During an examination, the nurse notices that the patient stumbles a little while walking, and, when she sits down, she holds on to the sides of the chair. The patient states, "It feels like the room is spinning!" The nurse notices that the patient is experiencing:

Subjective vertigo.

Tinnitus.

Dizziness.

Objective vertigo.

Answer and Explanation

The Correct Answer is D

A. Subjective vertigo: Subjective vertigo refers to the sensation of being dizzy but without the room spinning. The patient described the sensation of the room spinning.

B. Tinnitus: Tinnitus refers to a ringing or buzzing sound in the ears, not the sensation of the room spinning.

C. Dizziness: Dizziness can refer to a range of symptoms, but the description of the room spinning suggests vertigo, not just dizziness.

D. Objective vertigo: Objective vertigo refers to the sensation that the room is spinning, which the patient describes. This is typically a vestibular issue involving the inner ear.

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Correct Answer is ["B","D","E","H","I"]

Explanation

A. Low-fat diet: This reduces the risk of arterial insufficiency, making it incorrect as a risk factor.

B. Diabetes mellitus: Diabetes is a significant risk factor due to its effects on vascular health.

C. Decreased lipid levels: Lower lipid levels reduce arterial risk, making it incorrect as a risk factor.

D. Smoking: Smoking damages blood vessels and increases arterial insufficiency risk.

E. Heavy alcohol use: Excessive alcohol consumption contributes to hypertension and cardiovascular disease.

F. Physical activity: Physical activity reduces arterial risk, making it incorrect as a risk factor.

G. Hypertension: High blood pressure increases arterial insufficiency risk.

H. Male: Males have a higher risk of developing arterial insufficiency than females.

I. Obesity: Obesity increases the risk of atherosclerosis and arterial insufficiency.

A. Progressive atrophy of the intramuscular calf veins, causing venous insufficiency B. Narrowing of the inferior vena cava, causing low blood flow and increases in venous pressure resulting in varicosities. C. Peripheral blood vessels growing more rigid with age, producing a rise in systolic blood pressure D. Hormonal changes causing vasodilation and a resulting drop in blood pressure

Correct Answer is C

Explanation

A. Atrophy of calf veins: Vein atrophy is not a normal aging process, although venous insufficiency is common due to other causes.

B. Narrowing of the inferior vena cava: This is not a typical age-related change.

C. Peripheral blood vessels growing more rigid: Arteriosclerosis (hardening of the arteries) is common with aging and leads to increased systolic blood pressure.

D. Hormonal changes causing vasodilation: Aging tends to cause vascular rigidity, not vasodilation, and is more likely to lead to hypertension.

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During an examination, the nurse notices that the patient stumbles a little while walking, and, when she sits down, she holds on to the sides of the chair. The patient states, "It feels like the room is spinning!" The nurse notices that the patient is experiencing:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a patient regarding arterial insufficiency. The nurse knows the patient has a correct understanding of arterial risk factors by listing the following:

Correct Answer is ["B","D","E","H","I"]

Explanation

During an assessment of an older adult, the nurse should expect to notice which finding as a normal physiologic change associated with the aging process?

Correct Answer is C

Explanation

When assessing the abdomen most health care providers divide the abdomen into how many sections?

The nurse is performing an eye assessment on an 80-year-old patient. Which of these findings is considered abnormal?

Which of the following should the nurse perform to assess the arterial function of the lower extremities?

In performing a voice test to assess hearing, which of these actions would the nurse perform?

The nurse is performing an assessment on an adult. The adult's vital signs are normal, and capillary refill time is 5 seconds. What should the nurse do next?

When performing a peripheral vascular assessment of the lower extremities, a nurse should place the fingertips just posterior to the medial malleolus in order to assess for which of the following peripheral pulses?

A patient's vision is recorded as 20/30 when the Snellen eye chart is used. The nurse interprets these results to indicate that: