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WorksheetsHEALTH EXAM 4
Total questions: 50
Worksheet time: 2hrs 40mins
During a health history, the patient states "I have pain all the time in my stomach. Its worse 2 hours after I eat, but it gets better if I eat again" Based on these symptoms, the nurse suspects that the patient has which condition?
appendicitis
gastric ulcer
duodenal ulcer
cholecystitis
The nurse is preparing to examine a patient who has been complaining of right lower quadrant pain. Which technique is correct during the assessment?
examine the tender area first
examine the tender area last
avoid palpating the tender area
palpate the tender area first, then auscultate for bowel sounds
During an abdominal assessment, the nurse tests for a fluid wave. A positive fluid wave test occurs with:
splenomegaly
distended bladder
constipation
ascites
During an assessment, the nurse notices that a patients umbilicus is enlarged and everted. It is positioned midline with no change in skin color. The nurse recognizes that the patient may have which condition?
intra-abdominal bleeding
constipation
umbilical hernia
abdominal tumor
During reporting, the student nurse hears that a patient has hepatomegaly and recognizes that this term refers to:
enlarged liver
enlarged spleen
distended bowel
excessive diarrhea
The nurse is assessing a patient for possible peptic ulcer disease. Which condition or history often causes this problem?
hypertension
streptococcal infections
recurrent constipation with frequent laxative use
frequent use of NSAIDs
The nurse is reviewing statistics for lactose intolerance. In the US, the incidence of lactose intolerance is higher in adults of which ethnic group?
blacks
hispanics
whites
asians
When palpating the abdomen of a 20 year old patient, the nurse notices the presence of tenderness in the left upper quadrant with deep palpation. Which of these structures is most likely to be involved?
spleen
sigmoid colon
appendix
gallbladder
Which of these percussion findings would the nurse expect to find in a patient with a large amount of ascites?
dullness across the abdomen
flatness in the right upper quadrant
hyperresonance in the left upper quadrant
tympany in the right and left lower quadrants
A patient is suspected of having inflammation of the gallbladder, or cholecystitis. The nurse should conduct which of these techniques to assess for this condition?
obturator test
test for murphy sign
assess for rebound tenderness
iliopsoas muscle test
The nurse is assessing the abdomen of an older adult. Which statement regarding the older adult and abdominal assessment is true?
abdominal tone is increased
abdominal musculature is thinner
abdominal rigidity with an acute abdominal condition is more common
the older adult with an acute abdominal condition complains more about pain than younger people
During an abdominal assessment, the nurse elicits tenderness on light palpation in the right lower quadrant. The nurse interprets that this finding could indicate a disorder of which of these structures?
spleen
sigmoid
appendix
gallbladder
The nurse notices that a patient has had a black, tarry stool and recalls that a possible cause would be:
gallbladder disease
overuse of laxatives
gastrointestinal bleeding
localized bleeding around the anus
An older patient has been diagnosed with pernicious anemia. The nurse knows that this condition could be related to:
increased gastric acid secretion
decreased gastric acid secretion
delayed gastrointestinal emptying time
increased gastrointestinal emptying time
The external male genital structures include the:
testis
scrotum
epididymis
vas deferens
A male patient with possible fertility problems asks the nurse where sperm is produced. The nurse knows that sperm production occurs in the:
testes
prostate
epididymis
vas deferens
During an examination of an aging man, the nurse recognizes that normal changes to expect would be:
enlarged scrotal sac
increased pubic hair
decreased penis size
increased rugae over the scrotum
A 59 year old patient has been diagnosed with prostatitis and is being seen at the clinic for complaints of burning and pain during urination. He is experiencing:
dysuria
nocturia
polyuria
hematuria
The nurse is examining the glans and knows which finding is normal for this area?
the meatus may have a slight discharge when the glans is compressed
hair is without pest inhabitants
the skin is wrinkled and without lesions
smegma may be present under the foreskin of an uncircumcised male
When performing a genitourinary assessment, the nurse notices that the urethral meatus is ventrally positioned. This finding is:
hypospadias
phimosis
due to a stricture
associated with aging
When performing a scrotal assessment, the nurse notices that the scrotal contents show a red glow with transillumination. On the basis of this finding, the nurse would:
assess the patient for the presence of a hernia
suspect the presence of serous fluid in the scrotum
consider this finding normal, and proceed with the exam
refer the patient for evaluation of a mass in the scrotum
The nurse is describing how to perform a testicular self-examination to a patient. Which statement is most appropriate?
a good time to examine your testicles is just before you take shower
if you notice an enlarged testicle or a painless lump, call your health care provider
the testicle is egg shaped and movable. It feels firm and has a lumpy consistency
perform a testicular exam atleast once a week to detect the early stages of testicular cancer
When performing a genital assessment on a middle aged man, the nurse notices multiple soft, moist, painless papules in the shape of cauliflower-like patches scattered across the shaft of the penis. These lesions are characteristic of:
carcinoma
syphilitic chancres
genital herpes
genital warts
The nurse is performing an examination of the anus and rectum. Which of these statements is correct and important to remember during this examination?
the rectum is approximately 8 cm long
the anorectal junction cannot be palpated
above the anal canal, the rectum turns anteriorly
no sensory nerves are in the anal canal or rectum
A 60 year old patient has just been told that he has benign prostatic hypertrophy. He has a friend who just died from cancer of the prostate. He is concerned this will happen to him. How should the nurse respond?
the swelling in your prostate is only temporary and will go away
we will treat you with chemo so we can control the cancer
it would be very unusual for a man your age to have cancer of the prostate
enlargement of your prostate is caused by hormonal changes, not cancer
The nurse is preparing to palpate the rectum and should use which of these techniques? The nurse should:
flex the finger, and slowly insert it toward the umbilicus
first instruct the patient that this procedure will be painful
insert an extended index finger at a right angle to the anus
place the finger directly into the anus to overcome the tight sphincter
During an assessment of a 20 year old man, the nurse finds a small palpable lesion with a tuft of hair located directly over the coccyx. The nurse knows that this lesion would most likely be a:
rectal polyp
pruritus ani
carcinoma
pilonidal cyst
During an examination, the nurse asks the patient to perform the valsalva maneuver and notices that the patient has a moist, red, donut shaped protrusion from the anus. The nurse knows that this finding is consistent with a:
rectal polyp
hemorrhoid
rectal fissure
rectal prolapse
During a speculum inspection of the vagina, the nurse would expect to see what at the end of the vaginal canal?
cervix
uterus
ovaries
fallopian tubes
Generally, the changes normally associated with menopause occur because the cells in the reproductive tract are:
aging
becoming fibrous
estrogen dependent
able to respond to estrogen
The nurse is reviewing changes that occur with menopause. Which changes are associated with menopause?
Uterine and ovarian atrophy, along with a thinning of the vaginal epithelium
ovarian atrophy, increased vaginal secretions, and increasing clitoral size
cervical hypertrophy, ovarian atrophy, and increased acidity of vaginal secretions
vaginal mucosa fragility, increased acidity of vaginal secretions, and uterine hypertrophy
A patient is being assessed for range of joint movement. The nurse asks him to move his arm in toward the center of his body. This movement is called:
flexion
abduction
adduction
extension
A patient tells the nurse that she is having a hard time bringing her hand to her mouth when she eats or tries to brush her teeth. The nurse knows that for her to move her hand to her mouth, she must perform which movement?
flexion
abduction
adduction
extension
The articulation of the mandible and the temporal bone is known as the:
intervertebral foramen
condyle of the mandible
temporomandiublar joint
zygomatic arch of the temporal bone
The nurse is checking the range of motion in a patients knee and knows that the knee is capable of which movement(s)?
flexion and extension
supination and pronation
circumduction
inversion and eversion
An 85 year old patient comments during his annual physical examination that he seems to be getting shorter as he ages. The nurse should explain that decreased height occurs with aging because:
long bones tend to shorten with age
the vertebral column shortens
a significant loss of subcutaneous fat occurs
a thickening of the intervertebral disks develops
A patient has been diagnosed with osteoporosis and asks the nurse, "what is osteoporosis?" The nurse explains that osteoporosis is defined as:
increased bone matrix
loss of bone density
new, weaker bone growth
increased phagocytic activity
The nurse is teaching a class on preventing osteoporosis to a group of perimenopausal women. Which of these actions is the best way to prevent or delay bone loss in this group?
taking calcium and vitamin D supplements
taking medications to prevent osteoporosis
performing physical activity, such as fast walking
assessing bone density annually
A patient states, "I can hear crunching or grating sound when I kneel." She also states that it is very difficult to get out of bed in the morning because of stiffness and pain in my joints. The nurse should assess for signs of?
crepitation
bone spur
loose tendon
fluid in the knee joint
The nurse is performing a vision exam. Which of these charts is most widely used for vision exams?
snellen
shetllen
smoolen
schwellon
During an exam, the nurse notices that a patients legs turn white when they are raised above the patients head. The nurse should suspect:
lymphedema
raynaud disease
chronic arterial insufficiency
chronic venous insufficiency
The nurse documents that a patient has coarse, thickened skin and brown discoloration over the lower legs. Pulses are present. This finding is probably the result of:
lymphedema
raynaud disease
chronic arterial insufficiency
chronic venous insufficiency
The nurse notices that a patient has ulcerations on the tips of the toes and on the lateral aspect of the ankles. This finding indicates:
lymphedema
raynaud disease
arterial insufficiency
venous insufficiency
A patient tells the nurse, "Sometimes I wake up at night and I have real trouble breathing. I have to sit up in bed to get a good breath. When documenting this information, the nurse would note:
orthopnea
acute emphysema
paroxysmal nocturnal dyspnea
acute shortness of breath episode
The nurse suspects that a patient has carpal tunnel syndrome and wants to perform the phalen test. To perform this test, the nurse should instruct the patient to:
dorsiflex the foot
plantarflex the foot
hold both hands back to back while flexing the wrists 90 degrees for 60 seconds
hyperextend the wrists with the palmar surface of both hands touching, and wait for 60 seconds
During an exam, the nurse notices that a patient is unable to stick out his tongue. Which cranial nerve is involved with the successful performance of this action?
I
V
XI
XII
During an exam, a patient has completed the finger-to-nose and rapid-alternating movements tests and is able to run each heel down the opposite shin. The nurse will conclude that the patients ____ function is intact.
occipital
cerebral
temporal
cerebellar
While recording in a patients medical record, the nurse notices that a patients Hematest results are positive. This finding means that there is:
crystals in the urine
parasites in the stool
occult blood in the stool
bacteria in the sputum
The nurse notices that a woman in an exercise class is unable to jump rope. The nurse is aware that to jump rope, that ones shoulder has to be capable of:
inversion
supination
protraction
circumduction
When the nurse performs the confrontation test, the nurse has assessed:
extraocular eye muscles
pupils (PERRLA)
near vision
visual fields
