NSG3012 Week 3 Quiz Latest 2021 December

Question 1 In assessing a patient's major risk factors for heart disease, which would the nurse want to include when taking a history?

Question 1 options:

 Family history, hypertension, stress, and age

 Personality type, high cholesterol, diabetes, and smoking

 Smoking, hypertension, obesity, diabetes, and high cholesterol

 Alcohol consumption, obesity, diabetes, stress, and high cholesterol

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 During an examination, a patient states that she was diagnosed with open-angle glaucoma 2 years ago. The nurse assesses for characteristics of open-angle glaucoma. Which of these are characteristics of open-angle glaucoma? Select all that apply.

Question 3 options:

 Patient may experience sensitivity to light, nausea, and halos around lights.

 Patient experiences tunnel vision in the late stages.

 Immediate treatment is needed.

 Vision loss begins with peripheral vision.

 Open-angle glaucoma causes sudden attacks of increased pressure that cause blurred vision.

 Virtually no symptoms are exhibited.

Question 4 The nurse is assessing voice sounds during a respiratory assessment. Which of these findings indicates a normal assessment? Select all that apply.

Question 4 options:

 Voice sounds are faint, muffled, and almost inaudible when the patient whispers "one, two, three" in a very soft voice.

 As the patient repeatedly says "ninety-nine," the examiner clearly hears the words "ninety-nine."

 When the patient speaks in a normal voice, the examiner can hear a sound but cannot exactly distinguish what is being said.

 As the patient says a long "ee-ee-ee" sound, the examiner also hears a long "ee-ee-ee" sound.

 As the patient says a long "ee-ee-ee" sound, the examiner hears a long "aaaaaa" sound.

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 preparing to examine a patient who has been complaining of right lower quadrant pain. Which technique is correct during the assessment?

Question 6 options:

 Examine the tender area first.

 Examine the tender area last.

 Avoid palpating the tender area.

 Palpate the tender area first, and then auscultate for bowel sounds.

Question 7 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 7 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 8 A 75-year-old woman who has a history of diabetes and peripheral vascular disease has been trying to remove a corn on the bottom of her foot with a pair of scissors. The nurse will encourage her to stop trying to remove the corn with scissors because:

Question 8 options:

 The woman could be at increased risk for infection and lesions because of her chronic disease.

 With her diabetes, she has increased circulation to her foot, and it could cause severe bleeding.

 She is 75 years old and is unable to see; consequently, she places herself at greater risk for self-injury with the scissors.

 With her peripheral vascular disease, her range of motion is limited and she may not be able to reach the corn safely.

Question 9 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 9 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 10 The projections in the nasal cavity that increase the surface area are called the:

Question 10 options:

 Meatus.

 Septum.

 Turbinates.

 Kiesselbach plexus.

Question 11 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 11 options:

 Hypertension.

 Cluster headaches.

 Tension headaches.

 Migraine headaches.

Question 12 The nurse is reviewing the function of the cranial nerves (CNs). Which CN is responsible for conducting nerve impulses to the brain from the organ of Corti?

Question 12 options:

 I

 III

 VIII

 XI

Question 13 A patient is recovering from several hours of orthopedic surgery. During an assessment of the patient's lower legs, the nurse will monitor for signs of acute venous symptoms. Signs of acute venous symptoms include which of the following? Select all that apply.

Question 13 options:

 Intense, sharp pain, with the deep muscle tender to the touch

 Aching, tired pain, with a feeling of fullness

 Pain that is worse at the end of the day

 Sudden onset

 Warm, red, and swollen calf

 Pain that is relieved with elevation of the leg

Question 14 A patient visits the clinic because he has recently noticed that the left side of his mouth is paralyzed. He states that he cannot raise his eyebrow and his left eye seems to be open wider than the right eye. He also states he recently had a herpes simplex infection. The nurse suspects that he has:

Question 14 options:

 Cushing syndrome.

 Parkinson disease.

 Bell palsy.

 Experienced a cerebrovascular accident (CVA) or stroke

Question 15 A 65-year-old patient is experiencing pain in his left calf when he exercises that disappears after resting for a few minutes. The nurse recognizes that this description is most consistent with _______ the left leg.

Question 15 options:

 Venous obstruction of

 Claudication due to venous abnormalities in

 Ischemia caused by a partial blockage of an artery supplying

 Ischemia caused by the complete blockage of an artery supplying

Question 16 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 16 options:

 III

 V

 VII

 VIII

 

Question 17

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 17 options:

 Macular degeneration.

 Vision that is normal for someone her age.

 The beginning stages of cataract formation

 Increased intraocular pressure or glaucoma.

Question 18 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 18 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 19 A patient has been diagnosed with venous stasis. Which of these findings would the nurse most likely observe?

Question 19 options:

 Unilateral cool foot

 Thin, shiny, atrophic skin

 Pallor of the toes and cyanosis of the nail beds

 Brownish discoloration to the skin of the lower leg

Question 20 A patient has been shown to have a sensorineural hearing loss. During the assessment, it would be important for the nurse to:

Question 20 options:

 Speak loudly so the patient can hear the questions.

 Assess for middle ear infection as a possible cause.

 Ask the patient what medications he is currently taking.

Look for the source of the obstruction in the external ear.