Central Texas College NURSING 1115 Power Point Chapter 13 1)A nurse practitioner is performing a routine check-up on an adult male

Central Texas College

NURSING 1115

Power Point Chapter 13

1)A nurse practitioner is performing a routine check-up on an adult male. As the nurse begins the abdominal assessment, the nurse knows to:

1.            Begin with observation of the patient’s general behavior.

2.            Begin with palpation if the patient is in pain.

3.            Ask the patient if he has noted any vascular sounds in the abdomen before.

4.            Ask the patient to straighten his legs for the abdominal exam.

2.            As the nurse assesses the patient, the following is noted. What would be the most accurate assessment of this?

a Osteoarthritis

b Ulnar deviation

c Congenital anomaly

d Osteomalacia

3.            The musculoskeletal assessment requires a patient to perform multiple exercises for identifying health status of this system. To test trapezius muscle strength, the nurse should ask the patient to:

1.            Shrug his shoulders against resistance.

2.            Lift his knee against resistance.

3.            Hyperextend his leg without resistance.

4.            Touch his toes from the standing position.

4. A patient suffered a head injury, and the neurologist notes a deficit in cerebellar function. As the nurse performs the neurologic assessment, which finding indicates a deficit in cerebellar function?

1.            The patient is unable to count by serial sevens in reverse order.

2.            When doing the heel-shin exercise (patient supine), the patient’s heel overshoots shin and

oscillates.

3.            The patient is unable to identify a paper clip (altered stereognosis).

4.            The right patellar deep tendon reflex is diminished.

5.The musculoskeletal examination should begin when:

1.            the patient enters the examination room.

2.            during the collection of subjective data.

3.            when height is measured.

4.            when joint mobility is assessed.

6.In differentiating osteoarthritis from rheumatoid arthritis (RA), the osteoarthritis patient typically exhibits:

1.            pain most pronounced after periods of rest.

2.            depression.

3.            sudden onset.

4.            less weakness and fatigue.

7. In assessing a client with damage to the occipital lobe, the nurse correlates which clinical manifestation to this injury?

a.            Intentional tremors

b.            Visual changes

c.             Decreased hearing

d.            Inability to formulate words