Health assessment exam 2 sherpath questions

Which organs are located at the right upper quadrant (RUQ) in the abdomen? Select all that apply. a. Liver b. Cecum c. Stomach d. Gallbladder e. Duodenum

a. Liver d. Gallbladder e. Duodenum

Which internal organs constitute solid viscera? Select all that apply. a. Liver b. Colon c. Kidneys d. Ovaries e. Stomach

a. Liver c. Kidneys d. Ovaries

During the chest assessment of a patient, which reference line would the nurse note on the posterior chest wall? a. Midspinal b. Midaxillary c. Midsternal d. Midclavicular

a. Midspinal

Which heart sound occurs because of the closure of the semilunar valves? a. First heart sounds (s1) b. Second heart sound (s2) c. Third heart sound (s3) d. Fourth heart sounds (s4)

b. Second heart sound (s2)

Which condition would be associated with melena? a. Anorectal fistula b. Hemorrhoidal bleeding c. Ingestion of iron tablets d. Upper gastrointestinal bleeding

d. Upper gastrointestinal bleeding

Which procedures would the nurse follow when preparing for an abdominal examination? Select all that apply. a. Keep the room warm b. Ask the patient to be in a prone position c. Ask the patient to stretch his or her knees d. Ask the patient to empty his or her bladder e. Cool the stethoscope endpiece before using

a. Keep the room warm d. Ask the patient to empty his or her bladder

The nursing instructor is talking with a nursing student about superficial nodes of the lymphatic system that are accessible to inspection and palpation. Which statement by the nursing student indicated effective learning? a. "Cervical nodes drain the head and neck." b. "Axillary nodes drain the hand and lower arm." c. "Epitrochlear nodes drain the breast and upper arm." d. "Inguinal nodes drain the posterior abdominal wall."

a. "Cervical nodes drain the head and neck."

Which statement made by a student nurse indicates the need for further teaching related to assessing bowel sounds? a. "It is imperative to listen to bowel sounds in all four quadrants." b. "It is not necessary to count the bowel sounds." c. "Bowel sounds may occur 5 to 30 times per minute." d. "Listen for 5 minutes to confirm the absence of bowel sounds."

a. "It is imperative to listen to bowel sounds in all four quadrants."

In which positions would the nurse place the male patient during a rectal examination? Select all that apply. a. Lithotomy b. Standing c. Supine d. Left lateral e. Semi- Fowler's

a. Lithotomy b. Standing d. Left lateral

Which is the appropriate response to a parent of a 12-year-old child who asks why the human papillomavirus (HPV) vaccine is given to a child who is not sexually active? a. "This gives time for immunity to develop before a child becomes sexually active." b. "This is how the insurance company requires the vaccine to be administered." c. "This vaccine is designed to prevent the onset of pelvic inflammatory disease." d. "The vaccine includes three injections to be given one year apart for effectiveness."

a. "This gives time for immunity to develop before a child becomes sexually active."

Which patient population is most likely to be affected by scoliosis? a. Adolescents b. Menopausal c. Postmenopausal women d. Women who exercise regularly

a. Adolescents

Which characteristics are included in the assessment of breath sounds? Select all that apply. a. Amplitude b. Depth c. Pitch d. Quality e. Pressure

a. Amplitude c. Pitch d. Quality

Which finding would the nurse identify as normal when assessing the chest of an older adult patient? a. An outward curvature noted in the thoracic spine b. Deeper respirations with a 40% increase in the tidal volume c. Costal angle is about 50% wider than seen in the younger adult d. Anteroposterior diameter is less than the transverse diameter

a. An outward curvature noted in the thoracic spine

Which findings are considered normal in a patient who is pregnant? Select all that apply. a. Apical impulse sits higher b. Increase in loudness of s1 c. A slight left axis deviation d. Harsh holosystolic murmur e. Low-pitched diastolic rumble

a. Apical impulse sits higher b. Increase in loudness of s1 c. A slight left axis deviation

On reviewing a patient's lab reports, the patient screens positive on a Pap test, and the nurse knows this may be an indicator of which disease process? a. Cervical cancer b. Endometriosis c. Uterine polyps d. Tubal pregnancy

a. Cervical cancer

Which physiologic mechanism causes the first heart sound? a. Closing of the mitral valve b. Filling of the ventricle c. Closing of the aortic valve d. Closing of the pulmonic vlave

a. Closing of the mitral valve

After open thoracic surgery, the nurse notes a crackling sensation upon palpating the patient's chest wall. The nurse reports which condition to the provider? a. Crepitus b. Rhonchal fremitus c. Decreased fremitus d. Pleural friction fremitus

a. Crepitus

What changes take place during the process inspiration? Select all that apply. a. Diaphragm descends b. Elastic recoil property acts c. Intercostal muscles contract d. Intrathoracic pressure decreases e. Anteroposterior diameter decreases

a. Diaphragm descends c. Intercostal muscles contract d. Intrathoracic pressure decreases

Which problem would the nurse except to find in a patient with dysphagia? a. Difficulty in swallowing b. Loss of weight and appetite c. Intolerance to milk products d. Burning sensation in the esophagus

a. Difficulty in swallowing

Which would the nurse infer when the patient reports having pain and a burning sensation during urination? a. Dysuria b. Oliguria c. Hematuria d. Stress incontinence

a. Dysuria

A patient who has undergone radiation therapy for breast cancer has brawny edema and unilateral swelling and tells the nurse, "I feel tired all the time, my arms are so heavy, and my jewelry does not fit anymore." Which condition is the patient likely to have? a. Early lymphedema b. Chronic hypotension c. Superficial varicose veins d. Deep vein thrombosis

a. Early lymphedema

Which developmental changes would the nurse be able to observe in a male preadolescent during a physical exam? Select all that apply. a. Enlargement of the testis b. Increase in the penis size c. Appearance of pubic hair d. Pendulous appearance of the scrotum e. Migration of the testis along the inguinal canal

a. Enlargement of the testis b. Increase in the penis size c. Appearance of pubic hair

Which veins conduct most of the venous return from the legs? Select all that apply. a. Femoral veins b. Popliteal veins c. Perforator veins d. Small saphenous veins e. Great saphenous veins

a. Femoral veins b. Popliteal veins

Which conditions would the nurse monitor to evaluate gastrointestinal motility for the post-abdominal surgery patient? Select all that apply. a. Flatus b. Incisional pain c. Urinary output d. Urinary frequency e. Bowel movements

a. Flatus e. Bowel movements

A patient who is in the third trimester of pregnancy has increased venous pressure and reduced blood flow because of obstruction of the iliac veins and inferior vena cava. Which complications may the patient develop related to these findings? Select all that apply. a. Hemorrhoids b. Pulmonary embolism c. Varicosities in the vulva d. Varicosities in the legs e. Increased uterine contractions

a. Hemorrhoids c. Varicosities in the vulva d. Varicosities in the legs

Which symptoms would the nurse expect to find in a menopausal patient? Select all that apply. a. Hot flashes b. Night sweats c. Mood swings d. Fluid retention e. Vaginal bleeding

a. Hot flashes b. Night sweats c. Mood swings

Which statement is true regarding the right lung? a. It is shorter than the left lung b. It has an upper and lower lobe c. It is narrower than the left lung d. Its lobes sit as horizontal bands

a. It is shorter than the left lobe

Which are the normal features of the spleen? Select all that apply. a. It lies under the diaphragm b. It is a palpable visceral organ c. It lies parallel to the tenth rib d. It extends to the lower quadrants e. It is a soft mass of lymphatic tissue

a. It lies under the diaphragm c. It lies parallel to the tenth rib e. It is a soft mass of lymphatic tissue

Which situations or conditions would cause the prostate-specific antigen (PSA) test to be elevated? Select all that apply. a. Noncancerous prostate growth b. Pilonidal cyst c. Rectal polyp d. Prostatitis e. Ejaculation

a. Noncancerous prostate growth d. Prostatitis e. Ejaculation

Where would the nurse place the stethoscope to assess the patient's bronchial breath sounds? a. Over the trachea and the larynx b. Over the peripheral lung fields c. Posteriorly between the scapulae d. Anteriorly near the upper sternum

a. Over the trachea and the larynx

Which conditions would put patients at higher risk for developing hemorrhoids? Select all that apply. a. Pregnancy b. Type 2 diabetes c. Chronic constipation d. Celiac disease e. Obesity

a. Pregnancy c. Chronic constipation e. Obesity

Which action would the nurse take to assess the symmetry of the patient's abdomen? a. Shine a light lengthwise across the patient b. Ask the patient to exhale and hold breath c. Shine a light away from self across the abdomen d. Ask the patient to perform a sit-up with both hands

a. Shine a light lengthwise across the patient

Which stool characteristic would the nurse observe in a patient with normal feces? a. Soft and brown b. Black and tarry c. Pale yellow and greasy d. Hard and dry

a. Soft and brown

Which assessment finding would the nurse observe in a patient with priapism? a. Sustained, involuntary erection b. Foreskin cannot be retracted c. Painful bending of the penis d. Dorsal meatus opening

a. Sustained, involuntary erection

Which assessment findings of the patient's anterior chest warrant further investigation? Select all that apply. a. The patient breathes through pursed lips b. The costal angle is greater than 90 degrees c. The facial expression is benign and relaxed d. The abdominal muscles indicate hypertrophy e. The ribs are sloping downward symmetrically

a. The patient breathes through pursed lips b. The costal angle is greater than 90 degrees d. The abdominal muscles indicate hypertrophy

Intercostal spaces are numbered based on which structures? a. The ribs present above the spaces b. The vertebrae attached to the spaces c. The tracheal rings present below the spaces d. The intercostal muscles attached to the spaces

a. The ribs present above the spaces

Which statements are true about the pleura? Select all that apply. a. Thin, slippery serous membrane b. Parietal pleura lines the outside of the lungs c. Pleural cavity normally has negative pressure d. Lies between the lungs and the chest wall e. Visceral pleura lines the inside of the chest wall

a. Thin, slippery serous membrane c. Pleural cavity normally has negative pressure d. Lies between the lungs and the chest wall

When is the Pap test performed? a. When a patient reaches 21 years of age b. If a patient complains of abdominal pain or vaginal bleeding c. When there are symptoms of chlamydia infection in the patient d. When the patient is between 35 to 55 years of age, when most cervical cancers occur

a. When a patient reaches 21 years of age

Which finding would the nurse observe in a patient with rectal prolapse? a. Small, round opening in the anal region b. Rounded, red tissue protruding from anus c. A hard, irregular mass inside the anus d. Presence of tuft of hair over the coccyx

b. Rounded, red tissue protruding from anus

Which statements would the nursing instructor include in a lecture about inguinal lymph nodes? Select all that apply. a. They drain the lymph of the head and the neck. b. They drain the lymph of the lower extremities. c. They drain the lymph of the external genitalia. d. They drain the lymph of the breast and upper arm. e. They drain the lymph of the anterior abdominal wall.

b, c, & e

Which statement by the nursing student is an accurate response concerning the vascular system? a. "The walls of the arteries are thinner, and the walls of the veins are thicker." b. "The arteries are high-pressure systems, and the veins are low-pressure systems." c. "The arteries contain intraluminal valves, and the veins are devoid of intraluminal valves." d. "The arteries build up metabolic wastes, and the veins cause symptoms of oxygen deficit."

b. "The arteries are high-pressure systems, and the veins are low-pressure systems."

Which male patient would the nurse ask about receiving the Gardasil vaccine? a. 5 year old b. 10 year old c. 50 year old d. 65 year old

b. 10 year old

At which age in years would the nurse instruct the patient to start prostate-specific antigen (PSA) testing if the patient has a father and brother with prostate cancer at early ages? a. 25 b. 40 c. 50 d. 65

b. 40

Which abnormality would the nurse except in a patient with kyphosis? a. A condition that involves the rotation of the vertebrae b. An exaggerated posterior curvature of the thoracic spine c. A lateral S-shaped curvature of the thoracic and lumbar spine d. An unequal shoulder and scapular height and equal hip levels

b. An exaggerated posterior curvature of the thoracic spine

The accumulation of lymph in the breasts and upper arms is a result of an obstruction of which lymph nodes? a. Cervical b. Axillary c. Inguinal d. Epitrochlear

b. Axillary

The human heart is found in which location? a. Between the right midclavicular line and the right border of the sternum and below the clavicle to the eighth rib b. Between the second and the fifth intercostal spaces from the right edge of the sternum to the left midclavicular line c. Between the third and sixth intercostal spaces from the left midclavicular line to the left midaxillary line d. Between the first and fourth intercostal spaces from the left midaxillary line to the left posterior axillary line

b. Between the second and the fifth intercostal spaces from the right edge of the sternum to the left midclavicular line

Which color of stool would the nurse inform the male patient he might experience while taking iron tablets? a. Pale yellow b. Black c. Red d. Greasy

b. Black

Which assessment findings would the nurse consider as abnormal when reviewing a patient's medical record? Select all that apply. a. Vaginal pH of 4.0 b. Dark and cloudy urine c. Clots in menstrual flow d. Cloudy vaginal discharge e. Yellow-green vaginal discharge

b. Dark and cloudy urine c. Clots in menstrual flow e. Yellow-green vaginal discharge

Which are changes in the gastrointestinal system because of aging? Select all that apply. a. Increased salivation b. Decreased liver size c. Decreased sense of taste d. Impaired drug metabolism e. Rapid esophageal emptying

b. Decreased liver size c. Decreased sense of taste d. Impaired drug metabolism

Which infection would be prevented by administering the Gardasil vaccine to a male patient? a. Tinea cruris b. Genital warts c. Genital herpes d. Syphilitic chancre

b. Genital warts

Which structures would the nurse assess when looking at the mediastinum? Select all that apply. a. Lungs b. Heart c. Trachea d. Esophagus e. Pleural cavities

b. Heart c. Trachea d. Esophagus

Which condition would the nurse be assessing for when examining an infant for a bulge in the inguinal area? a. Tumor b. Hernia c. Chancre g. Infection

b. Hernia

Which medical condition would cause a patient's scrotum to have a red glow of serous fluid upon transillumination? a. Hernia b. Hydrocele c. Orchitis d. Testicular tumor

b. Hydrocele

Which finding of an umbilical cord during a newborn's assessment is cause for concern? a. It is white at birth b. It has one artery and one vein c. It contains Wharton's jelly d. The stump dries within one week

b. It has one artery and one vein

The nurse finds symmetric enlargement of the prostate gland upon examination of an older adult male patient. Which additional signs and symptoms would the nurse monitor for in the patient? Select all that apply. a. Fever b. Nocturia c. Urinary frequency d. Urethral discharge e. Straining to urinate

b. Nocturia c. Urinary frequency e. Straining to urinate

Which section of the electrocardiogram (ECG) indicates atrial depolarization? a. T wave b. P wave c. ORS complex d. ST segment

b. P wave

The nurse instructs a student nurse to palpate the patient's carotid artery. Which action made by the student nurse needs correction? a. Having the patient sit during the examination b. Palpating both carotid arteries at once c. Refraining from excess vagal stimulation d. Not compressing the carotid sinuses

b. Palpating both carotid arteries at once

Which characteristic helps the nurse differentiate an enlarged kidney from an enlarged spleen? a. Expansion is upward b. Percussion is tympanitic c. Presence of a sharp edge d. Presence of a palpable notch

b. Percussion is tympanitic

Which would the nurse expect to find while assessing the abdomen of a patient with chronic emphysema? a. The liver span is larger than normal b. The liver appears to be displaced downward c. The nurse hear hyperresonance on percussion d. There is dullness on percussion on the upper abdomen

b. The liver appears to be displaced downward

Which findings support the nurse's documentation of +4 pitting edema? Select all that apply. a. The patient has moderate pitting. b. The patient has very deep pitting. c. The patient has grossly swollen legs. d. The patient has indentation of long duration. e. The patient has indentation of short duration.

b. The patient has very deep pitting. c. The patient has grossly swollen legs. d. The patient has indentation of long duration.

Which statement describes the structure of the lungs? a. The lungs contain approximately 300 alveoli b. The right lung is shorter and wider than the left lung c. The trachea bifurcates at the level of T10 posteriorly d. The right lung has two lobes, and the left lung has three lobes

b. The right lung is shorter and wider than the left lung

The nurse counsels the pregnant patient to except which changes in the respiratory system? Select all that apply. a. The chest cage ligaments tighten and restrict full expansion b. The total circumference of the chest cage increases by 6 cm c. There is a decrease in the vertical diameter of the thoracic age d.. The patient has an increased awareness of the need to breathe e. The elevation of the diaphragm leads to a decrease in the tidal volume

b. The total circumference of the chest cage increases by 6 cm c. There is a decrease in the vertical diameter of the thoracic age d. The patient has an increased awareness of the need to breathe

Which site is appropriate for palpation of the popliteal pulse? a. at the wrist b. below the knee c. At the inner thigh d. In front of the ear

b. below the knee

Which statements would the nurse include when teaching an aging adult about prevention of constipation? Select all that apply. a. "Include high-fat food in the diet." b. "Include low-fiber foods in the diet." c. "Do not retain stool deliberately." d. "Participate in physical exercise." e. "Drink an adequate quantity of water."

c. "Do not retain stool deliberately." d. "Participate in physical exercise." e. "Drink an adequate quantity of water."

Which statement would be typical from a patient with urge incontinence? a. "Whenever I sneeze or cough, I leak some urine." b. "Lately, I seem to be going in very large amounts. " c. "I accidentally pass a small amount of urine every day." d. "It has started to burn when I go to the bathroom."

c. "I accidentally pass a small amount of urine every day."

Which information would the nurse include in a teaching session regarding testicular self-examinations? a. "Testicular cancer usually affect men after 50 years of age." b. "Avoid self-examination because lesions are difficult to detect." c. "The cure rate of testicular cancer is almost 100% when detected early." d. "There is no need to worry if any hard lumps on the testicles are painless."

c. "The cure rate of testicular cancer is almost 100% when detected early."

Which conditions may be prevented by using the human papillomavirus (HPV) vaccine? Select all that apply. a. Chlamydia b. Gonorrhea c. Anal cancer d. Genital warts c. Cervical cancer

c. Anal cancer d. Genital warts c. Cervical cancer

Which action would the nurse take while auscultating the abdomen of a patient? a. Push the stethoscope against the skin b. Auscultate the abdomen after palpation c. Auscultate using the diaphragm endpiece d. Begin auscultation from the left upper quadrant

c. Auscultate using the diaphragm endpiece

Which assessment findings led the nurse to document a positive Chadwick sign? Select all that apply. a. Softened cervix b. Soft uterine isthmus c. Bluish vaginal mucosa d. Globular-shaped uterus e. Cyanotic appearance of the cervix

c. Bluish vaginal mucosa e. Cyanotic appearance of the cervix

Which breath sounds are considered normal? Select all that apply. a. Crackles b. Wheezes c. Bronchial d. Vesicular e. Bronchovesicular

c. Bronchial d. Vesicular e. Bronchovesicular

Which posterior vertebral is the most prominent spinous process? a. Cervical 1 b. Lumbar 1 c. Cervical 7 d. Thoracic 12

c. Cervical 7

The Pap test is designed to screen for which disease? a. Polypoid tumor b. Ovarian cancer c. Cervical cancer d. Endometrial cancer

c. Cervical cancer

Which statement is correct regarding the position of the heart? a. Changes during early pregnancy b. Centered in dextrocardia c. Depends on the age of the patient d. Depends on the body build, chest configuration, and diaphragm

c. Depends on the age of the patient

Which assessment finding indicates abnormally elevated pressures in the right side of the heart? a. Pulmonary congestion b. Pulmonary hypertension c. Distended neck veins and abdomen d. Systolic blood pressure higher than diastolic blood pressure

c. Distended neck veins and abdomen

Which condition is consistent with the patient's report of pain during her menstrual period, a feeling of being bloated, and breast tenderness? a. Menorrhagia b. Amenorrhea c. Dysmenorrhea d. Vaginal pooling

c. Dysmenorrhea

Which information would the nurse include in a teaching sessions about male genital structures? a. Testes store sperm b. Epididymis produces sperm c. Ejaculatory duct empties into the urethra d. Seminal vesicles form the spermatic cord

c. Ejaculatory duct empties into the urethra

Which term describes the thin layer of endothelial tissue that lines the inner surface of the heart and the valves? a. Myocardium b. Epicardium c. Endocardium d. Pericardium

c. Endocardium

The infant's urethral meatus is located ventrally. Which penis abnormality would the infant have? a. Phimosis b. Epispadias c. Hypospadias d. Paraphimosis

c. Hypospadias

Which is a characteristic of the adnexal structures of the uterus? a. Palpable in a healthy patient b. Includes the bladder and rectum c. Includes the fallopian tubes and ovaries d. Protrudes in an anterior position of the womb

c. Includes fallopian tubes and ovaries

Which description of semilunar valves is correct? a. Intra-arterial valves b. Closed during the ventricular systole c. Lie between the ventricles and the great vessels d. Also called the tricuspid and the mitral valves

c. Lie between the ventricles and the great vessels

In which position would the nurse position the female patient for a pelvis exam? a. Sims b. Supine c. Lithotomy d. Trendelenburg

c. Lithotomy

Which soft, lobulated gland is located behind the stomach? a. Liver b. Spleen c. Pancreas d. Gallbladder

c. Pancreas

Which measures must the nurse take while examining the abdomen? Select all that apply. a. Position the patient's arms above the head. b. Examine painful areas on the abdomen first c. Place a pillow under the head and the knees d. Ask the patient to maintain a supine position e. Obtain the abdominal history during palpation

c. Place a pillow under the head and the knees d. Ask the patient to maintain a supine position e. Obtain the abdominal history during palpation

Which findings during an assessment would the nurse associate with malnutrition? Select all that apply. a. Pink striae b. Glistening skin c. Poor skin turgor d. Scaphoid abdomen e. Visible abdominal veins

c. Poor skin turgor d. Scaphoid abdomen e. Visible abdominal veins

Which information would the nurse include in a staff teaching session about the developmental changes in the male genitourinary system? a. Slow detumescence occurs, especially after 60 years b. Older men experience a definite end to fertility c. Production of sperm begins to decrease around 40 years of age d. Increased tone of the dartos muscle causes scrotal rugae to decrease

c. Production of sperm begins to decrease around 40 years of age

Which respiratory assessment finding would the nurse report as abnormal for an adult patient ? a. Ratio of pulse to respirations is 4:1 b. Respiratory depth is 500 to 800 mL c. Respiratory rate is 24 to 30 per minute d. Respiratory pattern appears to be even

c. Respiratory rate is 24 to 30 per minute

Which term is used to describe the pacemaker of the heart? a. Bundle of His b. Purkinje fibers c. Sinoatrial node d. Atrioventricular node

c. Sinoatrial node

Which blood vessel drains the blood from the head and upper extremities? a. Pulmonary vein b. Inferior vena cava c. Superior vena cava d. Internal jugular vein

c. Superior vena cava

Which initial finding indicated the male has entered puberty? a. Pubic hair appears b. Penis size increases c. Testes enlarge d. Vellus hair grows

c. Testes enlarge

Which condition would a 20-year-old Caucasian male with a history of cryptorchidism be at high risk for developing? a. Varicocele b. Bladder cancer c. Testicular cancer d. STIs

c. Testicular cancer

Which finding during an abdomen assessment would the nurse associate with mononucleosis? a. The gallbladder feels like a sausage b. The spleen feels firm with sharp edges c. The spleen feels soft with rounded edges d. The gallbladder is enlarged and nontender.

c. The spleen feels soft with rounded edges

Which statement describes the pericardium? a. Muscular wall of the heart b. Area of the chest overlying the heart c. Though, fibrous sac surrounding the heart D. Thin layer of endothelial tissue lining the inner surface of the heart

c. Though, fibrous sac surrounding the heart

Which question would be the most important for the nurse to ask a patient to assess for stress incontinence? a. "Are you urinating more often than usual?" b. "Are you having any difficulty controlling your urine?" c. "Do you have any trouble starting the urine stream?" d. "Do you accidentally urinate when you laugh or bear down?"

d. "Do you accidentally urinate when you laugh or bear down?"

At which age in months would a child develop voluntary control over the external anal sphincter? a. 6 b. 12 c. 14 d. 18

d. 18

Which part of the lungs is assessed on the posterior chest? a. Most of the upper lobes b. Right middle lobe c. Left middle lobe d. All parts of lower lobes

d. All parts of lower lobes

Which technique would the nurse use to assess for tactile fremitus? a. By placing the fingertips on the sides of the neck b. By placing the thumb on the spinous process of the patient c. By placing warmed hands sideways on the posterolateral chest wall d. By placing the palmar base of one hand to touch the patient's chest

d. By placing the palmar base of one hand to touch the patient's chest

Which condition would the nurse be monitoring for by asking the older adult patient about any difficulty in urination, any dribbling, incomplete emptying, and straining during urination? a. Nocturia b. Paraphimosis c. Urinary incontinence d. Enlarging prostate

d. Enlarging prostate

Which finding is a cause for concern after assessing a patient's respirations? a. No noise is made during inspiration and expiration b. Chest expands symmetrically with each inspiration c. Accessory muscles are not used during respiration d. Interspaces appear to be bulging during expiration

d. Interspaces appear to be bulging during expiration

Which finding would the nurse document as subjective data after a rectal exam of an adult patient? a. Moist anus b. Sphincter tone strong c. Hematest negative d. No new foods in past 3 days

d. No new foods in past 3 days

Which stool color is expected for a patient who is taking an iron supplement? a. Gray stool b. Tarry black stool c. Red blood in stool d. Nontarry black stool

d. Nontarry black stool

Which area would the nurse observe to assess for hypospadias? a. Testes b. Scrotum c. Groin d. Penis

d. Penis

Which is a normal finding in the assessment of a 3-year-old child? a. Muscular abdomen b. Flat abdomen c. Scaphoid abdomen d. Protuberant abdomen

d. Protuberant abdomen

Which would the nurse assess first in the patient during a regional cardiovascular assessment? a. Precordium b. Extremities c. Neck vessels d. Pulse and blood pressure

d. Pulse and blood pressure

Which complications would the nurse watch for in an infant who has undergone circumcision? Select all that apply. a. Protection against chronic kidney disease b. Protection against bladder cancer c. Reduced decision making for young males d. Reduced heterosexual HIV risk e. Protection against urinary tract infections

d. Reduced heterosexual HIV risk e. Protection against urinary tract infections

A patient with benign prostatic hyperplasia (BPH) presents with a smooth, enlarged prostate, Which other assessment finding would the nurse monitor for in the patient? a. Genital warts b. Thick gray-brown discharge c. Painless hard testicle d. Reports of difficulty voiding

d. Reports of difficulty voiding

Which organ is located in all four quadrants of the abdomen? a. Liver b. Ovary c. Stomach d. Small intestine

d. Small intestine

The presence of which finding in the cardiac assessment of a middle-aged patient would the nurse consider to be abnormal? a. Apical impulse b. Venous hum c. Jugular venous pulse d. Third heart sound

d. Third heart sound

Which finding would the nurse observe in a patient who has a pilonidal cyst? a. Rubbery prostate surface b. Tightly close anal opening c. Slightly movable prostate gland d. Tuft of hair in the sacrococcygeal area

d. Tuft of hair in the sacrococcygeal area

Which action would the nurse take while performing a modified Allen test? a. instruct the patient to depress and blanch the nail beds. b. ask the patient to rotate the fingers of the hand. c. ask the patient to open the hand and hyperextend it. d. tell the patient to blanch the hand by making a fist several times.

d. tell the patient to blanch the hand by making a fist several times.