29. The nurse is receiving a patient from the emergency room with blunt force trauma to the right costal area and has experienced a hemothorax.  Upon assessment, the nurse would expect which of the following? 

7. A 38-year-old woman visits the clinic with complaints of irregular body temperature fluctuations for approximately two months. She reports that she often feels cold in the mornings, with her body temperature about 0.3°C (0.5°F) below her usual baseline. However, later in the day, she experiences episodes of feeling very warm and sweating profusely, sometimes accompanied by a rise in skin temperature of up to 4°C (7.2°F). She has a regular menstrual cycle and is not yet experiencing menopause. Her doctor suspects that these temperature changes are related to her monthly hormonal cycle. Which of the following is the most likely the cause of the body temperature fluctuations the patient is experiencing? 

26. A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as which of the following adventitious breath sounds?

40. A 68-year-old male patient is admitted for a neurological assessment following a mild stroke. The nurse is performing a cranial nerve examination and needs to assess several cranial nerves. Which of the following actions is the nurse most likely to perform to assess the patient’s cranial nerve function?

20. A nurse is caring for a client receiving an IV of a hypertonic solution. Which assessment is a priority for the nurse to monitor while the client is receiving this infusion?

37. A 45-year-old patient with a history of breast cancer and an implanted infusaport for chemotherapy is scheduled for routine blood work. The nurse is preparing to draw blood from the infusaport. Which of the following actions should the nurse take to ensure the procedure is done safely?

28. A patient is admitted to the unit with chronic gastrointestinal symptoms.  The nurse is reviewing the laboratory values and notes which of the following indicates the patient may be experiencing hypoxemia? 

41. A 60-year-old patient with a history of osteoarthritis is being evaluated for joint pain and stiffness. The nurse is conducting a musculoskeletal assessment to assess the patient’s range of motion (ROM) and joint function. Which of the following actions best demonstrates the proper technique for assessing the patient’s active range of motion (ROM) in the knees?

31. When palpating a child’s cervical lymph nodes, the nurse notes that they are tender, enlarged, and warm.  Which of the following best describes the reason for this finding? 

35. The nurse informs a male patient that which of the following is the best time to perform a testicular self-assessment?