in the left upper quadrant at the midclavicular line Question 25. Question : During a health history, the patient tells the nurse, “I have pain all the time in my stomach. It’s worse two hours after I eat, but it gets better if I eat again!” The nurse suspects that the patient has which condition, based on these symptoms? Student Answer: Appendicitis Gastric ulcer Duodenal ulcer Cholecystitis )