A patient with longstanding COPD was told by another practitioner that his liver was enlarged and this needed to be assessed. Which of the following would be reasonable to do next?
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Question 2 of 62
A patient's weekly blood pressure readings for 2 months have ranged between 124/84 mm Hg and 136/88 mm Hg, with an average reading of 126/86 mm Hg. The nurse knows that this blood pressure falls within which blood pressure category?
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Question 3 of 62
The nurse is assessing a patient's peripheral pulses. Which pulse is located on the top of the foot?
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Question 4 of 62
A patient tells the nurse that he has noticed that one of his moles has started to burn and bleed. When assessing his skin, the nurse pays special attention to the danger signs for pigmented lesions and is concerned with which additional finding?
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Question 5 of 62
A home healthcare nurse notices that his assigned patient uses a mercury thermometer. He asks the nurse what to do if it breaks. Which of the following is not correct?
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Question 6 of 62
A 50-year-old woman presents with a history of sudden-onset leg pain and swelling. She has a recent history of prolonged immobility due to a recent surgery. What is the most likely diagnosis?
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Question 7 of 62
A nurse notices a student is taking a blood pressure measurement on a patient with a cuff that is too large. What should be the nurses response to the student?
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Question 8 of 62
While auscultating heart sounds on a 7-year-old child for a routine physical examination, the nurse hears an S3, a soft murmur at the left midsternal border, and a venous hum when the child is standing. What would be a correct interpretation of these findings?
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Question 9 of 62
The tissue that connects the tongue to the floor of the mouth is the:
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Question 10 of 62
The components of the health history include all of the following except which one?
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Question 11 of 62
A pregnant woman states, 'I just know labor will be so painful that I won't be able to stand it. I know it sounds awful, but I really dread going into labor.' The nurse responds by stating, 'Oh, don't worry about labor so much. I have been through it, and although it is painful, many good medications are available to decrease the pain.' Which statement is true regarding this response? The nurse's reply was a:
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Question 12 of 62
A patient presents for evaluation of a sharp, aching chest pain which increases with breathing. Which anatomic area would you localize the symptom to?
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Question 13 of 62
A nurse is assessing a client's pulse rate and observes an irregular rhythm with skipped beats. What action should the nurse take?
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Question 14 of 62
Which of the following is true regarding breast self-examination?
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Question 15 of 62
During an assessment, the nurse knows that expected assessment findings in the normal adult lung include the presence of:
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Question 16 of 62
The nurse is performing a respiratory assessment and notes decreased tactile fremitus over the left lower lung field. What does this finding most likely indicate?
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Question 17 of 62
The nurse is assessing a patient for signs of anemia. Which finding is most consistent with this condition?
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Question 18 of 62
The nurse is preparing to assess a hospitalized patient with significant shortness of breath. How should the nurse proceed?
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Question 19 of 62
While performing an assessment of the mouth, the nurse notices that the patient has a 1-cm ulceration that is crusted with an elevated border and located on the outer third of the lower lip. What other information would be most important for the nurse to assess?
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Question 20 of 62
A teenage patient comes to the emergency department with complaints of an inability to breathe and a sharp pain in the left side of his chest. The assessment findings include cyanosis, tachypnea, tracheal deviation to the right, decreased tactile fremitus on the left, hyperresonance on the left, and decreased breath sounds on the left. The nurse interprets that these assessment findings are consistent with:
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Question 21 of 62
What is the best approach to take in exploring cultural considerations for patients in pain?
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Question 22 of 62
Which of the following is true of human papilloma virus (HPV) infection?
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Question 23 of 62
What physical exam finding will be observed in 'Saturday night palsy'?
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Question 24 of 62
Which of the following best describes subjective information?
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Question 25 of 62
When listening to heart sounds, the nurse knows the valve closures that can be heard best at the base of the heart are:
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Question 26 of 62
What is the primary purpose of using a Doppler device during a physical examination?
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Question 27 of 62
Some of the signs of respiratory distress are...
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Question 28 of 62
During an assessment, the nurse uses the profile sign to detect:
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Question 29 of 62
A nurse is assessing a client's pain and decides to use the FLACC Pain Assessment Scale. Which population is this scale primarily designed for?
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Question 30 of 62
After striking their head on a tree while falling from a ladder, the patient is admitted unconscious with nonreactive pupils. Which intervention would be the most dangerous for the client?
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Question 31 of 62
The nurse is performing a musculoskeletal assessment and notes that the patient has a decreased range of motion in the knee joint. What is the most likely cause of this finding?
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Question 32 of 62
The nurse is assessing the vital signs of a 3-year-old patient who appears to have an irregular respiratory pattern. How should the nurse assess this child's respirations?
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Question 33 of 62
A patient has had a cerebrovascular accident (stroke). He is trying very hard to communicate. He seems driven to speak and says, 'I buy obie get spirding and take my train.' What is the best description of this patient's problem?
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Question 34 of 62
The nurse is unable to identify any changes in sound when percussing over the abdomen of an obese patient. What should the nurse do next?
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Question 35 of 62
The glenohumeral joint (shoulder girdle complex) involves articulation of the humeral head with the glenoid fossa. Approximately what percentage of the humeral head articulates with the glenoid fossa?
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Question 36 of 62
A 75-year-old man with a history of hypertension was recently changed to a new antihypertensive drug. He reports feeling dizzy at times. How should the nurse evaluate his blood pressure?
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Question 37 of 62
The nurse is auscultating the lungs and hears a high-pitched sound during expiration. What does this finding most likely indicate?
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Question 38 of 62
What is the best position for the nurse to place the patient in when assessing jugular vein distension?
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Question 39 of 62
When taking the pulse of an infant, the nurse notices that the rate is 145 beats/min and the rhythm is regular. The nurse realizes that his rate is
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Question 40 of 62
Core body temperature is highest at:
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Question 41 of 62
The patient's record, laboratory studies, objective data, and subjective data combine to form the:
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Question 42 of 62
What is the Adson's test used for?
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Question 43 of 62
A tender, painful swelling of the scrotum should suggest which of the following?
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Question 44 of 62
During an assessment of a 20-year-old Asian patient, the nurse notices that he has dry, flaky cerumen in his canal. What is the significance of this finding? This finding:
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Question 45 of 62
What is the most common cause of posterior cruciate ligament (PCL) injury?
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Question 46 of 62
The nurse is caring for a newborn infant in the hospital nursery and notices that the infant is breathing rapidly but is pink, warm, and dry. Which normal respiratory rate will the nurse consider when planning care for this newborn?
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Question 47 of 62
The nurse is preparing for a class in early detection of breast cancer. Which statement is true with regard to breast cancer in black women in the United States?
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Question 48 of 62
A nurse is conducting a health assessment for an African American patient. What should the nurse consider in terms of cultural sensitivity?
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Question 49 of 62
A physical therapist plans to measure blood pressure and identifies the patient's brachial artery. The therapist knows that proper positioning of the cuff is essential. To avoid errors, the cuff should be positioned:
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Question 50 of 62
Which area of the fundus is the central focal point for incoming images?
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Question 51 of 62
A physical therapist measures a patient's resting blood pressure as 138/88 mm Hg. How should the therapist classify this blood pressure reading?
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Question 52 of 62
The patient is lying in bed under a ceiling fan. Which technique is the nurse using when the fan produces heat loss?
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Question 53 of 62
The nurse is assessing for clubbing of the fingernails and expects to find:
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Question 54 of 62
The nurse is assessing a patient's mental status and notes that the patient is unable to remember recent events. Which aspect of memory is impaired?
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Question 55 of 62
The nurse is assessing a patient's peripheral pulses. Which pulse is located at the back of the knee?
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Question 56 of 62
Which of these would be formulated by a nurse using diagnostic reasoning?
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Question 57 of 62
The nurse is performing an abdominal assessment and notes that the patient has a positive Murphy's sign. What condition is most likely present?
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Question 58 of 62
Ms. Wright comes to your office, complaining of palpitations. While checking her pulse you notice an irregular rhythm. When you listen to her heart, every fourth beat sounds different. It sounds like a triplet rather than the usual "lub dup." How would you document your examination?
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Question 59 of 62
Mr. Patel is a 64-year-old man who was told by another care provider that his liver is enlarged. Although he is a life-long smoker, he has never used drugs or alcohol and has no knowledge of liver disease. Indeed, on examination, a liver edge is palpable 4 centimeters below the costal arch. Which of the following would you do next?
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Question 60 of 62
Which of the following pathologic conditions would result in release of ADH by the posterior pituitary?
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Question 61 of 62
Which of the following is an example of a sign?
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Question 62 of 62
A physician orders an electrocardiogram (ECG) for a patient diagnosed with congestive heart failure. The medical record indicates the patient is currently taking digitalis. What effect would you expect digitalis to have on the patient's ECG?
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