Lungs and Thorax
Which of the following statements made by the nursing student requires more education?
a. "The right lung has three lobes anteriorly but two posteriorly."
b. "The left lung is narrower than the right because of the heart."
c. "The right lung is shorter due to the stomach."
d. "The left lung has two lobes anteriorly and posteriorly."
c. "The right lung is shorter due to the stomach."
Which statement made by the student nurse requires further teaching?
a. "Optimal nutrition status occurs when sufficient nutrients are consumed to support day-to-day body needs and any increased metabolic needs due to growth, pregnancy, or illness."
b. "Over nutritional status results from an overconsumption of nutrients and calories."
c. "Under nutritional status occurs when nutrient intake is inadequate to meet day-to-day needs or added metabolic demands, or the nutritional reserves are repleted."
d. "Lifestyle factors such as cigarette smoking, stress, not exercising, excessive alcohol intake, and a diet high in saturated fat, cholesterol, salt, and sugar has no effect on a persons nutrition."
d. "Lifestyle factors such as cigarette smoking, stress, not exercising, excessive alcohol intake, and a diet high in saturated fat, cholesterol, salt, and sugar has no effect on a persons nutrition."
Fill in the blanks: The sebaceous glands produce 1) _____ and the apocrine glands produce 2) _____.
1) Sebum (protective lipid that is secreted through the hair follicles)
2) Sweat
What type of gland is the most common and are most numerous on the palms of the hands and soles of the feet?
a. Apocrine glands
b. Eccrine glands
c. Sebaceous glands
d. Adrenal gland
b. Eccrine glands
I will scream/lose my mind
Which of the following actions by the student nurse requires intervention by the nurse?
a. The student nurse percusses with a reflex hammer
b. While auscultating, the student nurse instructs the client to breathe through their mouth
c. The student nurse percusses over the bone
d. The student nurse listens to one full respiration at each location when auscultating
c. The student nurse percusses over the bone
Which of the following is true regarding older adults?
a. Older adults are more at risk for constipation because they never eat fiber
b. Older adults typically have more money due to retirement so they are able to afford more expensive (organic) foods and therefore do not struggle much with nutrition
c. Older adults have a decrease in energy requirements due to the loss of lean body mass and increase in fat mass
d. Older adults tend to have an increase in visual acuity, taste, and smell
c. Older adults have a decrease in energy requirements due to the loss of lean body mass and increase in fat mass
What does ABCDE stand for?
Asymmetry of a pigmented lesion
Border irregularity
Color variation
Diameter greater than 6mm
Elevation or evolution
Which of the following glands is common in the armpits and groin area and can lead to body odor?
a. Apocrine glands
b. Eccrine glands
c. Sebaceous glands
d. Adrenal gland
a. Apocrine glands
Which statement by a classmate requires additional teaching?
a. "I ate breakfast this morning and went to bed around 11 last night."
b. "I studied all night last night but I still don't feel prepared I'm literally going to fail and I didn't get to eat breakfast because I was studying so if my stomach grumbles during the test I'm sorry but I'm literally so stressed and when I fail I'm going to scream and cry and throw up."
c. "We are going to do great!"
d. "I studied for a few hours last night and then went to bed, I feel so refreshed and prepared!"
b. "I studied all night last night but I still don't feel prepared I'm literally going to fail and I didn't get to eat breakfast because I was studying so if my stomach grumbles during the test I'm sorry but I'm literally so stressed and when I fail I'm going to scream and cry and throw up."
The nurse gets report on four clients, which client should the nurse see first?
a. The 88-year-old woman who is being discharged in 30 minutes
b. The 30-year-old woman with tachypnea and increased diaphoresis
c. The 56-year-old man with an oxygen saturation of 93%
d. The 22-year-old man with lung sounds that are continuous and described as "crowing"
d. The 22-year-old man with lung sounds that are continuous and described as "crowing"
Which of the following are healthy BMIs? Select all that apply.
a. 18.5
b. 17.8
c. 22.6
d. 25.2
e. 35
f. 24.7
a. 18.5
c. 22.6
f. 24.7
Which of the following would the nurse want to add in when educating the client about protecting their skin? Select all that apply.
a. "Use sunscreen, hats, and long-sleeves when outside."
b. "You can use a tanning bed all you want in your 20s but after that you need to stop."
c. "Use ABCDE to examine your skin monthly."
d. "You don't need to worry about sunburns."
e. "Since you have an increase in melanin, you do not need to worry about getting skin cancer."
f. "Hives are an expected finding for older adults."
a. "Use sunscreen, hats, and long-sleeves when outside."
c. "Use ABCDE to examine your skin monthly."
Which of the following is an abnormal finding?
a. A 45-year-old man is noticing that he is gradually losing hair
b. A 60-year-old woman develops bristly hair on her chin or upper lip
c. An 80-year-old man has coarse hairs in his ears, nose, and eyebrows
d. A 25-year-old woman pulls a handful of hair out of her head when she brushes her hair everyday
d. A 25-year-old woman pulls a handful of hair out of her head when she brushes her hair everyday
What is going to happen if you don't do as well as you hoped on the test?
a. The entire world is going to explode and there will be widespread panic because of one bad grade
b. A test review will be scheduled, you'll keep coming to tutoring, and life will continue
c. Florence Nightingale is going to come back to life and haunt you
d. Life will never be the same
b. A test review will be scheduled, you'll keep coming to tutoring, and life will continue
Which of the following are abnormal findings of an assessment of the thorax and lungs? Select all that apply.
a. Cyanosis of the nail bed
b. Decreased level of consciousness
c. Symmetrical chest expansion
d. Tenderness upon percussion
e. Hearing crackles during auscultation
f. Bradypnea
a. Cyanosis of the nail bed
b. Decreased level of consciousness
d. Tenderness upon percussion
e. Hearing crackles during auscultation
f. Bradypnea
Which of the following would you include when educating an overweight client about how to lose weight? Select all that apply.
a. "Participate in at least 30 minutes of exercise 4-5 times a week."
b. "Consume a low-calorie, high-fat diet."
c. "Keep your caloric intake to 1,400-1,500 calories per day."
d. "Your fat intake should take up 20-25% of total calories."
e. "Your fat intake should take up 10-15% of total calories."
f. "Use a smaller plate at home when making yourself food."
a. "Participate in at least 30 minutes of exercise 4-5 times a week."
d. "Your fat intake should take up 20-25% of total calories."
f. "Use a smaller plate at home when making yourself food."
a. Protection from environment
b. Absorption and excretion
c. Perception
d. Communication
e. Production of vitamin C
f. Wound repair
a. Protection from environment
b. Absorption and excretion
c. Perception
d. Communication
f. Wound repair
No, indicates early clubbing
Nail bed should be around 160
a. Use the highlighter and mark out tool
b. Ignore/block out the people who get up and leave before you
c. Panic when people start to leave, question your intelligence, and click C for all your remaining questions so you can leave when the first few people do
d. Re-read all the questions and answer choices
e. Read each question, look at the answer choices, shut your eyes, pick a random answer, and then move on
f. Use your critical thinking skills and big brains to power through the hard questions
a. Use the highlighter and mark out tool
b. Ignore/block out the people who get up and leave before you
d. Re-read questions and answer choices
f. Use your critical thinking skills and big brains to power through the hard questions
The nurse gets report on four clients, which client should the nurse see first?
a. The 12-year-old girl complaining of discomfort with the nasal cannula
b. The 56-year-old man with sudden onset atelectasis
c. The 43-year-old woman complaining of stomach pain
d. The 35-year-old man with an even breathing pattern
b. The 56-year-old man with new onset atelectasis
Which of the following affects what someone chooses to eat? Select all that apply.
a. Culture
b. Swallowing ability
c. Finances
d. Religion
e. Medications
f. Allergies
a. Culture
b. Swallowing ability
c. Finances
d. Religion
e. Medications
f. Allergies
Which of the following clients should wear sunscreen? Select all that apply.
a. The 4-year-old boy who loves swimming
b. The 27-year-old African American woman who works inside at a law firm
c. The 19-year-old woman on her college basketball team
d. The 80-year-old man who walks around the park every day
e. The 24-year-old man who fishes on the weekends with his dad
f. The 30-year old woman who has three kids
a. The 4-year-old boy who loves swimming
b. The 27-year-old African American woman who works at a law firm
c. The 19-year-old girl on her college basketball team
d. The 80-year-old male who walks around the park every day
e. The 24-year-old male who fishes on the weekends with his dad
f. The 30-year old woman who has three kids
Which of the following are abnormal findings of the nails? Select all that apply.
a. Brittle nails
b. Smooth nail thickness
c. Nails that are splitting
d. Purple nail bed below the nail
e. Translucent nail plate
f. Uniform nail thickness
a. Brittle nails
c. Nails that are splitting
d. Purple nail bed below the nail
What are you going to do before the test tomorrow? Select all that apply.
a. Eat SOMETHING (literally anything, I don't care if it is one PopTart and a singular sip of water...)
b. Get around 8 hours of sleep
c. Party until 2am and say "I'll glance at my notes later, it will be fine."
d. Get to class a little bit early to glance at your notes one last time (if you want) AND THEN PUT THE NOTES AWAY AT LEAST 5 MINUTES PRIOR TO THE TEST STARTING
e. Tell yourself you will do good and pass
f. Get to class and say "wait we have a test today?"
a. Eat SOMETHING (literally anything, I don't care if it is one PopTart and a singular sip of water...)
b. Get around 8 hours of sleep
d. Get to class a little bit early to glance at your notes one last time (if you want) AND THEN PUT THE NOTES AWAY AT LEAST 5 MINUTES PRIOR TO THE TEST STARTING
e. Tell yourself you will do good and pass