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Exam 6: Health Assessment

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Question 1

Multiple Choice

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While performing a physical examination, the nurse incorporates health promotion by teaching the patient about how to reduce the risk of lung cancer.The nurse explains that besides cigarette smoking, exposure to other substances may lead to this disease.Some of these substances are: (Select all that apply.)

A) arsenic.
B) asbestos.
C) radiation.
D) air pollution.
E) None of above

F) A) and B)
G) A) and E)

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Question 2

Multiple Choice

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In providing a physical assessment of an 88-year-old patient, the nurse should:

A) do it as quickly as possible to prevent fatigue.
B) assume that the patient will have disabilities.
C) prepare to perform a mental status examination.
D) always do the exam in the small exam room to prevent chills.

E) A) and B)
F) C) and D)

Correct Answer

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C

Question 3

Multiple Choice

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The nurse is assessing the neurologic status of a patient.She uses the handle end of a reflex hammer to stroke the lateral aspect of the sole of the foot.She notes that the great toe dorsiflexes and the other toes spread out like a fan.What does this indicate?

Measurement of the patient's ability to differentiate between sharp and dull sensations over the forehead tests which cranial nerve?

A late sign of decreased oxygen levels may cause a change in skin color known as _________.

________________ is a major cause of lung cancer, cerebrovascular disease, heart disease, and chronic lung disease.

Petechiae are noted on the patient as a result of the nurse finding:

The nurse is providing health education to a group of adolescent females.The topic is "Preventing Skin Cancer." As part of the health promotion education, the nurse recommends that they avoid tanning under direct sun at midday and avoid _________________.

Which technique is most appropriate for a nurse to implement during the assessment of the abdomen?

Which of the following is an expected outcome for a patient after cardiac assessment?

How does a nurse appropriately measure intake and output?

Which is the best position in which to place the patient to hear low-pitched cardiovascular sounds?

The patient has come to the clinic complaining of bleeding from what she calls a "mole" on her neck.She states that her mother died from skin cancer at a fairly early age because she was fair-skinned and had a lot of exposure to the sun.Because of this, the patient has been going for tanning sessions regularly for several years to keep her dark and to protect her from the sun.The nurse prepares to examine the "mole" while being especially watchful for: (Select all that apply.)

____________ is a yellow-orange skin color seen with increased deposit of bilirubin in tissues.

How should the nurse document an exaggeration of the posterior curvature of the thoracic spine found during the assessment of a 90-year-old patient?

During assessment of a patient with anemia, a nurse is alert for the presence of:

The patient is noted to have difficulty swallowing.The nurse realizes that the most probable cause of this difficulty is damage to cranial nerve ______.

Which patient position maximizes the nurse's ability to assess the patient's body for symmetry?

The female nurse is preparing to assess and possibly change a scrotal dressing on a 34-year-old patient.Before changing the dressing, she should ______________.

What technique should the nurse implement for assessment of the carotid artery?