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Advanced Health Assessment Exam Questions - 1092 Verified Questions

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Advanced Health Assessment Exam Questions

Course Introduction

Advanced Health Assessment is an upper-level course designed to develop comprehensive assessment skills necessary for advanced clinical practice. The course emphasizes systematic techniques for collecting, analyzing, and interpreting both subjective and objective data across the lifespan. Students will enhance their proficiency in physical examinations, health histories, diagnostic reasoning, and clinical decision-making, integrating cultural, ethical, and psychosocial considerations. Through lectures, laboratory practice, and case studies, students learn to identify normal and abnormal findings, formulate differential diagnoses, and communicate assessment outcomes effectively within interdisciplinary healthcare teams.

Recommended Textbook

Physical Examination and Health Assessment 7th Edition by Jarvis

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31 Chapters

1092 Verified Questions

1092 Flashcards

Source URL: https://quizplus.com/study-set/1000 Page 2

Chapter 1: Evidence-Based Assessment

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/19726

Sample Questions

Q1) During a staff meeting,nurses discuss the problems with accessing research studies to incorporate evidence-based clinical decision making into their practice.Which suggestion by the nurse manager would best help these problems?

A)Form a committee to conduct research studies.

B)Post published research studies on the unit's bulletin boards.

C)Encourage the nurses to visit the library to review studies.

D)Teach the nurses how to conduct electronic searches for research studies.

Answer: D

Q2) A visiting nurse is making an initial home visit for a patient who has many chronic medical problems.Which type of data base is most appropriate to collect in this setting?

A)A follow-up data base to evaluate changes at appropriate intervals

B)An episodic data base because of the continuing, complex medical problems of this patient

C)A complete health data base because of the nurse's primary responsibility for monitoring the patient's health

D)An emergency data base because of the need to collect information and make accurate diagnoses rapidly

Answer: C

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Chapter 2: Cultural Competence

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37 Verified Questions

37 Flashcards

Source URL: https://quizplus.com/quiz/19727

Sample Questions

Q1) The nurse is reviewing theories of illness.The germ theory,which states that microscopic organisms such as bacteria and viruses are responsible for specific disease conditions,is a basic belief of which theory of illness?

A)Holistic

B)Biomedical

C)Naturalistic

D)Magicoreligious

Answer: B

Q2) In the hot/cold theory,illnesses are believed to be caused by hot or cold entering the body.Which of these patient conditions is most consistent with a cold condition?

A)Patient with diabetes and renal failure

B)Teenager with an abscessed tooth

C)Child with symptoms of itching and a rash

D)Older man with gastrointestinal discomfort

Answer: D

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4

Chapter 3: The Interview

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40 Verified Questions

40 Flashcards

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Sample Questions

Q1) During an interview,a parent of a hospitalized child is sitting in an open position.As the interviewer begins to discuss his son's treatment,however,he suddenly crosses his arms against his chest and crosses his legs.This changed posture would suggest that the parent is:

A)Simply changing positions.

B)More comfortable in this position.

C)Tired and needs a break from the interview.

D)Uncomfortable talking about his son's treatment.

Answer: D

Q2) A female patient does not speak English well,and the nurse needs to choose an interpreter.Which of the following would be the most appropriate choice?

A)Trained interpreter

B)Male family member

C)Female family member

D)Volunteer college student from the foreign language studies department

Answer: A

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Chapter 4: The Complete Health History

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34 Verified Questions

34 Flashcards

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Sample Questions

Q1) The nurse is performing a functional assessment on an 82-year-old patient who recently had a stroke.Which of these questions would be most important to ask?

A)"Do you wear glasses?"

B)"Are you able to dress yourself?"

C)"Do you have any thyroid problems?"

D)"How many times a day do you have a bowel movement?"

Q2) A 29-year-old woman tells the nurse that she has "excruciating pain" in her back.Which would be the nurse's appropriate response to the woman's statement?

A)"How does your family react to your pain?"

B)"The pain must be terrible. You probably pinched a nerve."

C)"I've had back pain myself, and it can be excruciating."

D)"How would you say the pain affects your ability to do your daily activities?"

Q3) 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."

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6

Chapter 5: Mental Status Assessment

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39 Verified Questions

39 Flashcards

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Sample Questions

Q1) A 20-year-old construction worker has been brought into the emergency department with heat stroke.He has delirium as a result of a fluid and electrolyte imbalance.For the mental status examination,the nurse should first assess the patient's:

A)Affect and mood

B)Memory and affect

C)Language abilities

D)Level of consciousness and cognitive abilities

Q2) During an examination,the nurse notes that a patient is exhibiting flight of ideas.Which statement by the patient is an example of flight of ideas?

A)"My stomach hurts. Hurts, spurts, burts."

B)"Kiss, wood, reading, ducks, onto, maybe."

C)"Take this pill? The pill is red. I see red. Red velvet is soft, soft as a baby's bottom."

D)"I wash my hands, wash them, wash them. I usually go to the sink and wash my hands."

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Chapter 6: Substance Use Assessment

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13 Verified Questions

13 Flashcards

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Sample Questions

Q1) 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 in the older adult?

A)Increased muscle mass

B)Decreased liver and kidney functioning

C)Decreased blood pressure

D)Increased cardiac output

Q2) The nurse is asking an adolescent about illicit substance abuse.The adolescent answers,"Yes,I've used marijuana at parties with my friends." What is the next question the nurse should ask?

A)"Who are these friends?"

B)"Do your parents know about this?"

C)"When was the last time you used marijuana?"

D)"Is this a regular habit?"

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Chapter 7: Domestic and Family Violence Assessments

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14 Verified Questions

14 Flashcards

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Sample Questions

Q1) During an interview,a woman has answered "yes" to two of the Abuse Assessment Screen questions.What should the nurse say next?

A)"I need to report this abuse to the authorities."

B)"Tell me about this abuse in your relationship."

C)"So you were abused?"

D)"Do you know what caused this abuse?"

Q2) During an examination,the nurse notices a patterned injury on a patient's back.Which of these would cause such an injury?

A)Blunt force

B)Friction abrasion

C)Stabbing from a kitchen knife

D)Whipping from an extension cord

Q3) When documenting IPV and elder abuse,the nurse should include:

A)Photographic documentation of the injuries.

B)Summary of the abused patient's statements.

C)Verbatim documentation of every statement made.

D)General description of injuries in the progress notes.

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9

Chapter 8: Assessment Techniques and Safety in the Clinical Setting

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43 Verified Questions

43 Flashcards

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Sample Questions

Q1) During the examination,offering some brief teaching about the patient's body or the examiner's findings is often appropriate.Which one of these statements by the nurse is most appropriate?

A)"Your atrial dysrhythmias are under control."

B)"You have pitting edema and mild varicosities."

C)"Your pulse is 80 beats per minute, which is within the normal range."

D)"I'm using my stethoscope to listen for any crackles, wheezes, or rubs."

Q2) When performing a physical assessment,the first technique the nurse will always use is:

A)Palpation.

B)Inspection.

C)Percussion.

D)Auscultation.

Q3) With which of these patients would it be most appropriate for the nurse to use games during the assessment,such as having the patient "blow out" the light on the penlight?

A)Infant

B)Preschool child

C)School-age child

D)Adolescent

Page 10

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Chapter 9: General Survey, Measurement, Vital Signs

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52 Flashcards

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Sample Questions

Q1) A 75-year-old man with a history of hypertension was recently changed to a new antihypertensive drug.He reports feeling dizzy at times.How should the nurse evaluate his blood pressure?

A)Blood pressure and pulse should be recorded in the supine, sitting, and standing positions.

B)The patient should be directed to walk around the room and his blood pressure assessed after this activity.

C)Blood pressure and pulse are assessed at the beginning and at the end of the examination.

D)Blood pressure is taken on the right arm and then 5 minutes later on the left arm.

Q2) The nurse is performing a general survey.Which action is a component of the general survey?

A)Observing the patient's body stature and nutritional status

B)Interpreting the subjective information the patient has reported

C)Measuring the patient's temperature, pulse, respirations, and blood pressure

D)Observing specific body systems while performing the physical assessment

Q3) 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?

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11

Chapter 10: Pain Assessment: The Fifth Vital Sign

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17 Verified Questions

17 Flashcards

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Sample Questions

Q1) The nurse is assessing a patient's pain.The nurse knows that the most reliable indicator of pain would be the:

A)Patient's vital signs.

B)Physical examination.

C)Results of a computerized axial tomographic scan.

D)Subjective report.

Q2) A patient is complaining of severe knee pain after twisting it during a basketball game and is requesting pain medication.Which action by the nurse is appropriate?

A)Completing the physical examination first and then giving the pain medication

B)Telling the patient that the pain medication must wait until after the x-ray images are completed

C)Evaluating the full range of motion of the knee and then medicating for pain

D)Administering pain medication and then proceeding with the assessment

Q3) When assessing the quality of a patient's pain,the nurse should ask which question?

A)"When did the pain start?"

B)"Is the pain a stabbing pain?"

C)"Is it a sharp pain or dull pain?"

D)"What does your pain feel like?"

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12

Chapter 11: Nutritional Assessment

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33 Verified Questions

33 Flashcards

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Sample Questions

Q1) A 21-year-old woman has been on a low-protein liquid diet for the past 2 months.She has had adequate intake of calories and appears well nourished.After further assessment,what would the nurse expect to find?

A)Poor skin turgor

B)Decreased serum albumin

C)Increased lymphocyte count

D)Triceps skinfold less than standard

Q2) The nurse is performing a nutritional assessment on an 80-year-old patient.The nurse knows that physiologic changes can directly affect the nutritional status of the older adult and include:

A)Slowed gastrointestinal motility.

B)Hyperstimulation of the salivary glands.

C)Increased sensitivity to spicy and aromatic foods.

D)Decreased gastrointestinal absorption causing esophageal reflux.

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Chapter 12: Skin, Hair, and Nails

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48 Verified Questions

48 Flashcards

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Sample Questions

Q1) A patient has been admitted to a hospital after the staff in the nursing home noticed a pressure ulcer in his sacral area.The nurse examines the pressure ulcer and determines that it is a stage II ulcer.Which of these findings are characteristic of a stage II pressure ulcer? Select all that apply.

A)Intact skin appears red but is not broken.

B)Partial thickness skin erosion is observed with a loss of epidermis or dermis.

C)Ulcer extends into the subcutaneous tissue.

D)Localized redness in light skin will blanch with fingertip pressure.

E)Open blister areas have a red-pink wound bed.

F)Patches of eschar cover parts of the wound.

Q2) The nurse is assessing for clubbing of the fingernails and expects to find:

A)Nail bases that are firm and slightly tender.

B)Curved nails with a convex profile and ridges across the nails.

C)Nail bases that feel spongy with an angle of the nail base of 150 degrees.

D)Nail bases with an angle of 180 degrees or greater and nail bases that feel spongy.

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14

Chapter 13: Head, Face, and Neck, Including Regional Lymphatics

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41 Verified Questions

41 Flashcards

Source URL: https://quizplus.com/quiz/19738

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 visitor from Poland who does not speak English seems to be somewhat apprehensive about the nurse examining his neck.He would probably be more comfortable with the nurse examining his thyroid gland from:

A)Behind with the nurse's hands placed firmly around his neck.

B)The side with the nurse's eyes averted toward the ceiling and thumbs on his neck.

C)The front with the nurse's thumbs placed on either side of his trachea and his head tilted forward.

D)The front with the nurse's thumbs placed on either side of his trachea and his head tilted backward.

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15

Chapter 14: Eyes

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40 Verified Questions

40 Flashcards

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Sample Questions

Q1) A mother asks when her newborn infant's eyesight will be developed.The nurse should reply:

A)"Vision is not totally developed until 2 years of age."

B)"Infants develop the ability to focus on an object at approximately 8 months of age."

C)"By approximately 3 months of age, infants develop more coordinated eye movements and can fixate on an object."

D)"Most infants have uncoordinated eye movements for the first year of life."

Q2) 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 nerve (CN V) and the trochlear nerve (CN IV) 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.

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16

Chapter 15: Ears

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40 Verified Questions

40 Flashcards

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Sample Questions

Q1) In an individual with otitis externa,which of these signs would the nurse expect to find on assessment?

A)Rhinorrhea

B)Periorbital edema

C)Pain over the maxillary sinuses

D)Enlarged superficial cervical nodes

Q2) An assessment of a 23-year-old patient reveals the following: an auricle that is tender and reddish-blue in color with small vesicles.The nurse would need to know additional information that includes which of these?

A)Any change in the ability to hear

B)Any recent drainage from the ear

C)Recent history of trauma to the ear

D)Any prolonged exposure to extreme cold

Q3) The nurse is preparing to do an otoscopic examination on a 2-year-old child.Which one of these reflects the correct procedure?

A)Pulling the pinna down

B)Pulling the pinna up and back

C)Slightly tilting the child's head toward the examiner

D)Instructing the child to touch his chin to his chest

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Page 17

Chapter 16: Nose, Mouth, and Throat

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42 Verified Questions

42 Flashcards

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Sample Questions

Q1) A 72-year-old patient has a history of hypertension and chronic lung disease.An important question for the nurse to include in the health 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?"

Q2) A 32-year-old woman is at the clinic for "little white bumps in my mouth." During the assessment,the nurse notes that she has a 0.5 cm white,nontender papule under her tongue and one on the mucosa of her right cheek.What would the nurse tell the patient?

A)"These spots indicate an infection such as strep throat."

B)"These bumps could be indicative of a serious lesion, so I will refer you to a specialist."

C)"This condition is called leukoplakia and can be caused by chronic irritation such as with smoking."

D)"These bumps are Fordyce granules, which are sebaceous cysts and are not a serious condition."

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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/19742

Sample Questions

Q1) The nurse is assisting with a BSE clinic.Which of these women reflect abnormal findings during the inspection phase of breast examination?

A)Woman whose nipples are in different planes (deviated).

B)Woman whose left breast is slightly larger than her right.

C)Nonpregnant woman whose skin is marked with linear striae.

D)Pregnant woman whose breasts have a fine blue network of veins visible under the skin.

Q2) The nurse is reviewing statistics regarding breast cancer.Which woman,aged 40 years in the United States,has the highest risk for developing breast cancer?

A)Black

B)White

C)Asian

D)American Indian

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Chapter 18: Thorax and Lungs

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41 Verified Questions

41 Flashcards

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Sample Questions

Q1) A patient has a long history of chronic obstructive pulmonary disease (COPD).During the assessment,the nurse will most likely observe which of these?

A)Unequal chest expansion

B)Increased tactile fremitus

C)Atrophied neck and trapezius muscles

D)Anteroposterior-to-transverse diameter ratio of 1:1

Q2) A patient comes to the clinic complaining of a cough that is worse at night but not as bad during the day.The nurse recognizes that this cough may indicate:

A)Pneumonia.

B)Postnasal drip or sinusitis.

C)Exposure to irritants at work.

D)Chronic bronchial irritation from smoking.

Q3) During an assessment,the nurse knows that expected assessment findings in the normal adult lung include the presence of:

A)Adventitious sounds and limited chest expansion.

B)Increased tactile fremitus and dull percussion tones.

C)Muffled voice sounds and symmetric tactile fremitus.

D)Absent voice sounds and hyperresonant percussion tones.

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Page 20

Chapter 19: Heart and Neck Vessels

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42 Verified Questions

42 Flashcards

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Sample Questions

Q1) When the nurse is auscultating the carotid artery for bruits,which of these statements reflects the correct technique?

A)While listening with the bell of the stethoscope, the patient is asked to take a deep breath and hold it.

B)While auscultating one side with the bell of the stethoscope, the carotid artery is palpated on the other side to check pulsations.

C)While lightly applying the bell of the stethoscope over the carotid artery and listening, the patient is asked to take a breath, exhale, and briefly hold it.

D)While firmly placing the bell of the stethoscope over the carotid artery and listening, the patient is asked to take a breath, exhale, and briefly hold it.

Q2) The nurse is preparing for a class on risk factors for hypertension and reviews recent statistics.Which racial group has the highest prevalence of hypertension in the world?

A)Blacks

B)Whites

C)American Indians

D)Hispanics

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21

Chapter 20: Peripheral Vascular System and Lymphatic System

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39 Verified Questions

39 Flashcards

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Sample Questions

Q1) The nurse is performing an assessment on an adult.The adult's vital signs are normal,and capillary refill time is 5 seconds.What should the nurse do next?

A)Ask the patient about a history of frostbite.

B)Suspect that the patient has venous insufficiency.

C)Consider this a delayed capillary refill time, and investigate further.

D)Consider this a normal capillary refill time that requires no further assessment.

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)Pelletlike nodes in the supraclavicular region

Q3) Which statement is true regarding the arterial system?

A)Arteries are large-diameter vessels.

B)The arterial system is a high-pressure system.

C)The walls of arteries are thinner than those of the veins.

D)Arteries can greatly expand to accommodate a large blood volume increase.

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Page 22

Chapter 21: Abdomen

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Sample Questions

Q1) During reporting,the student nurse hears that a patient has hepatomegaly and recognizes that this term refers to:

A)Enlarged liver.

B)Enlarged spleen.

C)Distended bowel.

D)Excessive diarrhea.

Q2) A patient's abdomen is bulging and stretched in appearance.The nurse should describe this finding as:

A)Obese.

B)Herniated.

C)Scaphoid.

D)Protuberant.

Q3) 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

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23

Chapter 22: Musculoskeletal System

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51 Verified Questions

51 Flashcards

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Sample Questions

Q1) The nurse is explaining to a patient that there are shock absorbers in his back to cushion the spine and to help it move.The nurse is referring to his:

A)Vertebral column.

B)Nucleus pulposus.

C)Vertebral foramen.

D)Intervertebral disks.

Q2) During an examination,the nurse asks a patient to bend forward from the waist and notices that the patient has lateral tilting.When his leg is raised straight up,the patient complains of a pain going down his buttock into his leg.The nurse suspects:

A)Scoliosis.

B)Meniscus tear.

C)Herniated nucleus pulposus.

D)Spasm of paravertebral muscles.

Q3) The functional units of the musculoskeletal system are the:

A)Joints.

B)Bones.

C)Muscles.

D)Tendons.

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24

Chapter 23: Neurologic System

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Sample Questions

Q1) A 30-year-old woman tells the nurse that she has been very unsteady and has had difficulty in maintaining her balance.Which area of the brain that is related to these findings would concern the nurse?

A)Thalamus

B)Brainstem

C)Cerebellum

D)Extrapyramidal tract

Q2) The nurse is testing the deep tendon reflexes of a 30-year-old woman who is in the clinic for an annual physical examination.When striking the Achilles heel and quadriceps muscle,the nurse is unable to elicit a reflex.The nurse's next response should be to:

A)Ask the patient to lock her fingers and pull.

B)Complete the examination, and then test these reflexes again.

C)Refer the patient to a specialist for further testing.

D)Document these reflexes as 0 on a scale of 0 to 4+.

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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Sample Questions

Q1) A 2-month-old uncircumcised infant has been brought to the clinic for a well-baby checkup.How would the nurse proceed with the genital examination?

A)Eliciting the cremasteric reflex is recommended.

B)The glans is assessed for redness or lesions.

C)Retracting the foreskin should be avoided until the infant is 3 months old.

D)Any dirt or smegma that has collected under the foreskin should be noted.

Q2) During a health history,a patient tells the nurse that he has trouble in starting his urine stream.This problem is known as:

A)Urgency.

B)Dribbling.

C)Frequency.

D)Hesitancy.

Q3) During a physical examination,the nurse finds that a male patient's foreskin is fixed and tight and will not retract over the glans.The nurse recognizes that this condition is:

A)Phimosis.

B)Epispadias.

C)Urethral stricture.

D)Peyronie disease.

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26

Chapter 25: Anus,Rectum,and Prostate

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Sample Questions

Q1) A 62-year-old man is experiencing fever,chills,malaise,urinary frequency,and urgency.He also reports urethral discharge and a dull aching pain in the perineal and rectal area.These symptoms are most consistent with which condition?

A)Prostatitis

B)Polyps

C)Carcinoma of the prostate

D)BPH

Q2) 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 finding is consistent with a:

A)Rectal polyp.

B)Hemorrhoid.

C)Rectal fissure.

D)Rectal prolapse.

Q3) Which statement concerning the anal canal is true? The anal canal:

A)Is approximately 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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Sample Questions

Q1) A patient has had three pregnancies and two live births.The nurse would record this information as grav _____,para _____,AB _____.

A)2; 2; 1

B)3; 2; 0

C)3; 2; 1

D)3; 3; 1

Q2) During the interview,a patient reveals that she has some vaginal discharge.She is worried that it may be a sexually transmitted infection.The nurse's most appropriate response to this would be:

A)"Oh, don't worry. Some cyclic vaginal discharge is normal."

B)"Have you been engaging in unprotected sexual intercourse?"

C)"I'd like some information about the discharge. What color is it?"

D)"Have you had any urinary incontinence associated with the discharge?"

Q3) The uterus is usually positioned tilting forward and superior to the bladder.This position is known as:

A)Anteverted and anteflexed.

B)Retroverted and anteflexed.

C)Retroverted and retroflexed.

D)Superiorverted and anteflexed.

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Page 28

Chapter 27: The Complete Health Assessment: Adult

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32 Flashcards

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Sample Questions

Q1) Which of these is included in an assessment of general appearance?

A)Height

B)Weight

C)Skin color

D)Vital signs

Q2) During examination,the nurse finds that a patient is unable to distinguish objects placed in his hand.The nurse would document:

A)Stereognosis.

B)Astereognosis.

C)Graphesthesia.

D)Agraphesthesia.

Q3) The nurse documents that a patient has coarse,thickened skin and brown discoloration over the lower legs.Pulses are present.This finding is probably the result of: A)Lymphedema.

B)Raynaud disease.

C)Chronic arterial insufficiency.

D)Chronic venous insufficiency.

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Chapter 28: The Complete Physical Assessment: Infant,

Child, and Adolescent

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6 Verified Questions

6 Flashcards

Source URL: https://quizplus.com/quiz/19753

Sample Questions

Q1) When assessing the neonate,the nurse should test for hip stability with which method?

A)Eliciting the Moro reflex

B)Performing the Romberg test

C)Checking for the Ortolani sign

D)Assessing the stepping reflex

Q2) Which of these actions is most appropriate to perform on a 9-month-old infant at a well-child checkup?

A)Testing for Ortolani sign

B)Assessment for stereognosis

C)Blood pressure measurement

D)Assessment for the presence of the startle reflex

Q3) A female patient tells the nurse that she has four children and has had three pregnancies.How should the nurse document this?

A)Gravida 3, para 4

B)Gravida 4, para 3

C)This information cannot be documented using the terms gravida and para.

D)"The patient seems to be confused about how many times she has been pregnant."

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Chapter 29: Bedside Assessment of the Hospitalized Patient

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12 Verified Questions

12 Flashcards

Source URL: https://quizplus.com/quiz/19754

Sample Questions

Q1) During a morning assessment,the nurse notices that a patient's urine output is below the expected amount.What should the nurse do next?

A)Obtain an order for a Foley catheter.

B)Obtain an order for a straight catheter.

C)Perform a bladder scan test.

D)Refer the patient to an urologist.

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)Patient's rating of pain on a scale of 1 to 10

C)Patient's ability to communicate

D)Patient's personal hygiene level

Q3) The nurse has administered a pain medication to a patient by an IV infusion.The nurse should reassess the patient's response to the pain medication within _____ minutes.

A)5

B)15

C)30

D)60

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Chapter 30: The Pregnant Woman

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/19755

Sample Questions

Q1) 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

Q2) A patient who is 24 weeks' pregnant asks about wearing a seat belt while driving.Which response by the nurse is correct?

A)"Seat belts should not be worn during pregnancy."

B)"Place the lap belt below the uterus and use the shoulder strap at the same time."

C)"Place the lap belt below the uterus but omit the shoulder strap during pregnancy."

D)"Place the lap belt at your waist above the uterus and use the shoulder strap at the same time."

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Chapter 31: Functional Assessment of the Older Adult

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15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/19756

Sample Questions

Q1) The nurse needs to assess a patient's ability to perform activities of daily living (ADLs)and should choose which tool for this assessment?

A)Direct Assessment of Functional Abilities (DAFA)

B)Lawton Instrumental Activities of Daily Living (IADL) scale

C)Barthel Index

D)Older Americans Resources and Services Multidimensional Functional Assessment Questionnaire-IADL (OMFAQ-IADL)

Q2) An older patient has been admitted to the intensive care unit (ICU)after falling at home.Within 8 hours,his condition has stabilized and he is transferred to a medical unit.The family is wondering whether he will be able to go back home.Which assessment instrument is most appropriate for the nurse to choose at this time?

A)Lawton IADL instrument

B)Hospital Admission Risk Profile (HARP)

C)Mini-Cog

D)NEECHAM Confusion Scale

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