Nurse Moose
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    Exam Review

    1. When inspecting the client's skin, the nurse observes several areas of ecchymosis on the trunk and extremities. Which information in the client's history requires additional follow-up by the nurse?
      A)Takes an oral anticoagulant.
      B)Works in a day care center.
      C)Recently had dental surgery.
      D)Adheres to a gluten free diet.
    2. An adult client presents with gnawing epigastric pain. The pain is worse when the client is hungry and abates after eating something. Which problem do these symptoms suggest?
      A)Esophagitis.
      B)Peptic ulcer disease (PUD).
      C)Gastroesophageal reflux (GERD).
      D)Chronic pancreatitis.
    3. While performing a physical assessment, the nurse is unable to palpate the client's pedal pulses. Which action should the nurse take?
      A)Use a doppler ultrasonic stethoscope.
      B)Notify the healthcare provider.
      C)Apply warm blankets to both feet.
      D)Palpate pulse points with legs dependent.
    4. When evaluating a client's rectal bleeding, which findings should the nurse document?
      A)Number of blood clots expelled with each stool.
      B)Evidence of internal hemorrhoids.
      C)Unique odor noted with gastrointestinal bleeding.
      D)Color characteristics of each stool.
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    Exam Review

    1. The nurse examines a client's right great toe. The joint is red, edematous, and very painful with limited range of motion. The client's serum uric acid levels are elevated. Which action should the nurse tell the client to make?
      A)Encourage fluid intake.
      B)Measure urine output.
      C)Splint the affected joint.
      D)Increase intake of red meat.
    2. The nurse completes palpation of the thoracic region on an adult client. Which finding is considered normal for this client?
      A)Tenderness.
      B)Crepitus.
      C)Thrill.
      D)Non-tender.
    3. An older adult male arrives at the healthcare center with lower abdominal discomfort and frequent urination. The nurse asks the client to provide a urine sample. After an extended period of time, the client returns with only a few drops of urine. Which action should the nurse implement?
      A)Give the client 8 ounces (236.5 mL) of water to drink.
      B)Evaluate the client for bladder distention.
      C)Instruct the client to attempt to urinate again.
      D)Send the sample for laboratory evaluation.
    4. While assessing the legs of an adult client, the nurse observes leathery-looking skin. The client reports aching, tired legs that swell if standing for long periods of time. To screen for venous insufficiency, the nurse should ask the client if they have experienced which subjective finding?
      A)Deep, continuous pain in the calf muscles.
      B)Painful symptoms alleviated by warmth.
      C)Cool, pale skin below the knees.
      D)Decreased pain when legs are elevated.
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    Exam Review

    1. While completing an admission assessment for a client with gastrointestinal bleeding, the nurse inspects the perianal area and anus. Which findings indicate a normal appearance of the anus?
      A)Dimpled area above anus.
      B)Flap of tissue at sphincter.
      C)Increased pigmentation and coarse skin.
      D)Hypotonic tone of the anal sphincter.
    2. To assess a client's pupillary reaction to accommodation, which action should the nurse take?
      A)Compare the shape of each of the pupils bilaterally with normal room light.
      B)Determine if dilation of the pupils occurs when the room is darkened.
      C)Note the speed of pupil constriction when a penlight is shined into the eye.
      D)Observe pupil size when focusing on a near object and then a far object.
    3. The nurse is examining an older female client and suspects that she has a dysfunction in her hip region. Which procedure should the nurse perform to further assess for hip dysfunction?
      A)Abduct each hip while the client is supine.
      B)Flex the hip and knee while standing.
      C)Observe balance while the client stands.
      D)Inspect gluteal folds for symmetry.
    4. An adolescent female client comes to the clinic troubled by breast tenderness before her menstrual periods. On examination, the nurse notes generalized lumpiness of both breasts with no discrete masses and no nipple discharge. Which action should the nurse take?
      A)Suggest that the client schedule a mammogram after her next menstrual period.
      B)Explain to the client that an ultrasound of the breast will likely be necessary.
      C)Assure the client that her breasts are normal, and advise annual evaluations.
      D)Request a return visit after her menstrual period for a breast exam re-check.
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    Exam Review

    1. During an admission assessment, which approach should the nurse use to assess a client's speech patterns?
      A)Ask the client to complete a common proverb or saying.
      B)Have the client repeat a phrase containing alliteration.
      C)Note the client's responses during the initial interview.
      D)Listen while the client reads items listed on the menu.
    2. The nurse applies pressure over an area of the lower abdomen where the client reports pain. The client denies pain upon palpation, but reports pain when the pressure is released. Which action should the nurse implement?
      A)Notify the healthcare provider of the rebound tenderness.
      B)Obtain a prescription to catheterize the client's bladder.
      C)Offer to administer a laxative prescribed for PRN use.
      D)Instruct the client in distraction and relaxation techniques.
    3. In assessing a client's neck, the nurse hears a blowing swish when auscultating the area over the left carotid artery, but hears no sound over the right carotid artery. How should the nurse document this finding?
      A)Left carotid artery has strong pulse; right carotid artery occluded.
      B)Left carotid pulse volume of 4+; right carotid pulse volume of 0.
      C)Left carotid artery occlusion present; no occlusion of right carotid artery.
      D)Left carotid artery bruit present; no bruit heard in right carotid artery.
    4. The nurse is performing an initial assessment of a client who has an expressionless facial affect, slurred speech, and red conjunctivae. Which question should the nurse ask first? "Have you..."
      A)been sleeping well?"
      B)been depressed lately?"
      C)had anything to eat in the last 24 hours?"
      D)ever had problems with your blood sugar?"
      E)None
      F)None
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    Exam Review

    1. After placing a client in a supine position, the nurse uses the diaphragm of the stethoscope to auscultate bowel sounds and hears a loud, high pitched almost continuous gurgling in two quadrants. Which action should the nurse implement?
      A)Elevate the head of the client's bed immediately.
      B)Use the bell of the stethoscope to auscultate again.
      C)Document the presence of borborygmi.
      D)Auscultate the remaining two quadrants.
      E)None
      F)None
    2. When systematically auscultating a client's anterior breath sounds, the nurse should begin by placing the stethoscope over which location?
      A)Aortic site.
      B)Sternum.
      C)Lung apex.
      D)Clavicle.
    3. While percussing the borders of the heart, the nurse picks up an area of dullness beginning at the 5th left intercostal space and moving upward to the 2nd left intercostal space at the sternal border. What do these findings indicate?
      A)Expected finding.
      B)Cardiac enlargement.
      C)Benign variation.
      D)Cardiac atrophy.
      E)None
      F)None
    4. While completing a health assessment for a client being admitted with bilateral pneumonia, the nurse asks the client to describe the sputum. Which communication technique should the nurse use to obtain this information?
      A)Closed ended questions.
      B)Leading questions.
      C)Detailed questions about a symptom.
      D)Open ended questioning.
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