The following information is best placed in which category? 'The patient had a stent placed in the left anterior descending artery (LAD) in 1999.'
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Question 2 of 64
The nurse is preparing to perform a physical assessment. Which statement is true about the physical assessment? The inspection phase:
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Question 3 of 64
During a neurological assessment, the nurse tests cranial nerve VII. What is the primary function of this nerve?
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Question 4 of 64
A patient is at the clinic to have her blood pressure checked. She has been coming to the clinic weekly since she changed medications 2 months ago. The nurse should:
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Question 5 of 64
The nurse is auscultating heart sounds and notes a split S2 during inspiration. What does this finding indicate?
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Question 6 of 64
The nurse is auscultating the chest in an adult. Which technique is correct?
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Question 7 of 64
Deep heat modalities include all of the following except which of the following?
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Question 8 of 64
A 25-year-old woman presents with a complaint of a new onset of pain and swelling in her left knee. She has a history of psoriasis. What is the most likely diagnosis?
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Question 9 of 64
The nurse has collected the following information on a patient: palpated blood pressureâ€"180 mm Hg; auscultated blood pressureâ€"170/100 mm Hg; apical pulseâ€"60 beats per minute; radial pulseâ€"70 beats per minute. What is the patient's pulse pressure?
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Question 10 of 64
Variations in body temperature can be caused by...
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Question 11 of 64
Which of the following are open-ended questions? Select all that apply.
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Question 12 of 64
The nurse is conducting a patient interview. Which statement made by the patient should the nurse more fully explore during the interview?
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Question 13 of 64
A patient with a head injury opens the eyes to painful stimulation, mumbles incoherently when stimulated, and does not respond to a verbal command to move but localizes to painful stimulus. The nurse records the patient's Glasgow Coma Scale score as:
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Question 14 of 64
What provocative maneuver is used to test for lateral epicondylitis?
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Question 15 of 64
In performing a breast examination, the nurse knows that examining the upper outer quadrant of the breast is especially important. The reason for this is that the upper outer quadrant is:
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Question 16 of 64
The nurse is performing a cardiovascular assessment and palpates the apical pulse. What is the normal location of the apical pulse?
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Question 17 of 64
A 35-year-old pregnant woman comes to the clinic for a monthly appointment. During the assessment, the nurse notices that she has a brown patch of hyperpigmentation on her face. The nurse continues the skin assessment aware that another finding may be:
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Question 18 of 64
The nurse is assessing a patient for signs of dehydration. Which finding is most indicative of dehydration?
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Question 19 of 64
While obtaining a health history from the mother of a 1-year-old child, the nurse notices that the baby has had a bottle in his mouth the entire time. The mother states, "It makes a great pacifier." The best response by the nurse would be:
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Question 20 of 64
Shivering and piloerection are forms of:
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Question 21 of 64
Which of the following statements accurately describe the types of equipment that are used to assess temperature?
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Question 22 of 64
Jason is a 41-year-old electrician who presents to the clinic for evaluation of shortness of breath. The shortness of breath occurs with exertion and improves with rest. It has been going on for several months and initially occurred only a couple of times a day with strenuous exertion; however, it has started to occur with minimal exertion and is happening more than a dozen times per day. The shortness of breath lasts for less than 5 minutes at a time. He has no cough, chest pressure, chest pain, swelling in his feet, palpitations, orthopnea, or paroxysmal nocturnal dyspnea. Which of the following symptom attributes was not addressed in this description?
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Question 23 of 64
A nurse is assessing a client's respiratory rate using a pulse oximeter. Where should the nurse place the pulse oximeter sensor to accurately measure the respiratory rate?
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Question 24 of 64
The nurse needs to pull the portion of the ear that consists of movable cartilage and skin down and back when administering eardrops. This portion of the ear is called the:
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Question 25 of 64
A client is having a lumbar puncture performed. The nurse would plan to place the client in which position?
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Question 26 of 64
Which of the following findings during a cardiovascular assessment indicates poor oxygenation?
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Question 27 of 64
The patient with heart failure is restless with a temperature of 102.2°F (39°C). Which action will the nurse take?
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Question 28 of 64
Which assessment technique is used to evaluate for the presence of fluid in the abdominal cavity?
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Question 29 of 64
A 65-year-old man with a history of hypertension presents with a complaint of shortness of breath on exertion and swelling in his legs. His physical examination reveals bilateral pedal edema, crackles at the lung bases, and jugular venous distention. What is the most likely diagnosis?
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Question 30 of 64
A patient presents in the clinic with dizziness and fatigue. The nursing assistant reports a very slow radial pulse of 44. What is your priority intervention?
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Question 31 of 64
A nurse is assessing a client's oxygen saturation level using a pulse oximeter. Which oxygen saturation level indicates the need for immediate intervention?
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Question 32 of 64
A 25-year-old woman presents with a complaint of dizziness and fainting. On examination, her blood pressure is 90/60 mm Hg. Which of the following is the most likely cause of her symptoms?
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Question 33 of 64
A young man is concerned about a hard mass he has just noticed in the midline of his palate. On examination, it is indeed hard and in the midline. There are no mucosal abnormalities associated with this lesion. He is experiencing no other symptoms. What will you tell him is the most likely diagnosis?
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Question 34 of 64
Which joint is most commonly dislocated among pediatric patients?
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Question 35 of 64
The nurse is performing a respiratory assessment and notes that the patient has crackles in the lower lung fields. What is the most likely cause of this finding?
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Question 36 of 64
The nurse is performing a neurological assessment and notes a positive Romberg test. What does this finding indicate?
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Question 37 of 64
When using an otoscope to examine a patient, the nurse:
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Question 38 of 64
When auscultating over a patient's femoral arteries, the nurse notices the presence of a bruit on the left side. The nurse knows that bruits:
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Question 39 of 64
When examining the nares of a 45-year-old patient who has complaints of rhinorrhea, itching of the nose and eyes, and sneezing, the nurse notices the following: pale turbinates, swelling of the turbinates, and clear rhinorrhea. Which of these conditions is most likely the cause?
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Question 40 of 64
A 42-year-old realtor comes to your clinic, complaining of 'growths' in her vulvar area. She is currently undergoing a divorce and is convinced she has a sexually transmitted disease. She denies any vaginal discharge or pain with urination. She has had no fever, malaise, or night sweats. Her past medical history consists of depression and hypothyroidism. She has had two spontaneous vaginal deliveries and one cesarean section. She has had no other surgeries. She denies smoking or drug use. She has two to three drinks weekly. Her mother also has hypothyroidism and her father has high blood pressure and hypercholesterolemia. On examination you see a woman who is anxious but appears otherwise healthy. Her blood pressure, pulse, and temperature are unremarkable. On visualization of the perineum you see two 2- to 3-mm, round, yellow nodules on the left labia. On palpation they are nontender and quite firm. What diagnosis best fits this description of her examination?
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Question 41 of 64
What would a nurse ensure before beginning a health assessment?
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Question 42 of 64
An adult blood pressure reading of 120/80 mm Hg is:
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Question 43 of 64
The nurse is preparing to assess the dorsalis pedis artery. Where is the correct location for palpation?
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Question 44 of 64
A 45-year-old man is in the clinic for a routine physical examination. During the recording of his health history, the patient states that he has been having difficulty sleeping. 'I'll be sleeping great, and then I wake up and feel like I can't get my breath.' The nurse's best response to this would be:
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Question 45 of 64
The nurse is preparing to perform an otoscopic examination of a newborn infant. Which statement is true regarding this examination?
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Question 46 of 64
The nurse makes which adjustment in the physical environment to promote the success of an interview?
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Question 47 of 64
While the nurse is assessing the patient's respirations, it is important for the patient to
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Question 48 of 64
The cruciate ligaments of the knee lie in which of the following locations?
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Question 49 of 64
The nurse is examining a patient who is complaining of "feeling cold." Which is a mechanism of heat loss in the body?
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Question 50 of 64
During an examination of a woman, the nurse notices that her left breast is slightly larger than her right breast. Which of these statements is true about this finding?
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Question 51 of 64
A 60-year-old man presents with difficulty swallowing. He reports that the difficulty has been present for several months and is associated with weight loss. He has a history of smoking and heavy alcohol use. On examination, he has a palpable mass in the upper abdomen. Which of the following is the most likely cause of his symptoms?
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Question 52 of 64
Which of the following is consistent with obturator sign?
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Question 53 of 64
During a skin assessment, the nurse notes a lesion with irregular borders and varied colors. What is the next action?
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Question 54 of 64
A middle-aged, overweight adult man has had hypertension for 15 years. What pathologic event is he most at risk for?
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Question 55 of 64
Which of the following is the medically acute inpatient cardiac rehabilitation phase?
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Question 56 of 64
The nurse is examining a patient who tells the nurse, 'I sure sweat a lot, especially on my face and feet but it doesn't have an odor.' The nurse knows that this condition could be related to:
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Question 57 of 64
What is the expected moisture and texture of the skin of a patient with hypothyroidism?
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Question 58 of 64
The nurse is performing a neurological assessment and observes that the patient has difficulty with rapid alternating movements. What condition does this finding suggest?
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Question 59 of 64
The nurse is conducting a pain assessment. Which question best evaluates the quality of the patient's pain?
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Question 60 of 64
A 25-year-old accountant presents with intermittent lower right-sided chest pain for several days. The pain is knifelike, lasts 3-5 seconds, worsens with deep breathing, and improves when lying on the affected side.
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Question 61 of 64
Which device provides visual feedback for patients to practice deep inspiration during the postoperative period?
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Question 62 of 64
A 28-year-old musician comes to your clinic, complaining of a 'spot' on his penis. He states his partner noticed it 2 days ago and it hasn't gone away. He says it doesn't hurt. He has had no burning with urination and no pain during intercourse. He has had several partners in the last year and uses condoms occasionally. His past medical history consists of nongonococcal urethritis from Chlamydia and prostatitis. He denies any surgeries. He smokes two packs of cigarettes a day, drinks a case of beer a week, and smokes marijuana and occasionally crack. He has injected IV drugs before but not in the last few years. He is single and currently unemployed. His mother has rheumatoid arthritis and he doesn't know anything about his father. On examination you see a young man appearing deconditioned but pleasant. His vital signs are unremarkable. On visualization of his penis there is a 6-mm red, oval ulcer with an indurated base just proximal to the corona. There is no prepuce because of neonatal circumcision. On palpation the ulcer is nontender. In the inguinal region there is nontender lymphadenopathy. What disorder of the penis is most likely the diagnosis?
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Question 63 of 64
Which of the following findings is most concerning during a peripheral vascular assessment?
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Question 64 of 64
After taking the patient's temperature, the nurse documents the value and the route used to obtain the reading. What is the reason for the nurse's action?
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