Health Assessment Exam 5 Practice Questions

Hirsutism

facial hair in women; characterisitc of cushings disease due to imbalance of adrenal hormones

A 20-year-old client visits the outpatient center and tells the nurse that he has been experiencing sudden generalized hair loss. After determining that the client has not received radiation or chemotherapy, the nurse should further assess the client for signs and symptoms of

hypothyroidism

A stroke is caused by hemorrhage in approx. ________ of patients - 13% - 31% -69% - 87%

13%

An older adult client visits the clinic and tells the nurse that she has had shooting pain in both of her legs. The nurse should assess the client for signs and symptoms of

herniated disc

During an integumentary assessment, the nurse notes that the client's fingernails are very thin and concave. The nurse knows the client needs medical follow-up for further assessment to rule out which condition? - Diabetes - Vitamin A deficiency - Peripheral Vascular Disease - Iron Deficiency Anemia

Iron Deficiency Anemia

The nurse is performing the bulge test during the assessment of a client's knee. This test will allow the nurse to make what determination?

Whether the client's swollen knee is caused by tissue swelling or by fluid accumulation

Mary started a job 2 weeks ago that requires carrying heavy buckets. She presents with elbow pain worse on the right. On examination, it hurts her elbows to dorsiflex her hands against resistance when her palms face the floor. What condition does she have?

lateral epicondylitis (tennis elbow)

Which of the following assessment techniques should the nurse use to determine a client's stereognosis?

With the client's eyes closed, place a coin or key in hand and ask him or her to identify the object.

nurse inspects a flattened lumbar curvature in a client. Which of the following conditions should the nurse most suspect in this client?

Ankylosing spondylitis

The nurse is performing the Romberg test. Which of the following indicate a normal finding?

Client stands erect with minimal swaying

A client presents to the health care clinic and reports the appearance of a rough texture and darkening color to the skin around the neck. The nurse knows this client should be assessed for which disease process?

Diabetes Mellitus - appearance is called acanthosis nigricans and is most common in african americans

A male client is complaining of pain with urination, rectal pain and urethral discharge. The nurse suspects this is what?

Gonorrhea

Extraocular movements are controlled by which of the following cranial nerves. select all that apply. - III - IV - V - VI

III, IV, VI

A nurse examines the external genitalia of a client who has been diagnosed with the mumps. The scrotum appears enlarged and reddened. How should the nurse document this condition?

Orchitis

The nurse is testing for Kernig's sign in a newly admitted client. What would indicate meningeal inflammation?

Pain and resistance to knee extension bilaterally

Examination of a client's gait reveals that the client is stooped over when walking and that he slowly shuffles. As well, the client maintains a stiff posture when walking. The nurse should document what type of gait?

Parkinsonian gait

A nurse assesses a client for past history of nail problems. The nurse should ask questions about which of these conditions? - Vitiligo, hirsutism, vitamin deficiency - Psoriasis, fungal infections, trauma - Ecezma, Melanoma, Herpes Zoster

Psoriasis, fungal infections, trauma

While inspecting the labia minora, a nurse notices that they are asymmetric. Which of the following does this finding most likely point to? - cervical cancer - abscess - Candidal vaginitis - UTI

abscess

Pain, swelling, loss of both active and passive motion, locking, and deformity would be consistent with which of the following?

articular joint pain

The _________ coordinates all movement and helps maintain the body upright in space

cerebellum

A nurse is assessing an older adult client's risk for pressure ulcers using the Braden Scale for Predicting Pressure Sore Risk. Which aspect of the client's current health status would be reflected in her score on this scale? - vegitarian diet - full time care giver - recently had surgery - consistently incontinent of urine

consistently incontinent of urine

A client presents to the health care clinic with reports of a swollen, tender, reddened joint in the left big toe. The nurse recognizes this finding as an indication of what inflammatory process

gouty arthritis

A nurse inspects the genitalia of an elderly client and notices that the mucosa is dry and atrophied. The nurse should educate the client about her increased risk of what condition?

infection

The nurse educates the client that what condition may be associated with a varicocele?

infertility

A young man comes to the clinic with an extremely pruritic rash over his knees and elbows, which has come and gone for several years. It seems to be worse in the winter and improves with some sun exposure. Examination reveals scabbing and crusting with some silvery scales. The nurse also notices small "pits" in the nails. What would account for these findings?

psoriasis

A nurse in a dermatology clinic cares for an adolescent client with multiple purulent, fluid-filled lesions on her face, shoulders, back, and chest. What is the most likely medical diagnosis for this client?

pustular acne

The nurse assesses a bed-bound older adult client in the client's home. While assessing the client's buttocks, the nurse observes that an area of the skin is broken. The wound is shallow and dry, and there is no bruising. The nurse should document the client's pressure ulcer as

stage II

The nurse is conducting an assessment of an adult client who describes herself as being in good health. Inspection of the client's nail beds reveals the presence of a bluish tone. The nurse should recognize that this finding is most likely attributable to what phenomenon?

vasoconstriction

The nurse is preparing to examine the skin of an adult client with a diagnosis of herpes simplex. The nurse plans to measure the client's symptomatic lesions and measure the size of the client's - wheals - vesicles - papule - macules

vesicles