ANSWERS
A 20 year old construction worker has been brought into the ED with heat stroke.
He has delirium as a result of the fluid and electrolyte imbalance. The nurse will
assess his:
A) affect and mood
B) memory and energy
C) thought process and memory
D) level of consciousness and cognitive abilities correct answer D
A 30 year old woman tells the nurse that she has been very unsteady and has had
difficulty in maintaining her balance. Which area of the brain would the nurse be
concerned about with these findings?
A) thalamus
B) brainstem
C) cerebellum
D) extrapyramidal tract correct answer C
A 40 year old man has come into the clinic with complaints of "extreme
tenderness in my toes" the nurse notes that his toes are slightly swollen,
reddened, and warm to the touch. His complaints would suggest:
A) osteoporosis
B) acute gout
,C) ankylosing spondylitis
D) degenerative joint disease correct answer B
A 40 year old man states that his doctor told him he has a hernia. He asks the
nurse to explain what a hernia is. Which is appropriate?
A) tell him not to worry, that most men his age develop hernias
B) refer him to his physician for additional consultation because he or she made
the initial diagnosis
C) explain that a hernia is a loop of bowel protruding through a weak spot in the
abdominal muscles
D) explain that hernias that occur in adulthood are often the result of prenatal
growth abnormalities correct answer C
A man comes to the clinic for an exam after falling off his motorcycle and landing
on his left side on the handlebars. The nurse suspects that he may have injured
his spleen. Which of the following is true regarding assessment of the spleen in
this situation?
A) the spleen can be enlarged as a result of trauma
B) the spleen is normally felt upon routine palpation
C) if an enlarged spleen is noted, palpate thoroughly to determine size
D) an enlarged spleen should not be palpated because it can rupture easily
correct answer D
A nurse notes that a patient has ascites, which indicated that which of the
following is present?
, A) fluid
B) feces
C) flatus
D) fibroid tumors correct answer A
A patient describes feeling an unreasonable, irrational fear of snakes. It is so
persistent that he can no longer comfortable even look at pictures of snakes and
has made an effort to identify all the places he might encounter one, and avoids
them. The nurse recognizes that:
A) he has a snake phobia
B) he is a hypochondriac. Snakes are usually harmless
C) he has an obsession. In this care, with snakes
D) he has a delusion that snakes are harmful. It must stem from an early
traumatic incident involving snakes correct answer A
A patient has been diagnosed with osteoporosis and asks the nurse, "what is
osteoporosis?" the nurse knows that osteoporosis can be defined as:
A) loss of bone matrix
B) loss of bone density
C) new, weaker bone growth
D) increased phagocytic activity correct answer B