The nurse is instructing a 3-year-old's mother regarding abnormal findings within the urinary system. Which assessment finding would the nurse document as normal finding for this age group?

Hematuria.

Enuresis.

Anuria.

Dysuria.

Answer and Explanation

The Correct Answer is B

Enuresis. Enuresis is the involuntary discharge of urine after the age at which bladder control should have been established. It is a normal finding for children up to the age of 5 years. Hematuria, Anuria, and Dysuria are abnormal findings related to the urinary system and are not normal findings for a 3-year-old.

Choice A, Hematuria, is incorrect because it is an abnormal finding related to the urinary system.

Choice C, Anuria, is incorrect because it is an abnormal finding related to the urinary system.

Choice D, Dysuria, is incorrect because it is an abnormal finding related to the urinary system.

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Correct Answer is C

Explanation

Contusion. The nurse would suspect a contusion as the client was hit by a baseball bat and has localized pain and swelling with ecchymosis (bruising).

Option A, Strain, is unlikely as a strain is a stretching or tearing of a muscle or tendon, and it is not usually caused by blunt force trauma.

Option B, Sprain, is unlikely as a sprain is a stretching or tearing of a ligament, and it is not usually caused by blunt force trauma.

Option D, Fracture, is unlikely as a fracture is a break in the bone and usually involves more severe pain and may be accompanied by deformity.

A. Have the client close their eyes, lightly rub fingers together 12 inches away from the ear, and have the client identify which side the sound is heard. B. First, place the tuning fork on the mastoid process behind the ear. When the client states the sound is no longer heard, place the tuning fork beside the ear. C. Strike the tuning fork and place it in the center of the skull. D. Stand three feet away and have the client repeat back what you have whispered.

Correct Answer is B

Explanation

In the Rinne test, the nurse first places a tuning fork on the mastoid process behind the ear, and when the client states that the sound is no longer heard, the tuning fork is placed beside the ear. This test is done to compare bone conduction with air conduction. When sound is no longer heard via bone conduction, the sound will still be heard via air conduction.

Choice A is incorrect because it describes the Weber test, not the Rinne test.

Choice C is incorrect because it is not a standard hearing test.

Choice D is incorrect because it describes the Whisper test, which is also used to test for hearing loss.

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The nurse is instructing a 3-year-old's mother regarding abnormal findings within the urinary system. Which assessment finding would the nurse document as normal finding for this age group?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client comes to the emergency department complaining of localized pain and swelling of his lower leg. Ecchymotic areas are noted. History reveals that the client got bit in the leg with a baseball bat. Which of the following would the nurse suspect as most likely?

Correct Answer is C

Explanation

The client is undergoing a tuning fork test to assess for hearing conduction. The nurse performs a Rinne test. How will this test be performed?

Correct Answer is B

Explanation

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