NR 509-week 2 Latest Update -

NR 509-week 2 Latest Update - Exam 300 Questions with 100% Verified Correct Answers Guaranteed A+ Verified by Professor A 10-year-old is at the clinic for a sore throat that has lasted 6 days. Which of these findings would be consistent with an acute infection?

• Tonsils 1+/1-4+ and pink, the same color as the oral mucosa
• Tonsils 2+/1-4+ with small plugs of white debris
• Tonsils 3+/1-4+ with large white spots

D. Tonsils 3+/1-4+ with pale coloring - CORRECT ANSWER: C. Tonsils 3+/1-4+ with

large white spots

A 17 year old student is a swimmer on her high school's swim ear. She has had three bouts of otitis externa this season and wants to know what to do to prevent it. The nurse

instructs her to:

• Use a cotton tipped swab to dry the ear canals thoroughly after each swim
• Use rubbing alcohol, or 2% acetic acid drops after every swim
• Irrigate the ears with warm water and a bulb syringe after each swim
• Rinse the ears with a warmed solution of mineral oil and hydrogen peroxide -

CORRECT ANSWER: B. Use rubbing alcohol, or 2% acetic acid drops after every swim

A 19-year-old college student is brought to the emergency Department with a severe headache he describes as like nothing I've ever had before. His temperature is 40 C And he has a stiff neck. The nurse looks for other signs and symptoms of which problem?

• Head injury
• Cluster headache
• Migraine headache

D. Meningeal inflammation - CORRECT ANSWER: D. Meningeal inflammation

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A 2-week-old infant can fixate on an object but cannot follow a light or bright toy. The

nurse would:

• Consider this a normal finding
• Assess the pupillary light reflex for possible blindness
• Continue with the examination and assess visual fields
• Expect that a 2-week-old infant should be able to fixate and follow an object -

CORRECT ANSWER: A. Consider this a normal finding

A 2-year-old child has been brought to the clinic for a well child checkup. the best way

for the nurse to begin the assessment is to:

• Ask the parent to place the child on the examining table
• Happy parents remove all of the child's clothing before the examination
• Allow the child to keep a security object such as a toy or blanket during the

examination

• Initially focus the interactions on the child, essentially ignoring the parent until the

child's trust has been obtained - CORRECT ANSWER: C. Allow the child to keep a

security object such as a toy or blanket during the examination

A 31-year-old patient tells the nurse that has notice pain in his left ear when people

speak loudly to him. The nurse knows that this finding:

• Is normal for people at his age
• Is a characteristic of recruitment
• May indicate a middle ear infection

D. Indicates that the patient has a cerumen impaction - CORRECT ANSWER: B. Is a

characteristic of recruitment

A 32-year-old woman is at the clinic for little white bumps in her mouth. During the assessment, the nurse notes that she has a 0.5 centimeter white, nontender papule under her tongue and one on the mucosa of her right cheek. What would the nurse tell the patient?

• The spot indicates an infection such as strep throat 2 / 4

• These bumps could be indicative of a serious lesion, so I will refer you to a specialist
• This condition is called leukoplakia and can be caused by chronic irritation such as

was smoking

• These bumps are Fordyce granules, which are sebaceous cysts and are not a

serious condition - CORRECT ANSWER: D. These bumps are Fordyce granules, which

are sebaceous cysts and are not a serious condition

A 35 year old recent immigrant is being seen in the clinic for complaints of a cough that is associated with rust colored sputum, low grade afternoon fevers, and night sweats for the past 2 months. The nurse's preliminary analysis based on this history is that the

patient may be suffering from:

• Bronchitis
• Pneumonia
• Tuberculosis

D. Pulmonary edema - CORRECT ANSWER: C. Tuberculosis

A 4-month-old child is at the clinic for a well-baby checkup and immunizations. which of these actions is most appropriate when a nurse is assessing the infant's vital signs?

• The infant's radial pulse should be palpated, and the nurse should notice any

fluctuations resulting from activity or exercise

• The nurse said auscultate and a pickle rate for one minute and then assess for any

normal irregularities such as sinus arrhythmia

• the infant 's blood pressure should be assessed by using a stethoscope with a large

diaphragm peace to hear the soft muffled Korotkoff sounds

• the infant's chest should be observed, and the respiratory rate counted for one

minute; the respiratory pattern may vary slightly - CORRECT ANSWER: B. The nurse said auscultate and a pickle rate for one minute and then assess for any normal irregularities such as sinus arrhythmia

A 40 year old patient who is just finished chemotherapy for breast cancer tell the nurse that she is concerned about her mouth. During the assessment the nurse find areas of 3 / 4

the bucal mucosa that are raw and red with some bleeding, as well as other areas that

have a white, cheesy coating. The nurse recognizes that this abnormality is:

• Aphthous ulcers
• Candidiasis
• Leukoplakia

D. Koplik spots - CORRECT ANSWER: B. Candidiasis

A 52-year-old patient describes the presence of occasional floaters or spots moving in front of his eyes. The nurse should

• Examine the retina to determine the number of floaters
• Presume the patient has glaucoma and refer him for further testing
• Consider these to be abnormal findings and refer him to an ophthalmologist
• Know that floaters are usually insignificant and are caused by condensed vitreous

fibers - CORRECT ANSWER: D. Know that floaters are usually insignificant and are caused by condensed vitreous fibers

A 6-month-old infant has been brought to the well child clinic for a checkup. she is currently sleeping. What should the nurse do first when beginning the examination?

• Auscultate the lungs and heart while the infant is sleeping
• Examine the instance hips, because this procedure is uncomfortable
• Begin with the assessment of the eye, and continue with the remainder of the

examination in a head to toe approach

• Wake the infant before beginning any portion of the examination to obtain the most

accurate assessment of body systems - CORRECT ANSWER: A. Auscultate the lungs

and heart while the infant is sleeping

A 60-year-old male patient has been treated for pneumonia for the past 6 weeks. he is seen today in the clinic for an unexplained weight loss of 10 pounds over the last 6

weeks. the nurse knows that:

• Weight loss is probably the result of unhealthy eating habits
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