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UNIVERSITY |AGRADE
A few days after a summer hiking trip, a 25-year-old man comes to the clinic
with a rash. On examination, the nurse notes that the rash is red, macular,
with a bull's eye pattern across his midriff and behind his knees. The nurse
suspects:
Lyme Disease
To assess the dorsalis pedis artery, the nurse would palpate lateral to the
extensor tendon of the great toe. The dorsalis pedis artery is located on the
dorsum of the foot. Palpate just lateral to and parallel with the extensor tendon
of the big toe.
The nurse is performing a neurologic assessment on a 41-year-old woman
with a history of diabetes. When testing her ability to feel the vibrations of a
tuning fork, the nurse notes the following: unable to feel vibrations on the
great toe or ankle bilaterally; is able to feel vibrations on both patellae. Given
this information, what would the nurse suspect?
1.Hyperalgesia
2.Hyperesthesia
3.Peripheral neuropathy
4.Lesion of sensory cortex
Loss of vibration sense occurs with peripheral neuropathy (e.g., diabetes and
alcoholism). Peripheral neuropathy is worse at the feet and gradually improves as
you move up leg, as opposed to a specific nerve lesion, which has a clear zone of
deficit for its dermatome
The nurse is reviewing an assessment of a patient's peripheral pulses and
notices that the radial pulses are "2+."
,documentation states that the The nurse recognizes that this reading
indicates what type of pulse?
A.Bounding
B.Normal
C.Weak
D.Absent
During an examination, you note that a male patient has a red, round,
superficial ulcer with a yellowish-serous discharge on his penis. Upon
palpation, you note a nontender base that feels like a small button between
your thumb and fingers. At this point you suspect that this patient has:
syphilitic chancre
During an interview, a patient reveals that she is pregnant. She states that she
is not sure whether she will breastfeed her baby and asks for some
information about this. Which of these statements by the nurse is accurate
with regard to breastfeeding?
“Breastfeeding provides the perfect food and antibodies for your baby.” or
Breast-feeding may reduce the risk of breast cancer.
To palpate the temporomandibular joint, the nurse's finger should be placed
in the depression of the ear.
anterior to the tragus
The nurse practitioner is examining only the rectal area of a woman and
should place the woman in what position?
The nurse should place the female patient in lithotomy position if examining
genitalia as well; use the left lateral decubitus position for the rectal area alone.
The nurse is performing a genitourinary assessment on a 50-year-old obese
male laborer. On examination the nurse notices a painless round swelling
close to the pubis in the area of the internal inguinal ring that is easily reduced
when the individual is supine. These findings are most consistent with a(n)
hernia.
Direct inguinal
, The nurse is conducting a class about breast self-examination (BSE). Which of
these statements indicates proper BSE technique?
C) The best time to perform BSE is 4 to 7 days after the first day of the menstrual
period.
A man found wandering in park at 2AM has been brought to emergency
department for examination because he said he fell+hit head. During
examination, nurse asks him to use his index finger to touch nurse’s finger,
then own nose, then nurse’s finger again (moved to a different location).
patient is clumsy, unable to follow the instructions, + overshoots mark,
missing finger. nurse suspects...
1.Cerebral injury
2.Cerebrovascular accident
3.Acute alcohol intoxication
4.Peripheral neuropathy
During the finger-to-finger test, if the person has clumsy movement with
overshooting the mark, either a cerebellar disorders or acute alcohol intoxication
should be suspected.
Which of the following assessment findings is most consistent with clubbing of
the fingernails?
An angle of the nail base of 180 degrees or greater with a nail base that feels
spongy
A 45-year-old mother of two children is seen at the clinic for complaints of
"losing my urine when I sneeze." The nurse documents that she is
experiencing:
stress incontinence
A patient calls the clinic for instructions before having a Papanicolaou (Pap)
smear. The most appropriate instructions from the nurse are:
“Avoid intercourse, inserting anything into the vagina, or douching within 24 hours
of your appointment.”