NSG3012-Principles of Assessment Week 3 Quiz Latest 2021 December

Question 1 A patient reports excruciating headache pain on one side of his head, especially around his eye, forehead, and cheek that has lasted approximately to 2 hours, occurring once or twice each day. The nurse should suspect:

Question 1 options:

 Hypertension.

 Cluster headaches.

 Tension headaches.

 Migraine headaches.

Question 2 The nurse is preparing to do an otoscopic examination on a 2-year-old child. Which one of these reflects the correct procedure?

Question 2 options:

 Pulling the pinna down

 Pulling the pinna up and back

 Slightly tilting the child's head toward the examiner

 Instructing the child to touch his chin to his chest

Question 3 The projections in the nasal cavity that increase the surface area are called the:

Question 3 options:

 Meatus.

 Septum.

 Turbinates.

 Kiesselbach plexus.

Question 4 The nurse is performing an assessment on a 21-year-old patient and notices that his nasal mucosa appears pale, gray, and swollen. What would be the most appropriate question to ask the patient?

Question 4 options:

 "Are you aware of having any allergies?"

 "Do you have an elevated temperature?"

 "Have you had any symptoms of a cold?"

 "Have you been having frequent nosebleeds?"

Question 5 The nurse is assessing a 1-month-old infant at his well-baby checkup. Which assessment findings are appropriate for this age? Select all that apply.

Question 5 options:

 Head circumference equal to chest circumference

 Head circumference greater than chest circumference

 Head circumference less than chest circumference

 Fontanels firm and slightly concave

 Absent tonic neck reflex

 Nonpalpable cervical lymph nodes

Question 6 The nurse is presenting a class on risk factors for cardiovascular disease. Which of these are considered modifiable risk factors for MI? Select all that apply.

Question 6 options:

 Ethnicity

 Abnormal lipids

 Smoking

 Gender

 Hypertension

 Diabetes

 Family history

Question 7 During an examination of a patient in her third trimester of pregnancy, the nurse notices that the patient's thyroid gland is slightly enlarged. No enlargement had been previously noticed. The nurse suspects that the patient:

Question 7 options:

 Has an iodine deficiency.

 Is exhibiting early signs of goiter.

 Is exhibiting a normal enlargement of the thyroid gland during pregnancy.

 Needs further testing for possible thyroid cancer.

Question 8 During the taking of the health history of a 78-year-old man, his wife states that he occasionally has problems with short-term memory loss and confusion: "He can't even remember how to button his shirt." When assessing his sensory system, which action by the nurse is most appropriate?

Question 8 options:

 The nurse would not test the sensory system as part of the examination because the results would not be valid.

 The nurse would perform the tests, knowing that mental status does not affect sensory ability.

 The nurse would proceed with an explanation of each test, making certain that the wife understands.

 Before testing, the nurse would assess the patient's mental status and ability to follow directions.

Question 9 A patient has been admitted with chronic arterial symptoms. During the assessment, the nurse should expect which findings? Select all that apply.

Question 9 options:

 Patient has a history of diabetes and cigarette smoking.

 Skin of the patient is pale and cool.

 His ankles have two small, weeping ulcers.

 Patient works long hours sitting at a computer desk.

 He states that the pain gets worse when walking.

 Patient states that the pain is worse at the end of the day.

Question 10 The nurse is teaching a review class on the lymphatic system. A participant shows correct understanding of the material with which statement?

Question 10 options:

 "Lymph flow is propelled by the contraction of the heart."

 "The flow of lymph is slow, compared with that of the blood."

 "One of the functions of the lymph is to absorb lipids from the biliary tract."

 "Lymph vessels have no valves; therefore, lymph fluid flows freely from the tissue spaces into the bloodstream."

Question 11 A 69-year-old patient has been admitted to an adult psychiatric unit because his wife thinks he is getting more and more confused. He laughs when he is found to be forgetful, saying "I'm just getting old!" After the nurse completes a thorough neurologic assessment, which findings would be indicative of Alzheimer disease? Select all that apply.

Question 11 options:

 Occasionally forgetting names or appointments

 Difficulty performing familiar tasks, such as placing a telephone call

 Misplacing items, such as putting dish soap in the refrigerator

 Sometimes having trouble finding the right word

 Rapid mood swings, from calm to tears, for no apparent reason

 Getting lost in one's own neighborhood

Question 12 The nurse is conducting a child safety class for new mothers. Which factor places young children at risk for ear infections?

Question 12 options:

 Family history

 Air conditioning

 Excessive cerumen

 Passive cigarette smoke

Question 13 When examining the mouth of an older patient, the nurse recognizes which finding is due to the aging process?

Question 13 options:

 Teeth appearing shorter

 Tongue that looks smoother in appearance

 Buccal mucosa that is beefy red in appearance

 Small, painless lump on the dorsum of the tongue

Question 14 When examining the face of a patient, the nurse is aware that the two pairs of salivary glands that are accessible to examination are the ___________ and ___________ glands.

Question 14 options:

 Occipital; submental

 Parotid; jugulodigastric

 Parotid; submandibular

 Submandibular; occipital

Question 15 A patient comes to the clinic complaining of a cough that is worse at night but not as bad during the day. The nurse recognizes that this cough may indicate:

Question 15 options:

 Pneumonia.

 Postnasal drip or sinusitis.

 Exposure to irritants at work.

 Chronic bronchial irritation from smoking.

Question 16 A 68-year-old woman is in the eye clinic for a checkup. She tells the nurse that she has been having trouble 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 she may have:

Question 16 options:

Macular degeneration.

 Vision that is normal for someone her age.

 The beginning stages of cataract formation

 Increased intraocular pressure or glaucoma.

Question 17 A newborn infant has Down syndrome. During the skin assessment, the nurse notices a transient mottling in the trunk and extremities in response to the cool temperature in the examination room. The infant's mother also notices the mottling and asks what it is. The nurse knows that this mottling is called:

Question 17 options:

 Café au lait.

 Carotenemia.

 Acrocyanosis.

 Cutis marmorata.

Question 18 During an assessment, a patient mentions that "I just can't smell like I used to. I can barely smell the roses in my garden. Why is that?" For which possible causes of changes in the sense of smell will the nurse assess? Select all that apply.

Question 18 options:

 Chronic alcohol use

 Cigarette smoking

 Frequent episodes of strep throat

 Chronic allergies

 Aging

 Herpes simplex virus I

Question 19 While obtaining a health history, a patient tells the nurse that he has frequent nosebleeds and asks the best way to get them to stop. What would be the nurse's best response?

Question 19 options:

 "While sitting up, place a cold compress over your nose."

 "Sit up with your head tilted forward and pinch your nose."

 "Just allow the bleeding to stop on its own, but don't blow your nose."

 "Lie on your back with your head tilted back and pinch your nose."

Question 20 The nurse notices that a patient's palpebral fissures are not symmetric. On examination, the nurse may find that damage has occurred to which cranial nerve (CN)?

Question 20 options:

 III

 V

 VII

 VIII