NR 304 Week 8 Final Exam Practice Questions-Answers

During an assessment, the nurse is unable to palpate pulses in the left lower leg. What should the nurse do next? Document that the pulses are nonpalpable Reassess the pulses in 1 hour Ask the patient to turn to the side, and then palpate for the pulses again Use a Doppler device to assess the pulses The nurse is unable to palpate the right radial pulse on a patient. The best action would be to: Auscultate over the area with a fetoscope Use a goniometer to measure the pulsations Use a Doppler device to check for pulsations over the area Check for the presence of pulsations with a stethoscope A woman is in the clinic for an annual gynecologic examination. The nurse should plan to begin the interview with the: Menstrual history, because it is generally non-threatening Obstetric history, because it includes the most important information Urinary system history, because problems may develop in this area as well Sexual history, because discussing it first will build rapport A nurse is teaching a client who was recently diagnosed with Raynaud’s disease about preventing the onset of manifestations. Which of the following statements by the client indicates an understanding of the teaching? “I should limit my exposure to sunlight” “I should avoid drinking alcohol” “I should not smoke” (smoking causes the peripheral vessels to constrict) “I should limit intake of foods that are high in purine” A nurse is determining a client’s risk for developing osteoporosis. The nurse should identify which of the following as risk factors for bone loss? (Select all that apply) Small body frame Hypertension African-American ethnicity Low vitamin D intake Smoking A nurse is performing a neurological assessment for a client. By asking the client to stick out his tongue, which of the following cranial nerves is the nurse teaching? Cranial nerve XII Cranial nerve X Cranial nerve VIII Cranial nerve V A nurse is preparing to test the function of cranial nerve X. Which of the following assessment procedures should the nurse use? Have the client open his mouth and say, “ahh” Ask the client to identify the scent of coffee (CN 1) Use a tongue blade to provoke a gag reflex (CN 9) Have the client smile and raise his eyebrows (CN 7) A nurse is performing a focused assessment of a client’s peripheral vascular system. In which of the following locations should the nurse palpate the posterior tibial pulse? Below the medial malleolus In the popliteal fossa In the antecubital space On the dorsum of the foot During a health history, a 22-year-old woman asks, “Can I ge that vaccine for human papillomavirus (HPV)? I have genital warts and I’d like them to go away!” What is the nurse’s best response? “The HPV vaccine is for girls and women ages 9 to 26 years, so we can start that today” “This vaccine is only for girls who have not yet started to become sexually active” “Let’s check with the physician to see if you are