Advanced Health Assessment
Exam Materials
Course Introduction
Advanced Health Assessment is designed to equip students with comprehensive skills in the systematic collection and analysis of health data across the lifespan. Emphasizing both theoretical knowledge and practical application, the course delves into advanced techniques for physical examination, history-taking, and diagnostic reasoning. Students learn to integrate findings from physiological, psychological, and sociocultural assessments to identify normal and abnormal health patterns, supporting accurate clinical decision-making. Through simulated practice and case-based learning, participants develop the expertise necessary to perform and interpret complex assessments in a variety of healthcare settings.
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) Which critical thinking skill helps the nurse to see relationships among the data?
A) Validation
B) Clustering related cues
C) Identifying gaps in data
D) Distinguishing relevant from irrelevant
Answer: B
Q2) After completing an initial assessment on a patient,the nurse has charted that his respirations are eupneic and his pulse is 58.This type of data would be:
A) objective.
B) reflective.
C) subjective.
D) introspective.
Answer: A
Q3) Which of these would be formulated by a nurse using diagnostic reasoning?
A) Nursing diagnosis
B) Medical diagnosis
C) Diagnostic hypothesis
D) Diagnostic assessment
Answer: C
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Page 3
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) Symptoms,such as pain,are often influenced by a person's cultural heritage.Which of the following is a true statement regarding pain?
A) Nurses' attitudes toward their patients' pain are unrelated to their own experiences with pain.
B) Nurses need to recognize that many cultures practice silent suffering as a response to pain.
C) A nurse's area of clinical practice is most likely to determine his or her assessment of a patient's pain.
D) A nurse's years of clinical experience and current position are a strong indicator of his or her response to patient pain.
Answer: B
Q2) An individual who takes the magicoreligious perspective of illness and disease is likely to believe that his or her illness was caused by:
A) germs and viruses.
B) supernatural forces.
C) eating imbalanced foods.
D) an imbalance within his or her spiritual nature.
Answer: B
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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 nurse is taking complete health histories on all of the patients attending a wellness workshop.On the history form,one of the written questions asks,"You don't smoke,drink,or take drugs,do you?" This question is an example of:
A) talking too much.
B) using confrontation.
C) using biased or leading questions.
D) using blunt language to deal with distasteful topics.
Answer: C
Q2) The nurse asks,"I would like to ask you some questions about your health and your usual daily activities so that we can better plan your stay here." This question is found at the _____ phase of the interview process.
A) summary
B) closing
C) body
D) opening or introduction
Answer: D
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5
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) The nurse is preparing to conduct a health history.Which of these statements best describes the purpose of a health history?
A) To provide an opportunity for interaction between patient and nurse
B) To provide a form for obtaining the patient's biographic information
C) To document the normal and abnormal findings of a physical assessment
D) To provide a data base of subjective information about the patient's past and current health
Q2) 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.
Q3) The nurse is obtaining a health history on an 87-year-old woman.Which of the following areas of questioning would be most useful at this time?
A) Obstetric history
B) Childhood illnesses
C) General health for the past 20 years
D) Current health promotion activities
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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 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.
Q2) A 45-year-old woman is brought to the emergency department with a head injury after her car hit a tree.A few months after recovering from her injuries,the nurse notes during an examination that she is unable to learn new information or recall previously learned information.This is an example of:
A) mania.
B) agnosia.
C) dementia.
D) amnestic disorder.
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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) The nurse is assessing a patient who has been admitted for cirrhosis of the liver secondary to chronic alcohol use.During the physical assessment,the nurse looks for cardiac problems that are associated with chronic heavy use of alcohol,such as:
A) hypertension.
B) ventricular fibrillation.
C) bradycardia.
D) mitral valve prolapse.
Q2) The nurse is reviewing aspects of substance abuse in preparation for a seminar.Which of these statements illustrates the concept of "tolerance" to an illicit substance? The person:
A) has a physiologic dependence on a substance.
B) requires an increased amount of the substance to produce the same effect.
C) requires daily use of the substance in order to function, and is unable to stop using it.
D) experiences a syndrome of physiologic symptoms if the substance is not used.
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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 bruising on an injured patient.Which color indicates a new bruise that is less than 2 hours old?
A) Red
B) Purple-blue
C) Greenish-brown
D) Brownish-yellow
Q2) The nurse is using the danger assessment (DA)tool to evaluate the risk of homicide.Which of these statements best describes its use?
A) The DA tool is to be administered by law enforcement personnel.
B) The DA tool should be used in every assessment of suspected abuse.
C) The number of yes answers indicates the woman's understanding of her situation.
D) The higher the number of yes answers, the more serious the danger of the woman's situation.
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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 most important step that the nurse can take to prevent transmission of microorganisms in the hospital setting is to:
A) wear protective eye wear at all times.
B) wear gloves during any and all contact with patients.
C) wash hands before and after contact with each patient.
D) clean the stethoscope with an alcohol swab between patients.
Q2) A 2-year-old child has been brought to the clinic for a well-child check-up.The best way for the nurse to begin the assessment is reflected by which statement?
A) Ask the parent to place the child on the examining table.
B) Have the parent remove all of the child's clothing before the examination.
C) Allow the child to keep a security object such as a toy or blanket during the examination.
D) Initially focus interactions on the child, essentially "ignoring" the parent, until the child's trust has been obtained.
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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) The nurse is performing a general survey.Which finding is considered normal?
A) When standing, the patient's base is narrow.
B) The patient appears older than his stated age.
C) Arm span (fingertip to fingertip) is greater than the height.
D) Arm span (fingertip to fingertip) equals height.
Q2) What is the pulse pressure for a patient whose blood pressure is 158/96 mm Hg and whose pulse rate is 72 beats per minute?
Q3) The nurse will perform a palpated pressure before auscultating blood pressure.The reason for this is to:
A) hear the Korotkoff sounds more clearly.
B) detect the presence of an auscultatory gap.
C) avoid missing a falsely elevated blood pressure.
D) identify phase IV of the Korotkoff sounds more readily.
Q4) While measuring a patient's blood pressure,the nurse recalls that certain factors help to determine blood pressure,such as:
A) pulse rate.
B) pulse pressure.
C) vascular output.
D) peripheral vascular resistance.
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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) 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
Q2) When assessing the intensity of a patient's pain,which question by the nurse is appropriate?
A) "What makes your pain better or worse?"
B) "How much pain do you have now?"
C) "How does pain limit your activities?"
D) "What does your pain feel like?"
Q3) When evaluating a patient's pain,the nurse knows that an example of acute pain would be:
A) arthritic pain.
B) fibromyalgia.
C) kidney stones.
D) low back pain.
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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) The nurse is seeing for the first time a patient who has no history of nutrition-related problems.The initial nutritional screening should include which activity?
A) Calorie count of nutrients
B) Anthropometric measures
C) Complete physical examination
D) Measurement of weight and weight history
Q2) During a nutritional assessment,why is it important for the nurse to ask a patient what medications he or she is taking?
A) Certain drugs can affect the metabolism of nutrients.
B) The nurse needs to assess the patient for allergic reactions.
C) Medications need to be documented on the record for the physician's review.
D) Medications can affect one's memory and ability to identify food eaten in the last 24 hours.
Q3) The nurse recognizes that which of these persons is at greatest risk for undernutrition?
A) 5-month-old infant
B) 50-year-old woman
C) 20-year-old college student
D) 30-year-old hospital administrator
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Page 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) An elderly woman is brought to the emergency department after being found lying on the kitchen floor 2 days,and she is extremely dehydrated.What would the nurse expect to see upon examination?
A) Smooth mucous membranes and lips
B) Dry mucous membranes and cracked lips
C) Pale mucous membranes
D) White patches on the mucous membranes
Q2) The nurse notices that a patient has a solid,elevated,circumscribed lesion that is less than 1 cm in diameter.When documenting this finding,the nurse would report this as a:
A) bulla.
B) wheal.
C) nodule.
D) papule.
Q3) The nurse is caring for a black child who has been diagnosed with marasmus.The nurse would expect to find the:
A) hair to be less kinky and to be a copper-red color.
B) head to be larger than normal, with wide-set eyes.
C) skin on the hands and feet to be scaly and tender.
D) lymph nodes in the groin to be enlarged and tender.
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Page 14
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 examination of a female patient,the nurse notes lymphadenopathy and suspects an acute infection.Acutely infected lymph nodes would be:
A) clumped.
B) unilateral.
C) firm but freely movable.
D) firm and nontender.
Q2) A male patient with a history of AIDS has come in for an examination and he states,"I think that I have the mumps." The nurse would begin by examining the:
A) thyroid gland.
B) parotid gland.
C) cervical lymph nodes.
D) mouth and skin for lesions.
Q3) A patient is unable to differentiate between sharp and dull stimulation to both sides of her face.The nurse suspects:
A) Bell's palsy.
B) damage to the trigeminal nerve.
C) frostbite with resultant paresthesia to the cheeks.
D) scleroderma.
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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 preparing to assess the visual acuity of a 16-year-old patient.How should the nurse proceed?
A) Perform the confrontation test.
B) Ask the patient to read the print on a handheld Jaeger card.
C) Use the Snellen chart positioned 20 feet away from the patient.
D) Determine the patient's ability to read newsprint at a distance of 12 to 14 inches.
Q2) The nurse is reviewing causes of increased intraocular pressure.Which of these factors determines intraocular pressure?
A) Thickness or bulging of the lens
B) Posterior chamber as it accommodates an increase in fluid
C) Contraction of the ciliary body in response to the aqueous within the eye
D) Amount of aqueous produced and resistance to its outflow at the angle of the anterior chamber
Q3) In a patient who has anisocoria,the nurse would expect to observe:
A) dilated pupils.
B) excessive tearing.
C) pupils of unequal size.
D) an uneven curvature of the lens.
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Chapter 15: Ears
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20695
Sample Questions
Q1) A 17-year-old student is a swimmer on her high school's swim team.She has had three bouts of otitis externa so far this season and wants to know what to do to prevent it.The nurse instructs her to:
A) use a cotton-tipped swab to dry the ear canals thoroughly after each swim.
B) use rubbing alcohol or 2% acetic acid eardrops after every swim.
C) irrigate the ears with warm water and a bulb syringe after each swim.
D) rinse the ears with a warmed solution of mineral oil and hydrogen peroxide.
Q2) During an examination,the nurse notices that the patient stumbles a bit while walking,and,when she sits down,she holds on to the sides of the chair.The patient states,"It feels like the room is spinning!" The nurse notices that the patient is experiencing:
A) objective vertigo.
B) subjective vertigo.
C) tinnitus.
D) dizziness.
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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 tissue that connects the tongue to the floor of the mouth is the:
A) uvula.
B) palate.
C) papillae.
D) frenulum.
Q2) During an oral assessment of a 30-year-old African-American patient,the nurse notices bluish lips and a dark line along the gingival margin.What would the nurse do in response to this finding?
A) Check the patient's hemoglobin for anemia.
B) Assess for other signs of insufficient oxygen supply.
C) Proceed with assessment, knowing that this is a normal finding.
D) Ask if he has been exposed to an excessive amount of carbon monoxide.
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) The nurse is discussing breast self-examination with a postmenopausal woman.The best time for postmenopausal women to perform breast self-examination is:
A) the same day every month.
B) daily, during the shower or bath.
C) 1 week after her menstrual period.
D) every year with her annual gynecologic examination.
Q2) A 65-year-old patient remarks that she just can't believe that her breasts sag so much.She states it must be from lack of exercise.What explanation should the nurse offer her?
A) After menopause, only women with large breasts experience sagging.
B) After menopause, sagging is usually due to decreased muscle mass within the breast.
C) After menopause, a diet that is high in protein will help maintain muscle mass, which keeps the breasts from sagging.
D) After menopause, the glandular and fat tissue atrophies, causing breast size and elasticity to diminish, resulting in breasts that sag.
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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) A woman in her 26th week of pregnancy states that she is "not really short of breath" but feels that she is aware of her breathing and the need to breathe.What is the nurse's best reply?
A) "The diaphragm becomes fixed during pregnancy, making it difficult to take in a deep breath."
B) "The increase in estrogen levels during pregnancy often causes a decrease in the diameter of the rib cage and makes it difficult to breathe."
C) "What you are experiencing is normal. Some women may interpret this as shortness of breath, but it is a normal finding and nothing is wrong."
D) "This is normal as the fetus grows because of the increased oxygen demand on the mother's body and results in an increased respiratory rate."
Q2) During a morning assessment,the nurse notices that the patient's sputum is frothy and pink.Which condition could this finding indicate?
A) Croup
B) Tuberculosis
C) Viral infection
D) Pulmonary edema
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Page 20
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) When listening to heart sounds,the nurse knows that S :
A) is louder than S2 at the base of the heart.
B) indicates the beginning of diastole.
C) coincides with the carotid artery pulse.
D) is caused by closure of the semilunar valves.
Q2) The nurse is assessing the apical pulse of a 3-month-old infant and finds that the heart rate is 135 beats per minute.The nurse interprets this result as:
A) normal for this age.
B) lower than expected.
C) higher than expected, probably as a result of crying.
D) higher than expected, reflecting persistent tachycardia.
Q3) The nurse is preparing to auscultate for heart sounds.Which technique is correct?
A) Listen to the sounds at the aortic, tricuspid, pulmonic, and mitral areas.
B) Listen by inching the stethoscope in a rough Z pattern, from the base of the heart across and down, then over to the apex.
C) Listen to the sounds only at the site where the apical pulse is felt to be the strongest.
D) Listen for all possible sounds at a time at each specified area.
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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) Which of these veins are responsible for most of the venous return in the arm?
A) Deep
B) Ulnar
C) Subclavian
D) Superficial
Q2) A 35-year-old man is seen in the clinic for an infection in his left foot.Which of these findings should the nurse expect to see during an assessment of this patient?
A) Hard and fixed cervical nodes
B) Enlarged and tender inguinal nodes
C) Bilateral enlargement of the popliteal nodes
D) "Pellet-like" nodes in the supraclavicular region
Q3) How should the nurse document mild,slight pitting edema present at the ankles of a pregnant patient?
A) 1+/0-4+
B) 3+/0-4+
C) 4+/0-4+
D) Brawny edema
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Page 22
Chapter 21: Abdomen
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20701
Sample Questions
Q1) The nurse is describing a scaphoid abdomen.To the horizontal plane,a scaphoid contour of the abdomen depicts a _____ profile.
A) flat
B) convex
C) bulging
D) concave
Q2) Just before going home,a new mother asks the nurse about the infant's umbilical cord.Which of these statements is correct?
A) "It should fall off by 10 to 14 days."
B) "It will soften before it falls off."
C) "It contains two veins and one artery."
D) "Skin will cover the area within 1 week."
Q3) The nurse is reviewing the assessment of an aortic aneurysm.Which of these statements is true regarding an aortic aneurysm?
A) A bruit is absent.
B) Femoral pulses are increased.
C) A pulsating mass is usually present.
D) Most are located below the umbilicus.
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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) The nurse is examining a 6-month-old infant and places the infant's feet flat on the table and flexes his knees up.The nurse notes that the right knee is significantly lower than the left.Which of these statements is true of this finding?
A) This is a positive Allis sign and suggests hip dislocation.
B) The infant probably has a dislocated patella on the right.
C) This is a normal finding for the Allis test for an infant of this age.
D) The infant should return to the clinic in 2 weeks to see if this has changed.
Q2) 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
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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) A 78-year-old man has a history of a cerebrovascular accident.The nurse notes that when he walks his left arm is immobile against the body with flexion of the shoulder,elbow,wrist,and fingers and adduction of the shoulder.His left leg is stiff and extended and circumducts with each step.What type of gait disturbance is this individual experiencing?
A) Scissors gait
B) Cerebellar ataxia
C) Parkinsonian gait
D) Spastic hemiparesis
Q2) In obtaining a history on a 74-year-old patient the nurse notes that he drinks alcohol daily and that he has noticed a tremor in his hands that affects his ability to hold things.With this information,what should the nurse's response be?
A) "Does your family know you are drinking every day?"
B) "Does the tremor change when you drink the alcohol?"
C) "We'll do some tests to see what is causing the tremor."
D) "You really shouldn't drink so much alcohol; it may be causing your tremor."
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Chapter 24: Male Genitourinary System
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/20704
Sample Questions
Q1) When the nurse is performing a testicular examination on a 25-year-old man,which of these findings is considered normal?
A) Nontender subcutaneous plaques
B) A scrotal area that is dry, scaly, and nodular
C) Testes that feel oval and movable and are slightly sensitive to compression
D) A single, hard, circumscribed, movable mass, less than 1 cm under the surface of the testes
Q2) The mother of a 10-year-old boy asks the nurse to discuss the recognition of puberty.The nurse should reply by saying:
A) "Puberty usually begins about age fifteen."
B) "The first sign of puberty is enlargement of the testes."
C) "Penis size does not increase until about the age of sixteen."
D) "The development of pubic hair precedes testicular or penis enlargement."
Q3) Which of these statements is most appropriate when the nurse is obtaining a genitourinary history from an elderly man?
A) "Do you need to get up at night to urinate?"
B) "Do you experience nocturnal emissions, or 'wet dreams'?"
C) "Do you know how to perform a testicular self-examination?"
D) "Has anyone ever touched your genitals when you did not want them to?"
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Page 26
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) The nurse is palpating the prostate gland through the rectum and notices an abnormal finding if which of these is present?
A) Palpable central groove
B) Tenderness to palpation
C) Heart shape
D) Elastic and rubbery consistency
Q2) A 13-year-old girl is visiting the clinic for a sports physical.The nurse should remember to include which of these tests in the examination?
A) Test for occult blood
B) The Valsalva maneuver
C) Internal palpation of the anus
D) Inspection of the perianal area
Q3) The nurse is preparing to palpate the rectum and should use which of these techniques?
A) Flex the finger and insert slowly toward the umbilicus.
B) Instruct the patient first that this will be a painful procedure.
C) Insert an extended index finger at a right angle to the anus.
D) Place the finger directly into the anus to overcome the tight sphincter.
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Chapter 26: Female Genitourinary System
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/20706
Sample Questions
Q1) The nurse is palpating an ovarian mass during an internal examination of a 63-year-old woman.Which findings of the mass's characteristics would suggest the presence of an ovarian cyst? Select all that apply.
A) Heavy and solid
B) Mobile and fluctuant
C) Mobile and solid
D) Fixed
E) Smooth and round
F) Poorly defined
Q2) When the nurse is interviewing a preadolescent girl,which opening statement would be least threatening?
A) "Do you have any questions about growing up?"
B) "What has your mother told you about growing up?"
C) "When did you notice that your body was changing?"
D) "I remember being very scared when I got my period. How do you think you'll feel?"
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28
Chapter 27: The Complete Health Assessment:
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/20707
Sample Questions
Q1) During an examination,the nurse notices that a patient's legs turn white when they are raised above the patient's head.The nurse should suspect:
A) lymphedema.
B) Raynaud's disease.
C) chronic arterial insufficiency.
D) chronic venous insufficiency.
Q2) A patient is unable to shrug her shoulders against the nurse's resistant hands.What cranial nerve is involved with successful shoulder shrugging?
A) VII
B) IX
C) XI
D) XII
Q3) During a complete health assessment,how would the nurse test the patient's hearing?
A) By observing how the patient participates in normal conversation
B) Using the whispered voice test
C) Using the Weber and Rinne tests
D) Testing with an audiometer
To view all questions and flashcards with answers, click on the resource link above. Page 29
Chapter 28: Bedside Assessment of the Hospitalized Adult
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/20708
Sample Questions
Q1) During an assessment of a hospitalized patient,the nurse pinches a fold of skin under the clavicle or on the forearm to test:
A) mobility and turgor.
B) the patient's response to pain.
C) the percentage of the patient's fat-to-muscle ratio.
D) the presence of edema.
Q2) When assessing the neurologic system of a hospitalized patient during morning rounds,the nurse should include which of these during the assessment?
A) Blood pressure
B) The patient's rating of pain on a 1 to 10 scale
C) The patient's ability to communicate
D) The patient's personal hygiene level
Q3) When assessing a patient's general appearance,the nurse should include which of these questions?
A) Is the patient's muscle strength equal in both arms?
B) Is ptosis or facial droop present?
C) Does the patient respond appropriately to questions?
D) Are the pupils equal in reaction and size?
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) When performing an examination of a woman who is 34 weeks pregnant,the nurse notices that as the woman raises her head and shoulders off of the bed there is a midline linear protrusion in the abdomen over the area of the rectus abdominis muscles.Which response by the nurse is correct?
A) Document the presence of diastasis recti.
B) Discuss this condition with the physician because it will most likely need to be surgically repaired.
C) Suspect that the woman has a hernia from the increased pressure within the abdomen from pregnancy.
D) Tell the woman that she may have a difficult time with delivery because of the weakness in her abdominal muscles.
Q2) When the nurse is assessing the deep tendon reflexes (DTRs)on a woman who is 32 weeks pregnant,which of these would be considered a normal finding on a 0 to 4+ scale?
A) Absent DTRs
B) 2+
C) 4+
D) Brisk reflexes and the presence of clonus
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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 an older adult's advanced activities of daily living,which would include:
A) recreational activities.
B) meal preparation.
C) balancing the checkbook.
D) self-grooming activities.
Q2) The nurse is preparing to assess an older adult and discovers that the older adult is in severe pain.Which statement about pain and the older adult is true?
A) Pain is inevitable with aging.
B) Older adults with cognitive impairments feel less pain.
C) Alleviating pain should be a priority over other aspects of the assessment.
D) The assessment should take priority so that care decisions can be made.
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.