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West Coast University NURS 190 PA MIDTERM 2020 Kim Hein Comple Solution With Questions And Answers $10.49   Add to cart

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West Coast University NURS 190 PA MIDTERM 2020 Kim Hein Comple Solution With Questions And Answers

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West Coast University NURS 190 PA MIDTERM 2020 Kim Hein Comple Solution With Questions And Answers1. The nurse is performing a comprehensive skin assessment. Which of the following pieces of equipment is appropriate to use during the skin assessment? (2 Points) doppler Wood's lamp Reflex hamm...

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  • April 16, 2022
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  • 2021/2022
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WEST COAST UNIVERSITY NURS 190 PA MIDTERM 2020 KIM HEIN COMPLE SOLUTION WITH
QUESTIONS AND ANSWERS


1.

The nurse is performing a comprehensive skin assessment. Which of the following pieces of equipment
is appropriate to use during the skin assessment?

(2 Points)

doppler

Wood's lamp

Reflex hammer

Goniometer

2.

Which of the following is an expected finding in a healthy client on assessment of Stensen's ducts?

(2 Points)

red glow is present

midline and symmetric

saliva is present

redness is present

3.

Which of the following signs or symptoms does the nurse recognize in a client with hypothyroidism?

(Select all that apply)

(2 Points)

Fatigue

intolerance to cold

increased cardiac output

constipation

4.

The client has a new diagnosis of right sided heart failure. The nurse understands a client with right sided
heart failure may have edema and jugular vein distension.

(2 Points)

True

False

,5.

The nurse performs the Romberg test to assess for:

(2 Points)

balance

hearing

vision loss

cranial nerve 6 dysfunction

6.

Which of the following techniques will the nurse perform to assess for signs of breast abnormalities?

(2 Points)

inspection, palpation, and auscultation

inspection and palpation

inspection, palpation, and percussion

palpation and auscultation

7. The nurse is caring for a client with obesity. The nurse places the client in which of the following
positions to best hear heart sounds?

supine

prone

sitting upright

left lateral

8.

State at which location(s) the S1 sound (lub) is heard loudest on cardiac auscultation. State why the S1 is
loudest at these locations. (Write 1-2 sentences).

If you are you are at the proper location, you will hear the sound the loudest.

(2 Points)

9.

The nurse palpates an enlarged lymph node at the back of the ear, over the mastoid bone. The nurse
documents this location as:

(2 Points)

posterior auricular

,submental

posterior occular

occipital

10.

The older adult client is admitted with new onset pain and pressure to their eyes. On inspection, the
sclera is red and the pupil is an irregular shape to the left eye. The nurse should further assess for:

(2 Points)

macular degeneration

cataracts

presbyopia

Glaucoma BOOK REF. PG 253

11.

The client is seen in the urgent care center with a suspected fungal infection to the fingernails. The nails
are thick, yellow, and lifting off the nail bed. The nurse documents this finding as:

(2 Points)

clubbing

Onycholysis BOOK REF PG. 203

beau's lines

splinter hemmorage

12.

The nurse assesses the client's radial pulses and documents these findings: 68 beats per minute, regular,
2+, symmetrical. The physician asks the nurse, "What was the client's pulse amplitude?" The best
response of the nurse:

(2 Points)

"68 beats per minute"

"regular"

"2+" BOOK REF PG 404

"symmetrical"

13.

, The nurse is performing a cardiac auscultation and hears a harsh, blowing sound that is very loud at the
4th ICS, left sternal border. No thrill is present. The nurse understands this murmur is graded as:

(2 Points)

grade 4

grade 2

grade 3

grade 5



14.

Which of the following clients is most at risk for developing a deep-vein thrombosis?

(2 Points)

A 30 year old client with is 1 week post delivery of a baby

A 60 year old client who is on anticoagulant medications

A 45 year old client on oral contraceptives and smokes

A 40 year old female with underwent laser eye surgery

15.

The nurse is performing an otoscope exam on a child in the outpatient clinic. Which of the following
safety measures should the nurse observe when performing this exam?

(2 Points)

Position the dorsal surface of the hand on the child's head

Look in the right eye with the nurse's right eye

Pull the pinna up and back

Look in the right ear while holding the scope in the left hand

16.

Which of the following terms best describes a complete inspiratory phase and expiratory phase of
breathing?

(2 Points)

Cardiac cycle

Eupnea

pneumothorax

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