health assessment practice questions nursing

Questions 46

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health assessment practice questions nursing Questions

Question 1 of 5

A 17-year-old student is a swimmer on her high school's swim team. She has had three bouts of otitis externa so far this season and wants to know how to prevent it. The nurse instructs her to:

Correct Answer: B

Rationale: Correct Answer: B Rationale: 1. Rubbing alcohol or 2% acetic acid eardrops help to maintain the pH balance in the ear canal, making it less conducive to bacterial growth. 2. These eardrops also help to dry out excess moisture, reducing the risk of otitis externa. 3. By using these eardrops after every swim, the student can prevent the recurrence of otitis externa. Summary of other choices: A: Using a cotton-tipped swab can push wax deeper into the ear canal, increasing the risk of infection. C: Irrigating the ears can introduce water into the ear canal, potentially worsening the condition. D: Mineral oil and hydrogen peroxide can be harsh on the delicate skin of the ear canal, causing irritation.

Question 2 of 5

While performing a mouth assessment on a patient, the nurse notices a 1-cm ulceration that is crusted and has an elevated border. It is located on the outer third of the lower lip. What other information would be most important for the nurse to obtain?

Correct Answer: B

Rationale: The correct answer is B: When the patient first noticed the lesion. This information is crucial for determining the duration of the ulceration, aiding in diagnosing potential causes like trauma or infections. Nutritional status (Choice A) may not be directly related to the specific lesion. Whether the patient has had a recent cold (Choice C) is less relevant unless there are other symptoms present. Exposure to sick animals (Choice D) is not pertinent to the mouth ulceration. Therefore, obtaining information on when the patient first noticed the lesion is the most important for proper assessment and treatment planning.

Question 3 of 5

A patient is unable to differentiate between sharp and dull stimulation to both sides of her face. The nurse suspects:

Correct Answer: B

Rationale: The correct answer is B: damage to the trigeminal nerve. Trigeminal nerve damage can result in the inability to differentiate between sharp and dull sensations on the face. The trigeminal nerve is responsible for transmitting sensory information from the face to the brain. Bell's palsy (choice A) affects facial muscles, not sensory perception. Frostbite (choice C) typically causes numbness rather than loss of sensation discrimination. Scleroderma (choice D) is a connective tissue disorder that does not directly affect sensory perception on the face.

Question 4 of 5

The nurse is teaching a health class to high school boys. One of the topics is the use of smokeless tobacco (SLT). Which of the following statements about SLT are accurate? (Select all that apply.)

Correct Answer: A

Rationale: The correct answer is A because one pinch of smokeless tobacco (SLT) in the mouth for 30 minutes can indeed deliver a similar amount of nicotine as smoking one cigarette. This is because the nicotine in SLT is absorbed through the oral mucosa directly into the bloodstream, providing a quick effect. This statement is accurate and reflects the pharmacokinetics of SLT use. Option B is incorrect because smoking carries a higher risk of oral cancer compared to SLT use. Option C is incorrect as pain is not always an early sign of oral cancer, and other symptoms such as non-healing sores or lumps may indicate oral cancer. Option D is incorrect as pain can sometimes be an early sign of oral cancer, especially in advanced stages.

Question 5 of 5

During a physical education class, a student is hit in the eye with the end of a baseball bat. When examined in the emergency department, the nurse notes the presence of blood in the anterior chamber of the eye. This finding indicates the presence of:

Correct Answer: B

Rationale: The correct answer is B: hyphema. Hyphema is the presence of blood in the anterior chamber of the eye, which can occur due to trauma like being hit with a baseball bat. This indicates bleeding inside the eye, specifically in the space between the cornea and iris. Hypopyon (A) is the accumulation of white blood cells in the anterior chamber. Corneal abrasion (C) is a scratch on the cornea, not related to blood in the anterior chamber. Iritis (D) is inflammation of the iris, which does not necessarily involve blood in the anterior chamber.

Similar Questions

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