NUR310G Health Assessment Exam 2
Due Points 50 Questions 50
Available Time Limit 80 Minutes
Attempt History Attempt
Time
Score LATEST Attempt 1 60 minutes 42 out of 50
Score for this quiz: 42 out of 50
Submitted This attempt took 60 minutes.
CCoorrrreecctt!!Question 1
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The nurse is examining a client with elevated T4 and T3 hormone levels. Which of these findings would the nurse most likely find on examination?
Cool, dry skin.
Constipation.
Periorbital edema.
Tachycardia.
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T4 and T3 are thyroid hormones that stimulate the rate of cellular metabolism, resulting in tachycardia.
CCoorrrreecctt!!
Question 3
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Question 2
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The nurse is examining a patient with Hashimoto's disease. What sign or symptom is consistent with an underactive thyroid?
Weight gain.
Diaphoresis.
Exophthalmos.
Tremors.
Common signs and symptoms of hypothyroidism include decreased vital signs, weight gain, depression, facial puffiness, cool skin, and coarse/dry hair. The other options are common with hyperthyroidism.
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The nurse has just identified a Stage II pressure injury in a hospitalized client. What led the nurse to this conclusion?
Red, nonblanching area of intact skin.
r A shallow erosion extending into the dermis.
Full thickness wound exposing muscle.
Deep tissue loss extending into the subcutaneous layer.
The other options describe other stages of pressure injuries.
Question 4
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During a complete thyroid examination of a client presenting with “anxiety”, the nurse observes no obvious enlargement. What should the nurse do next?
Percuss the area for dullness.
Assume no abnormalities and document “no enlargement.”
Auscultate the area for a bruit.
Palpate the gland using a posterior approach.
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A complete thyroid exam involves inspection, palpation, and auscultation, in that order. Percussion of the thyroid is not a valid assessment.
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Question 6
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Question 5
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During an eye assessment of a black patient, the nurse would consider which of these an expected finding?
Asymmetry of the palpebral fissures.
Yellow nodules covering the cornea.
Pale conjunctivae.
Gray-blue tint to the sclera.
Normally in dark-skinned people, small brown macules or a gray-blue tint may be observed in the sclera (Jarvis p. 288)
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