Patient Data

Exhibits

Heart sounds are loudest for S1 at the
dropdown
and for S2 at the
dropdown
.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"B"}

S1 (First Heart Sound): Loudest at the apex of the heart, which is located at the 5th intercostal space, midclavicular line. It is caused by the closure of the mitral and tricuspid valves.

S2 (Second Heart Sound): Loudest at the base of the heart, which is located at the 2nd intercostal space, near the aortic and pulmonic areas. It is produced by the closure of the aortic and pulmonic valves.

Center of the heart. No major auscultation point is located in the center. The heart sounds are best heard where blood flow is directed against the chest wall, not in the middle of the thorax.

Left side of the heart. While the left heart contains the mitral and aortic valves, this is too vague.The mitral sound (S1) is best heard at the apex, while the aortic sound (S2) is best heard at the base.

Right side of the heart. The tricuspid and pulmonic valves are on the right, but heart sounds are best heard at specific points rather than the general right side.

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Inspect the testicles using a mirror. A mirror is not necessary for performing a testicular self-exam. The focus should be on palpation rather than visual inspection alone, as small lumps or irregularities may not be visible but can be felt through careful examination.

B. Compare both testicles concurrently. While it is useful to be familiar with the normal size and shape of both testicles, the self-exam should be performed on one testicle at a time. This allows for a more thorough and focused assessment of each testicle for lumps, swelling, or changes in consistency.

C. Examine the testicles during bathing. Warm water during a bath or shower helps relax the scrotal skin, making it easier to feel any abnormalities. This is the best time to perform a testicular self-exam, as the testicles hang lower and are more accessible for palpation.

D. Manipulate the testicles upon rising. Examining the testicles immediately upon waking is not ideal, as the scrotum may be tighter due to cooler temperatures. This could make it more difficult to detect subtle changes, lumps, or irregularities.

A. Crepitus. B. Contracture. C. Osteopenia. D. Atrophy. E. Kyphosis.

Correct Answer is ["B"]

Explanation

A. Crepitus. Crepitus is a crackling or grating sensation felt during joint movement, typically caused by cartilage degeneration or air in the joint. It is assessed through palpation rather than inspection.

B. Contracture. Contracture is the permanent tightening of muscles, tendons, or ligaments due to prolonged immobility or neurological conditions. It can be observed through inspection as limited joint movement or abnormal limb positioning.

C. Osteopenia. Osteopenia refers to decreased bone density, which is diagnosed through imaging tests like a bone density scan (DEXA). It cannot be directly observed during inspection.

D. Atrophy. Muscle atrophy, or the wasting away of muscle tissue, can be visually assessed during inspection. It appears as a noticeable decrease in muscle size, often due to disuse, nerve damage, or disease.

E. Kyphosis. Kyphosis, an excessive outward curvature of the spine leading to a hunched posture, is easily identified through inspection. It is commonly seen in conditions such as osteoporosis or poor posture habits.

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Patient Data Exhibits Heart sounds are loudest for S1 at the dropdown and for S2 at the dropdown.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The college health clinic nurse is preparing a seminar on testicular self-examination (TSE). Which instruction should be included in the content for this seminar?

Correct Answer is C

Explanation

The nurse begins a client's musculoskeletal assessment. While using the technique of inspection, the nurse assesses for which possible findings? Select all that apply.

Correct Answer is ["B"]

Explanation

The nurse is obtaining a health history for a client being admitted for new onset seizures. Which action should the nurse implement to accurately record the health history findings?

When performing a skin and nail exam on an older adult female client, the nurse notes that she has longitudinal ridges on her fingernails. What does this finding indicate?

When assessing the left foot planter reflex of an adult client, the nurse observes an extension of the great toe and fanning of other toes. Which interpretation of this finding is accurate?

The nurse notes an enlarged, visible lymph node on the client's neck. Which action should the nurse take next?

The nurse is doing a health assessment of a client who smoked three packs of cigarettes every day for the last twenty years before quitting two years ago. How should the nurse document the client's pack-years? (Enter the numerical value only.)

Patient Data Exhibits Which can the nurse do to mitigate artifacts when performing auscultation? Select all that apply.

Patient Data Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

The nurse is performing oral inspection of a client with dark pigmented skin. The nurse observes a patchy discoloration of the buccal mucosa. Which action should the nurse take?

Patient Data

Exhibits

Heart sounds are loudest for S1 at the
dropdown
and for S2 at the
dropdown
.