The nurse is preparing to assess a client's nipples during a breast examination. Which of the following are considered pathological conditions that affect the nipple? (Select all that apply.)
1. Bleeding
2. Lumps
3. Discharge
4. Scars
5. Fissures
6. Large size
Question 2The nurse is assessing a client who is diagnosed with gout. Which of the following findings will the nurse most likely assess in this client? (Select all that apply.)
1. Decreased range of motion
2. Edema in a joint
3. Elevated uric acid levels
4. Pain that develops over many weeks
5. Fever
6. Headache
Question 3Victims of a chemical spill are brought to the hospital for treatment. The nurse learns that 50 victims will be arriving within the hour. When preparing for these victims, the nurse should ensure that which of the following is available?
1. A small designated area to decontaminate the victims
2. A medium-sized area to decontaminate the victims
3. A large area to decontaminate the victims
4. The entire emergency department is available to decontaminate the victims
Question 4When instructing a client on breast self-examination, the nurse reviews the importance of visual inspection of the breasts.
Which of the following should the nurse instruct the client to focus on when doing this part of the examination? (Select all that apply.)
1. Contour and symmetry of the breasts
2. Skin changes
3. Position of the nipples
4. Presence or absence of masses
5. Pain
6. Size
Question 5The nurse is collecting a 24-hour urine specimen from a client with an indwelling urinary catheter. How should the nurse collect this specimen?
1. Empty the catheter bag once a shift and place the urine in a collection container on ice.
2. Disconnect the catheter from the tubing and drain the urine directly into the collection container.
3. Aspirate urine from the tubing port with a sterile needle every hour and place in a collection container on ice.
4. Place the catheter bag on ice and empty regularly into the collection bottle, which is also kept on ice.
Question 6A client diagnosed with Paget's disease is prescribed alendronate (Fosamax). Which of the following should the nurse instruct the client regarding this medication?
1. Do not eat anything for 30 minutes after taking a dose.
2. Take the medication on a full stomach.
3. Go to the physician's office for the medication to be provided intravenously.
4. Expect to stay on this medication for only 6 months.
Question 7A client is diagnosed with West Nile virus. The nurse should instruct the client that the most common carriers of this virus are:
1. rats.
2. birds.
3. mosquitoes.
4. cows.
Question 8A client is scheduled for a prophylactic mastectomy. The nurse should remind the client that skin flaps will be left after the surgery for:
1. reconstruction.
2. suturing to the chest wall.
3. possible use for other skin disorders.
4. donation for someone needing a skin transplant.
Question 9The nurse is assessing a client who is demonstrating clinical manifestations of Paget's disease. The nurse realizes that which of the following diagnostic tests will aid in the diagnosis of this disorder?
1. Chest x-ray
2. Hand x-ray
3. Serum albumin level
4. Serum alkaline phosphatase level
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