Accelerated Nursing Assessment
Final Exam
Course Introduction
Accelerated Nursing Assessment is an intensive course designed to equip nursing students with the fundamental skills required to conduct comprehensive health assessments across the lifespan. Emphasizing a systematic approach, the course covers patient interviewing, health history collection, and hands-on physical examination techniques. It integrates both theoretical foundations and practical application, enabling students to identify normal and abnormal findings, engage in critical thinking, and document assessments accurately. Special attention is given to cultural competence, assessment modifications for diverse populations, and the integration of technology in patient evaluation. This course prepares future nurses to deliver high-quality, patient-centered care in fast-paced healthcare environments.
Recommended Textbook
Physical Examination and Health Assessment 6th Edition by Carolyn Jarvis
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30 Chapters
1147 Verified Questions
1147 Flashcards
Source URL: https://quizplus.com/study-set/1044 Page 2
Chapter 1: Evidence Based Assessment
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/20681
Sample Questions
Q1) What is the step of the nursing process that includes data collection by health history,physical examination,and interview?
A) Planning
B) Diagnosis
C) Evaluation
D) Assessment
Answer: D
Q2) When considering priority setting of problems,the nurse keeps in mind that second-level priority problems include which of these aspects?
A) Low self-esteem
B) Lack of knowledge
C) Abnormal laboratory values
D) Severely abnormal vital signs
Answer: C
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Chapter 2: Cultural Competence: Cultural Care
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20682
Sample Questions
Q1) Illness is seen as a part of life's rhythmic course and as an outward sign of disharmony within.This statement most accurately reflects the views about illness from the _____ theory.
A) naturalistic
B) biomedical
C) reductionist
D) magicoreligious
Answer: A
Q2) During a class on religion and spirituality,the nurse is asked to define spirituality.Which answer is correct? "Spirituality is:
A) a personal search to discover a supreme being."
B) an organized system of beliefs concerning the cause, nature, and purpose of the universe."
C) a belief that each person exists forever in some form, such as a belief in reincarnation or the afterlife."
D) that which arises out of each person's unique life experience and his or her personal effort to find purpose in life."
Answer: D
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4
Chapter 3: The Interview
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20683
Sample Questions
Q1) A woman is discussing the problems she is having with her 2-year-old son.She says,"He won't go to sleep at night,and during the day he has several fits.I get so upset when that happens." The nurse's best verbal response would be:
A) "Go on, I'm listening."
B) "Fits? Tell me what you mean by this."
C) "Yes, it can be upsetting when a child has a fit."
D) "Don't be upset when he has a fit; every 2-year-old has fits."
Answer: B
Q2) During an interview,a woman says,"I have decided that I can no longer allow my children to live with their father's violence,but I just can't seem to leave him." Using interpretation,the nurse's best response would be:
A) "You are going to leave him?"
B) "If you are afraid for your children, then why can't you leave?"
C) "It sounds as if you might be afraid of how your husband will respond."
D) "It sounds as though you have made your decision. I think it is a good one."
Answer: C
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Chapter 4: The Complete Health History
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/20684
Sample Questions
Q1) Which of these responses might the nurse expect during a functional assessment of a patient whose leg is in a cast?
A) "I broke my right leg in a car accident 2 weeks ago."
B) "The pain is decreasing, but I still need to take acetaminophen."
C) "I check the color of my toes every evening just like I was taught."
D) "I'm able to transfer myself from the wheelchair to the bed without help."
Q2) When the nurse asks for a description of who lives with a child,the method of discipline,and support system of the child,what part of the assessment is being performed?
A) Family history
B) Review of systems
C) Functional assessment
D) Reason for seeking care
Q3) Which of these statements represents subjective data the nurse obtained from the patient regarding the patient's skin?
A) Skin appears dry.
B) No obvious lesions.
C) Denies color change.
D) Lesion noted lateral aspect right arm.
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Page 6
Chapter 5: Mental Status Assessment
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20685
Sample Questions
Q1) A patient repeats,"I feel hot.Hot,cot,rot,tot,got.I'm a spot." The nurse documents this as an illustration of:
A) blocking.
B) clanging.
C) echolalia.
D) neologism.
Q2) A 19-year-old woman comes to the clinic at the insistence of her brother.She is wearing black combat boots and a black lace nightgown over the top of her other clothes.Her hair is dyed pink with black streaks throughout.She has several pierced holes in her nares and ears and is wearing an earring through her eyebrow and heavy black makeup.The nurse concludes:
A) she probably doesn't have any problems at all.
B) she is just trying to shock people and her dress should be ignored.
C) she has manic syndrome because of her abnormal dress and grooming.
D) that more information should be gathered to decide whether her dress is appropriate.
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Chapter 6: Substance Use Assessment
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/20686
Sample Questions
Q1) A woman who has just discovered that she is pregnant is in the clinic for her first obstetric visit.She asks the nurse,"How many drinks a day is safe for my baby?" The nurse's best response is:
A) "You should limit your drinking to once or twice a week."
B) "It's okay to have up to two glasses of wine a day."
C) "As long as you avoid getting drunk, you should be safe."
D) "No amount of alcohol has been determined to be safe during pregnancy."
Q2) When reviewing the use of alcohol by older adults,the nurse notes that older adults have several characteristics that can increase the risk of alcohol use.Which would increase the bioavailability of alcohol in the blood for longer periods of time in the older adult?
A) Increased muscle mass
B) Decreased liver and kidney functioning
C) Decreased blood pressure
D) Increased cardiac output
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Chapter 7: Domestic Violence Assessment
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/20687
Sample Questions
Q1) The nurse is assessing an elderly woman and suspects abuse.Which questions are appropriate for screening for abuse? Select all that apply.
A) "Has anyone ever physically hurt you?"
B) "Are you being abused?"
C) "Are you alone a lot?"
D) "Are you afraid of anybody at home or anyone who enters your home?"
E) "Has anyone ever failed to help you take care of yourself when you needed help?"
Q2) The nurse is examining a 3-year-old child who was brought to the emergency room after a fall.Which bruise,if found,would be of most concern?
A) A bruise on the knee
B) A bruise on the elbow
C) Bruising on the abdomen
D) A bruise on the shin
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9
Chapter 8: Assessment Techniques and the Clinical Setting
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/20688
Sample Questions
Q1) The nurse is examining an infant and prepares to elicit the Moro reflex at which time during the examination?
A) When the infant is sleeping
B) At the end of the examination
C) Before auscultation of the thorax
D) Halfway through the examination
Q2) The nurse is preparing to percuss the abdomen of a patient.The purpose of the percussion is to assess the underlying tissue:
A) turgor.
B) texture.
C) density.
D) consistency.
Q3) The nurse is reviewing percussion techniques with a newly graduated nurse.Which technique,if used by the new nurse,indicates that more review is needed? The nurse:
A) percusses once over each area.
B) lifts the striking finger off quickly after each stroke.
C) strikes with the finger tip, not the finger pad.
D) uses the wrist to make the strikes, not the arm.
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Chapter 9: General Survey, Measurement, Vital Signs
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52 Verified Questions
52 Flashcards
Source URL: https://quizplus.com/quiz/20689
Sample Questions
Q1) What type of blood pressure measurement error is most likely to occur if the nurse does not check for the presence of an auscultatory gap?
A) The diastolic blood pressure may not be heard.
B) The diastolic blood pressure may be falsely low.
C) The systolic blood pressure may be falsely low.
D) The systolic blood pressure may be falsely high.
Q2) A 1-month-old infant has a head measurement of 34 cm and has a chest circumference of 32 cm.Based on interpretation of these findings,the nurse would:
A) refer the infant to a physician for further evaluation.
B) consider this a normal finding for a 1-month-old infant.
C) expect the chest circumference to be greater than the head circumference.
D) ask the parent to return in 2 weeks to re-evaluate the head and chest circumferences.
Q3) The nurse is counting an infant's respirations.Which technique is correct?
A) Watch the chest rise and fall.
B) Watch the abdomen for movement.
C) Place a hand across the infant's chest.
D) Use a stethoscope to listen to the breath sounds.
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11
Chapter 10: Pain Assessment: The Fifth Vital Sign
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/20690
Sample Questions
Q1) When assessing a patient's pain,the nurse knows that an example of visceral pain would be:
A) hip fracture.
B) cholecystitis.
C) second-degree burns.
D) pain after a leg amputation.
Q2) A patient states that the pain medication is "not working" and rates his postoperative pain at a 10 on a 1 to 10 scale.Which of these assessment findings indicates an acute pain response to poorly controlled pain?
A) Confusion
B) Hyperventilation
C) Increased blood pressure and pulse
D) Depression
Q3) The nurse is reviewing principles of pain.Which type of pain is due to an abnormal processing of the pain impulse through the peripheral or central nervous system?
A) Visceral
B) Referred
C) Cutaneous
D) Neuropathic
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Page 12
Chapter 11: Nutritional Assessment
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/20691
Sample Questions
Q1) Which of these interventions is most appropriate when the nurse is planning nutritional interventions for a healthy,active 74-year-old woman?
A) Decrease the amount of carbohydrates to prevent lean muscle catabolism.
B) Increase the amount of soy and tofu in her diet to promote bone growth and reverse osteoporosis.
C) Decrease the number of calories she is eating because of the decrease in energy requirements from loss of lean body mass.
D) Increase the number of calories she is eating because of the increased energy needs of the elderly.
Q2) The nurse is reviewing the nutritional assessment of an 82-year-old patient.Which of these factors is most likely to affect the nutritional status of an elderly person?
A) Increase in taste and smell
B) Living alone on a fixed income
C) Change in cardiovascular status
D) Increase in gastrointestinal motility and absorption
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13
Chapter 12: Skin, Hair, and Nails
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52 Verified Questions
52 Flashcards
Source URL: https://quizplus.com/quiz/20692
Sample Questions
Q1) A 75-year-old woman who has a history of diabetes and peripheral vascular disease has been trying to remove a corn on the bottom of her foot with a pair of scissors.The nurse will encourage her to stop trying to remove the corn with scissors because:
A) the woman could be at increased risk for infection and lesions because of her chronic disease.
B) with her diabetes, she has increased circulation to her foot and it could cause severe bleeding.
C) she is 75 years old and is unable to see, so she puts herself at greater risk for self-injury with the scissors.
D) with her peripheral vascular disease, her range of motion is limited and she may not be able to reach the corn safely.
Q2) The nurse is examining a patient who tells the nurse,"I sure sweat a lot,especially on my face and feet but it doesn't have an odor." The nurse knows that this could be related to:
A) the eccrine glands.
B) the apocrine glands.
C) a disorder of the stratum corneum.
D) a disorder of the stratum germinativum.
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Chapter 13: Head, Face, and Neck, Including Regional Lymphatics
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/20693
Sample Questions
Q1) During an assessment of an infant,the nurse notes that the fontanels are depressed and sunken.The nurse suspects which condition?
A) Rickets
B) Dehydration
C) Mental retardation
D) Increased intracranial pressure
Q2) The nurse notices that an infant has a large,soft lump on the side of his head and that his mother is very concerned.She tells the nurse that she noticed the lump about 8 hours after her baby's birth,and that it seems to be getting bigger.One possible explanation for this is:
A) hydrocephalus.
B) craniosynostosis.
C) cephalhematoma.
D) caput succedaneum.
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15
Chapter 14: Eyes
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20694
Sample Questions
Q1) The nurse is performing an external eye examination.Which statement regarding the outer layer of the eye is true?
A) The outer layer of the eye is very sensitive to touch.
B) The outer layer of the eye is darkly pigmented to prevent light from reflecting internally.
C) The trigeminal (CN V) and the trochlear (CN IV) nerves are stimulated when the outer surface of the eye is stimulated.
D) The visual receptive layer of the eye in which light waves are changed into nerve impulses is located in the outer layer of the eye.
Q2) The nurse is performing an eye-screening clinic at a daycare center.When examining a 2-year-old child,the nurse suspects that the child has "lazy eye" and should:
A) examine the external structures of the eye.
B) assess visual acuity with the Snellen eye chart.
C) assess the child's visual fields with the confrontation test.
D) test for strabismus by performing the corneal light reflex test.
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16
Chapter 15: Ears
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20695
Sample Questions
Q1) In performing an examination of a 3 year old with a suspected ear infection,the nurse would:
A) omit the otoscopic examination if the child has a fever.
B) pull the ear up and back before inserting the speculum.
C) ask the mother to leave the room while examining the child.
D) perform the otoscopic examination at the end of the assessment.
Q2) The nurse assesses the hearing of a 7-month-old by clapping hands.What is the expected response?
A) The infant turns the head to localize sound.
B) There is no obvious response to noise.
C) There is a startle and acoustic blink reflex.
D) The infant stops movement and appears to listen.
Q3) A patient has been admitted after an accident at work.During the assessment,the patient is having trouble hearing and states,"I don't know what the matter is.All of a sudden,I can't hear you out of my left ear!" What should the nurse do next?
A) Make note of this finding for report to the next shift.
B) Prepare to remove cerumen from the patient's ear.
C) Notify the patient's health care provider.
D) Irrigate the ear with rubbing alcohol.
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Page 17
Chapter 16: Nose, Mouth, and Throat
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/20696
Sample Questions
Q1) The nurse is using an otoscope to assess the nasal cavity.Which of these techniques is correct?
A) Insert the speculum at least 3 cm into the vestibule.
B) Avoid touching the nasal septum with the speculum.
C) Gently displace the nose to the side that is being examined.
D) Keep the speculum tip medial to avoid touching the floor of the nares.
Q2) A 72-year-old patient has a history of hypertension and chronic lung disease.An important question for the nurse to include in the history would be:
A) "Do you use a fluoride supplement?"
B) "Have you had tonsillitis in the last year?"
C) "At what age did you get your first tooth?"
D) "Have you noticed any dryness in your mouth?"
Q3) The nurse is reviewing the development of the newborn infant.Regarding the sinuses,which statement is true in relation to a newborn infant?
A) The sphenoid sinuses are full size at birth.
B) The maxillary sinuses reach full size after puberty.
C) The frontal sinuses are fairly well developed at birth.
D) The maxillary and ethmoid sinuses are the only sinuses present at birth.
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18
Chapter 17: Breasts and Regional Lymphatics
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/20697
Sample Questions
Q1) During a history interview,a female patient states that she has noticed a few drops of clear discharge from her right nipple.What should the nurse do next?
A) Contact the physician immediately to report the discharge.
B) Ask her if she is possibly pregnant.
C) Ask her some additional questions about the medications she is taking.
D) Immediately obtain a sample for culture and sensitivity testing.
Q2) During an interview,a patient reveals that she is pregnant.She states that she is not sure whether she will breastfeed her baby and asks for some information about this.Which of these statements by the nurse is accurate with regard to breastfeeding?
A) "Breastfed babies tend to be more colicky."
B) "Breastfeeding provides the perfect food and antibodies for your baby."
C) "Breastfed babies eat more often than infants on formula."
D) "Breastfeeding is second nature and every woman can do it."
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19
Chapter 18: Thorax and Lungs
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/20698
Sample Questions
Q1) During percussion,the nurse knows that a dull percussion note elicited over a lung lobe most likely results from:
A) shallow breathing.
B) normal lung tissue.
C) decreased adipose tissue.
D) increased density of lung tissue.
Q2) When assessing a patient's lungs,the nurse recalls that the left lung:
A) consists of two lobes.
B) is divided by the horizontal fissure.
C) consists primarily of an upper lobe on the posterior chest.
D) is shorter than the right lung because of the underlying stomach.
Q3) A patient has been admitted to the emergency department with a possible medical diagnosis of pulmonary embolism.The nurse expects to see which assessment findings related to this condition?
A) Absent or decreased breath sounds
B) Productive cough with thin, frothy sputum
C) Chest pain that is worse on deep inspiration, dyspnea
D) Diffuse infiltrates with areas of dullness upon percussion
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Chapter 19: Heart and Neck Vessels
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/20699
Sample Questions
Q1) During the precordial assessment on an patient who is 8 months pregnant,the nurse palpates the apical impulse at the fourth left intercostal space lateral to the midclavicular line.This finding would indicate:
A) right ventricular hypertrophy.
B) increased volume and size of the heart as a result of pregnancy.
C) displacement of the heart from elevation of the diaphragm.
D) increased blood flow through the internal mammary artery.
Q2) In assessing the carotid arteries of an older patient with cardiovascular disease,the nurse would:
A) palpate the artery in the upper one third of the neck.
B) listen with the bell of the stethoscope to assess for bruits.
C) palpate both arteries simultaneously to compare amplitude.
D) instruct patient to take slow deep breaths during auscultation.
Q3) The nurse knows that normal splitting of the second heart sound is associated with:
A) expiration.
B) inspiration.
C) exercise state.
D) low resting heart rate.
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21
Chapter 20: Peripheral Vascular System and Lymphatic System
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/20700
Sample Questions
Q1) When performing a peripheral vascular assessment on a patient,the nurse is unable to palpate the ulnar pulses.The patient's skin is warm and capillary refill time is normal.The nurse should next:
A) check for the presence of claudication.
B) refer the individual for further evaluation.
C) consider this a normal finding and proceed with the peripheral vascular evaluation.
D) ask the patient if he or she has experienced any unusual cramping or tingling in the arm.
Q2) During an assessment of an older adult,the nurse should expect to notice which finding as a normal physiologic change associated with the aging process?
A) Hormonal changes causing vasodilation and a resulting drop in blood pressure
B) Progressive atrophy of the intramuscular calf veins, causing venous insufficiency
C) Peripheral blood vessels growing more rigid with age, producing a rise in systolic blood pressure
D) Narrowing of the inferior vena cava, causing low blood flow and increases in venous pressure resulting in varicosities
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Chapter 21: Abdomen
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20701
Sample Questions
Q1) Which of these percussion findings would the nurse expect to find in a patient with a large amount of ascites?
A) Dullness across the abdomen
B) Flatness in the right upper quadrant
C) Hyperresonance in the left upper quadrant
D) Tympany in the right and left lower quadrants
Q2) A patient is suspected of having inflammation of the gallbladder,or cholecystitis.The nurse should conduct which of these techniques to assess for this condition?
A) Obturator test
B) Test for Murphy's sign
C) Assess for rebound tenderness
D) Iliopsoas muscle test
Q3) A patient is having difficulty in swallowing medications and food.The nurse would document that this patient has:
A) aphasia.
B) dysphasia.
C) dysphagia.
D) anorexia.
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23
Chapter 22: Musculoskeletal System
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53 Verified Questions
53 Flashcards
Source URL: https://quizplus.com/quiz/20702
Sample Questions
Q1) A patient is visiting the clinic for an evaluation of a swollen,painful knuckle.The nurse notices that the knuckle above his ring on the left hand is swollen and that he is unable to remove his wedding ring.This joint is called the _____ joint.
A) interphalangeal
B) tarsometatarsal
C) metacarpophalangeal
D) tibiotalar
Q2) A patient states,"I can hear a crunching or grating sound when I kneel." She also states that "it is very difficult to get out of bed in the morning because of stiffness and pain in my joints." The nurse should assess for signs of what problem?
A) Crepitation
B) A bone spur
C) A loose tendon
D) Fluid in the knee joint
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Chapter 23: Neurologic System
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56 Verified Questions
56 Flashcards
Source URL: https://quizplus.com/quiz/20703
Sample Questions
Q1) During an assessment of a 22-year-old woman who has a head injury from a car accident 4 hours ago,the nurse notices the following change: pupils were equal,but now the right pupil is fully dilated and nonreactive,left pupil is 4 mm and reacts to light.What does finding this suggest?
A) Injury to the right eye
B) Increased intracranial pressure
C) Test was not performed accurately
D) Normal response after a head injury
Q2) A patient is not able to perform rapid alternating movements such as patting her knees rapidly.The nurse should document this as:
A) ataxia.
B) astereognosis.
C) the presence of dysdiadochokinesia.
D) loss of kinesthesia.
Q3) The two parts of the nervous system are the:
A) motor and sensory.
B) central and peripheral.
C) peripheral and autonomic.
D) hypothalamus and cerebral.
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Page 25
Chapter 24: Male Genitourinary System
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/20704
Sample Questions
Q1) The nurse is aware that which of these statements is true regarding the incidence of testicular cancer?
A) Testicular cancer is the most common cancer in men aged 30 to 50 years.
B) The early symptoms of testicular cancer are pain and induration.
C) Men with a history of cryptorchidism are at greatest risk for development of testicular cancer.
D) The cure rate for testicular cancer is low.
Q2) A 15-year-old boy is seen in the clinic for complaints of "dull pain and pulling" in the scrotal area.On examination the nurse palpates a soft,irregular mass posterior to and above the testis on the left.This mass collapses when the patient is supine and refills when he is upright.This description is consistent with:
A) epididymitis.
B) spermatocele.
C) testicular torsion.
D) varicocele.
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Chapter 25: Anus, Rectum, and Prostate
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/20705
Sample Questions
Q1) During an examination,the nurse asks the patient to perform the Valsalva maneuver and notices that the patient has a moist,red,doughnut-shaped protrusion from the anus.The nurse knows that this would be consistent with:
A) a rectal polyp.
B) hemorrhoids.
C) a rectal fissure.
D) rectal prolapse.
Q2) During a health history of a patient who complains of chronic constipation,the patient asks the nurse about high-fiber foods.The nurse relates that an example of a high-fiber food would be:
A) broccoli.
B) hamburger.
C) iceberg lettuce.
D) yogurt.
Q3) Which of these statements about the anal canal is true? The anal canal:
A) is about 2 cm long in the adult.
B) slants backward toward the sacrum.
C) contains hair and sebaceous glands.
D) is the outlet for the gastrointestinal tract.
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Page 27
Chapter 26: Female Genitourinary System
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/20706
Sample Questions
Q1) When assessing a newborn infant's genitalia,the nurse notices that the genitalia are somewhat engorged.The labia majora are swollen,the clitoris looks large,and the hymen is thick.The vaginal opening is difficult to visualize.The infant's mother states that she is worried about the labia being swollen.The nurse should reply:
A) "This is a normal finding in newborns and should resolve within a few weeks."
B) "This could indicate an abnormality and may need to be evaluated by a physician."
C) "We will need to have estrogen levels evaluated to make sure that they are within normal limits."
D) "We will need to keep close watch over the next few days to see if the genitalia decrease in size."
Q2) A woman is in the clinic for an annual gynecologic examination.The nurse should plan to begin the interview with the:
A) menstrual history because it is generally nonthreatening.
B) obstetric history because it is the most important information.
C) urinary system history because there may be problems in this area as well.
D) sexual history because it will build rapport to discuss this first.
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28
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/20707
Sample Questions
Q1) During an examination,a patient has just successfully completed the finger-to-nose and the rapid-alternating-movements tests and is able to run each heel down the opposite shin.The nurse will conclude that the patient's ____ function is intact.
A) occipital
B) cerebral
C) temporal
D) cerebellar
Q2) The nurse is documenting the assessment of an infant.During the abdominal assessment,the nurse noticed a very loud splash auscultated over the upper abdomen when the nurse rocked her from side to side.This finding would indicate:
A) epigastric hernia.
B) pyloric obstruction.
C) hypoactive bowel sounds.
D) hyperactive bowel sounds.
Q3) During inspection of the posterior chest,the nurse should assess for:
A) symmetric expansion.
B) symmetry of shoulders and muscles.
C) tactile fremitus.
D) diaphragmatic excursion.
To view all questions and flashcards with answers, click on the resource link above. Page 29
Chapter 28: Bedside Assessment of the Hospitalized Adult
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/20708
Sample Questions
Q1) The nurse has administered a pain medication to a patient by an intravenous infusion.The nurse should reassess the patient's response to the pain medication within _____ minutes.
A) 5
B) 15
C) 30
D) 60
Q2) The nurse is assessing the intravenous (IV)infusion at the beginning of the shift.Which of these should be included in the assessment of the infusion? Select all that apply.
A) Proper IV solution is infusing according to physician's orders.
B) IV solution is infusing at the proper rate according to physician's orders.
C) The infusion is proper according to the nurse's assessment of the patient's needs.
D) Capillary refill in the fingers
E) IV site date
F) Whether the patient is voiding sufficiently
To view all questions and flashcards with answers, click on the resource link above.
Chapter 29: The Pregnant Woman
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/20709
Sample Questions
Q1) During a history interview,a 38-year-old woman shares that she is thinking about having another baby.The nurse knows that which statement is true regarding pregnancy after age 35 years?
A) Fertility does not start to decline until age 40 years.
B) The occurrence of Down syndrome is much more frequent after age 35 years.
C) Genetic counseling and prenatal screening are not routine until after age 40 years.
D) Women older than 35 years who are pregnant have the same rate of pregnancy-related complications as those who are younger than 35 years.
Q2) Which of these statements best describes the action of the hormone progesterone during pregnancy?
A) It produces the hormone human chorionic gonadotropin.
B) It stimulates duct formation in the breast.
C) It promotes sloughing of the endometrial wall.
D) It maintains the endometrium around the fetus.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 30: Functional Assessment of the Older Adult
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/20710
Sample Questions
Q1) The nurse is assessing the forms of support an older patient has before she is discharged.Which of these examples is an informal source of support?
A) The local senior center
B) Her Medicare check
C) Meals on Wheels meal delivery service
D) Her neighbor, who visits with her daily
Q2) The nurse is assessing an older adult's functional ability.Which definition correctly describes one's functional ability? Functional ability:
A) is the measure of the expected changes of aging that one is experiencing.
B) refers to the individual's motivation to live independently.
C) refers to the level of cognition present in an older person.
D) refers to one's ability to perform activities necessary to live in modern society.
Q3) When beginning to assess a person's spirituality,which question by the nurse would be most appropriate?
A) "Do you believe in God?"
B) "How does your spirituality relate to your health care decisions?"
C) "What religious faith do you follow?"
D) "Do you believe in the power of prayer?"
To view all questions and flashcards with answers, click on the resource link above.
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