Nurs 251 exam 4 Questions and Correct Answers Updated Version 2023 2024 "Write" letter of number in client's palm; Client identifies - Correct Ansgraphesthesia
A "crackling" sensation when palpating - Correct Anscrepitus
A 16 year old female is referred to the school nurse for a vision test after the teacher notes her squinting to see the front blackboard. The nurse uses which one of the following tools to assess the patient's vision?Allen vision test Snellen eye chart Ishihara chart Snellen E chart - Correct AnsSnellen eye chart
A blood pressure of 120/80 mmHg is recorded by the nurse. What does the 120 represent?Pulse rate Systolic pressure Diastolic pressure Pulse pressure - Correct AnsSystolic pressure
A bluish hue to the skin and nails that develops as a result of decreased perfusion is called which term?Cyanosis Jaundice Melanin Pallor - Correct AnsCyanosis
A breast lump that is tender, mobile, round and well-delineated would probably classified as which type of breast condition?A lactating breast Fibroadenoma Breast Cancer Benign or Fibrocystic disease - Correct AnsBenign or Fibrocystic disease
A client visits the clinic and tells the nurse that she has joint pain in her hands, especially in the morning. The nurse should assess the client further for signs and symptoms of Rheumatoid arthritis Osteoporosis Carpal tunnel syndrome Lordosis - Correct AnsRheumatoid arthritis
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A female client visits the clinic and complains to the nurse that her skin feels "dry". On physical exam, her mucous membranes are dry and cracked. The nurse should instruct the client that the skin findings are related to . . .Dehydration Hypothermia Jaundice Vitamin D deficiency - Correct AnsDehydration
A male patient complains of pain in his genital area. Upon inspection and palpation, the patient's scrotum is enlarged, reddened, and tender that does not transilluminate. The nurse suspects which of the following conditions?Hydrocele Orchitis Spermatocele Testicular tumor - Correct AnsOrchitis
A normal, brisk response for a deep tendon reflex is documented as . . .+3 +2 +1 +4 - Correct Ans+2
A nurse is examining a new patient admitted to the hospital unit from home. The patient is bed-ridden and transfers to a chair only with the assist of family members. The nurse notes an area of redness that does not blanch with palpation on the patient's buttocks; however, the area's skin is intact. What stage of pressure ulcer development does the nurse document?Stage III Stage II Stage IV Stage I - Correct AnsStage I
A nurse is performing a nutritional assessment on a client. Which of the two following clinical skin findings are suggestive of malnutrition? Select the two answers that apply.Poor wound healing S1 S2 heart sounds Blood pressure 130/80 mmHg Dry brittle hair Cap refill 2 seconds - Correct AnsPoor wound healing Dry brittle hair
A nurse is preparing to auscultate and percuss a patient's abdomen as part of a comprehensive physical examination. Which of the following 2 findings should the nurse expect? Select the 2 that apply.Borborygmi Tympany 2 / 3
High-pitched gurgles Bruits Friction rubs - Correct AnsTympany High-pitched gurgles
A nursing mother presents to the clinic with concerns for mastitis. Which of the following might you note on exam. Select ALL that apply.red, swollen, tender area very hot, hard area headache, malaise fever, chills - Correct Ansred, swollen, tender area very hot, hard area headache, malaise fever, chills
A patient presents to his primary care physician with redness, swelling, heat, and a throbbing pain in his big toe. As the nurse, what do you expect this patient to be diagnosed with?
- Gout
- Rheumatoid Arthritis
- Osteoarthritis
- Broken Toe - Correct AnsGout (Patient 1)
Painful inflammatory arthritis Excess uric acid and deposits of urate crystals in the joint space Characterized by redness, swelling, heat, and extreme pain such as continuous throbbing
Prevalent: Obesity, metabolic syndrome, hypertension, and hyperlipidemia
A patient presents to his primary care physician with swan-like fingers and complains of morning stiffness in her joints. You observe bilateral swelling in the patient's joints. As the nurse, what do you expect this patient to be diagnosed with?
- Gout
- Rheumatoid Arthritis
- Osteoarthritis
- Broken Toe - Correct AnsRheumatoid Arthritis (Patient 2)
Swelling and morning stiffness in the joints (stiffness after periods of rest) Symmetric Joints have limited ROM Chronic RA Flexion contracture with curve like a swan's neck Ulnar drift of the fingers
A patient presents with a linear crack with abrupt edges that extends into the dermis.This is described as what type of secondary skin lesion?lichenification excoriation
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