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19. Visual acuity is assessed with:

24. The nurse anticipates the patient with a Glasgow Coma Scale (GCS) score of 3 to be in which condition?

4. The nurse notices that an infant has a large, soft lump on the side of his head and that his mother is very concerned. The mother tells the nurse that she noticed the lump approximately 8 hours after her baby’s birth and that it seems to be getting bigger. What is a possible explanation for this?

18. A 70-year-old woman tells the nurse that every time she gets up in the morning or after she’s been sitting for a while, she gets “really dizzy” and feels like she is going to fall over. What is the best response by the nurse?

16. A 92-year-old patient has had a stroke. The right side of his face is drooping. The nurse might also suspect which of these assessment findings?

28. In performing an assessment of the client’s neurological status, the nurse would first: 

42. After completing an assessment of a 60-year-old white male with a family history of colon cancer, the nurse discusses with him early detection measures for colon cancer. What should the nurse include in the instructions?

37. When performing a genital assessment on a middle-aged man, the nurse notices multiple soft, moist, painless papules in the shape of cauliflower-like patches scattered across the shaft of the penis. What does this finding suggest?

29. Which finding would the nurse observe in a patient with flaccid quadriplegia?

11. The nurse is examining a patient’s ears and notices cerumen in the external canal. Which of these statements about cerumen is correct?