/CORRECT ANSWERS /VERIFIED AND
UPDATED
1.Which of the following would the nurse most likely expect to find when assessing a
client diagnosed with a frontal lobe contusion following a motor vehicle accident?:
Difficulty speaking
2.While inspecting the vagina, the nurse observes a thin, grayish-white vagi- nal
discharge with a fishy odor. Which of the following would the nurse suspect?:
Bacterial vaginosis
3. The nurse is assessing a 16-year-old who has suffered head injuries from a
recent motor vehicle accident. Which of these statements indicated the most
important reason for assessing for any drainage from the ear canal?: Bloody or
clear watery drainage can indicate a basal skull fracture
4.What structure is located in the left lower quadrant of the abdomen?: Sig- moid
colon
, 5. 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?: Papule
6. An older patient with a changing mental status is clenching the jaw closed to
avoid taking a prescribed oral medication. The patient is demonstrating the moto
function of which cranial nerve?: Trigeminal (5)
7.The nurse assesses brisk reflexes in a client. The nurse document this finding as
which of the following ?: 3+
8.When assessing the scrotum of a male patient, the nurse notices the pres- ence of
multiple firm, nontender, yellow 1-cm nodules. The nurse knows that these nodules
are most likely ?: Sebaceous cysts
9.A nurse notices that a patient has ascites, which indicates the presence of
?: Fluid
10. A patient has been admitted to a hospital after the staff in the nursing home
noticed a pressure ulcer in his sacral area. The nurse examines the pressure ulcer and
determines that it is a stage II ulcer. Which of these finding is characteristic of a stage II
pressure ulcer?: Open blister like area with a red-pink wound bed