NURS3315 Module 2 Quiz

•             Question 1          When assessed, which characteristic would alert the nurse to an abnormality in a lymph node?

•             Question 2          A parent of an ill infant states, “We've gave him ibuprofen for a fever, and he had an allergic reaction.” Which question would be most appropriate to ask first?  (Hint--use COLDSPA to help with this).

•             Question 3               A client has sought care because she states that she has begun to see halos around headlights and streetlights when she is out at night. The nurse should recognize   the need to refer the client for further assessment related to what health problem?

•             Question 4          A nurse is assessing for capillary refill.  What is the normal and expected response, and what does it mean?

•             Question 5          A man complains of a long-lasting headache that seems to be centered behind his eyes--he has had it for at least 3 weeks.  "Tylenol", he states, "doesn't help at all", and neither have any of the other medications he has tried.  It is worse in the morning than in the afternoon, but when he gets up in the middle of the night it really hurts.  When the nurse taps his eybrow, over the most painful area, he nearly cries.  He has had a cold for over a month and has a lot of mucus.  Which sort of headache does this man likely have?                                        

•             Question 6               After having a client perform a Romberg test, which of the following would indicate to the nurse that the test is negative?

•             Question 7          Many nurses use the mnemonic term PERRLA, which means pupils are equal, round, and reactive to light and accomodation.  What is accomodation?

•             Question 8               For which reason would the nurse ask the patient to say “ahhh” during throat assessment?

•             Question 9          The nurse is assessing a client's tonsils and note that they touch the uvula.  What documentation is correct?

•             Question 10 This solid lesion is 4 mm long, 3 mm wide and 2 mm thick.  Which descriptive term best fits this condition? (If you cannot view it on your computer, the description I have provided gives enough information that you should be able to select the correct term.)