Clinical Nursing Assessment Exam Review
Course Introduction
Clinical Nursing Assessment focuses on the comprehensive evaluation of patients' health status through systematic data collection, observation, physical examination, and communication techniques. Students learn to gather pertinent health histories, perform accurate physical assessments, interpret findings, and document information effectively. Emphasis is placed on developing critical thinking and clinical judgment skills necessary to recognize normal and abnormal health patterns across diverse populations. The course integrates evidence-based practice and cultural competence, preparing students to deliver safe, patient-centered care throughout the healthcare continuum.
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) 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
Q2) A patient tells the nurse that he is very nervous,is nauseated,and "feels hot." These types of data would be:
A)Objective.
B)Reflective.
C)Subjective.
D)Introspective.
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) During a class on the aspects of culture,the nurse shares that culture has four basic characteristics.Which statement correctly reflects one of these characteristics?
A)Cultures are static and unchanging, despite changes around them.
B)Cultures are never specific, which makes them hard to identify.
C)Culture is most clearly reflected in a person's language and behavior.
D)Culture adapts to specific environmental factors and available natural resources.
Answer: D
Q2) The nurse is asking questions about a patient's health beliefs.Which questions are appropriate? Select all that apply.
A)"What is your definition of health?"
B)"Does your family have a history of cancer?"
C)"How do you describe illness?"
D)"What did your mother do to keep you from getting sick?"
E)"Have you ever had any surgeries?"
F)"How do you keep yourself healthy?"
Answer: A,C,D,F
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Chapter 3: The Interview
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/19728
Sample Questions
Q1) A female nurse is interviewing a male patient who is near the same age as the nurse.During the interview,the patient makes an overtly sexual comment.The nurse's best reaction would be:
A)"Stop that immediately!"
B)"Oh, you are too funny. Let's keep going with the interview."
C)"Do you really think I would be interested?"
D)"It makes me uncomfortable when you talk that way. Please stop."
Answer: D
Q2) During an examination of a 3-year-old child,the nurse will need to take her blood pressure.What might the nurse do to try to gain the child's full cooperation?
A)Tell the child that the blood pressure cuff is going to give her arm a big hug.
B)Tell the child that the blood pressure cuff is asleep and cannot wake up.
C)Give the blood pressure cuff a name and refer to it by this name during the assessment.
D)Tell the child that by using the blood pressure cuff, we can see how strong her muscles are.
Answer: D
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Page 5
Chapter 4: The Complete Health History
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) In response to a question regarding the use of alcohol,a patient asks the nurse why the nurse needs to know.What is the reason for needing this information?
A)This information is necessary to determine the patient's reliability.
B)Alcohol can interact with all medications and can make some diseases worse.
C)The nurse needs to be able to teach the patient about the dangers of alcohol use.
D)This information is not necessary unless a drinking problem is obvious.
Q2) In response to a question about stress,a 39-year-old woman tells the nurse that her husband and mother both died in the past year.Which response by the nurse is most appropriate?
A)"This has been a difficult year for you."
B)"I don't know how anyone could handle that much stress in 1 year!"
C)"What did you do to cope with the loss of both your husband and mother?"
D)"That is a lot of stress; now let's go on to the next section of your history."
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6
Chapter 5: Mental Status Assessment
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/19730
Sample Questions
Q1) Which of these individuals would the nurse consider at highest risk for a suicide attempt?
A)Man who jokes about death
B)Woman who, during a past episode of major depression, attempted suicide
C)Adolescent who just broke up with her boyfriend and states that she would like to kill herself
D)Older adult man who tells the nurse that he is going to "join his wife in heaven" tomorrow and plans to use a gun
Q2) The nurse is assessing orientation in a 79-year-old patient.Which of these responses would lead the nurse to conclude that this patient is oriented?
A)"I know my name is John. I couldn't tell you where I am. I think it is 2010, though."
B)"I know my name is John, but to tell you the truth, I get kind of confused about the date."
C)"I know my name is John; I guess I'm at the hospital in Spokane. No, I don't know the date."
D)"I know my name is John. I am at the hospital in Spokane. I couldn't tell you what date it is, but I know that it is February of a new year-2010."
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Page 7
Chapter 6: Substance Use Assessment
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/19731
Sample Questions
Q1) A patient is brought to the emergency department.He is restless,has dilated pupils,is sweating,has a runny nose and tearing eyes,and complains of muscle and joint pains.His girlfriend thinks he has influenza,but she became concerned when his temperature went up to 39.4° C.She admits that he has been a heavy drug user,but he has been trying to stop on his own.The nurse suspects that the patient is experiencing withdrawal symptoms from which substance?
A)Alcohol
B)Heroin
C)Crack cocaine
D)Sedatives
Q2) 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 use of alcohol,such as:
A)Hypertension.
B)Ventricular fibrillation.
C)Bradycardia.
D)Mitral valve prolapse.
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Chapter 7: Domestic and Family Violence Assessments
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/19732
Sample Questions
Q1) The nurse is using the danger assessment 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.
Q2) Which term refers to a wound produced by the tearing or splitting of body tissue,usually from blunt impact over a bony surface?
A)Abrasion
B)Contusion
C)Laceration
D)Hematoma
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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Chapter 8: Assessment Techniques and Safety in the Clinical Setting
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/19733
Sample Questions
Q1) The nurse is unable to palpate the right radial pulse on a patient.The best action would be to:
A)Auscultate over the area with a fetoscope.
B)Use a goniometer to measure the pulsations.
C)Use a Doppler device to check for pulsations over the area.
D)Check for the presence of pulsations with a stethoscope.
Q2) The nurse is preparing to use an otoscope for an examination.Which statement is true regarding the otoscope? The otoscope:
A)Is often used to direct light onto the sinuses.
B)Uses a short, broad speculum to help visualize the ear.
C)Is used to examine the structures of the internal ear.
D)Directs light into the ear canal and onto the tympanic membrane.
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 Verified Questions
52 Flashcards
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Sample Questions
Q1) Which of these specific measurements is the best index of a child's general health?
A)Vital signs
B)Height and weight
C)Head circumference
D)Chest circumference
Q2) When measuring a patient's body temperature,the nurse keeps in mind that body temperature is influenced by:
A)Constipation.
B)Patient's emotional state.
C)Diurnal cycle.
D)Nocturnal cycle.
Q3) A patient is seen in the clinic for complaints of "fainting episodes that started last week." How should the nurse proceed with the examination?
A)Blood pressure readings are taken in both the arms and the thighs.
B)The patient is assisted to a lying position, and his blood pressure is taken.
C)His blood pressure is recorded in the lying, sitting, and standing positions.
D)His blood pressure is recorded in the lying and sitting positions; these numbers are then averaged to obtain a mean blood pressure.
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Chapter 10: Pain Assessment: The Fifth Vital Sign
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) A patient has been admitted to the hospital with vertebral fractures related to osteoporosis.She is in extreme pain.This type of pain would be classified as:
A)Referred.
B)Cutaneous.
C)Visceral.
D)Deep somatic.
Q2) The nurse is reviewing the principles of nociception.During which phase of nociception does the conscious awareness of a painful sensation occur?
A)Perception
B)Modulation
C)Transduction
D)Transmission
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
Source URL: https://quizplus.com/quiz/19736
Sample Questions
Q1) A 50-year-old patient has been brought to the emergency department after a housemate found that the patient could not get out of bed alone.He has lived in a group home for years but for several months has not participated in the activities and has stayed in his room.The nurse assesses for signs of undernutrition,and an x-ray study reveals that he has osteomalacia,which is a deficiency of:
A)Iron.
B)Riboflavin.
C)Vitamin D and calcium.
D)Vitamin C.
Q2) When considering a nutritional assessment,the nurse is aware that the most common anthropometric measurements include:
A)Height and weight.
B)Leg circumference.
C)Skinfold thickness of the biceps.
D)Hip and waist measurements.
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13
Chapter 12: Skin, Hair, and Nails
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/19737
Sample Questions
Q1) A 75-year-old woman who has a history of diabetes and peripheral vascular disease has been trying to remove a corn on the bottom of her foot with a pair of scissors.The nurse will encourage her to stop trying to remove the corn with scissors because:
A)The woman could be at increased risk for infection and lesions because of her chronic disease.
B)With her diabetes, she has increased circulation to her foot, and it could cause severe bleeding.
C)She is 75 years old and is unable to see; consequently, she places herself at greater risk for self-injury with the scissors.
D)With her peripheral vascular disease, her range of motion is limited and she may not be able to reach the corn safely.
Q2) The nurse keeps in mind that a thorough skin assessment is extremely important because the skin holds information about a person's:
A)Support systems.
B)Circulatory status.
C)Socioeconomic status.
D)Psychological wellness.
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Page 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 patient in her third trimester of pregnancy,the nurse notices that the patient's thyroid gland is slightly enlarged.No enlargement had been previously noticed.The nurse suspects that the patient:
A)Has an iodine deficiency.
B)Is exhibiting early signs of goiter.
C)Is exhibiting a normal enlargement of the thyroid gland during pregnancy.
D)Needs further testing for possible thyroid cancer.
Q2) During an examination of a 3-year-old child,the nurse notices a bruit over the left temporal area.The nurse should:
A)Continue the examination because a bruit is a normal finding for this age.
B)Check for the bruit again in 1 hour.
C)Notify the parents that a bruit has been detected in their child.
D)Stop the examination, and notify the physician.
Q3) When examining a patient's CN function,the nurse remembers that the muscles in the neck that are innervated by CN XI are the:
A)Sternomastoid and trapezius.
B)Spinal accessory and omohyoid.
C)Trapezius and sternomandibular.
D)Sternomandibular and spinal accessory.
Page 15
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Chapter 14: Eyes
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/19739
Sample Questions
Q1) When examining a patient's eyes,the nurse recalls 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.
Q2) During an examination,a patient states that she was diagnosed with open-angle glaucoma 2 years ago.The nurse assesses for characteristics of open-angle glaucoma.Which of these are characteristics of open-angle glaucoma? Select all that apply.
A)Patient may experience sensitivity to light, nausea, and halos around lights.
B)Patient experiences tunnel vision in the late stages.
C)Immediate treatment is needed.
D)Vision loss begins with peripheral vision.
E)Open-angle glaucoma causes sudden attacks of increased pressure that cause blurred vision.
F)Virtually no symptoms are exhibited.
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Page 16
Chapter 15: Ears
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/19740
Sample Questions
Q1) The nurse suspects that a patient has otitis media.Early signs of otitis media include which of these findings of the tympanic membrane?
A)Red and bulging
B)Hypomobility
C)Retraction with landmarks clearly visible
D)Flat, slightly pulled in at the center, and moves with insufflation
Q2) In performing a voice test to assess hearing,which of these actions would the nurse perform?
A)Shield the lips so that the sound is muffled.
B)Whisper a set of random numbers and letters, and then ask the patient to repeat them.
C)Ask the patient to place his finger in his ear to occlude outside noise.
D)Stand approximately 4 feet away to ensure that the patient can really hear at this distance.
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Chapter 16: Nose, Mouth, and Throat
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/19741
Sample Questions
Q1) When examining the mouth of an older patient,the nurse recognizes which finding is due to the aging process?
A)Teeth appearing shorter
B)Tongue that looks smoother in appearance
C)Buccal mucosa that is beefy red in appearance
D)Small, painless lump on the dorsum of the tongue
Q2) The nurse is palpating the sinus areas.If the findings are normal,then the patient should report which sensation?
A)No sensation
B)Firm pressure
C)Pain during palpation
D)Pain sensation behind eyes
Q3) The nurse is assessing an 80-year-old patient.Which of these findings would be expected for this patient?
A)Hypertrophy of the gums
B)Increased production of saliva
C)Decreased ability to identify odors
D)Finer and less prominent nasal hair
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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 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
Q2) The nurse is discussing BSEs with a postmenopausal woman.The best time for postmenopausal women to perform BSEs is:
A)On the same day every month.
B)Daily, during the shower or bath.
C)One week after her menstrual period.
D)Every year with her annual gynecologic examination.
Q3) In performing an assessment of a woman's axillary lymph system,the nurse should assess which of these nodes?
A)Central, axillary, lateral, and sternal
B)Pectoral, lateral, anterior, and sternal
C)Central, lateral, pectoral, and subscapular
D)Lateral, pectoral, axillary, and suprascapular
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Chapter 18: Thorax and Lungs
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/19743
Sample Questions
Q1) A patient has been admitted to the emergency department for a suspected drug overdose.His respirations are shallow,with an irregular pattern,with a rate of 12 respirations per minute.The nurse interprets this respiration pattern as which of the following?
A)Bradypnea
B)Cheyne-Stokes respirations
C)Hypoventilation
D)Chronic obstructive breathing
Q2) When assessing tactile fremitus,the nurse recalls that it is normal to feel tactile fremitus most intensely over which location?
A)Between the scapulae
B)Third intercostal space, MCL
C)Fifth intercostal space, midaxillary line (MAL)
D)Over the lower lobes, posterior side
Q3) When inspecting the anterior chest of an adult,the nurse should include which assessment?
A)Diaphragmatic excursion
B)Symmetric chest expansion
C)Presence of breath sounds
D)Shape and configuration of the chest wall
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Chapter 19: Heart and Neck Vessels
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/19744
Sample Questions
Q1) A 30-year-old woman with a history of mitral valve problems states that she has been "very tired." She has started waking up at night and feels like her "heart is pounding." During the assessment,the nurse palpates a thrill and lift at the fifth left intercostal space midclavicular line.In the same area,the nurse also auscultates a blowing,swishing sound right after the S?.These findings would be most consistent with: A)Heart failure.
B)Aortic stenosis.
C)Pulmonary edema.
D)Mitral regurgitation.
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
Source URL: https://quizplus.com/quiz/19745
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 patient is recovering from several hours of orthopedic surgery.During an assessment of the patient's lower legs,the nurse will monitor for signs of acute venous symptoms.Signs of acute venous symptoms include which of the following? Select all that apply.
A)Intense, sharp pain, with the deep muscle tender to the touch
B)Aching, tired pain, with a feeling of fullness
C)Pain that is worse at the end of the day
D)Sudden onset
E)Warm, red, and swollen calf
F)Pain that is relieved with elevation of the leg
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Chapter 21: Abdomen
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/19746
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) The nurse is performing percussion during an abdominal assessment.Percussion notes heard during the abdominal assessment may include:
A)Flatness, resonance, and dullness.
B)Resonance, dullness, and tympany.
C)Tympany, hyperresonance, and dullness.
D)Resonance, hyperresonance, and flatness.
Q3) The nurse is reviewing statistics for lactose intolerance.In the United States,the incidence of lactose intolerance is higher in adults of which ethnic group?
A)Blacks
B)Hispanics
C)Whites
D)Asians
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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) A 14-year-old boy who has been diagnosed with Osgood-Schlatter disease reports painful swelling just below the knee for the past 5 months.Which response by the nurse is appropriate?
A)"If these symptoms persist, you may need arthroscopic surgery."
B)"You are experiencing degeneration of your knee, which may not resolve."
C)"Your disease is due to repeated stress on the patellar tendon. It is usually self-limited, and your symptoms should resolve with rest."
D)"Increasing your activity and performing knee-strengthening exercises will help decrease the inflammation and maintain mobility in the knee."
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Chapter 23: Neurologic System
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56 Verified Questions
56 Flashcards
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Sample Questions
Q1) The nurse is reviewing a patient's medical record and notes that he is in a coma.Using the Glasgow Coma Scale,which number indicates that the patient is in a coma?
A)6
B)12
C)15
D)24
Q2) In obtaining a health 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 response should the nurse make?
A)"Does your family know you are drinking every day?"
B)"Does the tremor change when you drink 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."
Q3) Which statement concerning the areas of the brain is true?
A)The cerebellum is the center for speech and emotions.
B)The hypothalamus controls body temperature and regulates sleep.
C)The basal ganglia are responsible for controlling voluntary movements.
D)Motor pathways of the spinal cord and brainstem synapse in the thalamus.
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Page 25
Chapter 24: Male Genitourinary System
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41 Flashcards
Source URL: https://quizplus.com/quiz/19749
Sample Questions
Q1) 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 around 15 years of age."
B)"The first sign of puberty is an enlargement of the testes."
C)"The penis size does not increase until about 16 years of age."
D)"The development of pubic hair precedes testicular or penis enlargement."
Q2) The nurse is performing a genitourinary assessment on a 50-year-old obese male laborer.On examination,the nurse notices a painless round swelling close to the pubis in the area of the internal inguinal ring that is easily reduced when the individual is supine.These findings are most consistent with a(n)______ hernia.
A)Scrotal
B)Femoral
C)Direct inguinal
D)Indirect inguinal
Q3) The external male genital structures include the:
A)Testis.
B)Scrotum.
C)Epididymis.
D)Vas deferens.
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Page 26
Chapter 25: Anus,Rectum,and Prostate
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/19750
Sample Questions
Q1) A 40-year-old black man is in the office for his annual physical examination.Which statement regarding the PSA blood test is true,according to the American Cancer Society? The PSA:
A)Should be performed with this visit.
B)Should be performed at age 45 years.
C)Should be performed at age 50 years.
D)Is only necessary if a family history of prostate cancer exists.
Q2) The nurse is performing an examination of the anus and rectum.Which of these statements is correct and important to remember during this examination?
A)The rectum is approximately 8 cm long.
B)The anorectal junction cannot be palpated.
C)Above the anal canal, the rectum turns anteriorly.
D)No sensory nerves are in the anal canal or rectum.
Q3) The structure that secretes a thin,milky alkaline fluid to enhance the viability of sperm is the:
A)Cowper gland.
B)Prostate gland.
C)Median sulcus.
D)Bulbourethral gland.
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Page 27
Chapter 26: Female Genitourinary System
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48 Flashcards
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Sample Questions
Q1) A woman who is 8 weeks pregnant is in the clinic for a checkup.The nurse reads on her chart that her cervix is softened and looks cyanotic.The nurse knows that the woman is exhibiting __________ sign and __________ sign.
A)Tanner; Hegar
B)Hegar; Goodell
C)Chadwick; Hegar
D)Goodell; Chadwick
Q2) A patient calls the clinic for instructions before having a Papanicolaou (Pap)smear.The most appropriate instructions from the nurse are:
A)"If you are menstruating, please use pads to avoid placing anything into the vagina."
B)"Avoid intercourse, inserting anything into the vagina, or douching within 24 hours of your appointment."
C)"If you suspect that you have a vaginal infection, please gather a sample of the discharge to bring with you."
D)"We would like you to use a mild saline douche before your examination. You may pick this up in our office."
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Chapter 27: The Complete Health Assessment: Adult
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/19752
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) 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.
Q3) 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 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) A 5-year-old child is in the clinic for a checkup.The nurse would expect him to:
A)Need to be held on his mother's lap.
B)Be able to sit on the examination table.
C)Be able to stand on the floor for the examination.
D)Be able to remain alone in the examination room.
Q2) Which statement is true regarding the recording of data from the history and physical examination?
A)Use long, descriptive sentences to document findings.
B)Record the data as soon as possible after the interview and physical examination.
C)If the information is not documented, then it can be assumed that it was done as a standard of care.
D)The examiner should avoid taking any notes during the history and examination because of the possibility of decreasing the rapport with the patient.
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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 an assessment,the nurse is unable to palpate pulses in the left lower leg.What should the nurse do next?
A)Document that the pulses are nonpalpable.
B)Reassess the pulses in 1 hour.
C)Ask the patient turn to the side, and then palpate for the pulses again.
D)Use a Doppler device to assess the pulses.
Q2) During an assessment of a hospitalized patient,the nurse pinches a fold of skin under the clavicle or on the forearm to test the:
A)Mobility and turgor.
B)Patient's response to pain.
C)Percentage of the patient's fat-to-muscle ratio.
D)Presence of edema.
Q3) 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.
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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) A patient's pregnancy test is positive,and she wants to know when the baby is due.The first day of her last menstrual period was June 14,and that period ended June 20.Using the Nägele rule,what is her expected date of delivery?
A)March 7
B)March 14
C)March 21
D)March 27
Q2) A woman in her second trimester of pregnancy complains of heartburn and indigestion.When discussing this with the woman,the nurse considers which explanation for these problems?
A)Tone and motility of the gastrointestinal tract increase during the second trimester.
B)Sluggish emptying of the gallbladder, resulting from the effects of progesterone, often causes heartburn.
C)Lower blood pressure at this time decreases blood flow to the stomach and gastrointestinal tract.
D)Enlarging uterus and altered esophageal sphincter tone predispose the woman to have heartburn.
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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 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.
Q2) 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)
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