NSG 520 Midterm Practice Questions Latest

NSG 520 Midterm Practice Questions Latest Update - 130 Questions and 100% Verified Correct Answers Guaranteed A+ Approved by the Professor

• The nurse is going to assess a patient who has been admitted for heart failure. He

has a long history of poorly controlled hypertension. The nurse recognizes which

findings as consistent with this history? Select all that apply:

• Crushing chest pain
• Auscultation of S3 and S4 heart sounds
• prolonged sleep

d. The PMI is lower and more lateral than expected. - CORRECT ANSWER: b.

Auscultation of S3 and S4 heart sounds

• prolonged sleep
• The PMI is lower and more lateral than expected.

A 45-year-old patient complains of irregular periods, weight gain, fatigue, constipation, cold intolerance and dry skin and hair. Her pulse is 60. Which finding is most likely in this patient?

• Alopecia
• Lymphadenopathy
• Scattered wheezes across all lung fields bilaterally.
• Soft, diffuse bilateral enlargement of the thyroid. - CORRECT ANSWER: d. Soft,

diffuse bilateral enlargement of the thyroid.

A 72-year-old man who has smoked since age 16 states: "I can hardly walk a block before my legs hurt so much I have to stop and rest." Which findings does the nurse

expect? Circle all that apply:

• Capillary refill of 4 seconds in bilateral toes.
• Bilateral pitting pre-tibial edema. (more DVT)? 1 / 4

• Increased circumference of the right calf as compared to the left. (more DVT)
• Pedal pulses 1+ bilaterally. - CORRECT ANSWER: a. Capillary refill of 4 seconds in

bilateral toes.

• Bilateral pitting pre-tibial edema. (more DVT, but still accepted)
• Pedal pulses 1+ bilaterally.

A patient presents in the Emergency Department with dyspnea. Which findings point to

a respiratory cause for this distressing symptom? Select all that apply:

• Anterior-posterior and lateral chest measurements are equal.
• Bilateral pitting dependent edema. (cardiology)
• Cough that occurs at night after lying supine for several hours.

d. Patient leans forward and uses pursed-lip breathing. - CORRECT ANSWER: a.

Anterior-posterior and lateral chest measurements are equal.

• Cough that occurs at night after lying supine for several hours.
• Patient leans forward and uses pursed-lip breathing.

A patient reports an achy, throbbing pain after fracturing her wrist. The nurse recognizes

this as:

• Cutaneous pain
• Referred pain
• Somatic pain

d. Visceral pain - CORRECT ANSWER: c. Somatic pain

A patient tells the nurse: "Yesterday and today I've had chills, so I decided to come to the clinic today." The nurse documents this data in which section of the health record?

• Chief complaint/presenting problem
• History of present illness
• Past medical history

d. Nursing diagnosis - CORRECT ANSWER: a. Chief complaint/presenting problem

• / 4

After assessing a patient, the nurse documents which finding as subjective data in the patient history?

• The patient is scratching her arm.
• The patient reports itching of her arms & legs.
• The patient's skin feels warm to the touch.
• The patient's temperature is 100 degrees Fahrenheit. - CORRECT ANSWER: b. The

patient reports itching of her arms & legs.

After reading that a new clinic patient has a history of nystagmus, which finding does the nurse expect?

• An asymmetric corneal light reflex
• Balance and coordination problems
• Rhythmic side-to-side oscillations of the iris & pupil triggered by extreme lateral gaze.
• Unequal pupillary response to light - CORRECT ANSWER: c. Rhythmic side-to-side

oscillations of the iris & pupil triggered by extreme lateral gaze

As part of a complete health assessment, the nurse asks the patient about any symptoms or problems with the skin, HEENT system, respiratory system, cardiac

system, etc. This component of the health assessment is termed the:

• Chief Concern
• Past medical history
• Review of Systems

d. Physical examination - CORRECT ANSWER: c. Review of Systems

During a problem-based history, a patient reports having difficulty swallowing. Based on this information, how does the nurse assess the appropriate cranial nerve?

• By asking the patient to indicate when a wisp of cotton is felt along the jaw line.
• By assessing bilateral masseter strength.
• By observing the palate and uvula when the patient says "Ahh".
• By observing the symmetry of the face when the patient talks. - CORRECT

ANSWER: c. By observing the palate and uvula when the patient says "Ahh". 3 / 4

During an examination of the head and neck of a healthy adult, the nurse expects which

findings? Select all that apply:

• Small red lesions with white flakes scattered on the scalp
• Head held flexed 15 degrees to the left
• Face and jaw are symmetric and proportional

d. Temporomandibular joint moves smoothly - CORRECT ANSWER: c. Face and jaw

are symmetric and proportional

• Temporomandibular joint moves smoothly

During inspection of a patient's upper back, the nurse notices three small, elevated superficial lesions filled with purulent fluid. How does the nurse document this finding?

• As three cysts on the upper back
• As several bullae on the back
• As three pustules on the upper back

d. As three wheals on the upper back - CORRECT ANSWER: c. As three pustules on

the upper back

Ear exam for adults: - CORRECT ANSWER: Tilt head toward opposite side Pull pinna up and back

Ear exam for young child/infant: - CORRECT ANSWER: Tilt head toward opposite side Pull pinna down and forward

How does the nurse test the function of the patient's spinal accessory nerve (CN XI)?

• Ask the patient to stick out the tongue and move it side to side.
• Ask the patient to shrug the shoulders against the resistance of the nurse's hands.
• Ask the patient to open the mouth and observe the uvula rise when he says "ah."
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