In examining a 70-year-old male patient, the nurse notices that he has bilateral gynecomastia. Which of the following describes the nurse's best course of action?
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Question 2 of 62
Tachycardia when an individual is at rest could indicate...
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Question 3 of 62
An examiner is using an ophthalmoscope to examine a patient's eyes. Which technique indicates that the examination is being correctly performed?
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Question 4 of 62
A 45-year-old woman presents with sudden onset of severe, unilateral lower abdominal pain. She also reports nausea and vomiting. On examination, she has tenderness to palpation in the right lower quadrant. What is the most likely diagnosis?
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Question 5 of 62
A nurse performing physical assessments of residents in a long-term care facility describes to the student nurse common head and neck variations in the older adult. Which of the following accurately defines these variations? Select all that apply.
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Question 6 of 62
The nurse is describing a weak, thready pulse on the documentation flow sheet. Which statement is correct?
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Question 7 of 62
The nurse is assessing a patient with suspected deep vein thrombosis (DVT). Which test is most useful for confirming this diagnosis?
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Question 8 of 62
Which of the following is a contraindication for spinal traction?
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Question 9 of 62
The sac that surrounds and protects the heart is called the:
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Question 10 of 62
Identify the final treatment phase of sports rehabilitation among the following:
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Question 11 of 62
When listening to heart sounds, the nurse knows that the S1:
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Question 12 of 62
How does the heart physiologically compensate for increased end-diastolic volume?
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Question 13 of 62
The nurse is performing a cardiovascular assessment and hears a murmur during diastole. What condition is most likely associated with this finding?
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Question 14 of 62
During an assessment of an older adult, the nurse should expect to notice which finding as a normal physiologic change associated with the aging process?
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Question 15 of 62
The nurse is auscultating the heart and hears a high-pitched, blowing sound during systole. What does this finding most likely indicate?
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Question 16 of 62
A patient complains of epistaxis. Which other cause should be considered?
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Question 17 of 62
When using Standard Precautions in healthcare, which statement is true?
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Question 18 of 62
A man has been admitted to the observation unit for observation after being treated for a large cut on his forehead. As the nurse works through the interview, one of the standard questions has to do with alcohol, tobacco, and drug use. When the nurse asks him about tobacco use, he states, 'I quit smoking after my wife died 7 years ago.' However, the nurse notices an open pack of cigarettes in his shirt pocket. Using confrontation, the nurse could say:
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Question 19 of 62
When assessing a patient's lungs, the nurse recalls that the left lung:
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Question 20 of 62
A patient in a physicians office has a single blood pressure (BP) reading of 150/92. Should the patient be taught about hypertension?
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Question 21 of 62
The mother of a 2-year-old is concerned because her son has had three ear infections in the past year. What would be an appropriate response by the nurse?
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Question 22 of 62
When assessing the pulse of a 6-year-old boy, the nurse notices that his heart rate varies with his respiratory cycle, speeding up at the peak of inspiration and slowing to normal with expiration. The nurse's next action would be to:
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Question 23 of 62
A nurse is assessing a client's body temperature and notices shivering and goosebumps. What action should the nurse take?
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Question 24 of 62
The nurse notices that the mother of a 2-year-old boy brings him into the clinic quite frequently for various injuries and suspects there may be some child abuse involved. During an inspection of his mouth, the nurse should look for:
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Question 25 of 62
The nurse is preparing to percuss the abdomen of a patient. The purpose of the percussion is to assess the ______ of the underlying tissue.
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Question 26 of 62
Which of the following is an accurate guideline to follow when assessing blood pressure using a Doppler ultrasound?
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Question 27 of 62
The nurse has discovered decreased skin turgor in a patient and knows that this finding is expected in which condition?
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Question 28 of 62
Which of the following is most likely benign on breast examination?
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Question 29 of 62
A patient has just returned from a liver biopsy and is ordered to lie on her right side for 1 hour. An IV is in the left basilic vein. What site do you instruct the nursing assistive personnel (NAP) to use to obtain a blood pressure reading?
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Question 30 of 62
The nurse is assessing children in a pediatric clinic. Which statement is true regarding the measurement of blood pressure in children?
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Question 31 of 62
The nurse is caring for an older-adult patient and notes that the temperature is 96.8°F (36°C). How will the nurse interpret this?
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Question 32 of 62
A nurse is assessing a client's pain and notes that the client is grimacing, guarding the abdominal area, and rating their pain as 8 out of 10. What action should the nurse take?
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Question 33 of 62
Mrs. LaFarge is a 60-year-old who presents with urinary incontinence. She is unable to get to the bathroom quickly enough when she senses the need to urinate. She has normal mobility. Which of the following is most likely?
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Question 34 of 62
Mrs. Lenzo weighs herself every day with a very accurate balance-type scale. She has noticed that over the past 2 days she has gained 4 pounds. How would you best explain this?
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Question 35 of 62
The nurse is unable to palpate the right radial pulse on a patient. The best action would be to:
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Question 36 of 62
Which of the following examples best represents information gathered during the 'history of present illness'?
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Question 37 of 62
This condition may produce a subnormal temperature:
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Question 38 of 62
The nurse is teaching a patient about proper foot care. Which statement by the patient indicates a need for further instruction?
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Question 39 of 62
The incidence of hypertension is greater in which of the following?
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Question 40 of 62
A patient recovering from a stroke demonstrates neglect on the left side. Which intervention is MOST appropriate to address this deficit?
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Question 41 of 62
Which lung sound possesses the characteristics of being louder and higher in pitch, with a short silence between inspiration and expiration and with expiration being longer than inspiration?
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Question 42 of 62
A patient has a blood pressure reading of 130/90 mm Hg when visiting a clinic. What would the nurse recommend to the patient?
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Question 43 of 62
A physical therapist prepares to perform manual muscle testing on a patient with suspected quadriceps weakness. Which patient position would BEST isolate this muscle group?
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Question 44 of 62
The arterial blood gases for a patient in shock demonstrate increased carbon dioxide and decreased oxygen. What type of respirations would the nurse expect to assess based on these findings?
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Question 45 of 62
During a cardiovascular assessment, the nurse palpates a thrill at the base of the heart. What does this finding suggest?
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Question 46 of 62
The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the _______ diagnosis.
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Question 47 of 62
All of these are accessory muscles of inspiration except which of the following?
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Question 48 of 62
A physical therapist employed by a home health care agency knocks on the door of a patient that has a scheduled therapy session. After waiting several minutes, the therapist concludes the patient is not at home. The MOST appropriate therapist action is:
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Question 49 of 62
Regular oral hygiene is an essential intervention for the client who has had a stroke. Which of the following nursing measures is inappropriate when providing oral hygiene?
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Question 50 of 62
The nurse is reviewing the characteristics of breath sounds. Which statement about bronchovesicular breath sounds is true? Bronchovesicular breath sounds are:
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Question 51 of 62
The nurse is assessing orientation in a 79-year-old patient. Which of these responses would lead the nurse to conclude that this patient is oriented?
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Question 52 of 62
Jim is a 47-year-old man who is having difficulties with sexual function. He is recently separated from his wife of 20 years. He notes that he has early morning erections but otherwise cannot function. Which of the following is a likely cause for his problem?
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Question 53 of 62
The nurse is auscultating the lungs and hears coarse crackles during inspiration. What condition is most likely associated with this finding?
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Question 54 of 62
The nurse is assessing a patient's mental status and asks the patient to remember three words and repeat them after five minutes. Which aspect of memory is being tested?
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Question 55 of 62
The nurse is assessing a patient's cranial nerve function and notes that the patient has absent corneal reflex on one side. What is the most likely cause of this finding?
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Question 56 of 62
During a musculoskeletal assessment, the nurse observes that a patient has joint redness, warmth, and swelling. What is the most likely cause of these findings?
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Question 57 of 62
The primary purpose of the ciliated mucous membrane in the nose is to:
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Question 58 of 62
The nurse is auscultating heart sounds and notes a third heart sound (S3) in an adult. What condition is this most likely associated with?
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Question 59 of 62
Jean has just given birth 6 months ago and is breast-feeding her child. She has not had a period since giving birth. What does this most likely represent?
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Question 60 of 62
A physical therapist examines the lymph nodes of a 62-year-old male diagnosed with lymphoma. Which of the following is the therapist MOST likely to observe?
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Question 61 of 62
Nerve connective tissue includes all of the following except:
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Question 62 of 62
A patient comes in for a physical examination and complains of 'freezing to death' while waiting for her examination. The nurse notes that her skin is pale and cool and attributes this finding to:
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