The nurse gave a client an instruction sheet for a colonoscopy. The client held the instructions approximately 18 inches from their face and read the description of the procedure aloud. The nurse recognizes that the client

Would do well on a Rosenbaum card

is likely demonstrating signs of a stroke

Requires testing for visual acuity

Understands the colonoscopy procedure

Answer and Explanation

The Correct Answer is A

A. Rosenbaum card: Holding reading material at approximately 18 inches from the face suggests that the client has near vision sufficient to perform well on a Rosenbaum test, which evaluates near visual acuity.

B. Stroke: Difficulty reading instructions is not necessarily indicative of a stroke.

C. Visual acuity: While they may not need immediate testing, their near vision appears adequate.

D. Understands procedure: While reading aloud may indicate comprehension, the focus here is on their visual ability.

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Correct Answer is D

Explanation

A. Warming the stethoscope: Improves comfort but is not the first step.

B. Bending the knees: Helps relax abdominal muscles but is done after bladder emptying.

C. Exposing only the abdomen: Ensures privacy but does not affect comfort as much as an empty bladder.

D. Emptying the bladder relieves pressure and discomfort, allowing for a thorough and accurate examination.

A. Posterior tibial B. Femoral C. Popliteal D. Dorsalis pedis

Correct Answer is A

Explanation

A. Posterior tibial: The posterior tibial pulse is palpated just posterior to the medial malleolus (inner ankle).

B. Femoral: The femoral pulse is assessed in the groin area, not near the ankle.

C. Popliteal: The popliteal pulse is located behind the knee, not near the ankle.

D. Dorsalis pedis: The dorsalis pedis pulse is palpated on the top of the foot, not near the ankle.

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The nurse gave a client an instruction sheet for a colonoscopy. The client held the instructions approximately 18 inches from their face and read the description of the procedure aloud. The nurse recognizes that the client

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is the first important step in helping the patient to relax for the complete abdominal examination?

Correct Answer is D

Explanation

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?

Correct Answer is A

Explanation

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

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

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