The nurse is examining a patient's ears and notices cerumen in the external canal. Which of these statements about cerumen is correct?
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Question 2 of 65
M.J., age 85, has been diagnosed with terminal lung cancer. During report you were told that the family does not want her to know the diagnosis. M.J. asks you, "Am I going to die?" Which of the following is the best therapeutic response from you, the nurse?
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Question 3 of 65
A 35-year-old man presents with a complaint of dizziness and fainting. His blood pressure is found to be 100/60 mm Hg when he is standing up. What is the most likely cause of his symptoms?
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Question 4 of 65
During a cardiovascular assessment, the nurse auscultates a soft, blowing sound over the left upper sternal border. What does this finding suggest?
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Question 5 of 65
Which of the following assessment findings is most consistent with chronic venous insufficiency?
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Question 6 of 65
When assessing a patient with bacterial meningitis, the nurse obtains the following data. Which finding should be reported immediately to the health care provider?
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Question 7 of 65
A nurse is assessing a client's blood pressure and finds a significant difference between the blood pressure readings in the client's right and left arms. What action should the nurse take?
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Question 8 of 65
How should the nurse document mild, slight pitting edema the ankles of a pregnant patient?
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Question 9 of 65
The nurse is assisting with a BSE clinic. Which of these women reflect abnormal findings during the inspection phase of breast examination?
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Question 10 of 65
How can cardiac rehabilitation benefit a patient with angina pectoris?
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Question 11 of 65
A patient is brought by ambulance to the emergency department with multiple traumas received in an automobile accident. He is alert and cooperative, but his injuries are quite severe. How would the nurse proceed with data collection?
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Question 12 of 65
In performing an assessment of a woman's axillary lymph system, the nurse should assess which of these nodes?
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Question 13 of 65
A nurse educator is teaching a patient about a healthy diet. What information would be included to reduce the risk of hypertension?
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Question 14 of 65
A patient is admitted to the unit after an automobile accident. The nurse begins the mental status examination and finds that the patient has dysarthric speech and is lethargic. The nurse's best approach regarding this examination is to:
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Question 15 of 65
A 30-year-old paralegal analyst comes to your clinic, complaining of a bad-smelling vaginal discharge with some mild itching, present for about 3 weeks. She tried douching but it did not help. She has had no pain with urination or with sexual intercourse. She has noticed the smell increased after intercourse and during her period last week. She denies any upper respiratory, gastrointestinal, cardiac, or pulmonary symptoms. Her past medical history consists of one spontaneous vaginal delivery. She is married and has one child. She denies tobacco, alcohol, or drug use. Her mother has high blood pressure and her father died from a heart disease. On examination she appears healthy and has unremarkable vital signs. On examination of the perineum there are no lesions noted. On palpation of the inguinal nodes there is no lymphadenopathy. On speculum examination a thin gray-white discharge is seen in the vault. The pH of the discharge is over 4.5 and there is a fishy odor when potassium hydroxide (KOH) is applied to the vaginal secretions on the slide. Wet prep shows epithelial cells with stippled borders (clue cells). What type of vaginitis best describes her findings?
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Question 16 of 65
A 60-year-old baker presents with increasing shortness of breath and nonproductive cough over the last month. She has to sleep upright in her recliner. On examination, she has distant air sounds and late inspiratory crackles in both lower lobes.
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Question 17 of 65
In assessing a patient's major risk factors for heart disease, which would the nurse want to include when taking a history?
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Question 18 of 65
Which of the following patients is most at risk for tachycardia?
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Question 19 of 65
A new mother is concerned that her child occasionally "turns blue." On further questioning, she mentions that this is at her hands and feet. She does not remember the child's lips turning blue. She is otherwise eating and growing well. What would you do now?
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Question 20 of 65
The nurse is performing a musculoskeletal assessment and notes that the patient has a limited range of motion in the shoulder. What is the next step in the assessment?
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Question 21 of 65
A 50-year-old woman presents with a complaint of severe headaches that occur in the morning and are associated with nausea and vomiting. She also reports blurred vision. Neurological examination reveals papilledema. Which of the following is the most likely diagnosis?
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Question 22 of 65
When taking an adult blood pressure, the onset of the sound the nurse hears is at 138, the muffled sound the nurse hears is at 70, and the disappearance of the sound the nurse hears is at 62. How should the nurse record this?
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Question 23 of 65
Which of the following techniques is most appropriate for assessing thyroid gland enlargement?
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Question 24 of 65
In an interview, the nurse may find it necessary to take notes to aid his or her memory later. Which statement is true regarding note-taking?
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Question 25 of 65
A nurse is assessing a client's respiratory rate and finds it to be 30 breaths per minute. What action should the nurse take?
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Question 26 of 65
The nurse is performing an abdominal assessment and notes a bruit over the aorta. What does this finding indicate?
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Question 27 of 65
During a respiratory assessment, the nurse notes that the patient has a prolonged inspiratory phase. What condition is most likely associated with this finding?
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Question 28 of 65
Which of the following is the most effective type of transcutaneous electrical nerve stimulation (TENS) stimulator?
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Question 29 of 65
A young woman undergoes cranial nerve testing. On touching the soft palate, her uvula deviates to the left. Which of the following is likely?
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Question 30 of 65
A 40-year-old mother of two presents to your office for consultation. She is interested in knowing what her relative risks are for developing breast cancer. She is concerned because her sister had unilateral breast cancer 6 years ago at age 38. The patient reports on her history that she began having periods at age 11 and has been fairly regular ever since, except during her two pregnancies. Her first child arrived when she was 26 and her second at age 28. Otherwise she has had no health problems. Her father has high blood pressure. Her mother had unilateral breast cancer in her 70s. The patient denies tobacco, alcohol, or drug use. She is a family law attorney and is married. Her examination is essentially unremarkable. Which risk factor of her personal and family history most puts her in danger of getting breast cancer?
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Question 31 of 65
An anterior superior iliac spine (ASIS) avulsion fracture can be caused by forceful contraction of which muscle?
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Question 32 of 65
The nurse is positioning the client with increased intracranial pressure. Which of the following positions would the nurse avoid?
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Question 33 of 65
What is the primary purpose of pulse assessment?
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Question 34 of 65
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.
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Question 35 of 65
When assessing the tongue of an adult, the nurse knows that an abnormal finding would be:
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Question 36 of 65
A nurse working in a clinic is planning to conduct vision screenings for a group of low-income women. What equipment would be needed to test vision?
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Question 37 of 65
The nurse is assessing a patient's skin during an office visit. What part of the hand and technique should be used to best assess the patient's skin temperature?
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Question 38 of 65
When performing a physical exam on an infant, the nurse should:
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Question 39 of 65
A 55-year-old woman presents with a complaint of a persistent headache, blurred vision, and nausea. Her blood pressure is 170/110 mm Hg. What is the most likely diagnosis?
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Question 40 of 65
The patient's blood pressure is 140/60. The nurse realizes that this equates to a pulse pressure of
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Question 41 of 65
The most common site of skeletal metastases is which of the following?
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Question 42 of 65
Regulator of body temperature:
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Question 43 of 65
When measuring a patient's body temperature, the nurse keeps in mind that body temperature is influenced by:
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Question 44 of 65
An elderly woman with a history of coronary bypass comes in with severe, diffuse, abdominal pain. Strangely, during your examination, the pain is not made worse by pressing on the abdomen. What do you suspect?
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Question 45 of 65
During a cardiac assessment, the nurse notes a high-pitched, scratchy sound heard during both systole and diastole. What does this finding indicate?
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Question 46 of 65
The nurse is assessing a patient for signs of acute respiratory distress syndrome (ARDS). What finding is most consistent with this condition?
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Question 47 of 65
During a skin assessment, the nurse notes that the patient has petechiae. What is the primary cause of this finding?
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Question 48 of 65
Hypothermia is defined as ...
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Question 49 of 65
A fall or blow on a hyperextended (dorsiflexed) wrist can cause osteonecrosis of which bone?
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Question 50 of 65
A nurse teaching a student nurse how to take temperatures with a nonmercury glass thermometer would be correct in stating the following:
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Question 51 of 65
A 72-year-old patient has a history of hypertension and chronic lung disease. An important question for the nurse to include in the health history would be:
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Question 52 of 65
The nurse is assessing a patient's capillary refill time. What is the normal finding for this assessment?
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Question 53 of 65
A 40-year-old man presents with a complaint of fatigue, weight loss, and night sweats. He has a history of smoking and a chronic cough. Chest X-ray reveals a mass in the left upper lobe. What is the most likely diagnosis?
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Question 54 of 65
When auscultating the blood pressure of a 25-year-old patient, the nurse notices the phase I Korotkoff sounds begin at 200 mm Hg. At 100 mm Hg, the Korotkoff sounds muffle. At 92 mm Hg, the Korotkoff sounds disappear. How should the nurse record this patient's blood pressure?
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Question 55 of 65
The nurse is assessing a patient for signs of deep vein thrombosis (DVT). Which finding is most indicative of DVT?
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Question 56 of 65
You are interviewing an elderly woman in the ambulatory setting and trying to get more information about her urinary symptoms. Which of the following techniques is not a component of adaptive questioning?
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Question 57 of 65
A 20-year-old part-time college student comes to your clinic, complaining of growths on his penile shaft. They have been there for about 6 weeks and haven't gone away. In fact, he thinks there may be more now. He denies any pain with intercourse or urination. He has had three former partners and has been with his current girlfriend for 6 months. He says that because she is on the pill they don't use condoms. He denies any fever, weight loss, or night sweats. His past medical history is unremarkable. In addition to college, he works part-time for his father in construction. He is engaged to be married and has no children. His father is healthy and his mother has hypothyroidism. On examination the young man appears healthy. His vital signs are unremarkable. On visualization of his penis you see several moist papules along all sides of his penile shaft and even two on the corona. He has been circumcised. On palpation of his inguinal region there is no inguinal lymphadenopathy. Which abnormality of the penis does this patient most likely have?
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Question 58 of 65
The nurse is percussing over the lungs of a patient with pneumonia. The nurse knows that percussion over an area of atelectasis in the lungs will reveal:
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Question 59 of 65
The nurse is teaching a patient about hypertension management. Which statement by the patient indicates a need for further teaching?
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Question 60 of 65
A man has come in to the clinic for a skin assessment because he is worried he might have skin cancer. During the skin assessment the nurse notices several areas of pigmentation that look greasy, dark, and 'stuck on' his skin. Which is the best prediction?
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Question 61 of 65
A newborn infant is in the clinic for a well-baby checkup. The nurse observes the infant for the possibility of fluid loss because of which of these factors?
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Question 62 of 65
Sensory information to the area of skin over index finger (dermatome) is subserved by afferent fibers from which dorsal root?
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Question 63 of 65
During a neurological assessment, the nurse evaluates the patient's deep tendon reflexes (DTRs). A normal response is documented as:
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Question 64 of 65
The nurse assesses the hearing of a 7-month-old by clapping hands. What is the expected response? The infant:
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Question 65 of 65
Which of the following controls the opening and closing of the arteriovenous shunts in response to changes in core body temperature and in environmental temperature?
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