Exam 31: Health Assessment and Physical Examination

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The nurse is preparing to perform a physical examination on a patient who has cardiopulmonary disease.Knowing this about the patient,the nurse is alert for the presence of which of the following when checking the patient's nails?

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A

If a low-pitched murmur is suspected with prior assessment,which of the following is the best position for the patient when the nurse auscultates the apical site?

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C

The patient has an enlarged thyroid gland and is currently admitted to a medical nursing unit.Which of the following is accurate regarding the procedure for a thyroid assessment for this patient?

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B

The nurse is auscultating the patient's lungs and notes normal vesicular sounds as being which of the following?

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The nurse suspects that the patient may have cardiovascular disease.During the examination,the nurse is alert to which of the following complaints from the patient?

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A pregnant patient is seen by the nurse in the antenatal clinic.On inspection,which of the following changes does the nurse expect to see in the patient's breasts?

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During the assessment of a 90-year-old patient,the nurse documents an exaggeration of the posterior curvature of the thoracic spine as which of the following?

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A female patient is seen in the outpatient clinic for numerous cuts,bruises,and apparent burns.In a discussion with the patient,the nurse finds that the injuries are inconsistent with the stated cause.The patient also states that she is having trouble sleeping,and she appears anxious.Based on these findings,which of the following does the nurse suspect the patient may be experiencing?

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Measurement of the patient's sensation of light pain and touch across the skin of the face tests which of the following cranial nerves?

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The nurse is using the Weber test to evaluate the patient for conduction deafness in the right ear.Which one of the following occurs when the nurse appropriately places the tuning fork and confirms this type of deafness?

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An older adult patient is visiting the physician's office for a checkup.The patient asks the nurse at what age yearly prostate-specific antigen blood tests should begin.Which of the following should be the nurse's response?

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A 21-year-old female patient asks the nurse what is the best time for performing breast self-examination (BSE).Which of the following should the nurse tell the patient?

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Part of the neurological examination involves evaluating the response of the cranial nerves.To test cranial nerve VIII,which of the following actions should the nurse take?

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Which abnormality of the nail bed can be caused by iron deficiency anemia?

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How would the nurse document adventitious breath sounds that were loud,low-pitched,rumbling,coarse sounds?

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During an assessment of the patient's integument,the nurse notes a flat,nonpalpable change in skin colour that is smaller than 1 cm.How is this finding documented by the nurse?

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Which of the following positions maximizes the nurse's ability to assess the patient's upper body for symmetry?

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During the physical examination,the nurse should use which part of the hand to assess characteristics such as consistency,contour,and texture in the patient's glands?

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Which of the following is a congenital condition commonly referred to as "lazy eye"?

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What is the correct technique to assess teeth occlusion?

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