Nurse Moose
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    Exam Review

    1. The nurse is assessing older adult clients in a community health clinic. Which assessment finding is an indicator for immediate medical follow-up?
      A)Diminished short-term memory over the past year.
      B)A negative Babinski reflex.
      C)A change in awareness of surroundings.
      D)Reduced fine motor skills.
    2. The nurse is preparing a client for a magnetic resonance imaging (MRI) of the head and neck. Which information should the nurse obtain from the client?
      A)Duration of NPO status.
      B)History of myelogram.
      C)Presence of metal implants.
      D)Allergy to iodine-based dyes.
    3. An adult male client tells the nurse that he smokes approximately one pack of cigarettes daily. How can the nurse expect smoking to affect this client's sleep?
      A)He would sleep soundly during the first half of the night, with increased arousals during the second half.
      B)He would have difficulty falling asleep and sleep very lightly with more frequent arousals.
      C)Decrease the need for rapid eye movement (REM) sleep.
      D)Increase sleep latency and reduce total sleep time.
    4. Which question by the nurse is likely to elicit the most information regarding a client’s use of medications to treat a chronic cough?
      A)What medications have you taken for your cough?
      B)What medications are you currently taking?
      C)Have you been prescribed any medications for your cough?
      D)Have you tried any generic brands of cough syrup?
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    Exam Review

    1. While auscultating for bowel sounds in an adult client, the nurse notes a series of gurgles that last about 3 seconds and occur every 5 to 10 seconds in all quadrants. How should the nurse document this finding?
      A)Normal bowel sounds.
      B)Hyperactive bowel sounds.
      C)Hypoactive bowel sounds.
      D)Borborygmi sounds.
    2. Which assessment finding, obtained during chest auscultation, should the nurse consider a normal finding?
      A)Right breath sounds louder than left.
      B)Slight crackling throughout lung fields.
      C)Blowing, hollow sounds above sternum.
      D)Faint whistling over both lung bases.
    3. The nurse assesses a young adult female who was brought to the emergency department (ED) by her boyfriend because she has not been feeling well all day and he believes she is getting worse. Which finding supports the nurse's suspicion that the client is experiencing appendicitis?
      A)Diffuse abdominal pain with elevated neutrophil count.
      B)Periumbilical pain localizing to right lower quadrant.
      C)Anorexia progressing to nausea, vomiting, and fever.
      D)Sudden onset of severe anxiety, fear, and concern.
    4. Which subjective assessment data supports the nurse’s conclusion that a client is experiencing orthopnea?
      A)"It doesn't take much activity before I'm out of breath."
      B)"I have multiple attacks of wheezing almost daily."
      C)"I sleep on three pillows at night."
      D)"I cough a lot at night and it keeps me up half the night."
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    Exam Review

    1. A client reports to the healthcare provider's (HCP) office for a routine postsurgical evaluation six weeks after a hysterectomy. Which history-taking approach should the nurse use to gather the needed information?
      A)Perform a head-to-toe physical assessment.
      B)Conduct a comprehensive review of systems.
      C)Prepare to collect a vaginal specimen for Papanicolaou smear.
      D)Collect information about the client's activities since surgery.
    2. To confirm the presence of a barrel chest documented in the client's medical record, which action should the nurse take?
      A)Auscultate the client's breath sounds.
      B)Percuss diaphragmatic excursion.
      C)Observe the appearance of the thorax.
      D)Palpate tactile fremitus on the posterior chest.
    3. The nurse is obtaining a health history for a client being admitted for new onset seizures. Which action should the nurse implement to accurately record the health history findings?
      A)Enter the information in the electronic medical record at the client's bedside.
      B)Document the assessment findings on the computer at the nursing station.
      C)Document the client's history that is directly related to current admission diagnoses.
      D)Enter subjective data in the note section of the client’s electronic medical record.
    4. When preparing a female client for an abdominal examination, the nurse should provide her with which instruction?
      A)"Exhale slowly through your mouth then hold your breath."
      B)"Lie in a prone position with slightly flexed knees."
      C)"Refrain from eating or drinking for at least thirty minutes."
      D)"Empty your bladder just prior to the examination."
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    Exam Review

    1. An older adult client with a history of heart failure (HF) is brought to the clinic by a family member. Which finding(s) confirm(s) to the nurse that the client is experiencing an exacerbation of the HF? Select all that apply.(SATA)
      A)Dyspnea.
      B)Intercostal retractions.
      C)Headaches.
      D)Peripheral edema.
      E)Jugular venous distension.
    2. To assess for the presence of egophony, which instruction should the nurse give the client who has a lung abscess?
      A)Repeat vocalizing the letter "E" while the thorax is auscultated.
      B)Whisper "one, two, three" in sequence during auscultation of the thorax.
      C)Breathe in and out while all lobes of both lungs are auscultated.
      D)Repeat the number "99" during a systematic auscultation of the thorax.
    3. While obtaining the health history of a client, the nurse learns the client’s father was diagnosed with schizophrenia in his twenties, the same age the client is now. The client hesitates to discuss the topic and answer questions about the father. Which approach is best for the nurse to use to interview the client about mental health concerns?
      A)Get the most difficult questions over with first.
      B)Begin with questions that are less sensitive in nature.
      C)Ask questions in a vague, nonspecific format.
      D)Share personal values to put the client at ease.
    4. When conducting a physical examination, the nurse uses a tuning fork to assess for which condition?
      A)Tinnitus.
      B)Otitis media.
      C)Neurological pathology.
      D)Hearing loss.
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    Exam Review

    1. A client states, “I am legally blind.” Which assessment technique should the nurse use to obtain data to support the client's statement?
      A)Observe the client's optic disc through an ophthalmoscope.
      B)Observe the client's eye movements through the cardinal fields of vision.
      C)Assess the client's ability to read a Snellen chart from a distance of 20 feet.
      D)Observe the client’s pupillary response to a penlight.
    2. A client comes to the clinic due to shoulder discomfort and intermittent pain while swimming laps. To identify normal range of motion (ROM) of the client's shoulder, which assessment technique should the nurse ask the client to perform?
      A)Extend arms straight out and hold without drifting.
      B)Extend arms up to 180 degrees beside the ears.
      C)Alternate both index fingers to touch the tip of nose accurately.
      D)Hold arms up at 90 degrees while arms are pushed downward.
    3. When assessing a client's abdomen, the nurse uses auscultation to assess for which possible finding?
      A)Guarding.
      B)Ascites.
      C)Striae.
      D)Bruits.
    4. During a routine health screening of an adult female, the nurse notes several changes that have occurred over the past year. Which change indicates the need for a bone density screening?
      A)Decreased height.
      B)15 lb (6.8 kg) weight loss.
      C)Diminished appetite.
      D)Lower body mass index (BMI).
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