NSG 3160 exam 4 Questions With Complete Solutions
16. The nurse is assessing a patients ischial tuberosity. To
palpate the ischial tuberosity, the nurse knows that it is best to
have the patient:
Flexing the hip.
17. The nurse is examining thehip area of a patient and palpates
a flat depression on theupper, lateral side of thethigh when
thepatient is standing. thenurse interprets this finding as the:
Greater trochanter.
22. A patient has been diagnosed with osteoporosis and asks
thenurse, What is osteoporosis? thenurse explains that
osteoporosis is defined as:
Loss of bone density.
23. The nurse is teaching a class on preventing osteoporosis to a
group of perimenopausal women. Which of these actions is
the best way to prevent or delay bone loss in this group?
Performing physical activity, such as fast walking
24. A teenage girl has arrived complaining of pain in her left
wrist. She was playing basketball when she fell and landed on
,her left hand. thenurse examines her hand and would expect a
fracture if thegirl complains of a:
Sharp pain that increases with movement.
25. A patient is complaining of pain in his joints that is worse in
themorning, better after he moves around for a while, and then
gets worse again if he sits for long periods. thenurse should
assess for other signs of what problem?
Rheumatoid arthritis
26. A patient states, I can hear a crunching or grating sound
when I kneel. She also states that it is very difficult to get out of
bed in themorning because of stiffness and pain in my joints.
thenurse should assess for signs of what problem?
Crepitation
27. A patient is able to flex his right arm forward without
difficulty or pain but is unable to abduct his arm because of pain
and muscle spasms. thenurse should suspect:
Rotator cufflesions.
22. During an abdominal assessment, thenurse elicits tenderness
on light palpation in theright lower quadrant. thenurse interprets
,that this finding could indicate a disorder of which of these
structures?
Appendix
23. The nurse is assessing theabdomen of an older adult. Which
statement regarding theolder adult and abdominal assessment
is true?
Abdominal musculature is thinner.
24. During an assessment of a newborn infant, thenurse recalls
that pyloric stenosis would be exhibited by:
Projectile vomiting.
25. The nurse is reviewing theassessment of an aortic aneurysm.
Which of these statements istrue regarding an aortic aneurysm?
A pulsating mass is usually present.
26. During an abdominal assessment, thenurse is unable to hear
bowel sounds in a patients abdomen. Before reporting this
finding as silent bowel sounds, thenurse should listen for at
least:
5 minutes.
, 27. A patient is suspected of having inflammation of
thegallbladder, or cholecystitis. thenurse should conduct which
of these techniques to assess for this condition?
Test for Murphy sign
28. Just before going home, a new mother asks thenurse about
theinfants umbilical cord. Which of these statements is correct?
It should fall off in 10 to 14 days.
29. Which of these percussion findings would thenurse expect to
find in a patient with a large amount of ascites?
Dullness across the abdomen
30. A 40-year-old man states that his physician told him that he
has a hernia. He asks thenurse to explain what a hernia is. Which
response by thenurse is appropriate?
A hernia is a loop of bowel protruding through a weak spot in
theabdominal muscles.
31. A 45-year-old man is in theclinic for a physical examination.
During theabdominal assessment, thenurse percusses
theabdomen and notices an area of dullness above theright costal
margin of approximately 11 cm. thenurse should:
16. The nurse is assessing a patients ischial tuberosity. To
palpate the ischial tuberosity, the nurse knows that it is best to
have the patient:
Flexing the hip.
17. The nurse is examining thehip area of a patient and palpates
a flat depression on theupper, lateral side of thethigh when
thepatient is standing. thenurse interprets this finding as the:
Greater trochanter.
22. A patient has been diagnosed with osteoporosis and asks
thenurse, What is osteoporosis? thenurse explains that
osteoporosis is defined as:
Loss of bone density.
23. The nurse is teaching a class on preventing osteoporosis to a
group of perimenopausal women. Which of these actions is
the best way to prevent or delay bone loss in this group?
Performing physical activity, such as fast walking
24. A teenage girl has arrived complaining of pain in her left
wrist. She was playing basketball when she fell and landed on
,her left hand. thenurse examines her hand and would expect a
fracture if thegirl complains of a:
Sharp pain that increases with movement.
25. A patient is complaining of pain in his joints that is worse in
themorning, better after he moves around for a while, and then
gets worse again if he sits for long periods. thenurse should
assess for other signs of what problem?
Rheumatoid arthritis
26. A patient states, I can hear a crunching or grating sound
when I kneel. She also states that it is very difficult to get out of
bed in themorning because of stiffness and pain in my joints.
thenurse should assess for signs of what problem?
Crepitation
27. A patient is able to flex his right arm forward without
difficulty or pain but is unable to abduct his arm because of pain
and muscle spasms. thenurse should suspect:
Rotator cufflesions.
22. During an abdominal assessment, thenurse elicits tenderness
on light palpation in theright lower quadrant. thenurse interprets
,that this finding could indicate a disorder of which of these
structures?
Appendix
23. The nurse is assessing theabdomen of an older adult. Which
statement regarding theolder adult and abdominal assessment
is true?
Abdominal musculature is thinner.
24. During an assessment of a newborn infant, thenurse recalls
that pyloric stenosis would be exhibited by:
Projectile vomiting.
25. The nurse is reviewing theassessment of an aortic aneurysm.
Which of these statements istrue regarding an aortic aneurysm?
A pulsating mass is usually present.
26. During an abdominal assessment, thenurse is unable to hear
bowel sounds in a patients abdomen. Before reporting this
finding as silent bowel sounds, thenurse should listen for at
least:
5 minutes.
, 27. A patient is suspected of having inflammation of
thegallbladder, or cholecystitis. thenurse should conduct which
of these techniques to assess for this condition?
Test for Murphy sign
28. Just before going home, a new mother asks thenurse about
theinfants umbilical cord. Which of these statements is correct?
It should fall off in 10 to 14 days.
29. Which of these percussion findings would thenurse expect to
find in a patient with a large amount of ascites?
Dullness across the abdomen
30. A 40-year-old man states that his physician told him that he
has a hernia. He asks thenurse to explain what a hernia is. Which
response by thenurse is appropriate?
A hernia is a loop of bowel protruding through a weak spot in
theabdominal muscles.
31. A 45-year-old man is in theclinic for a physical examination.
During theabdominal assessment, thenurse percusses
theabdomen and notices an area of dullness above theright costal
margin of approximately 11 cm. thenurse should:
