NURS 212 Final Exam

A nurse is providing education to a young adult about the human pappollomavirus (HPV) vaccine. Which of the following information should the nurse include in the teaching?

An HPV infection can lead to the development of cancer

A nurse is performing an assessment of a client's abdomen. Which of the following actions should the nurse take?

Auscultate bowel sounds prior to palpating

A nurse is discussing breast cancer with a group of male clients. The nurse should include that which of the following findings is a potential indication of breast cancer?

Dilation of the hair follicles Nipple retraction A small buldging nodule lateral to one breast

A nurse is performing a breast inspection on a client. Which of the following findings should the nurse report to the provider?

Dimpling

A nurse is preparing to conduct a head to assessment on a client in an outpatient setting. At which of the following times should the nurse plan to collect information about the client's general appearance?

During an interview about the client's health history When introducing themselves While collecting the client's vital signs

A nurse is caring for a male client who reports the presence of yellow discharge from the meatus and burning with urination. Which of the following infections should the nurse suspect?

Gonorrhea

A nurse is an outpatient setting is performing a head-to-toe exam on a client. Which of the following should the nurse inspect while observing general survey on a client?

Hygiene Posture

A nurse is caring for an older adult client who has an enlarged prostate and reports difficulty voiding. Which of the following actions should the nurse take?

Inspect the cleints suprapubic area for distention Notify the provider if the bladder scan residual volume is greater than 100 mL Ask the client if they are experiencing pain or burning sensation when voiding

A nurse is preparing to assess the status of a client's upper extremities. Which of the following actions should the nurse take?

Inspect the condition of each fingernail Compare amplitude of radial pulses Palpate shoulder, elbow, wrist, finger joints

A nurse is performing an assessment of a client's lower extremities. Which of the following actions should the nurse include in this assessment?

Inspect the pattern of hair distribution

A nurse is assessing a client's neck. Which of the following should the nurse ask the client to perform during this assessment?

Instruct the client to swallow Apply downward pressure, ask client to shrug shoulders Request the client move their head forward and backward then side to side

Order of self-breast exam

Look at breasts in front of a mirror with hands on hips. Inspect for changes in color, shape, contour Inspect nipples for rash or drainage Lie down, use pads of 2nd, 3rds, and 4th finger Palpate each from outer edge, and top to bottom

A nurse is preparing to care for a group of clients in an acute care setting. Which of the following assessments should the nurse plan to perform on every client?

Lung Sounds Bowel Sounds Pedal Pulses Mental Status

A nurse is caring for a male client who was recently diagnsed with gynecomastia. WHich of the following should the nurse identify as a potential cause of this condition?

Medication adverse effects

A nurse is teaching a group of female clients about breast self awareness. Which of the following instructions should the nurse include?

Menstruating females should examine their breast about 5 days after their cycle begins

A nurse is teaching a newly licensed nurse about nipple inspection. Which of the following should the nurse include as an example of an expected variation of the nipple?

Nipple inversion since puberty a

A nurse is assessing a clients posterior and lateral chest. Which of the following actions should the nurse take?

Observe for the use of accessory muscles during inspiration

A nurse is performing an assessment on a client who reports ear pain. Which of the following actions should the nurse take?

Palpate the mastoid area for pain

A nurse is providing education to a female client who has expressed a desire to use a natural method of contraception. Which of the following methods should the nurse recommend?

Withdrawal Fertility track with perodic abstinence

A nurse is teaching a group of newly licensed nurses about routine mammography screenings for female clients. Which of the following statements by a newly licensed nurse indicated an understanding of the teaching?

"A 55 year old client should recieve mammography screenings at least every 2 years"

A nurse is evaluating an older adult client for an alteration in orientation. Which of the following questions should the nurse ask the client?

"Can you tell me what month it is?"

A nurse is inserting a urinary catheter for a female adolescent. Which of the followign findings should the nurse report to the provider?

An area of tenderness on the labia majora

A nurse is preparing to review health promotion recommendations for breast health with a client. Which of the following actions should the nurse plan to take when reviewing health promotion recommendations for breast health.

Ask the client to describe the process for self exam Document instructions provided Review recommendations basked on risk with client

A nurse is assessing a client's vital signs. While counting the number of respirations, which of the following information should the nurse collect?

Characteristics of the respirations

A nurse is inspecing the anterior chest of a client. Which of the following findings should the nurse report to the provider?

Distended veins in one breast

A nurse is caring for a client who reports palpable lymph nodes under one axilla. The nurse can see small nodules under the sking in the area the client describes. Which of the following should th enurse identify as a potential cause of the clients lymph node enlargement?

Infection

A nurse is inspecting the genitalia of an older adult female client. For which of the following findings should the nurse notify the provider?

Labial Ulcerations

A nurse is preparing to perform a head-to-toe exam on a client. Which of the following tools should the nurse plan to gather?

Penlight Stethoscope Sphygmomanometer

A nurse is preparing to assist the provider with an assessment of a female client's genitourinary system. Which of the following actions should the nurse plan to take?

Position the client supine with the head of the bed elevated

A nurse is performing a physical assessment of a client. In which of the following positions should the nurse place the client prior to inspecting the clients breast?

Prior to inspecting the clients breast the nurse should place the client in a seated position with their arms relaxed and close to the body.

A nurse is performing a breast exam and notices that the clients right arm is edematous. Which of the following should the nurse identify as a potential cause of this condition?

Recent surgery on the right side

A nurse is assessing a client's radial pulse rate. Which of the following information should the nurse collect while performing this action?

Regularity of the pulse Strength of the pulse

A nurse is performing a breast inspection during a client's routine physical exam. Which of the following findings should the nurse report to the provider?

Scaley skin at the border of one areola

A nurse is inspecting a clients axillae. Which of the following should the nurse indentify as an expected finding?

Skin has a uniform consistency

A nurse is preparing to assess a clients genitalia. Which of the following actions should the nurse plan to take?

Use a firm, deliberate touch when palpating

A nurse is obtainting a past health hostory for a client prior to a breast exam. Whihc of the following questions should the nurse ask while obtaining the clients past health history?

"Have you ever had a breast disease" "Have you ever experienced breast trauma" "have you had breast surgery" "Do you perform breast self exams"

A nurse is providing teaching about the prevention of sexually transmitted infections to a 19-year-old client who is sexually active and reports having multiple partners. Which of the following client responses demonstrates an understanding of the teaching?

"I should plan on getting tested each year for sexually transmitted infections / diseases"

A nurse is reviewing breast self exam techniques with a client. Which of the following client statements indicates an understanding of the techniques?

"I will use circular motions to feel the texture of my breast tissue"

A nurse is providing education to a male client about health promotion screenings. Which of the following information should the nurse include in the teaching?

A digital rectal exam can dected enlargemnent of the prostate gland

A nurse is providing a bed bath for an older adult client who is immobile. Which of the following findings should the nurse report to the provider?

An inabiltiy to retract the foreskin

A nurse is planning to complete a physical assessment on a client. Which of the following actions should the nurse plan to include?

Use quotation marks when documenting client statements

A nurse is inspecting the genitals of an adult male client. Which of the following should the nurse identify as expected findings?

Visible dorsal veins on the underside of the underside of the penile shaft Testes that are easily moveable during palpation

A nurse is inspecting a clients rectal area and noted the presence of buldging red tissue that encompasses the entire anal opening. Which of the following should the nurse suspect?

rectal prolapse