Advanced Health Assessment Practice Questions
Course Introduction
Advanced Health Assessment is an upper-level course designed for health care professionals to build upon foundational assessment skills and knowledge. The course emphasizes the development of comprehensive, systematic, and evidence-based methods for evaluating the physiological, psychological, and developmental status of patients across the lifespan. Students will practice in-depth history taking, advanced physical examination techniques, and the interpretation of diagnostic findings to distinguish normal from abnormal health states. The curriculum incorporates clinical reasoning, effective communication, and cultural competence to prepare students for complex decision-making in diverse clinical settings.
Recommended Textbook
Physical Examination and Health Assessment Canadian 2nd Edition by Carolyn Jarvis
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31 Chapters
1148 Verified Questions
1148 Flashcards
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Page 2
Chapter 1: Critical Thinking and Evidence-Informed Assessment
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/24663
Sample Questions
Q1) Which of the following statements is a characteristic of the clinical practice guidelines for infants and children for a periodic health examination?
A)They are used to diagnose an illness.
B)They are helpful in identifying developmental delays in children.
C)They recommend that every individual receive an annual physical examination.
D)They list a frequency schedule for periodic health visits for a specific age group.
Answer: D
Q2) An older adult with urinary tract infection who is showing signs of confusion and agitation
A) first-level priority problem
B) second-level priority problem
C) third-level priority problem
Answer: A
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Chapter 2: Health Promotion in the Context of Health Assessment
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which of the following is an example of an active immunization through the use of a toxoid preparation?
A)Measles-mumps-rubella (MMR)
B)Tetanus
C)Polio
D)Immunoglobulin administration
Answer: B
Q2) In what decade did Nola Pender first describe the Health Promotion Model?
A)1980s
B)1990s
C)2000s
D)2010s
Answer: A
Q3) Which of the following is considered a social determinant of health according to the PHAC?
A)Age
B)Gender
C)Marital status
D)Mental health
Answer: B
Page 4
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Chapter 3: Cultural Competence: Cultural Care and Social
Considerations in Health Assessment
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) An elderly woman is being discharged from the hospital to her home,where she lives with her son and his family.In preparing for discharge,the nurse must consider which of the following statements?
A)All families who care for their parents do so out of a sense of love and loyalty,and the son will be happy to have his mother home,rather than in hospital.
B)It is best to make sure that there is another female available in the house to care for the elderly woman.
C)A family meeting must be held before discharge,to ensure that the family understands the plan of care and to determine what supports are needed.
D)A meeting must be held with the son and his wife to find out if they would rather have the patient sent to a long-term care facility,as it is a burden to care for a relative.
Answer: C
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Chapter 4: The Interview
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Sample
Questions
Q1) The nurse is interviewing a recent immigrant from Mexico.During the course of the interview,the man leans forward and then finally moves his chair close enough that his knees are nearly touching the nurse's.The nurse begins to feel uncomfortable with his proximity.Which of the following statements describes the most appropriate response by the nurse?
A)Try to relax;this behaviour is culturally appropriate for this person.
B)Discreetly move the chair back to a more comfortable distance,and then continue with the interview.
C)These behaviours are indicative of sexual aggression,and the nurse should confront this person about them.
D)The nurse should laugh but tell him that he or she is uncomfortable with the proximity and ask the person to move away.
Q2) Which of the following is appropriate for the nurse to say near the end of the interview?
A)"Did we forget anything?"
B)"Is there anything else you would like to mention?"
C)"I need to go on to the next patient.I'll be back."
D)"While I'm here,let's talk about your upcoming surgery."
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Chapter 5: The Complete Health History
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) Which of the following best describes the purpose of a functional assessment?
A)It assesses how the individual is coping with life at home.
B)It determines how children are meeting developmental milestones.
C)It can identify any memory problems an individual may be experiencing.
D)In the case of the older adult,it helps determine how that person is managing day-to-day activities.
Q2) The nurse is assessing a new patient who has recently immigrated to Canada.Which of the following questions is appropriate to add to the health history questionnaire?
A)"Why did you come to Canada?"
B)"When did you come to Canada,and from which country?"
C)"What made you leave your home country?"
D)"Are you planning to return to your home country?"
Q3) A 90-year-old patient tells the nurse that he is unable to remember the names of the medications he is taking or what they are for.An appropriate response would be:
A)"Can you tell me what they look like?"
B)"Don't worry about it.You are only taking two."
C)"How long have you been taking each of these pills?"
D)"Would you ask your family to bring in your medications?"
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Chapter 6: Mental Health Assessment
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) To assess affect,the nurse should ask the patient:
A)"How do you feel today?"
B)"Would you please repeat the following words?"
C)"Have these medications had any effect on your pain?"
D)"Has this pain affected your ability to dress yourself?"
Q2) When examining a patient,the nurse can assess mental health by:
A)examining the patient's electroencephalogram.
B)observing the patient as he or she performs an IQ test.
C)observing the patient and inferring health or dysfunction.
D)examining the patient's response to a specific set of questions.
Q3) Which of the following statements 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 7: Substance Use in the Context of Health Assessment
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) It is critical for nurses to remain focused on which one of the following,in relation to substance use?
A)Prevalence
B)Health promotion
C)Law enforcement
D)Social determinants of health
Q2) Gender,as a social determinant of health,places women more at risk of substance misuse problems.Which of the following is true in relation to women and substance use?
A)Women are perceived as being more in control.
B)Women receive harsher legal sentences than men.
C)Women who are mothers are rarely sent to jail for drug use.
D)Women are less sexually promiscuous than their male counterparts.
Q3) Which statement is true in relation to the CAGE questionnaire?
A)It takes about 5 minutes to administer.
B)It has 20 closed-ended questions.
C)It does not distinguish past problem drinking from active present drinking.
D)It is reliable and valid to use on any nationality and both genders.
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Page 9
Chapter 8: Interpersonal Violence Assessment
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) When documenting IPV and elder abuse,the nurse should include:
A)photographic documentation of injuries.
B)a summary of the abused person's statements.
C)verbatim documentation of every statement made by the abused person.
D)a general description of injuries in the progress notes.
Q2) During a home visit,the nurse notices that an older woman has very little food in her cabinets or refrigerator and that most of her prescription bottles are empty.She says that she has enough money,but her nephew has her chequebook and "takes care of everything." She says,"Oh,my nephew will get around to getting groceries and my medicine when he can.He's very busy." This situation is an example of:
A)financial abuse.
B)financial neglect.
C)psychological neglect.
D)physical abuse.
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10
Chapter 9: Assessment Techniques and the Clinical Setting
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) When preparing to examine a 6-year-old child,which action is most appropriate?
A)Start with the thorax,abdomen,and genitalia before examining the head.
B)Avoid talking about the equipment being used because it may increase the child's anxiety.
C)Keep in mind that a child this age will have a sense of modesty.
D)Have the child undress from the waist up.
Q2) The nurse is assessing a patient's skin during an office visit.What is the best technique to use to best assess skin temperature?
A)Use the fingertips because they are more sensitive to small changes in skin temperature.
B)Use the dorsal surface of the hand because the skin is thinner there than on the palms.
C)Use the ulnar portion of the hand because of its increased blood supply that enhances sensitivity to temperature.
D)Use the palmar surface of the hand because its increased nerve supply makes it the most sensitive to skin temperature variations.
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11
Chapter 10: General Survey, measurement, and Vital Signs
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51 Verified Questions
51 Flashcards
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Sample Questions
Q1) Which of the following statements about vital sign measurements in older adults is true?
A)The pulse is more difficult to palpate because of the stiffness of the blood vessels.
B)An increased respiratory rate and a shallower inspiratory phase are expected findings.
C)A decreased pulse pressure occurs from changes in systolic and diastolic BPs.
D)Changes in the body's temperature regulatory mechanism leave the older adult more likely to develop a fever.
Q2) In which of the following patients should the nurse measure rectal temperatures?
A)A school-age child
B)An older adult
C)A comatose adult
D)A patient who is receiving oxygen through a nasal cannula
Q3) When measuring the temperature of older adults,the nurse remembers that an older adult's body temperature:
A)is lower than that of a younger adult.
B)is about the same as that of a young child.
C)depends on the type of thermometer used.
D)varies widely because of less effective heat control mechanisms.
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Chapter 11: Pain Assessment
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) 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 pain.
D)low back pain.
Q2) Which statement about pain experienced by infants is true?
A)Pain in infants can only be assessed through findings of physiological changes,such as increased heart rate.
B)The Faces Pain Scale can be used to assess pain in infants.
C)A procedure that induces pain in adults will also induce pain in infants.
D)Infants feel pain less than adults do.
Q3) When assessing the quality of a patient's pain,which of the following questions should the nurse ask the patient?
A)"When did the pain start?"
B)"Is the pain a stabbing pain?"
C)"Is it a sharp pain or a dull pain?"
D)"What does your pain feel like?"
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Chapter 12: Nutritional Assessment and Nursing Practice
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) The nurse is evaluating patients for obesity-related diseases.Which one of the following would be at increased risk?
A)A 29-year-old woman whose percent ideal body weight is 125%,waist 83.8 cm (33 in. ),and hips 91.4 cm (36 in. )
B)A 32-year-old man whose percent ideal body weight is 115%,waist 86.4 cm (34 in. ),and hips 91.4 cm (36 in. )
C)A 38-year-old man whose percent ideal body weight is 120%,waist 89 cm (35 in. ),and hips 96.5 cm (38 in. )
D)A 46-year-old woman whose percent ideal body weight is 130%,waist 76.2 cm (30 in. ),and hips 96.5 cm (38 in. )
Q2) A patient tells the nurse that he does not find any food tasty any more.The nurse's best response would be:
A)"That must be really frustrating."
B)"When did you first notice this change?"
C)"My food doesn't always have a lot of taste either."
D)"Sometimes that happens,but your taste will come back."
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14
Chapter 13: Skin, hair, and Nails
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56 Verified Questions
56 Flashcards
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Sample Questions
Q1) The nurse is discussing epidermal appendages with a patient.Which of the following would be included in the discussion?
A)Skin
B)Arms
C)Sweat glands
D)Parotid glands
Q2) A patient of African descent is in the critical care unit to be monitored for shock after an accident. What skin characteristics would the nurse expect to find in this patient?
A)Ruddy blue
B)Generalized pallor
C)Ashen,grey,or dull
D)Patchy areas of pallor
Q3) A large patch showing capillary bleeding into tissues
A) Bulla
B) Petechiae
C) Nodule
D) Keloid
E) Vesicle
F) Ecchymosis (bruise)
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Page 15
Chapter 14: Head and Neck, including Regional Lymphatic System
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) An 85-year-old female patient is complaining about the fact that the bones in her face have become more noticeable.What explanation should the nurse provide?
A)Diets low in protein and high in carbohydrates may cause enlargement of facial bones.
B)It is probably because she does not use a dermatologist-approved moisturizer.
C)It is probably due to a combination of factors such as decreased elasticity,subcutaneous fat,and moisture in her skin.
D)Facial skin becomes more elastic with age.This increased elasticity causes the skin to become more taut,drawing attention to the facial bones.
Q2) A patient reports a severe throbbing headache in the frontotemporal area of his head that he experienced while studying for an examination,He says that the headache was somewhat relieved when he lay down.He tells the nurse that his mother also used to get these headaches.The nurse suspects that he may be suffering from:
A)hypertension.
B)cluster headaches.
C)tension headaches.
D)migraine headaches.
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Page 16
Chapter 15: Eyes
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) The nurse notes the presence of periorbital edema when performing eye assessment on a 70-year-old patient.The nurse will:
A)check for the presence of exophthalmos.
B)suspect that the patient has hyperthyroidism.
C)ask the patient if he or she has a history of heart failure.
D)assess for blepharitis because this is often associated with periorbital edema.
Q2) A patient's vision is recorded as 20/80 in each eye.The nurse recognizes that this finding indicates:
A)poor vision.
B)acute vision.
C)normal vision.
D)presbyopia.
Q3) When examining a patient's eyes,the nurse knows that stimulation of the sympathetic branch of the autonomic nervous system:
A)causes pupillary constriction.
B)adjusts the eye for near vision.
C)elevates the eyelid and dilates the pupil.
D)causes contraction of the ciliary body.
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17
Chapter 16: Ears
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) A patient in her first trimester of pregnancy is diagnosed with rubella.Which of the following indicates the significance of this in relation to the infant's hearing?
A)Rubella may affect the mother's hearing but not the child's.
B)Rubella can damage the organ of Corti in the fetus,which will result in impaired hearing.
C)Rubella is dangerous to the fetus only when it occurs in the second trimester of pregnancy.
D)Rubella can impair the development of CN VIII and thus affect hearing.
Q2) Tests have shown that a patient has sensorineural hearing loss.During the assessment,it would be important for the nurse to:
A)speak loudly so he can hear the questions.
B)assess for middle ear infection as a possible cause.
C)ask the patient what medications he is currently taking.
D)look for the source of the obstruction in the external ear.
Q3) Which of the following statements about the eustachian tube is true?
A)It is responsible for the production of cerumen.
B)It remains open except during swallowing or yawning.
C)It allows passage of air between the middle and outer ear.
D)It helps equalize air pressure on both sides of the tympanic membrane.
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Page 18
Chapter 17: Nose, mouth, and Throat
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42 Verified Questions
42 Flashcards
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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) While assessing the tonsils of a 30-year-old,the nurse notes that they look involuted and granular,and appear to have deep crypts.What is the correct follow-up to these findings?
A)Refer the patient to a throat specialist.
B)Nothing,this is the appearance of normal tonsils.
C)Continue with the assessment to look for any other abnormal findings.
D)Obtain a throat specimen to culture for possible strep infection.
Q3) During history-taking,a patient tells the nurse that he has frequent nosebleeds and asks about the best way to prevent them.What would be the nurse's best response?
A)"Sit straight,and place a cold compress over your nose."
B)"Sit straight with your head tilted forward,and pinch your nose."
C)"Just let the bleeding stop on its own,but don't blow your nose."
D)"Lie on your back with your head tilted back,and pinch your nose."
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19
Chapter 18: Breasts and Regional Lymphatic System
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) While examining a patient's breasts,the nurse finds the left breast slightly larger than the right and the presence of Montgomery's glands bilaterally.The nurse would:
A)palpate over the venous patterns,checking for drainage.
B)consider these normal findings and proceed with the examination.
C)ask extensive history questions regarding the woman's breast asymmetry.
D)continue with the examination and then refer the patient for further evaluation of the Montgomery's glands.
Q2) During breast examination,it is especially important for the nurse to examine the upper outer quadrant of the breast because it is:
A)the largest quadrant of the breast.
B)the area where most breast tumours occur.
C)where most of the suspensory ligaments are attached.
D)more prone to injury and calcifications than are other areas in the breast.
Q3) During assessment of a woman's axillary lymph system,the nurse will assess the:
A)central,axillary,lateral,and sternal nodes.
B)pectoral,lateral,anterior,and sternal nodes.
C)central,lateral,pectoral,and subscapular nodes.
D)lateral,pectoral,axillary,and suprascapular nodes.
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Chapter 19: Thorax and Lungs
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) Which of the following adventitious sounds would be produced by air passing through narrowed bronchioles?
A)Wheezes
B)Bronchial sounds
C)Bronchophony
D)Whispered pectoriloquy
Q2) Bronchovesicular breath sounds are:
A)musical in quality.
B)usually pathological.
C)expected near the major airways.
D)similar to bronchial sounds,except that they are shorter in duration.
Q3) When assessing for tactile fremitus,over which location is it normal to feel tactile fremitus most intensely?
A)Between the scapulae
B)Third intercostal space,midclavicular line
C)Fifth intercostal space,midaxillary line
D)Over the lower lobes,posterior side
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21
Chapter 20: Heart and Neck Vessels
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) In assessing a patient's major risk factors for heart disease,which of the following would the nurse want to include in the history?
A)Family history,hypertension,stress,age
B)Personality type,high cholesterol,diabetes,smoking
C)Smoking,hypertension,obesity,diabetes,high cholesterol
D)Alcohol consumption,obesity,diabetes,stress,high cholesterol
Q2) Which of the following statements about the apical impulse is true?
A)It is palpable in all adults.
B)It occurs with the onset of diastole.
C)Its location may be indicative of heart size.
D)It should normally be palpable in the anterior axillary line.
Q3) In assessing a 70-year-old man,the nurse finds the following: BP 140/100 mm
Hg;heart rate (HR)104 beats per minute (bpm)and slightly irregular;split S .Which of these findings can be explained by expected hemodynamic changes related to aging?
A)Increase in resting heart rate
B)Increase in systolic BP
C)Decrease in diastolic BP
D)Increase in diastolic BP
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22
Chapter 21: Peripheral Vascular System and Lymphatic System
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Sample Questions
Q1) A patient has bilateral pitting edema of the feet.While assessing the peripheral vascular system,the nurse's primary focus should be:
A)oxygenation of the lower extremities.
B)arterial function of the lower extremities.
C)venous function of the lower extremities.
D)possible thrombophlebitis of the lower extremities.
Q2) Which of the following statements about the lymphatic system is true?
A)Lymph flow is propelled by the contraction of the heart.
B)The flow of lymph is slow compared with that of blood.
C)One of the functions of the lymph is to absorb lipids from the biliary tract.
D)Lymph vessels have no valves,so there is a free flow of lymph from the tissue spaces into the bloodstream and back again.
Q3) To assess the dorsalis pedis artery,the nurse would palpate:
A)behind the knee.
B)over the lateral malleolus.
C)in the groove behind the medial malleolus.
D)lateral to the extensor tendon of the great toe.
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Page 23
Chapter 22: Abdomen
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Sample Questions
Q1) During an assessment of a newborn infant,the nurse recalls that pyloric stenosis would be manifested by:
A)projectile vomiting.
B)hypoactive bowel activity.
C)a palpable,olive-sized mass in RLQ.
D)pronounced peristaltic waves crossing from right to left.
Q2) During an abdominal assessment,the nurse is unable to hear the patient's bowel sounds.Before reporting this finding as "silent bowel sounds," the nurse should listen for at least:
A)1 minute.
B)5 minutes.
C)10 minutes.
D)2 minutes in each quadrant.
Q3) During an abdominal assessment,the nurse tests for a fluid wave.A positive fluid wave test occurs with:
A)splenomegaly.
B)distended bladder.
C)constipation.
D)ascites.
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Page 24
Chapter 23: Anus,rectum and Prostate
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Sample Questions
Q1) During an assessment of the newborn,the nurse expects to see which finding when the anal area is slightly stroked?
A)A jerking of the legs
B)Flexion of the knees
C)A quick contraction of the sphincter
D)Relaxation of the external sphincter
Q2) A 40-year-old male of African descent is in the office for his annual physical.Which statement is true regarding screening for prostate cancer,according to the Canadian Cancer Society?
A)DRE is more effective than prostate-specific antigen (PSA)in finding prostate cancer.
B)Ancestry is a factor in determining when PSA testing begins.
C)PSA will be done at 50 years of age if there is a family history.
D)BPH increases an individual's risk for prostate cancer.
Q3) Which of the following techniques is correct for palpation of the rectum?
A)Flex the finger,and insert it slowly toward the umbilicus.
B)First instruct the patient 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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25
Chapter 24: Musculoskeletal System
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Sample Questions
Q1) A woman who has had rheumatoid arthritis for years is starting to notice that her fingers are drifting to the side.The nurse knows that this condition is commonly referred to as:
A)radial drift.
B)ulnar deviation.
C)swan neck deformity.
D)Dupuytren's contracture.
Q2) The nurse is providing patient education for a man who has been diagnosed with a rotator cuff injury.The nurse knows that this injury involves:
A)nucleus pulposus.
B)the articular process.
C)the medial epicondyle.
D)the glenohumeral joint.
Q3) The nurse knows that the incidence of osteoporosis is greatest in which group?
A)Males of African descent
B)Females of African descent
C)Females of European descent
D)Aboriginal males
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Chapter 25: Neurological System
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Sample Questions
Q1) A mother of a 1-month-old infant asks the nurse why it takes so long for babies to learn to roll over.The nurse knows that the reason for this is that:
A)there must be a demyelinating process occurring with the baby.
B)myelin is needed to conduct these impulses,and the neurons of a newborn are not myelinated.
C)the cerebral cortex is not fully developed,so control over motor function occurs gradually.
D)the spinal cord is controlling the movement because the cerebellum is not yet fully developed.
Q2) In obtaining a history for 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 26: Male Genitourinary System
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Sample Questions
Q1) An older man is concerned about his sexual performance.The nurse knows that in the absence of disease,a withdrawal from sexual activity later in life may be due to:
A)side effects of medications.
B)decreased libido with aging.
C)decreased sperm production.
D)decreased pleasure from sexual intercourse.
Q2) When performing a genitourinary assessment on a 16-year-old boy,the nurse notices a swelling in the scrotum that increases with intensified intra-abdominal pressure and decreases when he is lying down.The patient complains of pain when straining.The nurse knows that this description is most consistent with a(n):
A)femoral hernia.
B)incisional hernia.
C)direct inguinal hernia.
D)indirect inguinal hernia.
Q3) The nurse knows that a common assessment finding in a boy under 2 years old is:
A)an inflamed and tender spermatic cord.
B)the presence of a hernia in the scrotum.
C)a penis that appears large in relation to the scrotum.
D)the presence of a hydrocele.
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Page 28
Chapter 27: Female Genitourinary System
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Q1) Second degree prolapse is:
A)Cervix bulges outside the introitus with straining.
B)The whole uterus protrudes,even without straining.
C)Cervix appears at introitus with straining.
Q2) The nurse has just completed an inspection of a woman's external genitalia.Which of the following describes a finding within normal limits?
A)Redness of the labia majora
B)Multiple nontender sebaceous cysts
C)Discharge that is sticky and yellow-green
D)Swelling of the perineum before onset of menses
Q3) A 22-year-old woman is being seen at the clinic for problems with vulvar pain,dysuria,and fever.On physical examination,the nurse notes clusters of small,shallow vesicles with surrounding erythema on the labia.There is also inguinal lymphadenopathy present.The most likely cause of these lesions is:
A)pediculosis pubis.
B)contact dermatitis.
C)human papillomavirus.
D)herpes simplex virus type 2 (HSV-2).
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Q1) When assessing the neonate,the nurse should use which of the following methods to test for hip stability?
A)Elicit the Moro reflex.
B)Perform Romberg's test.
C)Check for the Ortolani sign.
D)Assess the stepping reflex.
Q2) During an examination,the nurse finds that a patient is unable to distinguish objects placed in his hand.The nurse would document:
(This question reflects the results an examiner may find during a complete physical examination.Content in this question is not necessarily addressed directly in Jarvis' Physical Examination & Health Assessment. )
A)stereognosis.
B)astereognosis.
C)graphesthesia.
D)agraphesthesia.
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Chapter 29: Bedside Assessment of the Hospitalized Patient
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Q1) During an assessment of a hospitalized patient,the nurse pinches a fold of skin under the clavicle or on the forearm to note:
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) What should the nurse assess before entering the patient's room on morning rounds?
A)Posted conditions,such as isolation precautions
B)The patient's input and output chart from the previous shift
C)The patient's general appearance
D)The presence of any visitors in the room
Q3) At the beginning of rounds,when the nurse enters the room,what should be done first?
A)Check the intravenous (IV)infusion site for swelling or redness.
B)Check the infusion pump settings for accuracy.
C)Make eye contact with the patient,and introduce himself or herself as the patient's nurse.
D)Offer the patient something to drink.
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Page 31
Chapter 30: Pregnancy
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Q1) A woman who is 8 weeks pregnant is visiting the clinic for a checkup.Her systolic blood pressure is 30 mm Hg higher than her prepregnancy blood pressure.The nurse would:
A)consider this a normal finding.
B)expect the blood pressure to decrease as the estrogen levels increase throughout the pregnancy.
C)consider this an abnormal finding,because blood pressure is typically lower at this point in the pregnancy.
D)recommend that she decrease her salt intake in an attempt to decrease her peripheral vascular resistance.
Q2) Which of the following time periods correctly describes the average length of pregnancy?
A)38 weeks
B)9 lunar months
C)280 days from the last day of the last menstrual period
D)280 days from the first day of the last menstrual period
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Chapter 31: Functional Assessment of the Older Adult
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Q1) During an assessment of a newly admitted 92-year-old woman,the nurse notes that her son does not want to leave the room.The woman has signs of old bruises and healed cuts that happened "last week," according to the son.Which of the following actions by the nurse is appropriate?
A)Ask the son for details about the nature of the patient's injuries.
B)Recognize that older people are often unsteady on their feet and that falls do occur.
C)Notify the authorities of a potential abusive situation.
D)Recognize that these findings do not necessarily indicate that abuse has occurred but are signs that further assessment is needed.
Q2) Which of the following questions would be most appropriate for the nurse to ask when beginning to assess a person's spirituality?
A)"Do you believe in God?"
B)"Do you consider yourself to be a spiritual person?"
C)"What religious faith do you follow?"
D)"Do you believe in the power of prayer?"
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