The nurse instructs a female client on breast self-examination. Why does the nurse recommend the pattern shown for the client to use?

It is easiest for the client to learn

It takes the least amount of time

It causes the least amount of pain

It is the best technique to detect masses

Answer and Explanation

The Correct Answer is D

A. It is easiest for the client to learn: While the ease of learning is important, the primary goal is effective detection of masses.

B. It takes the least amount of time: The time taken is less critical than the effectiveness of the technique in detecting abnormalities.

C. It causes the least amount of pain: Minimizing pain is not the main reason for choosing a particular technique; effectiveness in detecting masses is more critical.

D. It is the best technique to detect masses: The recommended pattern, often the vertical strip or circular pattern, is chosen because it is the most effective way to systematically cover the breast tissue and increase the likelihood of detecting abnormalities or masses.

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Correct Answer is A

Explanation

A. Tuning fork: A tuning fork is used in auditory assessments, such as hearing tests, to evaluate hearing loss and bone conduction.

B. Stethoscope: While a stethoscope is essential for auscultation of heart and lung sounds, it is not used for examining the ears.

C. Ophthalmoscope: An ophthalmoscope is used for examining the eyes, not the ears.

D. Tongue depressor: A tongue depressor is used for examining the mouth and throat, not the ears.

A. 4+ B. 2+ C. 1+ D. 3+

Correct Answer is D

Explanation

A. 4+: This indicates very brisk reflexes with possible clonus, which is more than just brisk reflexes.

B. 2+: This indicates normal reflexes, not brisk.

C. 1+: This indicates diminished or hypoactive reflexes, not brisk.

D. 3+: This indicates brisk reflexes, which are faster than normal but without evidence of clonus.

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The nurse instructs a female client on breast self-examination. Why does the nurse recommend the pattern shown for the client to use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a head-to-toe assessment and is preparing to examine the client's ears. Which equipment would the nurse need to have readily available?

Correct Answer is A

Explanation

The nurse assesses brisk reflexes in a client. The nurse would document this finding as which of the following?

Correct Answer is D

Explanation

The nurse is preparing to auscultate the lung sounds of a young adult. Which sound will the nurse expect to hear over most of the client's lungs?

When performing a head-to-toe assessment, during which part would the nurse evaluate cranial nerve (CN) IX, X, and XII?

Which individual typically would be responsible for collecting the subjective data on a client during the initial comprehensive assessment?

When performing a head-to-toe assessment, during which part would the nurse assess the sensory function of cranial nerve VIII?

During the cardiac cycle, heart sounds correlate with events of the cycle. Which is being associated with systole?

The nurse suspects an older adult client has congestive heart failure. Which of the following did the nurse most likely assess in the client?

A group of nurses is reviewing several electrocardiograms (ECGs). The students demonstrate an understanding of the waveforms when they identify which component as indicating ventricular repolarization (relaxation).

The nurse is planning to inspect a client's apical heart impulses. What should the nurse do to ensure an accurate assessment of this organ?