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145 Exam 3 Jarvis Assessment
Questions Answered Correctly
A student nurse is developing a plan of care for a 74-year-old-female patient who has spiritual distress over losing a spouse. As the nurse develops appropriate interventions, which characteristics of older adults should be considered? (Select all that apply.)
- Older adults do not routinely use complementary medicine to cope with illness.
- Older adults dislike discussing the afterlife and what might have happened to people who have passed on.
- Older adults achieve spiritual resilience through frequent expressions of gratitude.
- Have the patient determine if her husband left a legacy behind.
- Offer the patient her choice of rituals or participation in exercise. - โ โ 3; 4; 5 A patient states that he does not believe in a higher power but instead believes that people bring meaning to what they do. This patient most likely is an:
- Academic.
- Atheist.
- Agnostic.
- Anarchist. - โ โ 3 A nurse begins a night shift, assuming care for a critically ill patient who was resuscitated earlier in the day from cardiac arrest. He survived and is physically stable, alert, oriented, and responding appropriately to the nurse's questions. Knowing that the patient experienced a period when his heart stopped beating, what would be the best approach for the nurse to use with him?
- Have family come to visit and focus discussion about their gratitude that the patient survived
- Change the subject when the patient begins talking about entering a dark tunnel when the doctors were resuscitating him
- Sit and encourage the patient to share what he experienced during resuscitation
- Provide the patient the opportunity to have passages from the bible read to him - โ โ 3 Select the sequence of techniques used during an examination of the abdomen. a. Percussion, inspection, palpation, auscultation b. Inspection, palpation, percussion, auscultation c. Inspection, auscultation, percussion, palpation d. Auscultation, inspection, palpation, percussion - โ โ C
b. 3 full minutes c. 5 full minutes d. None of the above - โ โ C Auscultation of the abdomen may reveal bruits of the ______________ arteries. a. Aortic, renal, iliac, and femoral b. Jugular, aortic, carotid, and femoral c. Pulmonic, aortic, and portal d. Renal, iliac, internal jugular, and basilic - โ โ A The normal range of liver span in the right midclavicular line in the adult is: a. 2to6cm b. 4to8cm c. 8to14cm d. 6to12cm - โ โ D The left upper quadrant (LUQ) contains the: a. Liver b. Appendix c. Left ovary d. Spleen - โ โ D
A female patient has striae on the abdomen. Which color indicates long-standing striae? a. Pink b. Blue c. Purple-blue d. Silvery white - โ โ D Auscultating the abdomen is begun in the right lower quadrant (RLQ) because: a. Bowel sounds are always normally present here. b. Peristalsis through the descending colon is usually active. c. This is the location of the pyloric sphincter. d. Vascular sounds are best heard in this area. - โ โ A A dull percussion note forward of the left midaxillary line is: a. Normal; an expected finding during splenic percussion b. Expected between the 8th and 12th ribs c. Found if the examination follows a large meal d. Indicative of splenic enlargement - โ โ D Shifting dullness is a test for: a. Ascites b. Splenic enlargement
a. Adduct and extend. b. Supinate, evert, and retract. c. Extend, adduct, invert, and rotate. d. Flex, extend, abduct, and rotate. - โ โ D Pronation and supination of the hand and forearm are the result of the articulation of the: a. Scapula and clavicle b. Radius and ulna c. Patella and condyle of fibula d. Femur and acetabulum - โ โ B Anterior and posterior stability are provided to the knee joint by the: a. Medial and lateral menisci b. Patellar tendon and ligament c. Medial collateral ligament and quadriceps muscle d. Anterior and posterior cruciate ligaments - โ โ D A 70-year-old woman has come for a health examination. Which of the following is a common age-related change in the curvature of the spinal column? a. Lordosis b. Scoliosis c. Kyphosis
d. Lateral scoliosis - โ โ C Examination of the shoulder includes 4 motions. These are: a. Forward flexion, internal rotation, abduction, and external rotation b. Abduction, adduction, pronation, and supination c. Circumduction, inversion, eversion, and rotation d. Elevation, retraction, protraction, and circumduction - โ โ A The bulge sign is a test for: a. Swelling in the suprapatellar pouch b. Carpal tunnel syndrome c. Heberden's nodes d. Olecranon bursa inflammation - โ โ A The examiner measures a patient's legs for length discrepancy. Which is a normal finding? a. No difference in measurements b. 0.5 cm difference c. Within 1 cm of each other d. 2 cm difference - โ โ C A 2-year-old child comes to the clinic for a health examination. A common finding for this age group is: a. Kyphosis
Fibrous bands running directly from one bone to another that strengthen the joint and help prevent movement in undesirable directions are known as: a. Bursa b. Tendons c. Cartilage d. Ligaments - โ โ D Flexion - โ โ Bending a limb at a joint Extension - โ โ Straightening a limb at a joint Abduction - โ โ Moving a limb away from the midline of the body Adduction - โ โ Moving a limb toward the midline of the body Pronation - โ โ Turning the forearm so that the palm is down Supination - โ โ Turning the forearm so that the palm is up Circumduction - โ โ Moving the arm in a circle around the shoulder Inversion - โ โ Moving the sole of the foot inward at the ankle Eversion - โ โ Moving the sole of the foot outward at the ankle Rotation - โ โ Moving the head around a central axis Protraction - โ โ Moving a body part forward and parallel to the ground
Retraction - โ โ Moving a body part backward and parallel to the ground Elevation - โ โ Raising a body part Depression - โ โ Lowering a body part The medical record indicates that a person has an injury to Broca's area. When meeting this person, you expect: a. Difficulty speaking b. Receptive aphasia c. Visual disturbances d. Emotional lability - โ โ A The control of body temperature is located in: a. Wernicke's area b. Thalamus c. Cerebellum d. Hypothalamus - โ โ D To test for stereognosis, you would: a. Have the person close his or her eyes, and then raise the person's arm and ask the person to describe its location. b. Touch the person with a tuning fork. c. Place a coin in the person's hand and ask him or her to identify it.
d. Observe the person walking heel to toe - โ โ B A positive Babinski sign is: a. Dorsiflexion of the big toe and fanning of all toes b. Plantar flexion of the big toe with a fanning of all toes c. The expected response in healthy adults d. Withdrawal of the stimulated extremity from the stimulus - โ โ A The cremasteric response: a. Is positive when disease of the pyramidal tract is present b. Is positive when the ipsilateral testicle elevates on stroking of the inner aspect of the thigh c. Is a reflex of the receptors in the muscles of the abdomen d. Is not a valid neurologic examination - โ โ B Senile tremors may resemble parkinsonism, except that senile tremors do not include: a. Nodding the head as if responding yes or no. b. Rigidity and weakness of voluntary movement. c. Tremor of the hands. d. Tongue protrusion. - โ โ B Patients who have Parkinson's disease usually have which of the following characteristic styles of speech?
a. A garbled manner b. Loud, urgent c. Slow, monotonous d. Word confusion - โ โ C The Glasgow Coma Scale (GCS) is divided into three areas. They include: a. Pupillary response, a reflex test, and assessing pain. b. Eye opening, motor response to stimuli, and verbal response. c. Response to fine touch, stereognosis, and sense of position. d. Orientation, rapid alternating movements, and the Romberg test. - โ โ B The Landau reflex in the infant is seen when: a. The head is held and then flops forward as the baby is pulled to a sitting position by holding her or his wrists. b. The infant's toes curl down tightly in response to touch on the ball of his or her foot. c. The infant attempts to place his or her foot on the table while being held with the top of the foot touching the underside of the table. d. The baby raises her or his head and arches the back, as in a swan dive. - โ โ D A 65-year-old man has noticed a change in his personality and his ability to understand. He also cries and becomes angry very easily. The cerebral lobe responsible for these behaviors is the ________ lobe.
The examiner is going to inspect and palpate for a hernia. During this examination, the man is instructed to: a. Hold his breath during palpation. b. Cough after the examiner has gently inserted the examination finger into the rectum. c. Bear down when the examiner's finger is at the inguinal canal. d. Relax in a supine position while the examination finger is inserted into the canal - โ โ C During examination of the scrotum, a normal finding would be that: a. The left testicle is firmer to palpation than the right. b. The left testicle is larger than the right. c. The left testicle hangs lower than the right. d. The left testicle is more tender to palpation than the right. - โ โ C H.T. has come to the clinic for a follow-up visit. Six months ago, he was started on a new medication that may cause impotence as a side effect; therefore medication classes explored by the nurse are: a. Antipyretics. b. Bronchodilators. c. Corticosteroids.
d. Antihypertensives. - โ โ D Prostatic hypertrophy occurs frequently in older men. The symptoms that may indicate this problem are: a. Polyuria and urgency. b. Dysuria and oliguria. c. Straining, loss of force, and sense of residual urine. d. Foul-smelling urine and dysuria. - โ โ C A 64-year-old man has come for a health examination. A normal age- related change in the scrotum would be: a. Testicular atrophy. b. Testicular hypertrophy. c. Pendulous scrotum. d. Increase in scrotal rugae. - โ โ C During palpation of the testes, the normal finding would be: a. Firm to hard and rough. b. Nodular. c. 2 to 3 cm long by 2 cm wide and firm. d. Firm, rubbery, and smooth. - โ โ D A 20-year-old man has indicated that he does not perform a testicular self-examination. One of the facts that should be shared with him is that testicular cancer, although rare, does occur in men:
c. Left more sensitive than right d. Only when inflammation is present - โ โ A The congenital displacement of the urethral meatus to the inferior surface of the penis is: a. Hypospadias. b. Epispadias. c. Hypoesthesia. d. Hypophysis. - โ โ A An adhesion of the prepuce to the head of the penis, making it impossible to retract, is: a. Paraphimosis. b. Phimosis. c. Smegma. d. Dyschezia. - โ โ B You are assessing an adolescent boy. The first physical sign of puberty is: a. Height spurt b. Penis lengthening c. Sperm production d. Pubic hair development e. Testes enlargement - โ โ E
An older man asks if he is able to father children. In the aging male, when does infertility occur? a. At age 60, with the sudden decline in sperm production b. At approximately age 55 to 60, when testosterone levels are lower c. When the male is no longer able to achieve an erection d. There is no specific age; men may be fertile into their 80s and 90s. - โ โ D A patient has soft, moist, fleshy, painless papules around the anus. The examiner suspects this condition is: a. HSV-2. b. HPV. c. Gonorrhea. d. Peyronie disease - โ โ B The gastrocolic reflex is: a. A peristaltic wave b. Passage of meconium in the newborn c. Another term for borborygmi d. Reverse peristalsis - โ โ A Which population has the highest incidence of benign prostatic hypertrophy (BPH)? a. European Americans
