A 65-year-old patient remarks that she just cannot believe that her breasts "sag so much." She states it must be from a lack of exercise. What explanation should the nurse offer her? After menopause:
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Question 2 of 63
How often, according to American Cancer Society recommendations, should a woman undergo a screening breast examination by a skilled clinician?
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Question 3 of 63
A physical therapist uses an incentive spirometer with a patient post-thoracic surgery. The PRIMARY purpose of this intervention is to:
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Question 4 of 63
Some of the signs of respiratory distress are...
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Question 5 of 63
Which of the following conditions would produce a hyperresonant percussion note?
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Question 6 of 63
Which physical assessment finding is most consistent with dehydration?
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Question 7 of 63
Diplopia (double vision), which is present with one eye covered, can be caused by which of the following problems?
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Question 8 of 63
When using a Doppler ultrasonic stethoscope, the nurse recognizes venous flow when which sound is heard?
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Question 9 of 63
Which position should be avoided after total hip arthroplasty using an anterior approach?
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Question 10 of 63
Two nurses are taking an apical-radial pulse and note a difference in pulse rate of 8 beats/min. How will the nurse document this difference?
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Question 11 of 63
The nurse suspects that a patient has otitis media. Early signs of otitis media include which of these findings of the tympanic membrane?
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Question 12 of 63
The nurse is performing a cardiac assessment and hears a harsh, grating sound during both systole and diastole. What does this sound most likely indicate?
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Question 13 of 63
Which peripheral pulse site is generally used in emergency situations?
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Question 14 of 63
The nurse is preparing to teach a woman about BSE. Which statement by the nurse is correct?
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Question 15 of 63
The nurse is examining an infant. To elicit the Moro reflex, the nurse should:
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Question 16 of 63
When auscultating a patients abdomen, a nurse notes gurgling sounds. What characteristic of sound would the nurse document?
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Question 17 of 63
After taking the patient's temperature, the nurse documents the value and the route used to obtain the reading. Why is this done?
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Question 18 of 63
During a neurological assessment, the nurse asks the patient to close their eyes and identify familiar objects. Which sensory function is being tested?
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Question 19 of 63
A physical therapist works with a patient who has a deep partial-thickness burn on the upper extremity. Which dressing would be MOST appropriate for this type of wound?
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Question 20 of 63
All of the following are true about iliopsoas bursitis and tendonitis EXCEPT which of the following?
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Question 21 of 63
L2 nerve root compression would cause which of the following reflex abnormalities?
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Question 22 of 63
Which of the following represents metrorrhagia?
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Question 23 of 63
Which of the following assessments is most indicative of adequate peripheral circulation?
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Question 24 of 63
During a musculoskeletal assessment, the nurse notes that the patient has limited range of motion in the shoulder. What is the most likely cause of this finding?
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Question 25 of 63
You are working in the emergency department and receive a patient who was admitted via ambulance. The patient is alert, but the injuries are severe. What are your priorities when collecting this patient's emergency database?
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Question 26 of 63
A 45-year-old electrical engineer presents to your clinic, complaining of spots on his scrotum. He first noticed the spots several months ago, and they have gotten bigger. He denies any pain with urination or with sexual intercourse. He has had no fever, night sweats, weight gain, or weight loss. His past medical history consists of a vasectomy 10 years ago and mild obesity. He is on medication for hyperlipidemia. He denies any tobacco or illegal drug use and drinks alcohol socially. His mother has Alzheimer's disease and his father died of leukemia. On examination he appears relaxed and has unremarkable vital signs. On visualization of his penis, he is circumcised and has no lesions on his penis. Visualization of his scrotum shows three yellow nodules 2–3 millimeters in diameter. During palpation they are firm and nontender. What abnormality of the male genitalia is this most likely to be?
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Question 27 of 63
The nurse is performing a general survey of a patient. Which finding is considered normal?
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Question 28 of 63
What physical exam finding will be observed in 'Saturday night palsy'?
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Question 29 of 63
The nurse is assessing the motor function of an unconscious client. The nurse would plan to use which of the following to test the client's peripheral response to pain?
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Question 30 of 63
A 17-year-old single mother is describing how difficult it is to raise a 3-year-old child by herself. During the course of the interview she states, 'I can't believe my boyfriend left me to do this by myself! What a terrible thing to do to me!' Which of these responses by the nurse uses empathy?
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Question 31 of 63
The nerve that is injured during a mastectomy, sometimes leading to postmastectomy pain syndrome, is which of the following?
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Question 32 of 63
A 50-year-old man presents with shortness of breath, a cough, and a history of smoking. He has a barrel-shaped chest and wheezing on auscultation. What is the most likely diagnosis?
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Question 33 of 63
Which artery is the most appropriate for assessing the pulse of a small child?
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Question 34 of 63
The nurse is performing a mental status assessment on a 5-year-old girl. Her parents are undergoing a bitter divorce and are worried about the effect it is having on their daughter. Which action or statement might lead the nurse to be concerned about the girl's mental status?
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Question 35 of 63
A mother brings her child into the clinic for an examination of the scalp and hair. She states that the child has developed irregularly shaped patches with broken-off, stublike hair in some places; she is worried that this condition could be some form of premature baldness. The nurse tells her that it is:
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Question 36 of 63
A patient in her first trimester of pregnancy is diagnosed with rubella. Which of these statements is correct regarding the significance of this in relation to the infant's hearing?
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Question 37 of 63
During a respiratory assessment, the nurse notes that the patient has a prolonged inspiratory phase. What is the most likely cause of this finding?
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Question 38 of 63
What equipment is needed to take an apical pulse?
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Question 39 of 63
The blood pressure is...
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Question 40 of 63
The nurse is performing a respiratory assessment and notes that the patient has a prolonged inspiratory phase. What condition is most likely associated with this finding?
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Question 41 of 63
Which of the following is an indication for microwave diathermy?
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Question 42 of 63
Which of the following is the primary source of heat in the body?
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Question 43 of 63
A 25-year-old type 1 diabetic clerk presents to the emergency room with shortness of breath and states that his blood sugar was 605 at home. You diagnose the patient with diabetic ketoacidosis. What is the expected pattern of breathing?
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Question 44 of 63
During a respiratory assessment, the nurse notes that the patient is using their accessory muscles to breathe. What is the most likely cause?
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Question 45 of 63
While counting the apical pulse on a 16-year-old patient, the nurse notices an irregular rhythm. His rate speeds up on inspiration and slows on expiration. What would be the nurse's response?
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Question 46 of 63
During auscultation of the lungs of an adult patient, the nurse notices the presence of bronchophony. The nurse should assess for signs of which condition?
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Question 47 of 63
A patient recently admitted to an acute care hospital is referred to physical therapy. The physical therapist documents the following clinical signs: pallor, cyanosis, and cool skin. These clinical signs are MOST consistent with:
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Question 48 of 63
A physical therapist reviews the medical record of a patient diagnosed with Parkinson's disease. Which clinical finding would the therapist MOST likely observe?
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Question 49 of 63
The nurse is examining the lymphatic system of a healthy 3-year-old child. Which finding should the nurse expect?
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Question 50 of 63
The colored probes of an electronic thermometer are indicative of:
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Question 51 of 63
Immediately after birth, the nurse is unable to suction the nares of a newborn. An attempt is made to pass a catheter through both nasal cavities with no success. What should the nurse do next?
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Question 52 of 63
Linda is a 29-year-old who had excruciating pain which started under her lower ribs on the right side. The pain eventually moved to her lateral abdomen and then into her right lower quadrant. Which is most likely, given this presentation?
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Question 53 of 63
You are assessing a 59-year-old gas station owner for atherosclerosis in the lower extremities. In which of the following locations would the patient's pain make you concerned for this disease process?
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Question 54 of 63
The nurse is conducting a health assessment on a patient with suspected meningitis. Which finding is most consistent with this condition?
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Question 55 of 63
The patient is being admitted to the emergency department with reports of shortness of breath. The patient has had chronic lung disease for many years but still smokes. What will the nurse do?
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Question 56 of 63
The nurse is examining a school-age child. Which approach is best?
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Question 57 of 63
During a pain assessment, the patient rates their pain as 8 on a scale of 0 to 10. What is the nurse's priority action?
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Question 58 of 63
When assessing a patient's pulse, the nurse should also notice which of these characteristics?
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Question 59 of 63
The nurse is performing a cranial nerve assessment and asks the patient to follow a moving target with their eyes. Which cranial nerve is being tested?
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Question 60 of 63
When performing a respiratory assessment on a patient, the nurse notices a costal angle of approximately 90 degrees. This characteristic is:
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Question 61 of 63
A nurse is assessing a client's oxygen saturation and obtains a reading of 85%. What action should the nurse take?
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Question 62 of 63
The nurse keeps in mind that a thorough skin assessment is extremely important because the skin holds information about a person's:
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Question 63 of 63
The nurse is preparing to use an otoscope for an examination. Which statement is true regarding the otoscope? The otoscope:
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