A nurse is interviewing a client in order to obtain a comprehensive health history. The purpose of a review of systems in the health history is to

Determine the cause of current health problems

validate current symptoms

Identify current and past health problems

identify actual health problems

Answer and Explanation

The Correct Answer is C

A.   A review of systems helps assess overall health and symptoms, but it may not always pinpoint the cause directly.
B.   While this may be a part of the review of systems, the primary purpose is broader—identifying both current and past health problems.
C.   The review of systems is designed to gather information on both current and past health problems, helping to form a comprehensive health history.
D.   This is part of the process but is too narrow compared to identifying both current and past health concerns.

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Correct Answer is A

Explanation

A. This is the most appropriate time to perform a testicular self-examination because the scrotum is relaxed and easier to examine after warm water exposure.
B. The testicle is egg-shaped and movable, but it should not feel lumpy. Lumps or abnormal findings should be reported to a healthcare provider.
C. While this advice is helpful, it does not answer the question of when or how to perform the
examination.
D. A monthly exam is generally recommended, not weekly, to detect early signs of testicular cancer.

A. May indicate disease of the cerebellum or brainstem. B. is a sign that the patient is nervous about the examination C. Indicates a visual problem, and a referral to an ophthalmologist is indicated. D. is a normal occurrence

Correct Answer is A

Explanation

A. Severe nystagmus is often associated with neurological disorders, particularly those affecting the cerebellum or brainstem.
B. is a sign that the patient is nervous about the examination. Nervousness typically doesn’t cause severe, persistent nystagmus.
C. Indicates a visual problem, and a referral to an ophthalmologist is indicated. While nystagmus affects vision, it is usually neurologically based, requiring a neurological assessment rather than a referral to an ophthalmologist.
D. Nystagmus is not typically normal, especially when it is severe and persistent. It warrants further investigation.

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A nurse is interviewing a client in order to obtain a comprehensive health history. The purpose of a review of systems in the health history is to

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is describing how to perform a testicular self-examination to a patient. Which statement is most appropriate

Correct Answer is A

Explanation

During an examination, the nurse notices severe nystagmus in both eyes of a patient. Which conclusion by the nurse is correct? Severe nystagmus in both eyes:

Correct Answer is A

Explanation

When assessing muscle strength, the nurse observes that a patient has complete range of motion against gravity with full resistance. What grade of muscle strength should the nurse record using a 0- to 5-point scale?

A nurse is interviewing a client in order to obtain a comprehensive health history. The purpose of a review of systems in the health history is to

An adult client is admitted to the nursing unit with a medical diagnosis of Acute Stroke. The client does not respond to verbal stimuli. In this situation, what is the best action by the nurse to provoke a client response?

A 30-year-old woman tells the nurse that she has been very unsteady and has had difficulty in maintaining her balance. Which area of the brain that is related to these findings would concern the nurse?

A patient states, "I can hear a crunching or grating sound when I kneel." She also states that "it is very difficult to get out of bed in the morning because of stiffness and pain in my joints." The nurse should assess for signs of what problem?

During an assessment of the CNs, the nurse finds the following: asymmetry when the patient smiles or frowns, uneven lifting of the eyebrows, sagging of the lower eyelids, and escape of air when the nurse presses against the right puffed cheek. This would indicate dysfunction of which of these CNs?

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve 11?