NCSBN Practice questions part 2
1. A 42 yo breathes 30 times per minute.
Abnormal or expected findings
Abnormal
Normal respiratory rate in adolescents and adults is 12-20 breaths per minute.
2. During a female patient's breast exam, you see a cluster of very tiny dimples near one nipple.
Abnormal or expected findings
Abnormal
There should be no dimples, in fact "orange peel" skin is a late sign of breast cancer
3. Auscultation reveals bowel sounds in 2 of the 4 abdominal quadrants.
Abnormal or expected findings
Abnormal findings
,Normally, you should hear bowel sounds in all 4 quadrants in a healthy patient.
4. A 60 yo male has a left scrotal sac that is lightly lower than the right.
Abnormal or expected findings
Expected
Asymmetry in the scrotum is normal, with the left usually larger or having lower than the right.
5. A patient can tell you her name, but does not know the day of the week week.
Abnormal or expected findings
Abnormal
Normal mental function includes orientation to person, place, and time.
6. A 5 month old has a sunken anterior fontanel
Abnormal or expected findings
Abnormal
, The fontanel should be flat; a sunken fontanel indicates possible dehydration.
7. An 88 yo has decreased muscle strength in his bilateral upper extremities.
Abnormal or expected findings
Expected
A common age-associated change with musculo skeletal system is the decline in muscle mass and
strength.
8. The adolescent's spine is straight and posterior ribs are symmetrical when the patient bends
forward.
Abnormal or expected findings
Expected
The adolescent patient should be assessed for scoliosis by asking the patient to bend forward and touch
his or her toes. The patient's spine should be straight and without curvature or asymmetry.
9. The nurse-patient relationship is mutually defined, social relationship.
True or false
False
1. A 42 yo breathes 30 times per minute.
Abnormal or expected findings
Abnormal
Normal respiratory rate in adolescents and adults is 12-20 breaths per minute.
2. During a female patient's breast exam, you see a cluster of very tiny dimples near one nipple.
Abnormal or expected findings
Abnormal
There should be no dimples, in fact "orange peel" skin is a late sign of breast cancer
3. Auscultation reveals bowel sounds in 2 of the 4 abdominal quadrants.
Abnormal or expected findings
Abnormal findings
,Normally, you should hear bowel sounds in all 4 quadrants in a healthy patient.
4. A 60 yo male has a left scrotal sac that is lightly lower than the right.
Abnormal or expected findings
Expected
Asymmetry in the scrotum is normal, with the left usually larger or having lower than the right.
5. A patient can tell you her name, but does not know the day of the week week.
Abnormal or expected findings
Abnormal
Normal mental function includes orientation to person, place, and time.
6. A 5 month old has a sunken anterior fontanel
Abnormal or expected findings
Abnormal
, The fontanel should be flat; a sunken fontanel indicates possible dehydration.
7. An 88 yo has decreased muscle strength in his bilateral upper extremities.
Abnormal or expected findings
Expected
A common age-associated change with musculo skeletal system is the decline in muscle mass and
strength.
8. The adolescent's spine is straight and posterior ribs are symmetrical when the patient bends
forward.
Abnormal or expected findings
Expected
The adolescent patient should be assessed for scoliosis by asking the patient to bend forward and touch
his or her toes. The patient's spine should be straight and without curvature or asymmetry.
9. The nurse-patient relationship is mutually defined, social relationship.
True or false
False
