You note from the patient’s history that she has had pain with internal rotation of her right shoulder.
Question 1You note from the patient’s history that she has had pain with internal rotation of her right shoulder.
This will most likely affect which of the following activities?
Brushing the back of her short hair
( NOT SURE about 1 or 2)
Fastening her bra behind her back
Mopping the floor
Reaching an item off the top shelf of her closet, over her head.
Question 2While assessing an adult client’s jaw, the nurse hears a clicking popping sound, and the client expresses pain in the joint.
The nuse should further assess the client for:
Previous facial fracture
Bruxism
Temporomandibular Joint Dysfunction
Degenerative disease
Question 3A nurse is assessing a client’s strength muscular strength. The client has full strength in his arms.
How would the nurse document this? “Strength in arms bilaterally is _____”
100
10
5
3
Question 4A patient has an exaggerated lumbar curve to the lower spine. This would be documented as:
Kyphosis
Scoliosis
Lordosis
Flattened lumbar curve
Question 5What test would be performed when assessing sensory function–not motor function- of the facial nerve? (Cranial Nerve VII)
ask the client to clench teeth and bite down
touch posterior 1/3 of the tongue with salt or sugar
touch anterior 2/3 of the tongue with salt or sugar
ask the client to smile and frown
Question 6A client has presented to the emergency department (ED) with a lower leg laceration that she suffered “while I was on a bender last night.”
The nurse recognizes the need to screen for alcohol use and will implement the CAGE questionnaire. What question will the nurse ask during this assessment?
“Have you ever felt guilty about your alcohol use?”
“Have you ever been treated for alcohol abuse?”
“Have you ever vomited blood after drinking alcohol?”
“Have you ever experienced a memory blackout after drinking?”
Question 7The nurse is assessing a client using the Glasgow Coma Scale following an acute hypoglycemic episode and obtains a score of 15.
The nurse interprets this as indicating which of the following?
Obtunded
Alert and oriented
Coma
Deep coma
Question 8A female in Tanner stage 5 would have which sexual characteristics?
Projection of areola and nipple; pubic hair coarse, curly, but sparse over pubis.
Adult configuration of breast, with projection of the nipple; pubic hair in pattern of inverse triangle.
Prepubertal breast with elevation of nipple only; no pubic hair.
Breast bud stage; pubic hair is sparse, long and straight.
Question 9 The school nurse is assessing a 15-year-old client. The nurse should understand that this child’s current priorities will most likely reflect what developmental task?
Learning new information
Exerting influence
Developing a personal identity
Becoming productive
Question 10 When the nurse palpates the abdomen of a preschool boy, he begins to giggle and draw his legs up onto his abdomen, and says you’re tickling him. Which of the following would be most appropriate for the nurse to do?
Omit the entire abdominal exam.
Ask the parent to discipline the child.
Explain the purpose of the exam to the child.
Palpate with the child’s hand under the nurse’s hand.
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