At what age should an infant recognize the face of the primary caregiver? - 2 MONTHS
What is the initial step in performing a mental status examination? - A. Observe the
patient's physical appearance and behavior. Correct
Select the question that tests the patient's capacity for abstract reasoning. - A. "What is
the meaning of 'a stitch in time save nine'?" Correct
Which behavior is an example of apraxia? - A. Inability to unbutton a shirt Correct
How does the nurse test for recent memory in an adult? - A. The patient views several
objects and is asked recall the objects 10 minutes later. Correct
A patient tells the nurse that he is careful about what he eats at home in case someone
might want to poison him. What is this behavior? - A. Paranoid delusion Correct
A patient tells the nurse he has felt more depressed over the past several months.
Which of the medications the patient takes is known to cause depression? - A. Beta-
blocker Correct
What is the Mini-Mental State Examination? - A. Screening tool for dementia Correct
Which behaviors are associated with dementia? (Select all that apply.) - A. Appears
apathetic Correct
B. Appears depressed Correct
Which behavior is commonly observed in patients with expressive aphasia? (Select all
that apply.) - A. Able to read Correct
A. Makes great effort to speak Correct
A. Understands present environment Correct
1. Areas of hyperresonance are percussed over the lung fields in which condition? - A.
Emphysema Correct
1. The manubriosternal angle (angle of Louis) is continuous with which anatomical
landmark? - A. Second rib Correct
1. Which breath sounds, heard in the posterior bases, suggest atelectasis? - A.
Diminished breath sounds Correct
, 1. Which finding on the patient history is suspicious for pulmonary tuberculosis? - A.
Night sweats Correct
1. Which assessment finding of the respiratory system in a 2-month-old infant is
considered abnormal? - A. Grunting Correct
1. Which assessment finding suggests a child has epiglottitis? - A. Difficulty swallowing
Correct
1. A patient with metabolic acidosis is likely to display which type of respiration? - A.
Rapid deep regular breathing Correct
1. In which condition is fluid present in the pleural space? - A. Pleural effusion Correct
1. During a history, a client tells the nurse he has smoked 2 packs of cigarettes per day
for 10 years and 1 pack per day for the past 15 years. The cigarette use is reported as
how many pack-years?
_______ - A. 35 Correct
1. The nurse auscultates the lungs posteriorly in the bases. Identify the sounds heard.
Identify the breath sounds. - A. Vesicular Correct
The nurse uses the wedge technique to palpate the breast of a patient. Where is the
starting point for palpating each breast? - A. Areola Correct
Which assessment finding is normal when examining the breast of a nonpregnant adult
woman? - A. One breast slightly smaller than the other Correct
Which is a correct description of the procedure to palpate the breasts? - A. Include
bimanual palpation to compress tissue between fingers and the flat hand. Correct
What are the characteristics of breast masses found in patients with fibrocystic breast
disease? - A. Changes occur cyclic with menses Correct
An adolescent male has observable enlargement of one breast and is very concerned.
What is the significance of this finding? - A. Normal finding that resolves in time Correct
Parents note that their newborn infant daughter has enlarged breasts that secrete a
white fluid. What is the significance of this finding? - A. This is a normal finding that
resolves. Correct
Which is a normal assessment finding in adult female breasts? - A. Montgomery follicles
Correct
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