a patient describes a recent onset of frequent and severe unilateral headaches that last about 1 hour. Based on these symptoms, the nurse suspects with type of headache?
a. cluster headaches
b. migraine headaches
c. tension headaches
d. sinus headache
a. cluster headaches
during a physical examination the nurse is unable to feel the patient's thyroid gland with palpation from an anterior approach. What is the appropriate action of the nurse at this time?
a. recognize that this is an expected finding
b. auscultate the thyro
a. recognize that this is an expected finding
a 24-year old female patient has a 2-day history of clear nasal drainage. Based on these data, which question is the most logical for the nurse to ask?
a. "is there a foul odor coming form your nose"
b. "have you recently had nose bleeds"
c. "do you snore
d. "do you have allergies
a 32-year old woman has a 4-day history of sore throat and difficulty swallowing. The nurse observes tonsils covered with yellow patches. The tonsils are so large that they fill the entire oropharynx and appear to be touching. How does the nurse document
b "enlarged tonsils 4+ with yellow exudate
a nurse is obtaining a health history from a 52 year old male patient with a red lesion at the base of the tongue. What additional data does the nurse specifically collect?
a. alcohol and tobacco use
b. date of his last dental examination
c. use of dentur
a. alcohol and tobacco use
while talking with a patient, the nurse suspects that he has hearing loss. Which examination technique is most accurate for assessing hearing loss?
a. whisper voice test
b. rinne test
c. webber test
d. audiometry test
d. audiometry test
which data from the health history of a 42-year old man should be evaluated further as possible risk for hearing loss?
a. "I watch TV in the evenings with my wife and children"
b. "When I was younger I wore an earring"
c. "My primary hobby is carpenter wo
c "my primary hobby is carpenter work
the nurse examines a patients auditory canal and tympanic membrane with an otoscope. Which finding is considered abnormal?
a. presence of cerumen
b. yellow or amber color to the tympanic membrane
c. presence of a cone of light
d. shiny, translucent tympan
b. yellow or amber color to the tympanic membrane
during the history the patient indicates that her eyes have been red and itching. Which additional question does the nurse ask?
a. "have you ever had a detached retina?"
b. "have you had the pressure in your eyes checked?"
c. "do you have seasonal allergi
c. "do you have seasonal allergies
How does the nurse assess a patients consensual reaction?
a. By touching the cornea with a small piece of sterile cotton and observing the change in pupil size
b. by observing the patients pupil size when she or he looks at an object 2 to 3 feet away and
c. by shining the light into the patients right eye and observing the pupillary reaction of the left eye
What are the characteristics of lymph nodes in patients who have an acute infection?
a. they are enlarged and tender
b. they are round and rubbery, mobile
c. they are hard, fixed and painless
d. they are soft, mobile and painless
a. they are enlarged and tender
which technique is used for palpating lymph nodes?
a. applying firm pressure over the nodes with pads of fingers
b. applying gentle pressure over the nodes with the tips of the fingers
c. apply firm pressure anterior to the nodes with the tips of the fing
d. apply gentle pressure over the nodes with pads of fingers