The nurse knows screening test(s) for colorectal cancer detection according to recommendations from the American Cancer Society (2018) includes? (Select all that apply.)

Flexible sigmoidoscopy

Double contrast barium enema

Fecal occult blood test

Upper endoscopy

Colonoscopy

Answer and Explanation

Correct Answer : A,B,C,E

A. Flexible sigmoidoscopy: This test is recommended for colorectal cancer screening and can detect abnormalities in the lower part of the colon.

B. Double contrast barium enema: This test is used in colorectal cancer screening to provide images of the colon and rectum.

C. Fecal occult blood test: This test detects hidden blood in the stool, which can be an early sign of colorectal cancer.

D. Upper endoscopy: This test examines the upper gastrointestinal tract, not used for colorectal cancer screening.

E. Colonoscopy: This test is a primary screening method for colorectal cancer, allowing for direct visualization and biopsy of the colon.

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Correct Answer is C

Explanation

A. Pulmonic and tricuspid: The tricuspid valve's closure is not primarily audible at the 2nd intercostal space right sternal border; it is better heard at the lower left sternal border.

B. Mitral and aortic: The mitral valve is best heard at the apex of the heart, not the 2nd intercostal space right sternal border.

C. Aortic and pulmonic: The 2nd intercostal space right sternal border is the area where the aortic and pulmonic valves are auscultated. The louder S2 here indicates the closure of these valves, with the aortic valve being the primary source of sound in this area.

D. Tricuspid and mitral: These valves are best heard at other locations, with the tricuspid valve near the lower left sternal border and the mitral valve at the apex.

A. Second or third intercostal space at the left sternal border B. The second intercostal space at the right sternal border C. Fifth intercostal space near the left midclavicular line D. Third intercostal space at the left sternal border

Correct Answer is A

Explanation

Rationale:
A. Second or third intercostal space at the left sternal border: Erb's point is located here, and it's a key area for listening to heart sounds, particularly the aortic and pulmonic valves.

B. The second intercostal space at the right sternal border: This area is typically used to auscultate the aortic valve.

C. Fifth intercostal space near the left midclavicular line: This area is used to auscultate the mitral valve, not Erb's point.

D. Third intercostal space at the left sternal border: This is the location for listening to the pulmonic valve, not Erb's point.

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The nurse knows screening test(s) for colorectal cancer detection according to recommendations from the American Cancer Society (2018) includes? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When auscultating a client's heart sounds, the nurse hears a louder S2 when listening at the 2nd intercostal space right sternal border. The nurse determines that this finding is consistent with the closure of which heart valves?

Correct Answer is C

Explanation

The traditional areas of auscultation of heart sounds include Erb's point, which is located at?

Correct Answer is A

Explanation

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

During a health history, a male client tells the nurse that he "can't breathe well" at night when he is lying down and has trouble sleeping because he wakes up with trouble breathing. The nurse would assess this client further for which of the following?

During chest auscultation, the nurse hears a quiet murmur immediately upon placing the stethoscope on the client's chest. The nurse interprets this as which grade?

A 42-year-old woman reveals an intake of medications. Which medication if reported by the client would alert the nurse to the need to assess the client for thrombophlebitis?

A group of students is preparing for their clinical experience, during which they are required to demonstrate the techniques for assessing the abdomen. The students demonstrate understanding of the proper sequence when they demonstrate the techniques in which order?

A positive Murphy's sign is indicative of?

What is responsible to move the blood supply from the feet toward the inferior vena cava?

While the nurse is assessing a 56-year-old male with concerns about his peripheral vascular health, the nurse would educate the patient about which risk factors that can influence his peripheral vascular system? (Select all that apply)