A 52-year-old patient presents with malaise, fatigue, chest congestion, and a chronic cough. While collecting assessment data, an important question to ask is

When did these symptoms start?"

What is your occupation?"

Do you have a headache?"

Do you have any abdominal pain?"

Answer and Explanation

The Correct Answer is B

A.   While understanding the onset of symptoms is important, the patient's occupation might provide more insight into potential environmental or work-related exposures that could explain the symptoms, such as chronic exposure to irritants or pollutants.

B.   The occupation is highly relevant, as it may help identify occupational hazards, such as exposure to chemicals, dust, or other respiratory irritants, which could be contributing to the symptoms.
C.   Although a headache could be related to fatigue or other symptoms, it is not the most relevant question in this case.
D.   Abdominal pain is less likely to be the focus when the primary symptoms are chest congestion and a cough, which suggest respiratory involvement.

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Correct Answer is A

Explanation

A. Pushing the soles of the feet against the nurse's hands is a standard test to assess the strength of the lower extremities. It provides a clear indication of muscular strength and motor function.
B. Wiggling toes helps assess for sensation but does not evaluate overall strength or motor function in the lower extremities.
C. Pulling both feet up to stretch the Achilles tendons is not an appropriate method for assessing lower extremity strength.
D. Standing independently does not evaluate strength comprehensively and is more related to balance and coordination.

A. 54 mm Hg B. 80 mm Hg. C. 64 mm Hg. D. 14 mm Hg.

Correct Answer is B

Explanation

Pulse pressure is calculated as the difference between systolic and diastolic blood pressure. 170 - 90 = 80 mm Hg, so the pulse pressure would be 80mmHg.

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A 52-year-old patient presents with malaise, fatigue, chest congestion, and a chronic cough. While collecting assessment data, an important question to ask is

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Naxlex Comprehensive Predictor Exams

To correctly determine the strength of a patient's lower extremities during a neurological examination, the nurse asks the patient to:

Correct Answer is A

Explanation

The nurse documents vital signs on a newly admitted patient as: "blood pressure is 170/90 mm Hg, the pulse is 80 beats/min, and the respirations are 16 breaths/min." The nurse would record the pulse pressure as:

Correct Answer is B

Explanation

The nurse taking an apical pulse would place the stethoscope at:

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