Nokea
During a physical examination, a patient presents with swollen lymph nodes. How should you adjust your palpation technique based on the findings?
- A. Increase the pressure to assess for tenderness
- B. Use a firmer grip to ensure you can feel the nodes
- C. Continue using soft finger pads but apply a more vigorous motion
- D. Maintain the light circular motion but focus on the areas of swelling
Correct Answer: A
Rationale: Increased pressure helps assess tenderness and the degree of swelling or possible infection in swollen lymph nodes.
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A nurse practitioner examines the skin of an elderly patient. Which finding below is NOT a benign lesion associated with the aging process?
- A. Xerosis
- B. Cherry angiomas and senile purpura
- C. Senile keratosis and senile lentigines
- D. Dermatophytosis
Correct Answer: D
Rationale: Dermatophytosis is a fungal infection and is not a normal aging change.
A component of the mental health assessment includes:
- A. Sense of self-worth
- B. Global assessment of functioning
- C. Intelligence quotient level
- D. History of suicide attempts
Correct Answer: B
Rationale: The global assessment of functioning (GAF) evaluates overall mental health status and functioning.
Which of the following best describes the components included in a patient's Social History (SH)?
- A. A summary of the patient's medical history and family background
- B. Lifestyle factors, social habits, and living conditions
- C. The patient's current medications and allergies
- D. Details about the patient's physical examination findings
Correct Answer: B
Rationale: Social History (SH) includes lifestyle factors, social habits, and living conditions, which impact overall health.
During an acute attack of gout, the nurse practitioner knows NOT to prescribe:
- A. Colchicine (Colcrys)
- B. Allopurinol (Zyloprim)
- C. Steroids
- D. NSAIDs
Correct Answer: B
Rationale: Allopurinol should not be used during an acute gout attack as it may worsen symptoms.
Explain why late inspiratory crackles in the lower third of the chest are indicative of heart failure rather than other respiratory conditions.
- A. They indicate airway obstruction typical of asthma.
- B. They suggest fluid accumulation in the alveoli due to heart failure.
- C. They are a sign of chronic bronchial inflammation.
- D. They are associated with hyperinflation of the lungs in COPD.
Correct Answer: B
Rationale: Late inspiratory crackles indicate fluid in the alveoli, a hallmark of heart failure.