6020 Mid Term Exam Questions And Answers

6020 Mid Term Exam Questions And Answers A patient tells the nurse that she has had abdominal pain for the past week. What would be the best response by the nurse? - ANS "Can you point to where it hurts?" A patient's laboratory data reveal an elevated thyroxine level. The nurse would proceed with an examination of the: - ANS Thyroid A 6-month-old infant has been brought to the well-child clinic for a check-up. She is currently sleeping. What should the examiner do first? - ANS Auscultate the lungs and heart while the infant is still sleeping When preparing to examine a 6-year-old child, which action is most appropriate? - ANS Start with the thorax, abdomen, and genitalia before examining the head. Avoid talking about the equipment being used because it may increase the child's anxiety. Keep in mind that a child this age will have a sense of modesty. Have the child undress from the waist up. 68-year-old woman is in the eye clinic for a checkup. She tells the nurse that she has been having trouble with reading the paper, sewing, and even seeing the faces of her grandchildren. On examination, the nurse notes that she has some loss of central vision but her peripheral vision is normal. These findings suggest that: - ANS She may have macular degeneration In assessing a patient's major risk factors for heart disease, which would the nurse want to include when taking a history? 1.Family history, hypertension, stress, age 2.Personality type, high cholesterol, diabetes, smoking 3.Smoking, hypertension, obesity, diabetes, high cholesterol 4.Alcohol consumption, obesity, diabetes, stress, high cholesterol - ANS 3. Smoking, hypertension, obesity, diabetes, high cholesterol 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: - ANS 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? - ANS 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: examiner feel more comfortable and gain control of the situation. rapport and increase the patient's confidence in the examiner. patient understand his or her disease process and treatment modalities. patient identify questions about his or her disease and p