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RNSG1215 HA/EXAM 3/2022 Solved / RNSG 1215 Health Assessment Exam 3 Answered Spring 2022.
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RNSG1215 HA/EXAM 3/2022 Solved / RNSG 1215 Health Assessment Exam 3 Answered Spring 2022.
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RNSG1215 HA/EXAM 3/2022 Solved.A patient is having difficulty swallowing medications and foods. The nurse would
document that this patient has:
correct Ans - Dysphagia
The sac that surrounds and protects the heart is called the:
correct Ans - Percardium
The nurse notices that a patient has had a black, tarry stool and recalls that a
possible cause would be:
correct Ans - Gastrointestinal bleeding
During an abdominal assessment, the nurse elicits tenderness on light palpation in
the right lower quadrant. The nurse interprets that this finding could indicate a
disorder of which of these structures?
correct Ans - Appendix
A patient is suspected of having inflammation of the gallbladder, or cholecystitis.
The nurse should conduct which of these techniques to assess for this condition?
correct Ans - Test for Murphy sign
A 40-year old man states that his physician told him that he has a hernia. He asks
the nurse to explain what a hernia is. Which response by the nurse is appropriate?
correct Ans - A hernia is a loop of bowel protruding through a weak spot in the
abdominal muscles.
The nurse is reviewing statistics for lactose intolerance. In the United States, the
incidence of lactose intolerance is higher in adults of which ethnic group?
correct Ans - African Americans (Blacks)
During an abdominal assessment, the nurse test for a fluid wave. A positive fluid
wave test occurs with:
correct Ans - Ascites
,A patient tells the nurse that she is having a hard time bringing her hand to her
mouth when she eats or tries to brush her teeth. The nurse knows that for her to
move her hand to her mouth. she must perform which movement?
correct Ans - Flexion
Flexion correct Ans - bending a joint
Adduction correct Ans - Movement toward the midline of the body
Abduction correct Ans - Movement away from the midline of the body
The nurse is explaining to a patient that there are shock absorbers in his back to
cushion the spine and to help it move. The nurse is referring to his:
correct Ans - Intervertebral disks
The nurse is checking the range of motion in a patient's knee and knows that the
knee is capable of which movement(s)?
correct Ans - Flexion and extension
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:
correct Ans - The vertebral column shortens
A patient states, "I can hear a crunching or grating sound when I kneel." She also
states that it is very difficult to get out of the bed in the morning because of
stiffness and pain in my joints." The nurse should assess for signs of what
problem?
correct Ans - Crepitation
crepitation correct Ans - the grating sound heard when the ends of a broken bone
move together
, rotator cuff correct Ans - group of muscles and their tendons that hold the head of
the humerus securely in place as it rotates within the shoulder joint
Medial correct Ans - Toward the midline of the body
Lateral correct Ans - Away from the midline of the body
Phalen's test correct Ans - carpal tunnel syndrome
The nurse has completed the musculoskeletal examination of a patient's knee and
has found a positive bulge sign. The nurse interprets this finding to indicate:
correct Ans - Swelling from fluid in the supra patellar pouch.
Gout correct Ans - hereditary metabolic disease that is a form of acute arthritis,
characterized by excessive uric acid in the blood and around the joints
acute gout correct Ans - redness, swelling, heat, extreme tenderness (disturbed
purine imbalance, associated with elevated serum levels of uric acid), primarily
occurs in men older than 40 yrs
A 40-year-old man has come into the clinic with complaints of extreme pain in his
toes. The nurse notices that his toes are slightly swollen, reddened, and warm to the
touch. His complaints would suggest:
correct Ans - Acute gout
Genu valgum (knock knees) correct Ans - This is a condition in which the knees
touch but the ankles do not. Can be normal in children up to age 3.
Tophi correct Ans - Gout
The two parts of the nervous system are the: correct Ans - central and peripheral
Central Nervous System (CNS) correct Ans - brain and spinal cord
Peripheral Nervous System (PNS)
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