Clinical Nursing Assessment
Test Bank
Course Introduction
Clinical Nursing Assessment is a foundational course designed to equip nursing students with the knowledge and skills necessary to conduct comprehensive and systematic assessments of patients across the lifespan. Emphasizing both theoretical concepts and practical application, the course covers techniques such as history taking, physical examination, and the use of diagnostic tools to gather essential patient data. Students learn to identify normal versus abnormal findings, interpret clinical information, and document assessments effectively, forming the basis for accurate nursing diagnoses and safe, patient-centered care. The course integrates critical thinking, cultural competence, and effective communication, preparing students to participate as key members of the healthcare team in a variety of clinical settings.
Recommended Textbook
Physical Examination and Health Assessment 6th Edition by Carolyn Jarvis
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30 Chapters
1147 Verified Questions
1147 Flashcards
Source URL: https://quizplus.com/study-set/1044 Page 2
Chapter 1: Evidence Based Assessment
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/20681
Sample Questions
Q1) A 42-year-old Asian patient is being seen at the clinic for an initial examination.The nurse knows that it is important to include cultural information in his health assessment to:
A) identify the cause of his illness.
B) make accurate disease diagnoses.
C) provide cultural health rights for the individual.
D) provide culturally sensitive and appropriate care.
Answer: D
Q2) When listening to a patient's breath sounds,the nurse is unsure about a sound that is heard.The nurse's next action should be to:
A) notify the patient's physician immediately.
B) document the sound exactly as it was heard.
C) validate the data by asking a coworker to listen to the breath sounds.
D) assess again in 20 minutes to note whether the sound is still present.
Answer: C
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3
Chapter 2: Cultural Competence: Cultural Care
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20682
Sample Questions
Q1) A 63-year-old Chinese-American man enters the hospital with complaints of chest pain,shortness of breath,and palpitations.Which statement most accurately reflects the nurse's best course of action?
A) The nurse should focus on performing a full cardiac assessment.
B) The nurse should focus on psychosomatic complaints because he has just learned that his wife has cancer.
C) This patient is not in any danger at present, so the nurse should send him home with instructions to contact his physician.
D) It is unclear what is happening with this patient, so the nurse should perform an assessment in both the physical and the psychosocial realms.
Answer: D
Q2) The nurse is reviewing the development of culture.Which statement is correct regarding the development of one's culture? Culture is:
A) genetically determined on the basis of racial background.
B) learned through language acquisition and socialization.
C) a nonspecific phenomenon and is adaptive but unnecessary.
D) biologically determined on the basis of physical characteristics.
Answer: B
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Chapter 3: The Interview
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20683
Sample Questions
Q1) During the interview portion of data collection,the nurse collects _____ data.
A) physical
B) historical
C) objective
D) subjective
Answer: D
Q2) Receiving is a part of the communication process.Which receiver is most likely to misinterpret a message sent by a health care professional?
A) Well-adjusted adolescent who came in for a sports physical
B) Recovering alcoholic who came in for a basic physical examination
C) Man whose wife has just been diagnosed with lung cancer
D) Man with a hearing impairment who uses sign language to communicate and who has an interpreter with him
Answer: C
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Chapter 4: The Complete Health History
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/20684
Sample Questions
Q1) In obtaining a review of systems on a "healthy" 7-year-old girl,the health care provider knows that it would be important to include the:
A) last glaucoma examination.
B) frequency of breast self-examinations.
C) date of her last electrocardiogram.
D) limitations related to her involvement in sports activities.
Q2) The nurse is preparing to conduct a health history.Which of these statements best describes the purpose of a health history?
A) To provide an opportunity for interaction between patient and nurse
B) To provide a form for obtaining the patient's biographic information
C) To document the normal and abnormal findings of a physical assessment
D) To provide a data base of subjective information about the patient's past and current health
Q3) The nurse is taking a family history.Important diseases or problems to ask the patient about specifically include:
A) emphysema.
B) head trauma.
C) mental illness.
D) fractured bones.
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Page 6
Chapter 5: Mental Status Assessment
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20685
Sample Questions
Q1) A 23-year-old patient in the clinic appears anxious.Her speech is rapid,and she is fidgety and in constant motion.Which of these questions or statements would be most appropriate for the nurse to use in this situation to assess attention span?
A) "How do you usually feel? Is this normal behavior for you?"
B) "I am going to say four words. In a few minutes, I will ask you to recall them."
C) "Please describe the meaning of the phrase, 'Looking through rose-colored glasses.'"
D) "Please pick up the pencil in your left hand, move it to your right hand, and place it on the table."
Q2) During an examination,the nurse can assess mental status by which activity?
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
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7
Chapter 6: Substance Use Assessment
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/20686
Sample Questions
Q1) The nurse is assessing a patient who has been admitted for cirrhosis of the liver secondary to chronic alcohol use.During the physical assessment,the nurse looks for cardiac problems that are associated with chronic heavy use of alcohol,such as:
A) hypertension.
B) ventricular fibrillation.
C) bradycardia.
D) mitral valve prolapse.
Q2) A patient visits the clinic to ask about smoking cessation.He has smoked heavily for 30 years,and wants to stop "cold turkey." He asks the nurse,"What symptoms can I expect if I do this?" Which of these symptoms should the nurse share with the patient as possible symptoms of nicotine withdrawal? Select all that apply.
A) Headaches
B) Hunger
C) Sleepiness
D) Restlessness
E) Nervousness
F) Sweating
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Chapter 7: Domestic Violence Assessment
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/20687
Sample Questions
Q1) The nurse is examining a 3-year-old child who was brought to the emergency room after a fall.Which bruise,if found,would be of most concern?
A) A bruise on the knee
B) A bruise on the elbow
C) Bruising on the abdomen
D) A bruise on the shin
Q2) Which statement is best for the nurse to use when preparing to administer the Abuse Assessment Screen?
A) "We are required by law to ask these questions."
B) "We need to talk about whether you feel you have been abused."
C) "We are asking these questions because we suspect that you are being abused."
D) "We ask the following questions because domestic violence is so common in our society."
Q3) The nurse is assessing bruising on an injured patient.Which color indicates a new bruise that is less than 2 hours old?
A) Red
B) Purple-blue
C) Greenish-brown
D) Brownish-yellow
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Page 9
Chapter 8: Assessment Techniques and the Clinical Setting
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/20688
Sample Questions
Q1) The most important step that the nurse can take to prevent transmission of microorganisms in the hospital setting is to:
A) wear protective eye wear at all times.
B) wear gloves during any and all contact with patients.
C) wash hands before and after contact with each patient.
D) clean the stethoscope with an alcohol swab between patients.
Q2) The nurse is examining an infant and prepares to elicit the Moro reflex at which time during the examination?
A) When the infant is sleeping
B) At the end of the examination
C) Before auscultation of the thorax
D) Halfway through the examination
Q3) The nurse is preparing to perform a physical assessment.Which statement is true about the inspection phase of the physical assessment?
A) Inspection usually yields little information.
B) Inspection takes time and reveals a surprising amount of information.
C) Inspection may be somewhat uncomfortable for the expert practitioner.
D) Inspection requires a quick glance at the patient's body systems before proceeding on with palpation.
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Page 10
Chapter 9: General Survey, Measurement, Vital Signs
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52 Verified Questions
52 Flashcards
Source URL: https://quizplus.com/quiz/20689
Sample Questions
Q1) The nurse is assessing the vital signs of a 20-year-old male marathon runner and documents the following vital signs: temperature-97° F;pulse-48 beats per minute;respirations-14 per minute;blood pressure-104/68 mm Hg.Which statement is true about these results?
A) The patient is experiencing tachycardia.
B) These are normal vital signs for a healthy, athletic adult.
C) The patient's pulse rate is not normal-his physician should be notified.
D) On the basis of today's readings, the patient should return to the clinic in 1 week.
Q2) The nurse is preparing to measure the length,weight,chest,and head circumference of a 6-month-old infant.Which measurement technique is correct?
A) Measure the infant's length by using a tape measure.
B) Weigh the infant by placing him on an electronic standing scale.
C) Measure chest circumference at the nipple line with a tape measure.
D) Measure the head circumference by wrapping the tape measure over the nose and cheekbones.
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
Source URL: https://quizplus.com/quiz/20690
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) When assessing a patient's pain,the nurse knows that an example of visceral pain would be:
A) hip fracture.
B) cholecystitis.
C) second-degree burns.
D) pain after a leg amputation.
Q3) Which statement indicates that the nurse understands the pain experienced by an elderly person?
A) "Older persons must learn to tolerate pain."
B) "Pain is a normal process of aging and is to be expected."
C) "Pain indicates pathology or injury and is not a normal process of aging."
D) "Older individuals perceive pain to a lesser degree than do younger individuals."
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Chapter 11: Nutritional Assessment
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/20691
Sample Questions
Q1) The nurse is assessing the body weight as a percentage of ideal body weight on an adolescent patient who was admitted for suspected anorexia nervosa.The patient's usual weight was 125 pounds,but today she weighs 98 pounds.The nurse calculates the patient's ideal body weight,and reaches which conclusion?
A) She is experiencing mild malnutrition.
B) She is experiencing moderate malnutrition.
C) She is experiencing severe malnutrition.
D) Her current weight is still within expected parameters.
Q2) The nurse is concerned about the skeletal protein reserves of a patient who has been hospitalized frequently for chronic lung disease.Which of these measurements would be necessary to include in the assessment?
A) Body mass index
B) Weight and height
C) Mid-arm muscle area
D) Ideal body weight and frame size
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Chapter 12: Skin, Hair, and Nails
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52 Verified Questions
52 Flashcards
Source URL: https://quizplus.com/quiz/20692
Sample Questions
Q1) A 70-year-old woman who loves to garden has small,flat,brown macules over her arms and hands.She asks,"What causes these liver spots?" The nurse tells her,"They are:
A) signs of decreased hematocrit related to anemia."
B) due to destruction of melanin in your skin from exposure to the sun."
C) clusters of melanocytes that appear after extensive sun exposure."
D) areas of hyperpigmentation related to decreased perfusion and vasoconstriction."
Q2) A newborn infant is in the clinic for a well-baby check.The nurse observes the infant for the possibility of fluid loss because of which of these factors?
A) Subcutaneous fat deposits are high in the newborn.
B) Sebaceous glands are overproductive in the newborn.
C) The newborn's skin is more permeable than that of the adult.
D) The amount of vernix caseosa rises dramatically in the newborn.
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14
Chapter 13: Head, Face, and Neck, Including Regional Lymphatics
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/20693
Sample Questions
Q1) A patient's thyroid is enlarged,and the nurse is preparing to auscultate the thyroid for the presence of a bruit.A bruit is a __________ of the stethoscope.
A) low gurgling sound best heard with the diaphragm
B) loud, whooshing, blowing sound best heard with the bell
C) soft, whooshing, pulsatile sound best heard with the bell
D) high-pitched tinkling sound best heard with the diaphragm
Q2) A patient,an 85-year-old woman,is complaining about the fact that the bones in her face have become more noticeable.What explanation should the nurse give to her?
A) Diets low in protein and high in carbohydrates may cause enhanced facial bones.
B) It is probably because she doesn't use a dermatologically approved moisturizer.
C) It is probably due to a combination of factors related to aging, 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 be more taught, drawing attention to the facial bones.
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15
Chapter 14: Eyes
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20694
Sample Questions
Q1) A 68-year-old woman is in the eye clinic for a checkup.She tells the nurse that she has been having trouble with reading the paper,sewing,and even seeing the faces of her grandchildren.On examination,the nurse notes that she has some loss of central vision but her peripheral vision is normal.These findings suggest that:
A) she may have macular degeneration.
B) her vision is normal for someone her age.
C) she has the beginning stages of cataract formation.
D) she has increased intraocular pressure or glaucoma.
Q2) The nurse is examining a patient's retina with an ophthalmoscope.Which finding is considered normal?
A) An optic disc that is a yellow-orange color
B) Optic disc margins that are blurred around the edges
C) The presence of pigmented crescents in the macular area
D) The presence of the macula located on the nasal side of the retina
Q3) In a patient who has anisocoria,the nurse would expect to observe:
A) dilated pupils.
B) excessive tearing.
C) pupils of unequal size.
D) an uneven curvature of the lens.
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Page 16
Chapter 15: Ears
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20695
Sample Questions
Q1) The nurse is preparing to do an otoscopic examination on a 2-year-old child.Which of these reflects correct procedure?
A) Pull the pinna down.
B) Pull the pinna up and back.
C) Tilt the child's head slightly toward the examiner.
D) Have the child touch his chin to his chest.
Q2) The nurse is reviewing the function of the cranial nerves.Which of the cranial nerves is responsible for conducting nerve impulses to the brain from the organ of Corti?
A) CN I
B) CN III
C) CN VIII
D) CN XI
Q3) A patient in her first trimester of pregnancy is diagnosed with rubella.Which of these statements is correct regarding the significance of this in relation to the infant's hearing?
A) Rubella may affect the mother's hearing but not the infant's.
B) Rubella can damage the infant's organ of Corti, which will impair hearing.
C) Rubella is only dangerous to the infant in the second trimester of pregnancy.
D) Rubella can impair the development of CN VIII and thus affect hearing.
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Page 17
Chapter 16: Nose, Mouth, and Throat
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/20696
Sample Questions
Q1) The nurse is assessing a patient with a history of intravenous drug abuse.In assessing his mouth,the nurse notices a dark red confluent macule on the hard palate.This could be an early sign of:
A) AIDS.
B) measles.
C) leukemia.
D) carcinoma.
Q2) In assessing the tonsils of a 30 year old,the nurse notices that they are involuted,granular in appearance,and appear to have deep crypts.What is correct response to these findings?
A) Refer the patient to a throat specialist.
B) Nothing, because this is the appearance of normal tonsils.
C) Continue with assessment looking for any other abnormal findings.
D) Obtain a throat culture on the patient for possible strep infection.
Q3) The primary purpose of the ciliated mucous membrane in the nose is to:
A) warm the inhaled air.
B) filter out dust and bacteria.
C) filter coarse particles from inhaled air.
D) facilitate movement of air through the nares.
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Page 18
Chapter 17: Breasts and Regional Lymphatics
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/20697
Sample Questions
Q1) During an interview,a patient reveals that she is pregnant.She states that she is not sure whether she will breastfeed her baby and asks for some information about this.Which of these statements by the nurse is accurate with regard to breastfeeding?
A) "Breastfed babies tend to be more colicky."
B) "Breastfeeding provides the perfect food and antibodies for your baby."
C) "Breastfed babies eat more often than infants on formula."
D) "Breastfeeding is second nature and every woman can do it."
Q2) During a history interview,a female patient states that she has noticed a few drops of clear discharge from her right nipple.What should the nurse do next?
A) Contact the physician immediately to report the discharge.
B) Ask her if she is possibly pregnant.
C) Ask her some additional questions about the medications she is taking.
D) Immediately obtain a sample for culture and sensitivity testing.
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19
Chapter 18: Thorax and Lungs
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/20698
Sample Questions
Q1) The nurse is auscultating the chest in an adult.Which technique is correct?
A) Instruct the patient to take deep, rapid breaths.
B) Instruct the patient to breathe in and out through his or her nose.
C) Use the diaphragm of the stethoscope held firmly against the chest.
D) Use the bell of the stethoscope held lightly against the chest to avoid friction.
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, MAL
D) Over the lower lobes, posterior side
Q3) The nurse notes hyperresonant percussion tones when percussing the thorax of an infant.The nurse's best action would be to:
A) notify the physician.
B) suspect a pneumothorax.
C) consider this a normal finding.
D) monitor the infant's respiratory rate and rhythm.
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Chapter 19: Heart and Neck Vessels
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/20699
Sample Questions
Q1) During an assessment of a healthy adult,where would the nurse expect to palpate the apical impulse?
A) Third left intercostal space at the midclavicular line
B) Fourth left intercostal space at the sternal border
C) Fourth left intercostal space at the anterior axillary line
D) Fifth left intercostal space at the midclavicular line
Q2) During the precordial assessment on an patient who is 8 months pregnant,the nurse palpates the apical impulse at the fourth left intercostal space lateral to the midclavicular line.This finding would indicate:
A) right ventricular hypertrophy.
B) increased volume and size of the heart as a result of pregnancy.
C) displacement of the heart from elevation of the diaphragm.
D) increased blood flow through the internal mammary artery.
Q3) The nurse knows that normal splitting of the second heart sound is associated with:
A) expiration.
B) inspiration.
C) exercise state.
D) low resting heart rate.
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21
Chapter 20: Peripheral Vascular System and Lymphatic System
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/20700
Sample Questions
Q1) The nurse is preparing to assess the ankle-brachial index (ABI)of a patient.Which statement about the ABI is true?
A) Normal ABI indices are from 0.50 to 1.0.
B) The normal ankle pressure is slightly lower than the brachial pressure.
C) The ABI is a reliable measurement of peripheral vascular disease in diabetic individuals.
D) An ABI of 0.90 to 0.70 indicates the presence of peripheral vascular disease and mild claudication.
Q2) A patient has hard,nonpitting edema of the left lower leg and ankle.The right leg has no edema.Based on these findings,the nurse recalls that:
A) nonpitting, hard edema occurs with lymphatic obstruction.
B) alterations in arterial function will cause this edema.
C) phlebitis of a superficial vein will cause bilateral edema.
D) long-standing arterial obstruction will cause pitting edema.
Q3) During an assessment,the nurse uses the "profile sign" to detect:
A) pitting edema.
B) early clubbing.
C) symmetry of the fingers.
D) insufficient capillary refill.
Page 22
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Chapter 21: Abdomen
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20701
Sample Questions
Q1) Just before going home,a new mother asks the nurse about the infant's umbilical cord.Which of these statements is correct?
A) "It should fall off by 10 to 14 days."
B) "It will soften before it falls off."
C) "It contains two veins and one artery."
D) "Skin will cover the area within 1 week."
Q2) 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
Q3) During an assessment the nurse notices that a patient's umbilicus is enlarged and everted.It is midline,and there is no change in skin color.The nurse recognizes that the patient may have which condition?
A) Intra-abdominal bleeding
B) Constipation
C) Umbilical hernia
D) An abdominal tumor
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Page 23
Chapter 22: Musculoskeletal System
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53 Verified Questions
53 Flashcards
Source URL: https://quizplus.com/quiz/20702
Sample Questions
Q1) An 85-year-old patient comments during his annual physical that he seems to be getting shorter as he ages.The nurse should explain that decreased height occurs with aging because:
A) long bones tend to shorten with age.
B) of the shortening of the vertebral column.
C) there is a significant loss of subcutaneous fat.
D) there is a thickening of the intervertebral disks.
Q2) An imaginary line connecting the highest point on each iliac crest would cross the _____ vertebra.
A) first sacral
B) fourth lumbar
C) seventh cervical
D) twelfth thoracic
Q3) The nurse is assessing a patient's ischial tuberosity.To palpate the ischial tuberosity,the nurse knows that it is best to have the patient:
A) stand.
B) flex the hip.
C) flex the knee.
D) in the supine position.
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Page 24
Chapter 23: Neurologic System
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56 Verified Questions
56 Flashcards
Source URL: https://quizplus.com/quiz/20703
Sample Questions
Q1) The nurse knows that determining whether a person is oriented to his or her surroundings will test the functioning of which of these structures?
A) Cerebrum
B) Cerebellum
C) Cranial nerves
D) Medulla oblongata
Q2) The nurse is doing an assessment on a 29-year-old woman who visits the clinic complaining of "always dropping things and falling down." While testing rapid alternating movements,the nurse notices that the woman is unable to pat both her knees.Her response is very slow and she misses frequently.What should the nurse suspect?
A) Vestibular disease
B) Lesion of cranial nerve IX
C) Dysfunction of the cerebellum
D) Inability to understand directions
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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Chapter 24: Male Genitourinary System
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/20704
Sample Questions
Q1) The nurse is describing how to perform a testicular self-examination to a patient.Which of these statements is most appropriate?
A) "A good time to examine your testicles is just before you take a shower."
B) "If you notice an enlarged testicle or a painless lump, call your health care provider."
C) "The testicle is egg shaped and movable. It feels firm and has a lumpy consistency."
D) "Perform a testicular exam at least once a week to detect the early stages of testicular cancer."
Q2) During an examination of an aging male,the nurse recognizes that normal changes to expect would be:
A) enlarged scrotal sac.
B) increased pubic hair.
C) decreased penis size.
D) increased rugae over the scrotum.
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Chapter 25: Anus, Rectum, and Prostate
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/20705
Sample Questions
Q1) The nurse notices that a patient has had a pale,yellow,greasy stool,or steatorrhea,and recalls that this is caused by:
A) occult bleeding.
B) absent bile pigment.
C) increased fat content.
D) ingestion of bismuth preparations.
Q2) The nurse is preparing to palpate the rectum and should use which of these techniques?
A) Flex the finger and insert slowly toward the umbilicus.
B) Instruct the patient first that this will be a painful procedure.
C) Insert an extended index finger at a right angle to the anus.
D) Place the finger directly into the anus to overcome the tight sphincter.
Q3) 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
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Chapter 26: Female Genitourinary System
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/20706
Sample Questions
Q1) During the examination portion of a patient's visit,she will be in lithotomy position.Which statement below reflects some things that the nurse can do to make this more comfortable for her?
A) Ask her to place her hands and arms behind her head.
B) Elevate her head and shoulders to maintain eye contact.
C) Allow her to choose to have her feet in the stirrups or have them resting side by side on the edge of the table.
D) Allow her to keep her buttocks about 6 inches from the edge of the table to prevent her from feeling as if she will fall off.
Q2) An 18-year-old patient is having her first pelvic examination.Which action by the nurse is appropriate?
A) Invite her mother to be present during the examination.
B) Avoid the lithotomy position this first time because it can be uncomfortable and embarrassing.
C) Raise the head of the examination table and give her a mirror so that she can view the exam.
D) Drape her fully, leaving the drape between her legs elevated to avoid embarrassing her with eye contact.
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Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/20707
Sample Questions
Q1) During a complete health assessment,how would the nurse test the patient's hearing?
A) By observing how the patient participates in normal conversation
B) Using the whispered voice test
C) Using the Weber and Rinne tests
D) Testing with an audiometer
Q2) A 5-year old child is in the clinic for a checkup.The nurse would expect him to:
A) have 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.
Q3) During an examination,the nurse notices that a patient is unable to stick out his tongue.Which cranial nerve is involved with successful performance of this action?
A) I
B) V
C) XI
D) XII
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Chapter 28: Bedside Assessment of the Hospitalized Adult
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/20708
Sample Questions
Q1) 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
Q2) The nurse is assessing the intravenous (IV)infusion at the beginning of the shift.Which of these should be included in the assessment of the infusion? Select all that apply.
A) Proper IV solution is infusing according to physician's orders.
B) IV solution is infusing at the proper rate according to physician's orders.
C) The infusion is proper according to the nurse's assessment of the patient's needs.
D) Capillary refill in the fingers
E) IV site date
F) Whether the patient is voiding sufficiently
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Chapter 29: The Pregnant Woman
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/20709
Sample Questions
Q1) A patient who is 20 weeks pregnant tells the nurse that she feels more shortness of breath as her pregnancy progresses.The nurse recognizes that which of these statements is true?
A) High levels of estrogen cause shortness of breath.
B) Feelings of shortness of breath are abnormal during pregnancy.
C) The hormones of pregnancy cause an increased respiratory effort.
D) She should get more exercise in an attempt to increase her respiratory reserve.
Q2) When performing the examination of a woman who is 8 weeks pregnant,the nurse notices that the cervix is a bluish color.The nurse would document this finding as _____ sign.
A) Hegar's
B) Homans'
C) Chadwick's
D) Goodell's
Q3) Which of these 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 30: Functional Assessment of the Older Adult
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/20710
Sample Questions
Q1) The nurse is preparing to use the Lawton IADL instrument as part of an assessment.Which statement about the Lawton IADL instrument is true?
A) The nurse uses direct observation to implement this tool.
B) It is designed as a self-report measure of performance rather than ability.
C) It is not useful in the acute hospital setting.
D) It is best used for those residing in an institutional setting.
Q2) During a morning assessment,the nurse notices that an older patient is less attentive and is unable to recall yesterday's events.Which test is appropriate for assessing the patient's mental status?
A) Geriatric Depression Scale, Short Form
B) The Physical Performance Test
C) Mini-Cog
D) The Get Up and Go Test
Q3) The nurse is preparing to perform a functional assessment of an older patient and knows that a good approach would be to:
A) observe the patient's ability to perform the tasks.
B) ask the patient's wife how he does when performing tasks.
C) review the medical record for information on the patient's abilities.
D) ask the patient's physician for information on the patient's abilities.
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