NURS 190 Physical Assessment MIDTERM Exam, Kim Hein.(Latest UPDATE) | 100% CORRECT ANSWERS

NURS 190 Physical Assessment MIDTERM Exam, Kim
ff ff ff ff ff ff ff




Hein.(Latest 2022/2023)
ff ff

,1.

The nurse is performing a comprehensive skin assessment. Which of the following pieces of equipment
ff ff ff ff ff ff ff ff ff ff ff ff ff ff


is appropriate to use during the skin assessment?
ff ff ff ff ff ff ff ff




(2 Points)
ff




ff doppler

Wood's lamp ff




ff Reflex hammer ff




ff Goniometer

2.
Which of the following is an expected finding in a healthy client on assessment of Stensen's ducts?
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff




ff (2 Points)
ff




red glow is present
ff ff ff




ff midline and symmetric ff ff




saliva is present ff ff




ff redness is ff




present 3.
ff ff




Which of the following signs or symptoms does the nurse recognize in a client with hypothyroidism?
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff




ff (Select all that apply) ff ff ff




(2 Points)
ff

,Fatigue

intolerance to cold ff ff




ff increased cardiacff




output
ff




constipation

ff 4.

The client has a new diagnosis of right sided heart failure. The nurse understands a client with right sided
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff


heart failure may have edema and jugular vein distension.
ff ff ff ff ff ff ff ff ff




(2 Points)
ff




True

Fals
ff




e

, 5.

The nurse performs the Romberg test to assess for:
ff ff ff ff ff ff ff ff




ff (2 Points) ff




balance

ff hearing

ff vision loss ff




cranial nerve 6 dysfunction ff ff ff




ff 6.

Which of the following techniques will the nurse perform to assess for signs of breast abnormalities?
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff




ff (2 Points) ff




inspection, palpation, and auscultation ff ff ff




ff inspection and palpation ff ff




inspection, palpation, and percussion ff ff ff




ff palpation and auscultation ff ff




7. The nurse is caring for a client with obesity. The nurse places the client in which of the following
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff


positions to best hear heart sounds?
ff ff ff ff ff ff




supine

ff prone

sitting upright ff




lef t lateral
f ff




8.
ff




State at which location(s) the S1 sound (lub) is heard loudest on cardiac auscultation. State why the S1 is
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff


loudest at these locations. (Write 1-2 sentences).
ff ff ff ff ff ff ff




If you are you are at the proper location, you will hear the sound the loudest.
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff




ff (2 Points) ff




9.

The nurse palpates an enlarged lymph node at the back of the ear, over the mastoid bone. The nurse
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff


documents this location as:
ff ff ff ff




(2 Points) ff




posterior auricular ff