Adult Health Nursing Study Guide Questions
Course Introduction
Adult Health Nursing focuses on the comprehensive care of adult patients experiencing acute and chronic health conditions. This course covers the principles of nursing practice, patient assessment, and evidence-based interventions to manage common and complex medical-surgical disorders across various healthcare settings. Emphasis is placed on critical thinking, clinical decision-making, patient advocacy, and interdisciplinary collaboration to promote optimal health outcomes, patient safety, and quality of life. Additionally, students learn about health education, disease prevention, and rehabilitation strategies tailored to the unique needs of the adult population.
Recommended Textbook Health Assessment for Nursing Practice 6th Edition by Wilson
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24 Chapters
634 Verified Questions
634 Flashcards
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Page 2
Chapter 1: Introduction to Health Assessment
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) Which patient information does the nurse document in the patient's physical assessment?
A) Slurred speech
B) Immunizations
C) Smoking habit
D) Allergies
Answer: A
Q2) Which activity illustrates the concept of secondary prevention?
A) Annual mammogram
B) Nutrition classes on low-fat cooking
C) Education on living with diabetes mellitus
D) Cardiac rehabilitation after coronary artery bypass surgery
Answer: A
Q3) Which is an example of data a nurse collects during a physical examination?
A) The patient's lack of hair and shiny skin over both shins
B) The patient's stated concern about lack of money for prescriptions
C) The patient's complaints of tingling sensations in the feet
D) The patient's mother's statements that the patient is very nervous lately
Answer: A
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Page 3
Chapter 2: Obtaining a Health History
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A male patient is very talkative and shares much information that is not relevant to his history or the reason for his admission. Which action by the nurse improves data collection in this situation?
A) Terminate the interview.
B) Use closed-ended questions.
C) Ask the patient to stay on the subject.
D) Ask another nurse to complete the interview.
Answer: B
Q2) Which data do nurses document under the heading of Past Health History? (Select all that apply.)
A) Father has Alzheimer disease.
B) Last tetanus in 2009
C) Had chicken pox as a child
D) Drinks three to four beers each day
E) Had a dental examination 6 months ago
Answer: B, C, E
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4
Chapter 3: Techniques and Equipment for Physical Assessment
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A patient has been complaining of abdominal cramping and gas; the nurse notes that his abdomen is slightly distended. Which sound does the nurse expect to hear during percussion of this patient's abdomen?
A) Flatness
B) Dullness
C) Resonance
D) Tympany
Answer: D
Q2) Using an ophthalmoscope, how does the nurse bring a patient's interior eye structures into focus?
A) Using the red filter
B) Adjusting the diopters
C) Dilating the patient's pupils
D) Using the wide-beam light
Answer: B
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Chapter 4: General Inspection and Measurement of Vital Signs
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Sample Questions
Q1) Which of these respiratory rates are within normal limits?
A) 16-month-old; 42
B) 6-year-old; 20
C) 14-year-old; 26
D) 40-year-old; 10
Q2) A female patient admitted with fluid retention has been in diuretic therapy to remove fluid. She weighed 187 lb on admission. Today she weighs 179 lb. Since admission, this patient has lost _____ L from fluid loss.
Q3) The temperature of a patient is measured every 6 hours at 6 AM, 12 PM, 6 PM, and 12 AM. Which temperature reading is expected to be low due to a normal variation?
A) The measurement at 6 AM
B) The measurement at 12 PM
C) The measurement at 6 PM
D) The measurement at 12 AM
Q4) Which body system does the nurse assess primarily by inspection?
A) Respiratory
B) Gastrointestinal
C) Skin
D) Cardiovascular
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Chapter 5: Cultural Assessment
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14 Flashcards
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Sample Questions
Q1) Which question is the most appropriate to learn about a patient's religious practices?
A) "How often do you go to church?"
B) "Where is your church located?"
C) "Do you mind telling me about your religion?"
D) "Do you have any specific religious or spiritual practices or beliefs?"
Q2) A nurse is caring for a woman who has given birth to a healthy baby. The woman's husband and mother are in the room, and more family members are in the lobby. Which comment by the nurse demonstrates culturally competent care?
A) "We need to take your baby to the nursery now for a physical examination."
B) "Are there any ceremonies or other practices that are important to you at this time?"
C) "We can only allow immediate family in the room with you at this time."
D) "Because breastfeeding is the best way to feed your baby, we'll bring your baby to you when she is hungry."
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Chapter 6: Pain Assessment
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15 Flashcards
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Sample Questions
Q1) A nurse is assessing a patient who complains of awful abdominal pain and rates it as a 9 on a scale of 0 to 10. Which of the following physiologic signs may accompany acute pain? (Select all that apply.)
A) Tachycardia
B) Irritability
C) Increased blood pressure
D) Depression
E) Insomnia
F) Sweating
Q2) A patient with a partial small bowel obstruction describes the pain as "cramping, off-and-on pain that spreads over my stomach." What type of pain is this patient experiencing?
A) Referred pain
B) Phantom pain
C) Somatic pain
D) Visceral pain
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Chapter 7: Mental Health Assessment
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) What function do neurotransmitters have in mental health disorders?
A) Dopamine levels are increased in schizophrenia.
B) Increased levels of gamma aminobutyric acid (GABA) contribute to anxiety.
C) Serotonin is decreased in a state of anxiety.
D) Norepinephrine is increased in depression.
Q2) While conducting a health history, the nurse asks which questions to assess for risk factors associated with depression? (Select all that apply.)
A) Has anyone in your family ever been diagnosed with depression?
B) Have you noticed a change in how much energy you have?
C) Do you have crying spells?
D) Do your muscles seem tense?
E) Do you feel that something bad is about to happen to you?
F) Do you have difficulty making decisions?
Q3) A patient in the waiting room appears anxious and moves around the room cleaning surfaces with a disinfectant cloth. This behavior is consistent with which disorder?
A) Bipolar disorder
B) Delirium
C) Schizophrenia
D) Obsessive-compulsive disorder
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Chapter 8: Nutritional Assessment
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22 Flashcards
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Sample Questions
Q1) Which tool is the best choice for a nurse to use as a quick screening tool to assess a patient's dietary intake?
A) Food diary
B) Calorie count
C) Comprehensive diet history
D) 24-hour recall
Q2) A patient who has anorexia nervosa reports a healthy diet and no protein calorie malnutrition. Which lab value best confirms this patient's report?
A) Prealbumin
B) Serum albumin
C) Blood glucose
D) Serum cholesterol
Q3) A man who is 6 feet 9 inches tall is told by his provider to lose weight so that he is closer to his desired body weight. He asks the nurse, How can I find out what my desired body weight should be? The nurse responds, Let me show you how to calculate it. Your desired body weight (DBW) should be ______ lb.
Q4) A woman's waist circumference is 32 inches and her hip circumference is 29 inches. Her waist-to-hip ratio is _____.
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Page 10
Chapter 9: Skin, Hair, and Nails
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A toddler patient has a small, slightly raised bright red area on the trunk. The child's mother reports that the lesion has been present since birth and has become a little larger. What type of lesion does the nurse suspect?
A) Vascular nevi
B) Purpura
C) Ecchymosis
D) Cherry hemangioma
Q2) A nurse notices several reddish purple, nonblanchable spots of different sizes on the arms and legs of a patient with a low platelet count. How does the nurse distinguish ecchymosis from purpura?
A) Ecchymosis is variable in size and a purpura is greater than 0.5 cm in diameter.
B) Ecchymosis does not blanch and purpura does blanch.
C) Ecchymosis has raised lesions and purpura has flat lesions.
D) Ecchymosis is irregularly shaped and purpura is round.
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11
Chapter 10: Head, Eyes, Ears, Nose, and Throat
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75 Verified Questions
75 Flashcards
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Sample Questions
Q1) How does a nurse recognize a patient's mydriasis?
A) The lens of each of the patient's eyes is opaque.
B) There is involuntary rhythmical, horizontal movement of the patient's eyes.
C) There is a white opaque ring encircling the patient's limbus.
D) The patient's pupils are 7 mm and do not constrict.
Q2) While taking a history, the nurse observes that the patient's facial cranial nerves (CN VII) are intact based on which behaviors of the patient?
A) The patient's eyes move to the left, right, up, down, and obliquely during conversation.
B) The patient moistens the lips with the tongue.
C) The sides of the mouth are symmetric when the patient smiles.
D) The patient's eyelids blink periodically.
Q3) A patient reports a history of snorting cocaine and is concerned about his bloody nasal drainage. What does the nurse expect to see on inspection of his nose?
A) Deviated septum
B) Pale turbinates
C) Perforated nasal septum
D) Localized erythema and edema
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12
Chapter 11: Lungs and Respiratory System
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) What are the functions of the upper airways? (Select all that apply.)
A) Conduct air to lower airway.
B) Provide area for gas exchange.
C) Prevent foreign matter from entering respiratory system.
D) Warm, humidify, and filter air entering lungs.
E) Provide transportation of oxygen and carbon dioxide between alveoli and cells.
Q2) A nurse had previously heard crackles over both lungs of a patient. As the patient improves, what lung sounds does the nurse expect to hear in the patient's lungs?
A) Vesicular breath sounds heard in peripheral lung fields
B) Bronchial breath sounds heard over the bronchi
C) Bronchovesicular breath sounds heard over the apices
D) Rhonchi heard over the main bronchi
Q3) A patient is admitted to the emergency department with a tracheal obstruction. What sound does the nurse expect to hear as this patient breathes?
A) Dull sounds on percussion
B) Soft, muffled rhonchi heard over the trachea
C) Bubbling or rasping sounds heard over the trachea
D) High-pitched sounds on inspiration and exhalation
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Chapter 12: Heart and Peripheral Vascular System
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A nurse determines that a patient has a heart rate of 42 beats/min. What might be a cause of this heart rate?
A) Sinoatrial (SA) node failure
B) Atrial bradycardia
C) A well-conditioned heart muscle
D) Left ventricular hypertrophy
Q2) While assessing edema on a male patient's lower leg, the nurse notices that there is a slight imprint of his fingers where he palpated the patient's leg. How does the nurse document this finding?
A) No edema
B) 1+ edema
C) 2+ edema
D) 3+ edema
Q3) A nurse is assessing a patient's peripheral circulation. Which finding indicates venous insufficiency of this patient's legs?
A) Paresthesias and weak, thin peripheral pulses
B) Leg pain that can be relieved by walking
C) Edema that is worse at the end of the day
D) Leg pain that increases when the legs are lowered
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Page 14
Chapter 13: Abdomen and Gastrointestinal System
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) A patient reports having abdominal distention. The nurse observes that the patient's sclerae are yellow. Which abnormal finding does the nurse anticipate on examination of this patient's abdomen?
A) Decreased bowel sounds in all quadrants
B) Glistening or taut skin of the abdomen
C) Bulge in the abdomen when coughing
D) Bruit around the umbilicus
Q2) A 75-year-old male patient asks how to reduce his risk of esophageal cancer. What is the nurse's most appropriate response?
A) "Don't worry about it, esophageal cancers have a low incidence in men."
B) "You should not be concerned about esophageal cancer at your age."
C) "You should consider limiting your alcohol intake to two drinks per day."
D) "Increasing the fiber and protein in your diet can help you lower your risk."
Q3) What instructions does the nurse give a patient before palpating the abdomen?
A) Bend the knees.
B) Take a deep breath and hold it.
C) Take a deep breath and cough.
D) Place the hands over the head.
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Chapter 14: Musculoskeletal System
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) Nurses inquire about lifestyle behaviors of patients with risk factors for osteoarthritis. Which risk factors for osteoarthritis does the nurse ask about? (Select all that apply.)
A) Estrogen deficiency
B) Physical inactivity
C) Overuse of joints
D) Smoking
E) Obesity
F) Age
Q2) How does a nurse assess the eversion and inversion of a patient's ankle?
A) For eversion, ask the patient to turn the sole of the foot away from the body and for inversion turn the sole of the foot toward the midline.
B) For eversion, ask the patient to turn the sole of the inward toward the midline and for inversion turn the sole of the foot away from the body.
C) For eversion, ask the patient to walk on his toes and, for inversion, to walk on his heels.
D) For eversion, ask the patient to point the toes forward and, for inversion, to point the toes backward.
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16
Chapter 15: Neurologic System
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34 Verified Questions
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Sample Questions
Q1) A patient has a herniated disk compressing the lumbar spine at L2, L3, and L4 that is impairing deep tendon reflexes. Which response does a nurse expect from this patient?
A) Diminished contraction of the gastrocnemius muscle with plantar flexion of the foot
B) Diminished contraction of the quadriceps muscle with extension of the lower leg
C) Diminished plantar flexion of the toes
D) Diminished dorsiflexion of the foot and flexion of the toes
Q2) A nurse correlates a patient's altered stereognosis with a neurologic dysfunction in which part of the nervous system?
A) Midbrain or pons
B) Temporal lobe or ascending nerve tracts
C) Frontal lobe or motor nerve tracts
D) Parietal lobe or sensory nerve tracts
Q3) Which response does a nurse expect when testing ankle clonus of a healthy woman?
A) No movement of the foot
B) Plantar flexion of the foot
C) Extension of the lower leg
D) Dorsiflexion of the foot
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Chapter 16: Breasts and Axillae
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse notices dimpling of the skin surrounding a palpable mass in the right breast of a female patient. What is the most appropriate action for the nurse to take next?
A) Record this as an expected finding.
B) Palpate the area of dimpling for pain.
C) Palpate the borders of the area of dimpling for irregularity.
D) Tell the patient that dimpling indicates the mass is benign.
Q2) A nurse is performing a breast examination of a patient who complains of pain in both breasts that occurs around the time of her menstrual period. The nurse expects which findings during the breast examination?
A) Masses in the breasts that are round, soft, mobile, and well-delineated
B) Masses in the breasts that are round, firm, mobile, and well-delineated
C) Masses in the breasts that are irregular, hard, and fixed
D) Breast tissue that is red, edematous, tender, and warm to the touch
Q3) In assessing a patient with lymphedema after a mastectomy, the nurse expects which finding?
A) Fragile, thin, pale skin covering the area of lymphedema
B) Several brownish-red discolorations in the center of the affected arm
C) Unilateral nonpitting edema of the affected arm
D) Pitting edema of affected arm
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Chapter 17: Reproductive System and the Perineum
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40 Flashcards
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Sample Questions
Q1) How does a nurse recognize when a patient has a testicular torsion?
A) The nurse sees a light red glow on transillumination of the scrotum.
B) The nurse palpates testicular edema that is painless.
C) The patient reports a pulling sensation and dull ache of the scrotum.
D) The patient complains of sudden onset of severe pain with edema of the scrotum.
Q2) A 50-year-old patient asks the nurse about her risk of developing a cancer of the reproductive system. What is the appropriate response by the nurse?
A) "Human papilloma virus infection and cigarette smoking are major risk factors for cervical cancer."
B) "Some of the risk factors for endometrial cancer include being age 40 or older and having a history of infertility."
C) "Ovarian cancer is not often seen in women under age 50 or those who have a family history of breast cancer."
D) "Women who have had menstrual irregularities for many years are at lower risk of developing any of the reproductive system cancers."
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Chapter 18: Developmental Assessment Throughout the Life Span
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which behavior indicates successful achievement of the major developmental tasks of a young adulthood?
A) Accepting physical changes
B) Achieving emotional independence
C) Mastering money management
D) Getting an appropriate education
Q2) When performing a physical assessment on a 7-month-old infant, the nurse notes that the child is able to smile responsively and unable to roll from the prone to the supine position. What is the most appropriate action for this nurse?
A) Reassure the parents that the infant is "performing like an 8-month-old."
B) Document the infant's growth and development as "within normal limits."
C) Continue to assess the infant for other signs of developmental delay.
D) Give the caretaker specific directions for specialized exercises.
Q3) Which statement reflects a 21-year-old woman's achievement of an expected developmental task?
A) "I am planning to get married next year."
B) "I don't plan anything without asking my boyfriend first."
C) "I don't know which direction I'll take after college."
D) "I am living with my parents and may stay for a while."
Page 20
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Chapter 19: Assessment of the Infant, Child, and Adolescent
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Sample Questions
Q1) After obtaining a history from the parents and inspecting the skin, the nurse determines which child needs further evaluation?
A) The child who has a 1-cm red spot on the back of the neck, a fever of 100° F, and clear nasal drainage.
B) The child who has a 2-cm slightly raised, reddened area with a sharp demarcation line on the back of the neck.
C) The child has a 2-cm abrasion on the right knee, a 3-cm abrasion on the left knee, and scrapes on both palms.
D) The child who has several flat, bluish discolorations of the skin on the abdomen and back from 2 to 6 cm.
Q2) During assessment of an infant, the nurse notes that when the infant cries, the fontanelles bulge slightly. What is the most appropriate action for the nurse at this time?
A) Note in the record that the child is microcephalic.
B) Assess the fontanelles again when the child is not crying.
C) Check the child for signs of malnutrition and dehydration.
D) Use transillumination for further assessment of the skull.
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Chapter 20: Assessment of the Pregnant Patient
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Sample Questions
Q1) A woman who is 16 weeks pregnant with her first child is concerned because she has not felt the fetus move. What is the most appropriate explanation for a nurse to give this patient?
A) Movement of a fetus in the first pregnancy often does not occur until the twenty-fourth week of pregnancy.
B) A referral to an obstetrician should be made for further evaluation of this finding.
C) Movement of the fetus is not expected until the nineteenth week of pregnancy.
D) Movement of the fetus is related to fundal height; the greater the fundal height, the sooner the fetal movement.
Q2) A pregnant patient presents to the clinic with a 3 lb/week weight gain for 2 successive weeks. The nurse is most concerned that this patient is demonstrating signs of which condition?
A) Gestational diabetes mellitus
B) Preeclampsia
C) Placenta enlargement
D) Multiple gestations
Q3) If a patient's last menstrual period was May 13, her estimated date of birth is
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22
Chapter 21: Assessment of the Older Adult
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Sample Questions
Q1) A 75-year-old patient tells the nurse, "I just do not enjoy eating as much as I used to because the food does not have much taste or smell." Which statement by the nurse is most appropriate?
A) "You should make an appointment with your health care provider."
B) "Try eating small, frequent meals."
C) "The senses of smell and taste decrease as we age."
D) "Maybe you should use saline drops in your nose."
Q2) The nurse notes which finding as expected during a history and examination of an older adult patient's abdomen?
A) Hyperactive bowel sounds in all quadrants
B) Decreased fatty deposits over the abdomen
C) Marked concavity of the abdominal contour
D) Soft abdomen on palpation in all quadrants
Q3) In collecting a history from an older adult, which information does the nurse consider least essential for a patient of this age?
A) Past health history
B) Genogram
C) Functional abilities
D) Mental health
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Page 23
Chapter 22: Conducting a Head-to-Toe Examination
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Sample Questions
Q1) Which techniques does a nurse use routinely to collect data when assessing a patient's posterior thorax? (Select all that apply.)
A) Inspection of the thorax for symmetry of shoulders
B) Percussion of the costovertebral angle bilaterally
C) Inspection of respiratory movement for symmetry, depth, and rhythm of respiration
D) Percussion of the posterior and lateral thorax for resonance
E) Palpation of vertebrae for alignment and tenderness
F) Inspection of thorax for muscular development and scapular alignment
Q2) Which techniques does a nurse use routinely to collect data when assessing a patient's anterior thorax? (Select all that apply.)
A) Palpation of the thorax for fremitus
B) Inspection of the skin for color, intactness, lesions, and scars
C) Auscultation of breath sounds bilaterally
D) Auscultation of heart sounds for rate, rhythm, frequency, and S1 and S2
E) Palpation of the anterior chest wall for thoracic expansion
F) Inspection of respiratory movement for symmetry and ease of respiration
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24
Chapter 23: Documenting the Comprehensive Health Assessment
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Sample Questions
Q1) What data do nurses document under the category general survey?
A) Mental health
B) Functional ability
C) Diet and nutrition
D) Orientation
Q2) Which data do nurses document under the category of past health history?
A) Chronic diseases
B) Immunizations received
C) Allergies to medications or food
D) Causes of death of the patient's parents
Q3) A patient reports she has shortness of breath and peripheral edema. Under which category does the nurse document these data?
A) Review of systems
B) Present health status
C) Past health history
D) Functional ability
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Chapter 24: Adapting Health Assessment to the Hospitalized Patient
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Sample Questions
Q1) Development of which complication is considered a never event?
A) Fever
B) Atelectasis
C) Pressure ulcer
D) Thrombophlebitis
Q2) Which patient using respiratory equipment requires skin assessment? (Select all that apply.)
A) A patient using a nasal cannula
B) A patient with a tracheostomy
C) A patient using an incentive spirometer
D) A patient using a Ventimask
E) A patient with an IV
Q3) How does a nurse assess perfusion to the foot when a patient has a cast from the left middle calf to the toes?
A) Palpate the popliteal pulse of the left leg.
B) Palpate the posterior tibial pulse of the left leg.
C) Assess movement and sensation of the left toes.
D) Assess the capillary refill of the left toes.
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