Nokea
A nurse needs to auscultate a patient's lung sounds. In what position should the nurse place the patient?
- A. Sims
- B. Prone
- C. Sitting
- D. Lithotomy
Correct Answer: C
Rationale: Sitting upright provides full expansion of the lungs and provides better visualization of symmetry of upper body parts.
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A health care provider needs to insert a vaginal speculum into a patient for a vaginal examination. In what position should the nurse place the patient?
- A. Sims
- B. Prone
- C. Lithotomy
- D. Dorsal recumbent
Correct Answer: C
Rationale: The lithotomy position provides maximal exposure of genitalia and facilitates insertion of a vaginal speculum.
A patient has edema of the lower extremities. The nurse is assessing whether it is pitting and to what degree. After pressing the skin against a bony prominence for 5 seconds the nurse identifies 2+ pitting edema. When did the edema disappear?
- A. 10 to 15 seconds
- B. 20 to 25 seconds
- C. 30 to 35 seconds
- D. 40 to 45 seconds
Correct Answer: A
Rationale: The 2+ pitting edema is identified because the pitting edema disappears in 10 to 15 seconds.
Which are infectious diseases?
- A. Measles
- B. Pneumonia
- C. Hay fever
- D. Tuberculosis
- E. Osteoarthritis
- F. Acquired immunodeficiency syndrome
Correct Answer: A,B,D,F
Rationale: Infectious diseases result from the invasion of microorganisms into the body. Examples of infectious diseases include acquired immunodeficiency syndrome (AIDS), tuberculosis, measles, and pneumonia. Hay fever is a manifestation of an allergic reaction, and osteoarthritis is an example of a degenerative disease.
The nurse is meeting a patient for the first time. What is the first thing the nurse will do to initiate a nurse-patient relationship?
- A. Appear interested.
- B. Introduce herself/himself.
- C. Provide support.
- D. Communicate trust.
Correct Answer: B
Rationale: The first step in a nurse-patient relationship is for the nurse to introduce herself/himself.
When performing a nursing physical assessment the nurse uses a head-to-toe approach. Where will the nurse begin when using this method?
- A. Skin assessment
- B. Neurologic assessment
- C. Circulatory assessment
- D. Respiratory assessment
Correct Answer: B
Rationale: When performing a head-to-toe assessment, the nurse begins with a neurologic assessment.