Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
While inspecting the external eye of a client, the nurse notes that the client's right eyelid droops. Which term would the nurse use to document this finding?
A. Ectropion
Ectropion: This condition involves the eyelid turning outward, not drooping.
B. Presbyopia
Presbyopia: This is age-related loss of near vision, not related to eyelid position.
C. Ptosis
Ptosis: Ptosis refers to drooping of the upper eyelid, which is the correct term for the described finding.
D. Entropion
Entropion: This condition involves the eyelid turning inward, not drooping.
This question is an excerpt from Nurse Dive's nursing test bank - Ati health assessment proctored exam. Take the full exam now
Full Explanation
A. Ectropion: This condition involves the eyelid turning outward, not drooping.
B. Presbyopia: This is age-related loss of near vision, not related to eyelid position.
C. Ptosis: Ptosis refers to drooping of the upper eyelid, which is the correct term for the described finding.
D. Entropion: This condition involves the eyelid turning inward, not drooping.
Similar Questions
Use of tobacco products and excessive alcohol consumption are principal risk factors for oral carcinoma.
A. False
False: Tobacco use and excessive alcohol consumption are well-established risk factors for oral carcinoma. They contribute significantly to the development of oral cancers.
B. True
True: Both tobacco products and excessive alcohol consumption are principal risk factors for oral carcinoma due to their carcinogenic properties, making this statement accurate.
Full Explanation
A. False: Tobacco use and excessive alcohol consumption are well-established risk factors for oral carcinoma. They contribute significantly to the development of oral cancers.
B. True: Both tobacco products and excessive alcohol consumption are principal risk factors for oral carcinoma due to their carcinogenic properties, making this statement accurate.
Which individual typically would be responsible for collecting the subjective data on a client during the initial comprehensive assessment?
A. Technician
Technician: Technicians generally perform specific tasks or tests rather than collecting comprehensive subjective data.
B. Secretary
Secretary: A secretary's role is administrative and does not involve direct patient assessment or data collection.
C. Nurse
Nurse: Nurses are typically responsible for collecting subjective data from clients during the initial comprehensive assessment, including patient history and current health concerns.
D. Physician
Physician: While physicians review and interpret data, they often rely on nurses to collect detailed subjective information during initial assessments.
Full Explanation
A. Technician: Technicians generally perform specific tasks or tests rather than collecting comprehensive subjective data.
B. Secretary: A secretary's role is administrative and does not involve direct patient assessment or data collection.
C. Nurse: Nurses are typically responsible for collecting subjective data from clients during the initial comprehensive assessment, including patient history and current health concerns.
D. Physician: While physicians review and interpret data, they often rely on nurses to collect detailed subjective information during initial assessments.
The nurse refers an older adult client for further evaluation after the nurse assesses warm skin and brown pigmentation around the ankles. The nurse suspects which of the following?
A. Stasis ulceration
Stasis ulceration: While stasis ulcers can occur in the context of venous insufficiency, the description of warm skin and brown pigmentation more directly suggests venous insufficiency.
B. Arterial occlusion
Arterial occlusion: This condition typically presents with cold, pale skin and possible pain or cramping, rather than warm skin and pigmentation.
C. Dependent edema
Dependent edema: Dependent edema involves swelling due to fluid accumulation but does not necessarily cause pigmentation changes around the ankles.
D. Venous insufficiency
Venous insufficiency: Warm skin and brown pigmentation around the ankles are indicative of venous insufficiency, a condition where blood flow in the veins is impaired, leading to these symptoms.
Full Explanation
A. Stasis ulceration: While stasis ulcers can occur in the context of venous insufficiency, the description of warm skin and brown pigmentation more directly suggests venous insufficiency.
B. Arterial occlusion: This condition typically presents with cold, pale skin and possible pain or cramping, rather than warm skin and pigmentation.
C. Dependent edema: Dependent edema involves swelling due to fluid accumulation but does not necessarily cause pigmentation changes around the ankles.
D. Venous insufficiency: Warm skin and brown pigmentation around the ankles are indicative of venous insufficiency, a condition where blood flow in the veins is impaired, leading to these symptoms.