Get Solved NR 509 Week 7 Assignment Physical Exam (Q and A)

Get Solved NR 509 Week 7 Assignment Physical Exam Q and A

1. Question: When performing a physical assessment, the first technique the nurse will always use
2. Question: The nurse is preparing to perform a physical assessment. Which statement is true about the physical assessment? The inspection phase:
3. Question: The nurse is assessing a patient’s skin during an office visit. What part of the hand and technique should … used to best assess the patient’s skin temperature?
4. Question: Which of these techniques uses the sense of touch to assess texture, temperature, moisture, and swelling when the nurse is assessing a patient?
5. Question: The nurse is preparing to assess a patient’s abdomen by palpation. How should the nurse proceed?
6. Question: The nurse would use the bimanual palpation technique in which situation?
7. Question: The nurse is preparing to percuss the abdomen of a patient. The purpose of the percussion is to assess the ___________ of the underlying tissue.
8. Question: The nurse is reviewing percussion techniques with a newly graduated nurse. Which technique, if … by the new nurse, … that more review is …?
9. Question: When percussing over the liver of a patient, the nurse notices a dull sound. The nurse should:
10. Question: 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?
11. Question: The nurse hears bilateral loud, long, and low tones when percussing over the lungs of a 4-year-old child. The nurse should
12. Question: A patient has suddenly developed shortness of breath and appears to … insignificant respiratory distress. After calling the position and placing the patient on oxygen, which of these actions is the best for the nurse to take to go further in assisting this patient?
13. Question: The nurse is teaching a class on basic assessment skills. Which of these statements is true regarding the stethoscope and its use?
14. Question: The nurse is preparing to use a stethoscope for auscultation. Which statement is true regarding the diaphragm of the stethoscope? The diaphragm:
15. Question: Before auscultating the abdomen for the presence of bowel sounds in a patient, the nurse should:
16. Question: The nurse will use which technique of assessment to determine the presence of crepitus, swelling, and pulsations?
17. Question: The nurse is preparing to use an otoscope for an examination. Which statement is true regarding the otoscope? The otoscope:
18. Question: An examiner is using an ophthalmoscope to examine a patient’s eyes. The patient has astigmatism and is nearsighted. The use of which of these techniques would … that the examination is being correctly performed?
19. Question: The nurse is unable to palpate the right radial pulse on a patient. The best action would … to:
20. Question: The nurse is preparing to perform a physical assessment. The correct action by the nurse is … by which statement? The nurse:
21. Question: A man is at the clinic for a physical examination. He states that he is very anxious about the physical examination. What steps can the nurse take to make him more comfortable?
22. Question: When performing a physical examination, safety must … considered to protect the examiner in the patient against the spread of the infection. Which of these statements describes the most appropriate action the nurse should take when performing a physical examination?
23. Question: The nurse examines a patient’s lower leg and notices a training ulceration. Which of these actions is most appropriate in this situation?
24. Question: During the examination offering some brief teaching about the patient’s body or examiner’s finding is often appropriate. Which one of these statements by the nurse is most appropriate?
25. Question: The nurse keeps in mind that the most important reason to share information and to offer brief teaching while performing … physical examination is to help the:
26. Question: The nurses examining an infant and preparing to elicit the Moro reflex at which time during the examination?
27. Question: When preparing to perform a physical examination of the infant, the nurse should:
28. Question: A 6-month-old infant has … to the well-child clinic for a checkup. she is currently sleeping. What should the nurse do first when beginning the examination?
29. Question: A 2-year-old child has … to the clinic for a well-child checkup. the best way for the nurse to begin the assessment is to:
30. Question: The nurses examine a 2-year-old child and ask may I listen to your heart now? Which critique of the nurse’s technique is most accurate
31. Question: With which of these patients would it … most appropriate for the nurse to use games during the assessment, such as having the patient blow out the light on a penlight?
32. Question: The nurse is preparing to examine a 4-year-old child. which action is appropriate for this age group?
33. Question: When examining a 16-year-old male teenager, the nurse should:
34. Question: When examining an older adult, the nurse should use which technique?
35. Question: The most important step that the nurse can take to prevent the transmission of microorganisms in the hospital setting is to:
36. Question: Which of the statements is true regarding the use of standard precautions in the health care setting?
37. Question: The nurse is preparing to assess a hospitalized patient who is experiencing significant shortness of breath. How should the nurse proceed with the assessment?
38. Question: When examining an instant, the nurse should examine which area first.
39. Question: While auscultating heart sounds, the nurse here is a murmur. Which of these instruments should … used to assess this murmur?
40. Question: During an examination of a patient’s abdomen, the nurse notes that the abdomen is rounded and firm to the touch period during percussion, and the nurse notes a drum-like quality of the sounds across the quadrants. this type of sound indicates:
41. Question: The nurse is preparing to examine a 6-year-old child. which action is the most appropriate?
42. Question: During the auscultation of a patient’s heart sounds, the nurse here’s an unfamiliar sound. the nurse should:
43. Question: The nurse is preparing to palpate the thorax and abdomen of a patient. which of these statements describes the correct technique for this procedure? select all that apply
44. Question: The nurse is performing a general survey period which action is a component of the general survey?
45. Question: When measuring a patient’s wait, the nurse is aware of which of these guidelines?
46. Question: A patient’s weekly blood pressure readings for 2 months have ranged between 124/84 mmHg and 138/88 mmHg, with an average reading of 126/86 mmHg. The nurse knows that this blood pressure falls within which blood pressure category?
47. Question: During an examination of a child, the nurse considers that physical growth is the best index of a child’s :
48. Question: A one-month-old infant has a head measurement of 34 centimeters and a chest circumference of 32 centimeters. Based on the interpretation of these findings, the nurse would:
49. Question: The nurse is assessing an 80-year-old male patient. which assessment findings would … considered normal?
50. Question: The nurse should measure rectal temperatures in which of these patients?
51. Question: The nurse is preparing to measure the length, wait, just, and head circumference of a 6-month-old infant. Which measurement technique is correct?
52. Question: The nurse knows that one advantage of the tympanic membrane thermometer is that:
53. Question: When assessing an older adult, which vital signs changes occur with aging?
54. Question: The nurses examine a patient who is complaining of feeling cold. Which is a mechanism of heat loss in the body?
55. Question: When measuring a patient’s body temperature, the nurse keeps in mind that the body temperature is … by :
56. Question: When evaluating the temperature of older adults, the nurse should remember which aspect of an older adult’s body temperature?
57. Question: A 60-year-old male patient has been treated for pneumonia for the past 6 weeks. he is seen today in the clinic for an unexplained weight loss of 10 pounds over the last 6 weeks. the nurse knows that:
58. Question: When assessing a 75-year-old patient who has asthma, the nurse notes that he assumes a tripod position, leaning forward with arms braced on the chair. on the basis of this observation, the nurse should:
59. Question: which of these actions illustrates the correct technique the nurse should use when assessing oral temperature with a mercury thermometer?
60. Question: The nurse is taking temperatures in a clinic with a TMT. Which statement is true regarding the use of the TMT?
61. Question: To assess a rectal temperature accurately in an adult, the nurse would:
62. Question: Which technique is correct when the nurse is assessing the radial pulse of a patient? The post is … for:
63. Question: When assessing a patient’s pulse comment the nurse should also notice which of these characteristics?
64. Question: When assessing the pulse of a 6-year-old boy, the nurse notices that his heart rate varies with his respiratory cycle, speeding up at the peak of inspiration and slowing to normal with expiration. the nurse’s next action would … to:
65. Question: When assessing the force, or strength, of a pulse, the nurse recalls that the pulse:
66. Question: The nurse is assessing the vital signs of a 20-year-old male marathon runner and documents the following vital signs: temperature 36 C, pulse 48 beats per minute, respirations 14 breaths per minute, blood pressure 104/68.
67. Question: Which statement is true concerning these results?
68. Question: The nurse is assessing the vital signs of a 3-year-old patient who appears to have an irregular respiratory A patient’s blood pressure is 118/82 mmHg. He asks the nurse what the numbers mean. The nurse’s pattern how should the nurse assess this child’s respirations? the best reply is:
69. Question: While measuring a patient’s blood pressure, the nurse recalls that certain factors, such as _____, help determine blood pressure.
70. Question: A nurse is helping at a health fair at a local mall. when taking blood pressure on a variety of people, the nurse keeps in mind that:
71. Question: The nurse notices a colleague is preparing to check the blood pressure of a patient who is obese by using a standard-sized blood pressure cuff. The nurse should expect the reading to:
72. Question: A student is late for his appointment and has rushed across campus to the health clinic. the nurse should:
73. Question: The nurse will perform a palpated pressure before auscultating blood pressure. The reason for this is to:
74. Question: The nurse is taking an initial blood pressure reading on a 72-year-old patient with documented hypertension. How should the nurse proceed?
75. Question: The nurse has collected the following information on a patient; palpated blood pressure 180 mm Hg, auscultated blood pressure 170/100 mmHg, apical pulse 60 bpm, radial pulse 70bpm. What is the patient’s pulse pressure?
76. Question: When auscultating the blood pressure of a 25-year-old patient, the nurse notices the phase I Korotkoff sounds begin a 200mmHg. At 100mm Hg the Korotkoff sounds muffle. At 92mmHg the Korotkoff sounds disappear. How should the nurse record this patient’s blood pressure?
77. Question: A patient has seen them in the clinic for complaints of painting episodes that started last week period How should the nurse proceed with the examination?
78. Question: What is the pulse pressure for a patient whose blood pressure is 158/96 mmHg and whose pulse rate is 72 bpm?
79. Question: A 70-year-old man has a blood pressure of 150/90 in a lying position, 130/80 in a sitting position, and 100/60 in a standing position. How should the nurse evaluate these findings?
80. Question: The nurse is helping another nurse take a blood pressure reading on a patient’s thigh. Which action is correct regarding the thigh pressure?
81. Question: The nurse is preparing to measure the vital signs of a 6-month-old infant. which action by the nurse is correct?
82. Question: A 4-month-old child is at the clinic for a well-baby checkup and immunizations. which of these actions is most appropriate when a nurse is assessing the infant’s vital signs?
83. Question: The nurse is conducting a health fair for older adults. which statement is true regarding vital sign measurements in aging adults?
84. Question: In a patient with acromegaly, the nurse will expect to discover which assessment findings.
85. Question: The nurse is performing a general survey of a patient. Which finding is considered normal?
86. Question: The nurse is assessing pediatric children in a pediatric clinic. Which statement is true regarding the measurement of blood pressure in children?
87. Question: What type of blood pressure measurement error is most likely to occur if the nurse does not check for the presence of an auscultatory gap?
88. Question: When considering the concepts related to blood pressure, the nurse knows that the concept of mean arterial pressure is best described as which statement?
89. Question: 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?
90. Question: Which of these specific measurements is the best index of a child’s general health?
91. Question: The nurse is assessing an 8-year-old child whose growth rate measures below the third percentile for a child his age. He appears significantly younger than his stated age and is chubby with infantile facial features. Which condition does this child have?
92. Question: The nurse is counting an infant’s respiration. Which technique is correct?
93. Question: When checking for the proper blood pressure cuff size, which guideline is correct?
94. Question: During an examination, a 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?
95. Question: While measuring a patient’s blood pressure, the nurse uses a proper technique to obtain an accurate reading. Which of these situations will result in a falsely high blood pressure reading? Select all that apply
96. Question: The nurse is testing a patient’s visual accommodation, which refers to which action?
97. Question: A position tells the nurse that a patient’s vertebra prominent is tender and asks the nurse to reevaluate the area in one hour period the area of the body the nurse will assess is:
98. Question: Another brings her 2-month-old daughter in for an examination and says my daughter rolled over against the wall, and now I have noticed that she has the spot that is soft on top of her head. Is something terribly wrong? the nurse’s best response would … :
99. Question: The nurse notices that a patient’s palpebral fissures are not symmetric. On examination, the nurse may find that damage has occurred to which cranial nerve?
100. Question: A patient is unable to differentiate between sharp and dull stimulation to both sides of her face. The nurse suspects:
101. Question: When examining the face of the patient, the nurse is aware that the two pairs of salivary glands that are accessible to the examination are the _____ and ______ glands.
102. Question: A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her head. The nurse suspects damage to CN ________ and proceeds with the examination by______.
103. Question: When examining a patient’s CN function, the nurse remembers that the muscles in the neck that are innervated by CN XI are the
104. Question: A patient’s laboratory data reveal an elevated t4 level. The nurse would proceed with an examination of the _______ gland.
105. Question: A patient says that she has recently noticed a lump in the front of her neck below her Adam’s apple that seems to … getting bigger. During the assessment, the finding that leads the nurse to suspect that this may not … a cancerous thyroid nodule is that the lump:
106. Question: The nurse notices that the patient’s submental lymph nodes are enlarged. In an effort to identify the cause of the node enlargement, the nurse would assess the patients
107. Question: The nurse is aware that the four areas in the body where lymph nodes are accessible are the:
108. Question: A mother brings her newborn in for an assessment and asks, is there something wrong with my baby? His head seems so big. which statement is true regarding the relative proportions of the head and trunk of the newborn?
109. Question: A patient, an 85-year-old woman, is complaining about the fact that the bones in her face have become more noticeable. what explanation should the nurse give her?
110. Question: A patient reports an excruciating headache pain on one side of his head, especially around his eyes, forehead, and cheek that has lasted Approximately 2 hours, occurring once or twice each day period the nurse should suspect:
111. Question: A patient complains that while studying for an examination he began to notice a severe headache and the frontotemporal Area of his head that is throbbing and somewhat relieved when he lies down. he tells the nurse that his mother also has these headaches. The nurse suspects that he may … suffering from:
112. Question: A 19-year-old college student is brought to the emergency Department with a severe headache he describes as like nothing I’ve ever had before. His temperature is 40 C And he has a stiff neck. The nurse looks for other signs and symptoms of which problem.
113. Question: During a well-baby checkup, the nurse notices that a one-week-old infant’s face looks small compared with his cranium, which seems enlarged. On further examination, the nurse also notices dilated scalp veins and downcast or setting sun eyes. The nurse suspects which condition?
114. Question: The nurse needs to palpate the temporomandibular joint for crepitation. This joint is located just below the temporal artery and anterior to the:
115. Question: A patient has come in for an examination and states, I have the spot in front of my earlobe on my cheek that seems to … getting bigger and is tender. What do you think it is? The nurse notes swelling below the angle of the jaw and suspects that it could … an inflammation of his:
116. Question: A male patient with a history of AIDS has come in for an examination and he states, I think I have the mumps. The nurse would begin by examining the:
117. Question: The nurse suspects that a patient has hyperthyroidism, in the laboratory data indicate that the patient’s T 4 and T 3 hormone levels or elevated. which of these findings with the nurse most likely find an examination?
118. Question: A visitor from Poland who does not speak English seems to … somewhat apprehensive about the nurse examining his neck. he would probably … more comfortable with the nurse examining his thyroid gland from:
119. Question: A patient’s thyroid gland is enlarged, and the nurse is preparing to auscultate the thyroid gland for the presence of a bruit. A bruit is a _____ sound that is heard best with the _____ of the stethoscope.
120. Question: The nurse notices that an infant has a large, soft lump on the side of his head and that his mother is very concerned. she states that she noticed the lump approximately 8 hours after her baby’s birth and that it seemed to get bigger. One possible explanation for this is
121. Question: A mother brings in her newborn infant for an assessment and tells the nurse that she has noticed that whenever her newborn’s head is turned to the right side she straightens out the arm and leg on the same side and flex is the opposite arm and leg. After observing this examination call it the nurse tells her that this reflex is:
122. Question: During an admission assessment, the nurse notices that a male patient has an enlarged and rather thick skull. The nurse suspects acromegaly and would further assess for:
123. Question: When examining children affected with Down syndrome (trisomy 21) the nurse looks for the possible presence of
124. Question: A patient is at a clinic because he has recently noted that the left side of his mouth is paralyzed. he states that he cannot raise his eyebrow or whistle. the nurse suspects that he has:
125. Question: A woman comes to the clinic and states, I’ve been sick for so long! My eyes have gotten so puffy and my eyebrows and hair have become course and drive. the nurse will assist with other signs and symptoms of:
126. Question: During an examination of a female patient, the nurse notes lymphadenopathy and suspects an acute infection. Acutely infected lymph nodes would … :
127. Question: The physician reports that a patient with a neck tumor has a tracheal shift. The nurse is aware that this means that the patient’s trachea is:
128. Question: During an assessment of an infant, the nurse notes that the fontanels are depressed and sunken. The nurse suspects which condition?
129. Question: The nurse is performing an assessment on a 7-year-old child who has symptoms of chronic watery eyes, sneezing, and clear nasal drainage. The nurse notices the presence of a transverse line across the bridge of the nose, dark blue shadows below the eyes, and a double crease on the lower eyelids. these findings are characteristic of:
130. Question: While performing a well-child assessment on a 5-year-old, the nurse notes the presence of palpable, bilateral, cervical, and inguinal lymph nodes. They are approximately 0.5 centimeters in size, round, mobile, and nontender. The nurse suspects that this child:
131. Question: The nurse has just completed a lymph node assessment on a 60-year-old healthy female patient. The nurse knows that most lymph nodes and healthy adults are normally:
132. Question: During an examination of a patient in her third trimester of pregnancy, the nurse notices that the patient’s thyroid gland is slightly enlarged. No enlargement had been previously noticed. The nurse suspects that the patient:
133. Question: During an examination, the nurse knows that the best way to palpate the lymph nodes in the neck to described by which statement?
134. Question: During a well-baby checkup, a mother is concerned because her 2-month-old infant cannot hold her head up when she is pulled to a sitting position. which response by the nurse is appropriate?
135. Question: During an examination of a 3-year-old child, the nurse notices a bruit Over the left temporal area. the nurse should:
136. Question: During an examination, the nurse palpates a patient’s left temporal artery is tortuous and feels hard and tender, compared with the right temporal artery. The nurse suspects which condition?
137. Question: The nurse is assessing a one-month-old infant at his well-baby checkup. which assessment findings are appropriate for this age? Select all that apply
138. Question: When examining the eye, the nurse notices that the patient’s eyelid margins approximate completely. The nurse recognizes that this assessment finding:
139. Question: During the ocular examinations, the nurse keeps in mind that movement of the extraocular muscles is:
140. Question: The nurse is performing an external eye examination. Which statement regarding the outer layer of the eye is true?
141. Question: When examining a patient’s eyes, the nurse recalls that stimulation of the sympathetic branch of the autonomic nervous system:
142. Question: The nurse is reviewing the causes of increased intraocular pressure. Which of these factors determines intraocular pressure?
143. Question: The nurse is conducting a visual examination. which of the statements regarding visual pathways and visual field is true?
144. Question: A mother asks when
     

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