Question

A 65-year-old patient is experiencing pain in his left calf when he exercises that disappears after resting for a few minutes.

Answer 1

Correct Answers

Blank 1 Correct Option: Claudication due to arterial abnormalities in

Rationale :

♦ Claudication is pain in the legs triggered by activity and relieved with rest.

♦ It is a sign of peripheral arterial disease (PAD) due to arterial narrowing.

♦ Pain occurs when the oxygen demand exceeds supply in muscles.

♦ It typically affects the calf area, correlating with femoral or popliteal artery issues.

♦ Rest improves symptoms because oxygen demand decreases.

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Answer 2

Correct Answers:

Kidney inflammation

Rationale :

✳️ Costovertebral angle (CVA) tenderness is most associated with renal pathology.

✳️ Conditions like pyelonephritis often cause pain in this region.

✳️ The pain is usually unilateral, sharp, and may radiate to the flank.

✳️ The CVA is located between the lower back and 12th rib.

✳️ Positive CVA tenderness is elicited by gentle percussion over the area.

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Answer 3

Correct Order:

Order : 1 : No answer text available
Order : 2 : No answer text available
Order : 3 : No answer text available
Order : 4 : No answer text available

Rationale :

⬖ Inspection always comes first in all physical assessments.

⬖ Auscultation is done before percussion/palpation to avoid altering bowel sounds.

⬖ Percussion helps assess organ size, fluid, or gas in the abdomen.

⬖ Palpation detects tenderness, masses, or muscle rigidity.

⬖ Performing these steps in sequence ensures accurate and non-distorted findings.

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Answer 4

Correct Answers:

Hordeolum (Stye)

Rationale :

✔️ A hordeolum is a localized infected sebaceous gland at the eyelid margin.

✔️ It presents with pain, redness, swelling, and is tender to touch.

✔️ Caused by Staphylococcus aureus infection.

✔️ It can be external (eyelash follicle) or internal (Meibomian gland).

✔️ Management includes warm compresses and hygiene.

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Answer 5

Correct Answers:

Nerve degeneration in the inner ear

Rationale :

🔷 This describes presbycusis, an age-related sensorineural hearing loss.

🔷 It results from degeneration of cochlear hair cells and neurons.

🔷 Patients often report difficulty localizing sound and hearing in groups.

🔷 High-frequency hearing is typically lost first.

🔷 Common in adults over 65 years and progressive.

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Answer 6

Correct Answers

Tympany to percussion over the intestines [ Normal ]
Loose, watery stool [ Abnormal ]
Suprapubic tenderness [ Abnormal ]
A non-palpable spleen [ Normal ]
Aortic pulsation in the epigastric area [ Normal ]
Decreased bowel sounds [ Abnormal ]

Rationale :

💎 Tympany is expected due to gas in intestines.

💎 Non-palpable spleen is typical unless enlarged.

💎 Mild aortic pulsation is normal in thin individuals.

💎 Loose stool, tenderness, and decreased sounds indicate pathology.

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Answer 7

Correct Answers:

Hypoactive bowel sounds

Rationale :

🔶 After surgery, peristalsis slows, leading to hypoactive or absent bowel sounds.

🔶 Especially common in abdominal surgery, due to handling of intestines.

🔶 Postoperative ileus is a known risk, and monitoring is essential.

🔶 Bowel sounds typically return within 24–72 hours post-op.

🔶 Hyperactive sounds would suggest gastroenteritis or diarrhea, not post-op.

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Answer 8

Correct Answers:

"If you notice an enlarged testicle or a painless lump, call your health care provider."

Rationale :

🟢 Early signs of testicular cancer are usually painless masses or enlargement.

🟢 Client education must focus on self-exam and warning signs.

🟢 Exams are best done after a warm shower when scrotal skin is relaxed.

🟢 Lumps, swelling, or heaviness should be reported immediately.

🟢 Monthly TSE (testicular self-exam) is recommended for early detection.

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Answer 9

Correct Answers:

No lateralization of vibrations.

Rationale :

🔴 The Weber test checks for lateralization of sound via bone conduction.

🔴 In a healthy person, the tuning fork vibration is heard equally in both ears.

🔴 Lateralization suggests unilateral hearing loss—either conductive or sensorineural.

🔴 Conductive loss: louder in affected ear; sensorineural: louder in unaffected ear.

🔴 No lateralization = normal hearing.

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Answer 10

Correct Answers:

Consider this a delayed capillary refill time, and investigate further.

Rationale :

🟣 Capillary refill >2 seconds is delayed and may indicate circulatory compromise.

🟣 In adults, it may be a sign of dehydration, hypoperfusion, or vascular disease.

🟣 Further assessment of peripheral pulses, skin temp, and color is warranted.

🟣 Normal refill is <2 seconds in warm environments.

🟣 A refill time of 5 seconds is abnormal and cannot be dismissed.

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options	Normal	Abnormal
Tympany to percussion over the intestines
Loose, watery stool
Suprapubic tenderness
A non-palpable spleen
Aortic pulsation in the epigastric area
Decreased bowel sounds

QLexNursing

1 :
A 65-year-old patient is experiencing pain in his left calf when he exercises that disappears after resting for a few minutes.

Correct Answers

2 :
A patient is reporting sharp pain along the costovertebral angles. What does this symptom most often indicate?

4 :
A patient comes into the clinic complaining of pain in her right eye. On examination, the nurse sees a pustule at the lid margin that is painful to touch, red, and swollen. The nurse recognizes that this is a:

5 :
A 70-year-old patient tells the nurse that he has noticed that he is having trouble hearing, especially in large groups. He says that he "can't always tell where the sound is coming from" and the words often sound "mixed up." What might the nurse suspect as the cause for this change?

6 :
A nurse is precepting a new graduate nurse on the telemetry unit.

Correct Answers

7 :
A patient had abdominal surgery yesterday when auscultating his abdomen, you would expect to hear:

8 :
The nurse is describing how to perform a testicular self-examination to a patient. Which statement is most appropriate?

9 :
A nurse performs the Weber test on a healthy adult client. The nurse would expect which of the following normal finding?

10 :
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?

QLexNursing

1 : A 65-year-old patient is experiencing pain in his left calf when he exercises that disappears after resting for a few minutes.

Correct Answers

2 : A patient is reporting sharp pain along the costovertebral angles. What does this symptom most often indicate?

4 : A patient comes into the clinic complaining of pain in her right eye. On examination, the nurse sees a pustule at the lid margin that is painful to touch, red, and swollen. The nurse recognizes that this is a:

5 : A 70-year-old patient tells the nurse that he has noticed that he is having trouble hearing, especially in large groups. He says that he "can't always tell where the sound is coming from" and the words often sound "mixed up." What might the nurse suspect as the cause for this change?

6 : A nurse is precepting a new graduate nurse on the telemetry unit.

Correct Answers

7 : A patient had abdominal surgery yesterday when auscultating his abdomen, you would expect to hear:

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

9 : A nurse performs the Weber test on a healthy adult client. The nurse would expect which of the following normal finding?

10 : 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?

1 :
A 65-year-old patient is experiencing pain in his left calf when he exercises that disappears after resting for a few minutes.

2 :
A patient is reporting sharp pain along the costovertebral angles. What does this symptom most often indicate?

4 :
A patient comes into the clinic complaining of pain in her right eye. On examination, the nurse sees a pustule at the lid margin that is painful to touch, red, and swollen. The nurse recognizes that this is a:

5 :
A 70-year-old patient tells the nurse that he has noticed that he is having trouble hearing, especially in large groups. He says that he "can't always tell where the sound is coming from" and the words often sound "mixed up." What might the nurse suspect as the cause for this change?

6 :
A nurse is precepting a new graduate nurse on the telemetry unit.

7 :
A patient had abdominal surgery yesterday when auscultating his abdomen, you would expect to hear:

8 :
The nurse is describing how to perform a testicular self-examination to a patient. Which statement is most appropriate?

9 :
A nurse performs the Weber test on a healthy adult client. The nurse would expect which of the following normal finding?

10 :
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?