A 70-year-old man with a history of hypertension presents with shortness of breath and orthopnea. His physical examination reveals bilateral pedal edema, crackles at the lung bases, and jugular venous distention. What is the most likely diagnosis?
Mr. Kruger is an 84-year-old who presents with a smooth lower abdominal mass in the midline which is minimally tender. There is dullness to percussion up to 6 centimeters above the symphysis pubis. What does this most likely represent?
During an examination, the nurse notices that a female patient has a round "moon" face, central trunk obesity, and a cervical hump. Her skin is fragile with bruises. The nurse determines that the patient has which condition?
A 70-year-old patient is being seen in the clinic for severe exacerbation of his heart failure. Which of these findings is the nurse most likely to observe in this patient?
A nurse is assessing a client's pain and notes that the client has dilated pupils, increased blood pressure, and increased heart rate. Which type of pain is the client likely experiencing?
Frank is a 24-year-old man who presents with multiple burning erosions on the shaft of his penis and some tender inguinal adenopathy. Which of the following is most likely?
During a cardiovascular assessment, the nurse notes that the patient has a jugular vein distension (JVD) when positioned at 45 degrees. What does this finding suggest?
A student is reading the medical record of an assigned patient and notes the patient has been afebrile for the past 12 hours. What does the term afebrile indicate?
Adam is a very successful 15-year-old student and athlete. His mother brings him in today because he no longer studies, works out, or sees his friends. This has gone on for a month and a half. When you speak with him alone in the room, he states it "would be better if he were not here." What would you do next?
A patient is examined with the ophthalmoscope and found to have red reflexes bilaterally. Which of the following have you essentially excluded from your differential?
When assessing aging adults, the nurse knows that one of the first things that should be assessed before making judgments about their mental status is:
A 36-year-old teacher presents with sharp, knifelike pain on the left side of her chest for 2 days. Breathing and lying down make the pain worse, while sitting forward helps. A scratching noise is heard at the lower left sternal border, coincident with systole.
Conducting a health assessment involves collecting, validating, and analyzing subjective data and objective data. Which of the following is an example of subjective data?
The nurse is performing an oral assessment on a 40-year-old Black patient and notices the presence of a 1 cm, nontender, grayish-white lesion on the left buccal mucosa. Which one of these statements is true? This lesion is:
A 42-year-old woman complains that she has noticed several small, slightly raised, bright red dots on her chest. On examination, the nurse expects that the spots are probably:
During a musculoskeletal assessment, the nurse notes that the patient has a tender, swollen joint with decreased range of motion. What is the most likely diagnosis?
The patient has a temperature of 105.2°F. The nurse is attempting to lower temperature by providing tepid sponge baths and placing cool compresses in strategic body locations. Which technique is the nurse using to lower the patient's temperature?
S.Q. was just admitted because of cellulitis of her lower extremity due to a cat scratch. She was previously treated outpatient but missed multiple appointments and did not take her medication. As you complete the health history, she shares that she is sleeping on her sister's couch because she lost her job. She lives in an area of town considered a food desert and often eats whatever she can find from a local gas station or fast-food restaurant. She missed her last two follow-up visits for her leg due to inadequate transportation and could not afford to purchase the expensive medication. Which of the following statements best describes the impact of social determinants of health on S.Q.'s well-being?
During an interview, a parent of a hospitalized child is sitting in an open position. As the interviewer begins to discuss his son's treatment, however, he suddenly crosses his arms against his chest and crosses his legs. This changed posture would suggest that the parent is:
A 28-year-old woman presents with a complaint of chronic headaches that are worse in the morning and are associated with nausea and vomiting. She also reports blurred vision. Neurological examination reveals papilledema. What is the most likely diagnosis?
A 70-year-old man presents with a complaint of severe, crushing chest pain that radiates to his left arm. He has a history of hypertension and diabetes mellitus. What is the most likely diagnosis?
The nurse is assessing a patient's gait and observes shuffling and difficulty initiating movement. What condition is most likely associated with these findings?
A mother brings her 4-month-old infant to the clinic with concerns regarding a small pad in the middle of the upper lip that has been there since 1 month of age. The infant has no health problems. On physical examination, the nurse notices a 0.5-cm, fleshy, elevated area in the middle of the upper lip. No evidence of inflammation or drainage is observed. What would the nurse tell this mother?
The nurse is assessing a 16-year-old patient who has suffered head injuries from a recent motor vehicle accident. Which of these statements indicates the most important reason for assessing for any drainage from the ear canal?
During an annual physical examination, a 43-year-old patient states that she does not perform monthly breast self-examinations (BSEs). She tells the nurse that she believes that mammograms "do a much better job than I ever could to find a lump." The nurse should explain to her that:
A 52-year-old woman is admitted with dyspnea and discomfort in her left chest with deep breaths. She has smoked for 35 years and recently lost over 10 pounds. Her vital signs on admission are: HR 112, BP 138/82, RR 22, tympanic temperature 36.8°C (98.2°F), and oxygen saturation 94%. She is receiving oxygen at 2 L/min via a nasal cannula. Which vital sign reflects a positive outcome of the oxygen therapy?
During a cardiac assessment, the nurse notes a grade 3/6 systolic murmur at the left sternal border. What is the appropriate documentation for this finding?
A father brings in his 2-month-old infant to the clinic because the infant has had diarrhea for the last 24 hours. He says his baby has not been able to keep any formula down and that the diarrhea has been at least every 2 hours. The nurse suspects dehydration. The nurse should test skin mobility and turgor over the infant's:
The nurse is performing an abdominal examination and notes that the patient has tympany over the entire abdomen. What is the most likely cause of this finding?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
End of free preview
You have finished the first five questions. Sign in to continue this set and save your progress.
