Download NURS 335 Health Assessment Comprehensive Final Exam Questions and Answers and more Exams Nursing in PDF only on Docsity!
NURS 335 Health Assessment
Comprehensive Final Exam Latest
2025 graded A WKU 100% REAL EXAM
- A patient's laboratory data reveal an elevated thyroxine level. The nurse would proceed with an examination of the _____ gland. A. adrenal B. parotid C. parathyroid D. thyroid D. Thyroid
- A woman states that 2 weeks ago she had a urinary tract infection that was treated with an antibiotic. As a part of the interview, the nurse should ask, "Have you noticed: A. a change in your urination patterns?" B. any changes in your desire for intercourse?" C. any excessive vaginal bleeding?" D. any unusual vaginal discharge or itching?"
D. any unusual vaginal discharge or itching?"
- After completing an assessment of a 60-year-old man with a family history of colon cancer, the nurse discusses with him early detection measures for colon cancer. The nurse should mention the need for a(n): A. annual proctoscopy. B. colonoscopy every 10 years. C. fecal test for blood every 6 months. D. digital rectal examinations every 2 years. B. colonoscopy every 10 years.
- An 85-year-old patient comments during his annual physical that he seems to be getting shorter as he ages. The nurse should explain that decreased height occurs with aging because: A. there is a significant loss of subcutaneous fat. B. there is a thickening of the intervertebral disks. C. of the shortening of the vertebral column. D. long bones tend to shorten with age. C. of the shortening of the vertebral column.
B. Urethral meatus and vaginal orifice.
- During ocular examinations, the nurse keeps in mind that movement of the extraocular muscles is: A. decreased in the elderly. B. stimulated by cranial nerves I and II. C. stimulated by cranial nerves III, IV, and VI. D. impaired in a patient with cataracts. C. Stimulated by cranial nerves III, IV, and VI.
- Fibrous bands running directly from one bone to another that strengthen the joint and help prevent movement in undesirable directions are called: A. tendons. B. ligaments. C. bursa. D. cartilage. B. Ligaments
- In assessing the tonsils of a 30-year-old, the nurse notices that they are involuted, granular in appearance, and appear to have deep crypts. What is correct response to these findings? A. Nothing, because this is the appearance of normal tonsils. B. Obtain a throat culture on the patient for possible strep infection. C. Refer the patient to a throat specialist. D. Continue with assessment looking for any other abnormal findings. A. Nothing, because this is the appearance of normal tonsils 1 0. In performing a breast examination, the nurse knows that it is especially important to examine the upper outer quadrant of the breast. The reason for this is that the upper outer quadrant is: A. the largest quadrant of the breast. B. where most of the suspensory ligaments attach. C. more prone to injury and calcifications than other locations in the breast. D. the location of most breast tumors. D. The location of most breast tumors
1 3. A 70-year-old woman tells the nurse that every time she gets up in the morning or after she's been sitting she gets "really dizzy" and feels like she is going to fall over. The nurse's best response would be: A. "I'll refer you for a complete neurologic examination." B. "Have you been extremely tired lately?" C. "You need to get up slowly when you've been lying or sitting." D. "You probably just need to drink more liquids." C. "You need to get up slowly when you've been lying or sitting" 1 4. A nurse notices that a patient has ascites, which indicates the presence of: A. flatus. B. feces. C. fibroid tumors. D. fluid. D. Fluid
1 5. A patient has been admitted to the hospital with vertebral fractures related to osteoporosis. She is in extreme pain. This type of pain would be classified as: A. deep somatic. B. visceral. C. cutaneous. D. referred. D. referred 1 6. A patient has had three pregnancies and two live births. The nurse would record this information as gravida _____, para _____, AB _____. A. 3; 2; 1 B. 2; 2; 1 C. 3; 2; 0 D. 3; 3; 1 A. 3; 2; 1
1 9. A patient with a middle ear infection asks the nurse, "What does the middle ear do?" The nurse responds by telling the patient that the middle ear functions to: A. interpret sounds as they enter the ear. B. conduct vibrations of sounds to the inner ear. C. maintain balance. D. increase amplitude of sound for the inner ear to function B. Conduct vibrations of sounds to the inner ear 2 0. A patient with lack of oxygen to his heart will have pain in his chest and possibly the shoulder, arms, or jaw. The nurse knows that the statement that best explains why this occurs is which of these? A. The lack of oxygen in his heart has resulted in decreased amount of oxygen to the areas experiencing pain. B. There is a lesion in the dorsal root that is preventing the sensation from being transmitted normally.
C. The sensory cortex does not have the ability to localize pain in the heart, so the pain is felt elsewhere. D. There is a problem with the sensory cortex and its ability to discriminate the location. C. The sensory cortex does not have the ability to localize pain in the heart, so the pain is felt elsewhere.
- In performing an assessment of a woman's axillary lymph system, the nurse should assess which of these nodes? A. Lateral, pectoral, axillary, and suprascapular nodes B. Central, lateral, pectoral, and subscapular nodes C. Pectoral, lateral, anterior, and sternal nodes D. Central, axillary, lateral, and sternal nodes B. Central, lateral, pectoral, and sub-scapular nodes
- The articulation of the mandible and the temporal bone is known as the: A. condyle of the mandible. B. intervertebral foramen.
A. Radiation B. Exercise C. Food digestion D. Metabolism A. Radiation
- The nurse is examining a patient who tells the nurse, "I sure sweat a lot, especially on my face and feet but it doesn't have an odor." The nurse knows that this could be related to: A. a disorder of the stratum germinativum. B. the eccrine glands. C. the apocrine glands. D. a disorder of the stratum corneum B. The eccrine glands
- The nurse is performing an assessment on an adult. The adult's vital signs are normal and capillary refill time is 5 seconds. What should the nurse do next?
A. Suspect that the patient has a venous insufficiency problem. B. Consider this a delayed capillary refill time and investigate further. C. Consider this a normal capillary refill time that requires no further assessment. D.Ask the patient about a past history of frostbite. B. Consider this a delayed capillary refill time and investigate further
- The nurse is performing an examination of the anus and rectum. Which of these statements is correct and important to remember during this examination? A. There are no sensory nerves in the anal canal or rectum. B. The rectum is about 8 cm long. C. Above the anal canal, the rectum turns anteriorly. D. The anorectal junction cannot be palpated. D. The anorectal junction cannot be palpated.
- The nurse is preparing to assess a patient's abdomen by palpation. How should the nurse proceed?
- The nurse is preparing to use an otoscope for an examination. Which statement is true regarding the otoscope? The otoscope: A. is often used to direct light onto the sinuses. B. uses a short, broad speculum to help visualize the ear. C. is used to examine the structures of the internal ear. D. directs light into the ear canal and onto the tympanic membrane. D. Directs light into the ear canal and onto the tympanic membrane.
- The nurse is reviewing statistics regarding breast cancer. Which woman, aged 40 years in the United States, has the highest risk for development of breast cancer? A. African-American B. Asian C. White D. American Indian A. African-American
- The nurse is reviewing the blood supply to the arm. The major artery supplying the arm is the _____ artery. A. ulnar B. deep palmar C. brachial D. radial C. Brachial
- The nurse is reviewing venous blood flow patterns. Which of these statements best describes the mechanism(s) by which venous blood returns to the heart? A. Intraluminal valves ensure unidirectional flow toward the heart. B. The high-pressure system of the heart helps to facilitate venous return. C. Contracting skeletal muscles milk blood distally toward the veins.
A. Involuntary blinking in the presence of bright light B. Changes in peripheral vision in response to light C. Pupillary dilation when looking at a far object D. Pupillary constriction when looking at a near object D. Pupillary constriction when looking at a near object.
- The nurse is using an otoscope to assess the nasal cavity. Which of these techniques is correct? A. Avoid touching the nasal septum with the speculum. B. Gently displace the nose to the side that is being examined. C. Insert the speculum at least 3 cm into the vestibule. D. Keep the speculum tip medial to avoid touching the floor of the nares. A. Avoid touching the nasal septum with the speculum.
- The nurse is watching a new graduate nurse perform auscultation of a patient's abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultation precedes percussion and palpation of the abdomen?
A. "It prevents distortion of bowel sounds that might occur after percussion and palpation." B. "It allows the patient more time to relax and therefore be more comfortable with the physical examination." C. "This prevents distortion of vascular sounds such as bruits and hums that might occur after percussion and palpation." D. "We need to determine areas of tenderness before using percussion and A. "It prevents distortion of bowel sounds that might occur after percussion and palpation."
- The nurse keeps in mind that a thorough skin assessment is very important because the skin holds information about a person's: A. psychological wellness. B. circulatory status. C. socioeconomic status. D. support systems. B. Circulatory status
