A nurse is assessing a client's body temperature. Which route provides the most accurate measurement of core body temperature?
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Question 2 of 62
Which step of the nursing process includes data collection by health history, physical examination, and interview?
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Question 3 of 62
During a cardiovascular assessment, the nurse auscultates a murmur. What is the next step in the assessment?
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Question 4 of 62
Cyanosis is ...
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Question 5 of 62
When considering the concepts related to blood pressure, the nurse knows that the concept of mean arterial pressure (MAP) is best described by which statement?
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Question 6 of 62
During a routine office visit, a patient takes off his shoes and shows the nurse 'this awful sore that won't heal.' On inspection, the nurse notes a 3-cm round ulcer on the left great toe, with a pale ischemic base, well-defined edges, and no drainage. The nurse should assess for other signs and symptoms of:
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Question 7 of 62
The nurse is reviewing the anatomy and physiologic functioning of the heart. Which statement best describes what is meant by atrial kick?
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Question 8 of 62
During a respiratory assessment, the nurse observes that the patient has a prolonged expiration phase. What condition is most likely associated with this finding?
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Question 9 of 62
The nurse is assessing a patient's cranial nerve function and asks the patient to close their eyes and identify a familiar smell. Which cranial nerve is being tested?
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Question 10 of 62
Which is true of women who have had a unilateral mastectomy?
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Question 11 of 62
The nurse is reviewing statistics regarding breast cancer. Which woman, aged 40 years in the United States, has the highest risk for developing breast cancer?
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Question 12 of 62
For which of the following patients would a comprehensive health history be appropriate?
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Question 13 of 62
During an interview, a woman says, 'I have decided that I can no longer allow my children to live with their father's violence, but I just can't seem to leave him.' Using interpretation, the nurse's best response would be:
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Question 14 of 62
The nurse is caring for a patient who has a pulse rate of 44. His blood pressure is within normal limits WNL. In trying to determine the cause of the patient's low heart rate, the nurse would suspect
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Question 15 of 62
A nurse places a fan in the room of a patient who is overheated. This is an example of heat loss related to which of the following mechanisms of heat transfer?
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Question 16 of 62
When percussing over the liver of a patient, the nurse notices a dull sound. The nurse should:
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Question 17 of 62
The nurse is caring for a patient who has a pulse rate of 48. His blood pressure is within normal limits. Which finding will help the nurse determine the cause of the patient's low heart rate?
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Question 18 of 62
The nurse is assessing a patient's heart sounds and hears a murmur that occurs during systole. What is the most likely cause of this finding?
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Question 19 of 62
A patient with a left transfemoral amputation is being fitted for a prosthesis. Which gait deviation would MOST likely be observed if the prosthesis is too short?
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Question 20 of 62
During a musculoskeletal assessment, the nurse observes that the patient's knees are hyperextended. What is the most likely diagnosis?
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Question 21 of 62
A blood pressure reading consists of a top number, or , and bottom number, or
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Question 22 of 62
What is the pulse pressure of a patient whose blood pressure is 132/82 mm Hg?
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Question 23 of 62
When measuring a patient's weight, the nurse is aware of which of these guidelines?
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Question 24 of 62
A 40-year-old woman reports a change in mole size, accompanied by color changes, itching, burning, and bleeding over the past month. She has a dark complexion and has no family history of skin cancer, but she has had many blistering sunburns in the past. The nurse would:
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Question 25 of 62
A nurse is assessing a client's oxygen saturation and obtains a reading of 98%. What does this reading indicate?
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Question 26 of 62
When crackles, wheezes, or rhonchi clear with a cough, which of the following is a likely etiology?
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Question 27 of 62
A newly admitted patient is in acute pain, has not been sleeping well lately, and is having difficulty breathing. How should the nurse prioritize these problems?
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Question 28 of 62
A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be:
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Question 29 of 62
During an examination of the anterior thorax, the nurse is aware that the trachea bifurcates anteriorly at the:
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Question 30 of 62
Of the following ocular muscles and cranial nerve combinations, which one is incorrect?
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Question 31 of 62
A physical therapist treats a patient with left-sided heart failure. The patient exhibits persistent cough, shortness of breath, and pulmonary edema. The therapist explains that the patient's symptoms are MOST likely due to:
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Question 32 of 62
The nurse is assessing a patient's cranial nerve function and asks the patient to close their eyes and report whether they can feel light touch on their face. Which cranial nerve is being tested?
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Question 33 of 62
During the first 24 hours after thrombolytic therapy for ischemic stroke, the primary goal is to control the client's:
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Question 34 of 62
The nurse is performing an abdominal examination and detects a bruit over the renal arteries. What is the most likely cause of this finding?
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Question 35 of 62
The nurse is teaching a class on basic assessment skills. Which of these statements is true regarding the stethoscope and its use?
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Question 36 of 62
Two nurses collaborate in assessing an apical-radial pulse on a patient. The pulse deficit is 16 beats/min. What does this indicate?
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Question 37 of 62
During an assessment of a 26 year old at the clinic for "a spot on my lip I think is cancer," the nurse notices a group of clear vesicles with an erythematous base around them located at the lip-skin border. The patient mentions that she just returned from Hawaii. What would be the most appropriate response by the nurse?
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Question 38 of 62
Which of these findings would the nurse expect to notice during a cardiac assessment on a 4-year-old child?
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Question 39 of 62
A patient has a long history of chronic obstructive pulmonary disease (COPD). During the assessment, the nurse will most likely observe which of these?
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Question 40 of 62
You are observing a patient with heart failure and notice that there are pauses in his breathing. On closer examination, you notice that after the pauses the patient takes progressively deeper breaths and then progressively shallower breaths, which are followed by another apneic spell. The patient is not in any distress. You make the diagnosis of:
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Question 41 of 62
The nurse is reviewing the development of the newborn infant. Regarding the sinuses, which statement is true in relation to a newborn infant?
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Question 42 of 62
What is the most common cause of posterior cruciate ligament (PCL) injury?
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Question 43 of 62
Which of the following statements describes the chief complaint?
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Question 44 of 62
Which of the following best describes the technique for auscultating heart sounds?
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Question 45 of 62
A physical therapist evaluates a patient with peripheral arterial disease (PAD). Which symptom is MOST likely during exercise?
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Question 46 of 62
Very sensitive methods for detecting hearing loss include which of the following?
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Question 47 of 62
A patient complains of leg pain that wakes him at night. He states that he 'has been having problems' with his legs. He has pain in his legs when they are elevated that disappears when he dangles them. He recently noticed 'a sore' on the inner aspect of the right ankle. On the basis of this health history information, the nurse interprets that the patient is most likely experiencing:
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Question 48 of 62
A physical therapist elects to utilize the Six-Minute Walk Test as a means of quantifying endurance for a patient rehabilitating from a lengthy illness. Which variable would be the MOST appropriate to measure when determining the patient's endurance level?
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Question 49 of 62
The nurse instructor is teaching student nurses about the factors that may affect a patients blood pressure. Which statements accurately describe these factors?
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Question 50 of 62
What diagnostic test is the 'gold standard' for evaluating rotator cuff injuries?
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Question 51 of 62
A patient is especially worried about an area of skin on her feet that has turned white. The health care provider has told her that her condition is vitiligo. The nurse explains to her that vitiligo is:
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Question 52 of 62
Gamekeeper's thumb involves an injury to which of the following structures?
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Question 53 of 62
Which of the following is an example of a symptom?
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Question 54 of 62
When body temperature falls below 93.2 degrees Fahrenheit, the person is suffering from the extreme:
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Question 55 of 62
The nurse is assessing the vital signs of a 20-year-old male marathon runner and documents the following vital signs: temperatureâ€"36° C; pulseâ€"48 beats per minute; respirationsâ€"14 breaths per minute; blood pressureâ€"104/68 mm Hg. Which statement is true concerning these results?
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Question 56 of 62
Induration along the ventral surface of the penis suggests which of the following?
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Question 57 of 62
Abby is a newly married woman who is unable to have intercourse because of vaginismus. Which of the following is true?
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Question 58 of 62
A 65-year-old man presents with difficulty swallowing, hoarseness, and weight loss. He has a history of smoking and heavy alcohol use. What is the most likely diagnosis?
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Question 59 of 62
A 62-year-old woman has been followed by you for 3 years and has had recent onset of hypertension. She is still not at goal despite three antihypertensive medicines, and you strongly doubt nonadherence. Her father died of a heart attack at age 58. Today her pressure is 168/94 and pressure on the other arm is similar. What would you do next?
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Question 60 of 62
A patient drifts off to sleep when she is not being stimulated. The nurse can easily arouse her by calling her name, but the patient remains drowsy during the conversation. The best description of this patient's level of consciousness would be:
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Question 61 of 62
A 70-year-old patient tells the nurse that he has noticed that he is having trouble hearing, especially in large groups. He says that he 'can't always tell where the sound is coming from' and the words often sound 'mixed up.' What might the nurse suspect as the cause for this change?
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Question 62 of 62
A nurse is performing a general survey of a patient admitted to the hospital. Which of the following actions is an element of this procedure?
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