Final Practice Test P2 PDF

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a. b. c. d. 2. a. b. c. d. 3. a. b. c. d. 4. a. b. c. d. 5. a. b. c. d. 6. a. b. c. d. 7. a. b. c. d. 8. a. b. c. d. 9. a. b. c. d. 10. a. b. c. d. 11. a. b. c. d. 12. a. b. c. d. 13. a. b. c. d. 14. a. b. c. d. 15. a. b. c. d. 16. Skin turgor checks are performed to determine the a. b. c. d. 17. a. b. c. d. 18. Fluorescing lesions are best distinguished using a(n) a. b. c. d. 19. Women with terminal hair growth in a male distribution pattern should receive further evaluation for a(n) a. b. c. d. 20. a. b. c. d. 21. Transient mottling of the patient's skin in a cool room is a common finding in a. b. c. d. 22. A single transverse line seen in the palm of a small child may imply a. b. c. d. 23. Cafe au lait patches are numbered with each assessment of infants and young children because a. b. c. d. 24. A Dennie-Morgan fold is probably caused by a. b. c. d. 25. Linea nigra is commonly found on the abdomens of a. b. c. d. 26. Cherry angiomas are a common finding in a. b. c. d. 27. Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish a. b. c. d. 28. Age spots are also called a. b. c. d. 29. The most common inflammatory skin condition is a. b. c. d. 30. Which is a noncandidal fungal infection? a. b. c. d. 31. The characteristic that best differentiates psoriasis from other skin abnormalities is the a. b. c. d. 32. Painful vesicles are associated with a. b. c. d. 33. A 17-year-old student complains of a ―rash for 3 days. You note pale, erythematous oval plaques over the trunk. They have fine scales and are arranged in a fernlike pattern, with parallel alignment. What is the nurse's next action? a. b. c. d. 34. Which of the following is an ABCDE characteristic of malignant melanoma? a. b. c. d. 35. The most common cutaneous neoplasm is a. b. c. d. 36. Soft, painless, bluish papules in persons who are HIV-positive are most likely a. b. c. d. 37. A 5-year-old child presents with discrete vesicles on an erythematous base that began near her,scalp and are spreading to the trunk. The child has a low-grade fever and feels tired. What is the nurse's next action? a. b. c. d. 38. During history taking, a mother states that her son awoke in the middle of the night complaining of intense itching to his legs. Today, your inspection reveals a honey- colored exudate from the vesicular rash on his legs. Which condition is consistent with these findings? a. b. c. d. 39. You are conducting a preschool examination on a 5-year-old child. Which injury would most ij,likely raise your suspicion that the child is being abused? a. b. c. d. 40. Assessment of poor hygiene, healed fractures with deformity, or unexplained trauma in older, adults indicates a. b. c. d. 41. The nurse assesses the nail base angle using the Schamroth technique. Which nail bed shapeindicates a normal expected examination finding? a. b. c. d. 42. Which identify the signs and symptoms of basal cell cancer? (*Select all that apply.*) a. b. c. d. e. 43. Which organ does not have lymphatic vessels? a. b. c. d. Cells that line the lymph node sinuses perform the specific function of a. b. c. d. Lymph flows faster in response to a. b. c. d. An organ that is essential to the development of protective immune function in the infant but ijhas little or no demonstrated function in the adult is the a. b. c. d. Mr. Shea is a 45-year-old patient who presents to the office for multiple complaints. The examination of the upper left quadrant of the abdominal cavity is essential to the evaluation ofthe immune system because of the location of which organ? a. b. c. d. Mrs. Farrel brings in her 6-year-old son with complaints of a sore throat and fever. As the healthcare provider, you are concerned about his tonsils and adenoids. Enlarged tonsils andadenoids may obstruct the a. b. c. d. Mrs. Sing is a 44-year-old patient who presents to the office with a complaint of enlarged lymph nodes. When enlarged, which lymph nodes are most likely to be a sign of pathology (e.g., malignancy)? a. b. c. d. As adults age, their ability to resist infection is reduced because of the lymphatic nodes ijbecoming more a. b. c. d. Equipment for examining the lymphatic system includes a a. b. c. d. Which nodes are most often associated with inflammation? a. b. c. d. Which nodes are also called Virchow nodes? a. b. c. d. The harder and more discrete a node, the more likely that there is a(n) a. b. c. d. Which finding indicates that the examiner is assessing a blood vessel rather than a lymphijnode? a. b. c. d. When examining lymph nodes near a joint in the arm or leg, which of the following ijmaneuvers is likely to facilitate the examination? a. b. c. d. To palpate the inguinal nodes, you should have the patient a. b. c. d. The most important clue to the diagnosis of immunodeficiency disease in a child is a. b. c. d. A red streak that follows the course of the lymphatic collecting duct is a finding associated ij,with a. b. c. d. Which disorder is characterized by a single node that is chronically enlarged and nontender inija patient with no other symptoms? a. b. c. d. Initial signs and symptoms of Epstein-Barr virus mononucleosis usually include a. b. c. d. Tender nodes associated with cat scratch disease are usually found in which area? a. b. c. d. Serum sickness is usually characterized first by the appearance of e. f. g. h. Which condition stimulates lymph node enlargement? (*Select all that apply.*) a. b. c. d. Which cranial nerves innervate the face? a. b. c. d. Mrs. Britton brings her 16-year-old son in with a complaint that he is not developing correctly into adolescence. Which structures disproportionately enlarge in the male during adolescence? a. b. c. d. Which of the following is an expected change in the assessment of the thyroid during ij,pregnancy? e. f. g. h. Mr. Mathews is a 47-year-old patient who presents for a routine physical examination. a. b. c. d. Ms. Galvan is a 22-year-old secretary who comes to the clinic with headaches of 6 weeks' duration. She tells the office assistant about her heavy schedule, including part- time work andijevening classes. Her vital signs are normal. Which information is most appropriate to Ms. Galvan's history? e. f. g. h. Observation during history taking is the best way to examine for a. b. c. d. During a head and neck assessment of a neonate, it is important to screen for e. f. g. h. During a physical examination of a 30-year-old Chinese man, you notice a slight asymmetry,of his face. The cranial nerve examination is normal. Your best action is to a. b. c. d. Which is the best way to position a patient's neck for palpation of the thyroid? e. f. g. h. The thyroid gland should a. b. c. d. You are palpating a patient's thyroid and find that its broadest dimension measures 4 cm. The ijright lobe is 25% larger than the left. These data would indicate a. b. c. d. The correct way to transilluminate an infant's skull is to a. b. c. d. Which of the following is true regarding a cephalohematoma? a. b. c. d. Nuchal rigidity is most commonly associated with e. f. g. h. When noting a bulging fontanel with marked pulsations in a 6-month-old, you suspect a. b. c. d. Which type of headache usually occurs at night, is precipitated by alcohol consumption, and occurs more often in men than in women? e. f. g. h. Mr. Johnson presents with a freely movable cystic mass in the midline of the high neckijregion, at the base of the tongue. This is most likely a a. b. c. d. The premature union of cranial sutures that involves the shape of the head without mental ijretardation is e. f. g. h. Mr. Donaldson is a 64-year-old patient with complaints of headaches. As the examiner, you are palpating his head during your physical examination. Which of the following would be your first step? a. b. c. d. Mrs. Alden is a 29-year-old pregnant patient in her third trimester. She tells you that her vision has been a little blurred, and she thinks she needs to get new contact lenses. You should ijadvise her to a. b. c. d. A condition that typically develops by the age of 45 years is a. b. c. d. Which finding, when seen in the infant, is ominous? e. f. g. h. Mr. C's visual acuity is 20/50. This means that he a. b. c. d. The criterion for determining the adequacy of a patient's visual field is a. b. c. d. Mrs. S. is a 69-year-old woman who presents for a physical examination. On inspection of hereyes, you note that the left upper eyelid droops, covering more of the iris than does the right. This is recorded as e. f. g. h. A condition in which the eyelids do not completely meet to cover the globe is called i. j. k. l. Mr. Morris is a 38-year-old patient who presents to the clinic with complaints of allergies. An ijallergy can cause the conjunctiva to have a a. b. c. d. A pterygium is more common in people heavily exposed to e. f. g. h. Mr. Brown was admitted from the emergency department, and you are completing his physical examination. His pupils are 2 mm bilaterally, and you notice that they fail to dilatewhen the penlight is moved away. This is characteristic in patients who are or have been i. j. k. l. When testing corneal sensitivity, controlled by cranial nerve V, you should expect the patient to respond with a. b. c. d. You observe pupillary response as the patient looks at a distant object and then at an objectijheld 10 cm from the bridge of the nose. You are assessing for a. b. c. d. When inspecting the region of the lacrimal gland, palpate e. f. g. h. Examination to assess for extraocular muscle imbalance is conducted by i. j. k. l. Mr. Older is a 40-year-old patient who presents to the office for a follow-up eye examination ij the after diagnosis of myopia. To see retinal details in a myopic patient, you will need to a. b. c. d. Ask the patient to look directly at the light of the ophthalmoscope when you are ready to ij examine the a. b. c. d. Opacities of the red reflex may indicate the presence of e. f. g. h. If a patient has early papilledema, using an ophthalmoscope, the examiner will be able to ij,detect i. j. k. l. Cupping of the optic disc may be a result of a. b. c. d. When drusen bodies are noted to be increasing in number or in intensity of color, the patientijshould be further evaluated with a(n) e. f. g. h. Cotton wool spots are most closely associated with i. j. k. l. Which may be suggestive of Down syndrome? a. b. c. d. To differentiate between infants who have strabismus and those who have pseudostrabismus, use the a. b. c. d. You are attempting to examine the eyes of a newborn. To facilitate eye opening, you would ijfirst e. f. g. h. Dot hemorrhages, or microaneurysms, in the retina and the presence of hard and soft exudates Jare most commonly seen in those with i. j. k. l. Which maneuver can be done to reduce the systemic absorption of cycloplegic and mydriatic ijagents when examining a pregnant woman if the examination is mandatory? a. b. c. d. Changes seen in proliferative diabetic retinopathy are the result of a. b. c. d. Which are the signs and symptoms of infant retinoblastoma? (*Select all that apply.*) a. b. c. d. e. f. g. Mr. Sprat is a 21-year-old patient who complains of nasal congestion. He admits to using recreational drugs. On examination, you have noted a septal perforation. Which of the following recreational drugs is commonly associated with nasal septum perforation? a. b. c. d. A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness, you should palpate over the a. b. c. d. Mr. and Mrs. Johnson have presented to the office with their infant son with complaints of ear drainage. When examining an infant's middle ear, the nurse should use one hand to stabilize the otoscope against the head while using the other hand to a. b. c. d. Mrs. Donaldson is a 31-year-old patient who is pregnant. In providing Mrs. Donaldson with ij,healthcare information, you will explain that she can expect to experience a. b. c. d. You are performing hearing screening tests. Who would be expected to find difficulty inijhearing the highest frequencies? a. b. c. d. Mr. Spencer presents with the complaint of hearing loss. You specifically inquire about current medications. Which medications, if listed, are likely to contribute to his hearing loss? e. f. g. h. To approximate vocal frequencies, which tuning fork should be used to assess hearing? i. j. k. l. You are using a pneumatic attachment on the otoscope while assessing tympanic membraneij movement. You gently squeeze the bulb but see no movement of the membrane. Your next action should be to m. n. o. p. When conducting an adult otoscopic examination, you should a. b. c. d. Bulging of an amber tympanic membrane without mobility is usually associated with e. f. g. h. When hearing is evaluated, which cranial nerve is being tested? i. j. k. l. Speech with a monotonous tone and erratic volume may indicate a. b. c. d. You are performing Weber and Rinne hearing tests. For the Weber test, the sound lateralized to the unaffected ear; for the Rinne test, air conduction-to-bone conduction ratio is less than 2:1. You interpret these findings as suggestive of a. b. c. d. Nasal symptoms that imply an allergic response include e. f. g. h. You are interviewing a parent whose child has a fever, is pulling at her right ear, and is irritable. You ask the parent about the child's appetite and find that the child has a decreased ij,appetite. This additional finding is more suggestive of i. j. k. l. A hairy tongue with yellowish brown to black elongated papillae on the dorsum q. r. s. t. To inspect the lateral borders of the tongue, you should u. v. w. x. For best results, an otoscopic and oral examination in a child should be y. z. a. b. Mr. Akins is a 78-year-old patient who presents to the clinic with complaints of hearing loss.Which are changes in hearing that occur in older adults? (*Select all that apply.*) a. b. c. d. e. f. Which signs and symptoms occur with a sensorineural hearing loss? (*Select all that apply.*) g. h. i. j. k. l. When you ask the patient to identify smells, you are assessing cranial nerve[\_\_.] a. b. c. d. A 44-year-old male patient who complains of a cough has presented to the emergency department. He admits to smoking one pack per day. During your inspection of his chest, the ijmost appropriate lighting source to highlight chest movement is a. bright tangential lighting. b. c. d. When auscultatingij the apex of the lung, you should listen at a point a. b. c. d. To count the ribs and the intercostal spaces, you begin by palpating the reference point of the e. f. g. h. Mr. Curtis is a 44-year-old patient who has presented to the emergency department with shortness of breath. During the history, the patient describes shortness of breath that getsworse when he sits up. To document this, you will use the term i. j. k. l. Which findingij suggests a minor structural variation? a. b. c. d. Ms. Rudman, age 74 years, has no known health problems or diseases. You are doing a ijpreventive healthcare history and examination. Which symptom is associated with intrathoracic infection? e. f. g. h. The best time to observe and count respirations is while i. j. k. l. As you take vital signs on Mr. Barrow, age 78 years, you note that his respirations are 40breaths/min. He has been resting, and his mucosa is pink. In regard to Mr. Barrow's respirations, you would m. n. o. p. In which patient situation would you expect to assess tachypnea? a. b. c. d. 1. e. f. g. h. You would expect to document the presence of a pleural friction rub for a patient being treatedijfor i. j. k. l. Which type of apnea requires immediate action? a. b. c. d. With consolidation in the lung tissue, the breath sounds are louder and easier to hear, whereas healthy lung tissue produces softer sounds. This is because e. f. g. h. Which lung sounds are associated with atelectasis? (*Select all that apply.*) Wheezes a. b. c. d. Mr. O, age 50 years, comes for his annual health assessment, which is provided by his employer. During your initial history-taking interview, Mr. O mentions that he routinely engages in light exercise. At this time, you should a. b. c. d. Which of the following information belongs in the past medical history section related to heartij and blood vessel assessment? e. f. g. h. A patient you are seeing in the emergency department for chest pain is believed to be having a myocardial infarction. During the health history interview of his family history, he relates that his father had died of ―heart trouble. The most important follow-up question you should pose is which of the following? a. b. c. d. Which one of the following is a common symptom of cardiovascular disorders in the older adult? a. b. c. d. In the adult, the apical impulse should be most visible when the patient is in what position? e. f. g. h. If the apical impulse is more vigorous than expected, it is called a i. j. k. l. A palpable rushing vibration over the base of the heart at the second intercostal space is called a. b. c. d. An apical PMI palpated beyond the fifth intercostal space may indicate e. f. g. h. A lift along the left sternal border is most likely the result of i. j. k. l. To estimate heart size by percussion, you should begin tappingij at the a. b. c. d. To hear diastolic heart sounds, you should ask patients to a. b. c. d. You are listening to a patient's heart sounds in the aortic and pulmonic areas. The sound becomes asynchronous during inspiration. The prevalent heart sound in this area is most likely e. f. g. h. Chest pain with an organic cause in a child is most likely the result of i. j. k. l. A condition that is likely to present with dizziness and syncope is a. b. c. d. Your patient, who abuses intravenous (IV) drugs, has a sudden onset of fever and symptoms of congestive heart failure. Inspection of the skin reveals nontender erythematic lesions to the palms. These findings are consistent with the development of e. f. g. h. The most helpful finding in determiningij left-sided heart failure is i. j. k. l. Your patient has been diagnosed with pericarditis. Which are signs and symptoms, or aij precipitating factor? (*Select all that apply.*) a. b. c. d. e. f. g. Induration, edema, and hyperpigmentation are common associated findings with which of the following? a. b. c. d. The most prominent component of the jugular venous pulse is the e. f. g. h. During a routine prenatal visit, Ms. T was noted as having dependent edema, varicosities of the legs, and hemorrhoids. She expressed concern about these symptoms. You explain to Ms.ijT that her enlarged uterus is compressing her pelvic veins and her inferior vena cava. You would further explain that these findings a. b. c. d. Vascular changes expected in the older adult include e. f. g. h. You are examining Mr. S, a 79-year-old diabetic man complaining of claudication. Which of the following physical findings is consistent with the diagnosis of peripheral arterial disease? i. j. k. l. You are performing a physical examination on a 46-year-old male patient. His examination ijfindings include the following: positive peripheral edema, holosystolic murmur in the tricuspid region, and a pulsatile liver. His diagnosis is a. b. c. d. A characteristic distinguishing primary Raynaud phenomenon from secondary Raynaud phenomenon includes which of the following? e. f. g. h. In children, coarctation of the aorta should be suspected if you detect i. j. k. l. Which of the following statements is *true* regarding the development of venous ulcers in older adults? a. b. c. d. When examining arterial pulses, the thumb may, be used a. b. c. d. To assess a patient's jugular veins, the patient should first be placed in which position? a. b. c. d. Observation of hand veins can facilitate the assessment of a. b. c. d. You are assessing Mr. Z's fluid volume status as a result of heart failure. If your finger depresses a patient's edematous ankle to a depth of 6 mm, you should record this pitting asija. a. b. c. d. A bounding pulse in an infant may be associated with i. j. k. l. In infants or small children, a capillary refill time of 4 seconds m. n. o. p. A venous hum heard over the internal jugular vein of a child q. r. s. t. You are palpating bilateral pedal pulses and cannot feel one of the pulses. The feet are equally, warm. You find that both great toes are pink, with a capillary refill within 2 seconds. Which of the following statements is correct? u. v. w. x. When palpating the carotid artery, which of the following is most important? (*Select all that apply.*) a. b. c. d. Which are risk factors for varicose veins? (*Select all that apply.*) a. b. c. d. e. f. Mrs. James is 7 months' pregnant and states that she has developed a problem with constipation. She eats a well-balanced diet and is usually regular. You should explain that constipation is common during pregnancy because of changes in the colorectal areas, such as a. b. c. d. The family history of a patient with diarrhea and abdominal pain should include inquiry about cystic fibrosis because it is e. f. g. h. When assessing abdominal pain in a college-age woman, one must include Infants born weighing less than 1500 g are at higher risk for a. b. c. d. You are completing a general physical examination on Mr. Rock, a 39-year-old man with complaints of constipation. When examining a patient with tense abdominal musculature, a helpful technique is to have the patient e. f. g. h. Mrs. Little is a 44-year-old patient who presents to the office with abdominal pain and fever. During your examination, you ask the patient to raise her head and shoulders while she lies in a supine position. A midline abdominal ridge rises. You document this observation as a(n) a. b. c. d. Mr. Robins is a 45-year-old man who presents to the emergency department with a complaint, of constipation. During auscultation, you note borborygmi sounds. This is associated with a. b. c. d. To document absent bowel sounds correctly, one must listen continuously for e. f. g. h. Percussion of the abdomen begins with establishing i. j. k. l. When percussing a spleen, Traube space is a a. b. c. d. Your patient is complaining of acute, intense, sharp epigastric pain that radiates to the backij and left scapula, with nausea and vomiting. Based on this history, your prioritized physical examination should be to e. f. g. h. To assess for liver enlargement in the obese person, you should i. j. k. l. An umbilical assessment in the newborn that is of concern is m. n. o. p. Your patient presents with symptoms that lead you to suspect acute appendicitis. Which assessment finding is least likely to be associated with this condition? a. b. c. d. When usingij the bimanual technique for palpating the abdomen, you should e. f. g. h. Flatulence, diarrhea, dysuria, and tenderness with abdominal palpation are findings usually associated with i. j. k. l. a. b. c. d. e. f. g. h. i. j. k. l. m. n. o. p. a. b. c. d. e. f. g. h. a. b. c. d. e. f. a. b. c. d. a. b. c. d. e. f. g. h. i. j. k. l. m. n. o. p. The adnexa of the uterus are composed of the a. b. c. d. A bluish color to the cervix during pregnancy is called (the) a. McDonald sign. b. Spinnbarkeit. c. Goodell sign. d. Chadwick sign. e. ANS: D. Chadwick sign. The pelvic joint that separates most appreciably during late pregnancy is the a. sacroiliac. b. symphysis. c. sacrococcygeal. d. iliofemoral. Pregnancy-related cervical changes include a. b. c. d. Mrs. Robinson, a 49-year-old patient, presents to the office complaining of missing her menstrual period. She asks about menopause. You explain to her that the conventional definition of menopause is a. b. c. d. Which systemic feature is related to the effects of menopause? a. b. c. d. Ms. A, age 32, states that she has a recent history of itchy vaginal discharge. Ms. A has never been pregnant. Her partner uses condoms and she uses spermicide for birth control. Which of ,the following data are most relevant to Ms. A's problem? a. Bowel habits b. Douching routines c. Menstrual flow d. Nutritional factors Which risk factor is associated with cervical cancer? a. b. c. d. The risk of ovarian cancer is increased by a. b. c. d. The form of gynecologic cancer that is increased in obese women is e. f. g. h. i. j. k. l. a. b. c. d. e. f. g. h. i. j. k. l. m. n. o. p. a. b. c. d. e. f. g. h. i. j. k. l. m. n. o. p. a. b. c. d. a. b. c. d. e. f. g. h. q. r. s. t. u. v. w. x. a. b. c. d. a. b. c. d. e. f. g. h. i. j. k. l. m. n. o. p. a. b. c. d. e. f. g. h. i. j. k. l. a. b. c. d. a. b. c. d. e. f. g. h. i. j. k. l. a. b. c. d. a. b. c. d. e. f. g. h. i. j. k. l. a. b. c. d. e. f. g. h. i. j. k. l. a. b. c. d. a. b. c. d. e. f. g. h. i. j. k. l. a. b. c. d. e. f. g. h. i. j. k. l. a. b. c. d. a. b. c. d. e. f. g. h. i. j. k. l. m. n. o. p. 1. a. b. c. d. 2. e. f. g. h. 3. i. j. k. l. 4. m. n. o. p. a. b. c. d. e. f. g. h. i. j. k. l. m. n. o. p. 1. a. b. c. d. 2. e. f. g. h. 3. i. j. k. l. 4. m. n. o. 5. p. q. r. s. 6. t. u. v. w. 7. x. y. z. a. 8. b. c. d. 9. e. f. g. h. 10. i. j. k. l. 11. m. n. o. p. 12. q. r. s. t. 1. a. b. c. d. 2. e. f. g. h. 3. i. j. k. l. m. n. o. p. a. b. c. d. 1. e. f. g. h. 2. i. j. k. l. 3. m. n. o. p. 1. a. b. c. d. e. 1. a. b. c. d. 2. e. f. g. h. 3. i. j. k. l. 4. m. n. o. p. 5. q. r. s. t. 6. u. v. w. x. 7. y. z. a. b. 8. c. d. e. f. 9. g. h. i. j. 10. k. l. m. n. 1. a. b. c. d. Inquiry about nocturnal muscle spasms would be most significant when taking theij musculoskeletal history of e. f. g. h. The musculoskeletal examination should begin when i. j. k. l. Fasciculation occurs after injury to a muscle's a. b. c. d. The physical assessment technique most frequently used to assess joint symmetry is a. b. c. d. A goniometer is used to assess e. f. g. h. When palpating joints, crepitus may occur when i. j. k. l. The temporomandibular joint is palpated a. b. c. d. The temporalis and masseter muscles are evaluated by a. b. c. d. The strength of the trapezius muscle is evaluated by having the patient e. f. g. h. Expected normal findings during the inspection of spinal alignment include i. j. k. l. A common finding in markedly obese patients and pregnant women is a. b. c. d. A wheelchair-dependent older woman would most likely develop skin breakdown at a. b. c. d. When the patient flexes forward at the waist, which spinal observation would lead you to ijsuspect scoliosis? a. Prominent lumbar hump b. Prominent cervical concave curve c. Lateral curvature of the spine d. Restricted ability to flex at the hips When a patient abducts an arm and the ipsilateral scapula becomes more prominent (winged),this usually means that a. there has been an injury to the nerve of the anterior serratus muscle. b. one of the clavicles has been fractured. c. there is a unilateral trapezius muscle separation. d. one shoulder is dislocated. When the shoulder contour is asymmetric and one shoulder has hollows in the rounding contour, you would suspect a. b. c. d. Ulnar deviation and swan neck deformities are characteristics of a. rheumatoid arthritis. b. osteoarthritis. c. osteoporosis. d. congenital defects. e. ANS: A. rheumatoid arthritis. A finding that is indicative of osteoarthritis is (are) a. swan neck deformities. b. Bouchard nodes. c. ganglions. d. Heberden nodes. Carpal tunnel syndrome would result in a. b. c. d. Cardinal signs for rheumatoid disorders include which of the following? (*Select all that apply.*) a. b. c. d. e. The wrist moves in (*Select all that apply.*) a. eversion and inversion. b. proximal radius and ulna articulation. c. flexion and extension. d. adduction and abduction. Montgomery tubercles are most prominent in the breasts of a. b. c. d. Most women with breast cancer e. f. g. h. A 50-year-old woman presents as a new patient. Which finding in her personal and social history would increase her risk profile for developing breast cancer? a. b. c. d. If your patient has nipple discharge, you will most likely need a a. Vacutainer tube. b. glass slide and fixative. c. specimen jar with formaldehyde. d. tape strip to test pH. While examining a 30-year-old woman, you note that one breast is slightly larger than theij other. In response to this finding, you should a. note the finding in the patient's record. b. ask the patient if she has ever had breast cancer. c. tell the patient to get a mammogram as soon as possible. d. tell the patient to get a mammary sonogram as soon as possible. A 23-year-old white woman has come to the clinic because she has missed two menstrual periods. She states that her breasts have enlarged and that her nipples have turned a darker, color. Your response to this finding is to a. instruct her that this is a side effect of birth control injection therapy. b. suggest pregnancy testing. c. question her use of tanning beds. d. schedule an appointment with a surgeon. In patients with breast cancer, peau d'orange skin is often first evident a. b. c. d. A firm, transverse ridge of compressed tissue is felt bilaterally along the lower edge of a 40-year-old patient's breast. You should a. ask the patient if she has a history of breast cancer. b. refer the patient to a surgeon. c. ask the patient to have a mammogram as soon as possible. d. record the finding in the patient's record. When examining axillary lymph nodes, the patient's arm is a. raised fully above the head. b. extended at the side. c. flexed at the elbow. d. crossed over the chest. Male gynecomastia associated with illicit or prescription drug use can be expected to a. b. c. d. A nursing mother complains that her breasts are tender. You assess hard, shiny, and erythemic ijbreasts bilaterally. You should advise the patient to a. b. c. d. You are conducting a clinical breast examination for your 30-year-old patient. Her breasts are s symmetric, with bilateral, multiple tender masses that are freely movable and with well-defined borders. You recognize that these symptoms and assessment findings are,consistent with a. fibroadenoma. b. Paget disease. c. cancer. d. fibrocystic changes. Your patient is a nursing mother who asks you to look at a mole she has under her left breast at the inframammary fold. The mole is nontender and soft and has grown in size since she started nursing. There are no other changes to the mole. This mole probably represents anij undiagnosed a. Montgomery tubercle. b. case of Paget disease. c. supernumerary nipple. d. fat necrosis. When conducting a clinical breast examination, the examiner should a. forgo the examination if the patient has had a recent mammogram. b. keep the patient's breasts completely covered to respect modesty. c. dim the lights to minimize anxiety. d. inspect both breasts simultaneously. Mrs. Weber is a 65-year-old patient who has presented at the clinic with a complaint of a tender breast mass that she discovered during breast self-examination. You have completed a physical examination on Mrs. Weber and have palpated a mass of the right breast in the lower,outer quadrant. When providing patient education to Mrs. Weber regarding the breast mass, you will explain that the characteristics of a cancerous mass would be which of the following? (*Select all that apply.*) a. b. c. d. e. Ms. Lawson is a 41-year-old patient who presents for a routine annual examination. During her breast examination, you are also completing a lymphatic examination. Which of the following lymph nodes are examined during a breast examination? (*Select all that apply.*) a. Supraclavicular b. Lateral axillary nodes c. Anterior cervical nodes d. Anterior axillary nodes e. Posterior cervical nodes