Your final exam will consist of 2 case studies.
Please read the case studies and answer the questions listed.
There are 5 questions in each case study.
Each question has a value of 10 points each.
You will have 1 chance to complete this exam. It is not proctored.
This exam is timed. You will have 120 minutes to complete.
Question 1 50 pts
Mary is a 45-year-old woman who presents to the family practice for a yearly check-up.
Subjective Data
Married
Exercises daily
Nonsmoker, never smoked
Registered nurse in hospital setting
Has two children who live at home
No complaints at this time
Objective Data
Vital signs: T 36.7 BP 108/62 HR 62 Resp 14
Height: 5 feet, 7 inches
Weight: 160
Immunizations: Up-to-date
Medications: No medications, multivitamin daily
Allergy to PCN = Hives
Questions
How should the nurse proceed with the physical exam?
What interventions can help make the patient more comfortable during the physical examination?
What pointers or tips can the experienced nurse give to a new nurse who wants to improve his or her technique?
What are the components of the general survey?
How should the nurse perform the abdominal assessment?
Question 2 50 pts
Johnnie is a 12-year-old boy who presents to the pediatric office for his annual visit.
Subjective Data
Lives with mother and father, both present for visit
Attends upper elementary school
Only child
No smokers in home
No weapons in home
Objective Data
Vital signs within normal limits
Height and weight within normal limits
Immunizations up to date
No medications
No allergies
Physical exam within normal limits
Questions
What special considerations should the nurse keep in mind regarding the physical exam with this age group?
What similarities does the assessment of this age group have compared to the adult exam?
What are the expected findings for the following systems: skin, hair, and nails and musculoskeletal system?
What are some abnormal findings for the following systems: skin, hair, and nails and musculoskeletal system?
How should the nurse assess the reproductive system for boys in this age group?