Read the following passage and complete the questions that follow.      Two voyages at the turn of the sixteenth century laid the foundations for the Portuguese Empire in America and the Orient. In 1497, Vasco da Gama (1469 – 1524) left Lisbon, Portugal, in four ships, rounding the Cape of Good Hope after 93 days on the open sea. While visiting and raiding the East African ports, da Gama picked up an Arab pilot, who brought the fleet across the Indian Ocean to Calcutta, on the western coast of India. When he returned to Lisbon in 1499, da Gama had lost two ships and a third of his men, but his cargo of pepper and cinnamon returned the cost of the expedition 60 times over.      Shortly afterward Pero Cabral (1468 – 1520), commanding a large fleet on a second voyage to India, bore too far west and sighted the east coast of Brazil. The new western territory was so unpromising that it was left unoccupied until 1532, when a small settlement was established at Sao Vicente. In the 1540s it had attracted only some 2000 settlers, mostly men, although a few Portuguese women came after the arrival of the lord protector’s wife and her retinue in 1535. The colony served mostly as a place to send convicts in the sixteenth century. By 1600, it had only 25,000 European residents. Brummett, et. al, Civilization Past and Present, 9th ed. 2000.   From the information given in the second paragraph, we can conclude that

During an assessment, the nurse is auscultating a patient’s carotid arteries. Which technique demonstrates the correct procedure? 

A 60-year-old patient presents with a single, nontender breast lump that is hard and has a star-shaped appearance. Which additional finding would support a diagnosis of malignancy? 

While palpating a neonate’s fontanels, the nurse notes a soft, flat anterior fontanelle. What is the appropriate interpretation of this finding?

A nurse is palpating a patient’s carotid arteries during a physical exam. Which of the following demonstrates correct technique? 

Jessica, a 21-year-old college student, attends a party where she consumes 5 alcoholic drinks within two hours. Based on the definition of binge drinking, which of the following statements is correct? 

Michael is attending a social gathering where he drinks two 12 oz cans of beer, one 5 oz glass of wine, and a 1.5 oz shot of whiskey. Based on the definition of a standard drink, how many standard drinks has Michael consumed? 

While assessing skin mobility and turgor, a nurse pinches a fold of skin on the dorsum of the hand. The skin quickly returns to its original position. What does this finding indicate? 

During a neonate’s physical assessment, the nurse observes flexion of the head and extremities, symmetrical facial features, and a strong, lusty cry. How should the nurse interpret these findings?

A 65-year-old patient reports muscle pain in their calves that begins after walking a short distance and improves with rest. What is the most likely cause of these symptoms?