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Question 12 2 It is important to ask about any abdominal surgical scarring you see during a client’s examination, if the client has not mentioned it, as this can alert you to the potential existence of what? a. Psychiatric or ego disorders as evidenced by cosmetic surgeries b. Health disorders the clients may have forgotten to mention to you c. A past history of bowel obstruction for the client d. Possible presence of underlying adhesions or excess fibrous tissue Question 13 Which of the following is a minor risk factor for developing osteoporosis? a. Age b. Malabsorption syndrome c. Early menopause d. Smoking Question 14 When performing an abdominal assessment on a client experiencing abdominal distress, in which order does the nurse proceed with the assessment? a. Inspection, Auscultation, Palpation, Percussion b. Inspection, Percussion, Auscultation, Palpation c. Inspection, Auscultation, Percussion, Palpation d. Inspection, Palpation, Auscultation, Percussion Question 15 Which of the statements below is an unexpected finding? a. Broncho vesicular sounds, moderate pitched, heard around the sternum b. Bronchial sounds, high pitched, heard over the trachea c. Vesicular sounds, low pitched, heard over major peripheral lung fields d. Bronchial sounds, high pitched, heard over major peripheral lung fields Question 16 Which statement reflects the correct technique and rationale for assessing the carotid arteries? a. Nurses palpate both pulses simultaneously to assess for symmetry b. Nurses palpate only one carotid artery at a time to prevent decrease in cerebral blood flow c. Nurses palpate carotid artery in Trendelenburg’s position to assess for 2+ strength d. Nurses position client supine to assess for Point of Maximal Impulse (PMI) Question 17 Which statement is true regarding tactile fremitus? 3 a. Fremitus is decreased when the lung is consolidated in pneumonia b. Fremitus is increased when the lung has excess air in pneumothorax c. Fremitus is unchanged when the lung is consolidated in pneumonia d. Fremitus is increased when the lung is consolidated in pneumonia Question 18 A resident trips down the stairs and is diagnosed with a sprained ankle. Which health teaching instructions will you give to the resident? a. Put hot water on the foot to allow vasoconstriction and reduce swelling b. Elevate the foot on pillows above the level of heart to promote fluid return c. Take 1000 mg of extra strength Tylenol every two hours of pain d. Encourage the resident to rest as much as possible after the pain subsides. Question 19 Which statement below is a true statement regarding pain? a. Pain is an objective finding and can be assessed using a pain scale b. Pain is mixture of subjective and objective findings assessed by a nurse c. Pain is a subjective finding and can be assessed using a pain scale d. Pain is assessed using pain scale for an infant or an toddler
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