Exam 6: Health Assessment

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The assessment technique that involves striking the body surface directly with one of two fingers is known as:

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In providing a physical assessment of an 88-year-old patient,the nurse should:

(Multiple Choice)
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The female nurse is preparing to assess and possibly change a scrotal dressing on a 34-year-old patient.Before changing the dressing,she should ______________.

(Short Answer)
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Which condition puts patients at risk for increased fluid retention?

(Multiple Choice)
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When performing an assessment of the cardiovascular system,the nurse evaluates the skin and nails of the patient.Inadequate tissue perfusion is known as ______________.

(Short Answer)
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The nurse is assessing the neurological status of a patient.She uses the handle end of a reflex hammer to stroke the lateral aspect of the sole of the foot.She notes that the great toe dorsiflexes and the other toes spread out like a fan.What does this indicate?

(Multiple Choice)
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An expected outcome for a patient after cardiac assessment is:

(Multiple Choice)
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The patient is noted to have difficulty swallowing.The nurse realizes that the most probable cause of this difficulty is damage to cranial nerve ______.

(Short Answer)
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Which patient position maximizes the nurse's ability to assess the patient's body for symmetry?

(Multiple Choice)
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Increased visibility of oxyhemoglobin caused by dilation or increased blood flow is known as ________________.

(Short Answer)
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The patient has had chronic lung disease for many years.This would lead the nurse to expect his anteroposterior (AP)ratio to be:

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Which technique is most appropriate for a nurse to implement during the assessment of the abdomen?

(Multiple Choice)
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The patient has been immobile at home after having had leg trauma in an automobile accident and is now being admitted with calf pain and localized swelling of the calf muscle.One test that is contraindicated in assessment of this patient is testing for _____________.

(Short Answer)
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An unexpected finding during the assessment of the pupils of the eyes is:

(Multiple Choice)
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To hear low-pitched sounds,the best position in which to place the patient is:

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The nurse is caring for an infant on the pediatric unit who is to have intake and output (I&O)recorded.To determine the infant's output,she weighs the patient's diapers.She does this knowing that 1 g of diaper is equal to _______ of urine.

(Short Answer)
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Which skin condition would cause a nurse to suspect chickenpox?

(Multiple Choice)
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A nurse is documenting a patient's breath sounds.Rhonchi are heard as:

(Multiple Choice)
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The nurse is caring for a patient who is recovering from an acute myocardial infarction.While providing cardiac education,the nurse realizes that the patient needs more education when he:

(Multiple Choice)
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The nurse is preparing to examine a patient who has chronic lung disease.She realizes that the patient most likely will need to be in which position for the examination?

(Multiple Choice)
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