Clinical Skills in Nursing Final Exam
Course Introduction
Clinical Skills in Nursing is designed to equip students with the essential hands-on abilities and foundational knowledge necessary for competent nursing practice. This course focuses on developing proficiency in basic and advanced clinical procedures such as patient assessment, vital signs measurement, medication administration, wound care, and infection control. Through a combination of laboratory simulations, demonstrations, and supervised clinical experiences, students will cultivate critical thinking, effective communication, and professional behaviors required to deliver safe, ethical, and patient-centered care in a variety of healthcare 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 would be included in a total health database for a well person?
A)Nursing goals for the patient
B)Anticipated growth and development patterns
C)A patient's perception of his or her health status
D)The nurse's perception of disease as related to this patient
Answer: C
Q2) An example of objective information obtained during the physical assessment includes the patient's:
A)history of allergies.
B)use of medications at home.
C)last menstrual period.
D)2 ´ 5 cm scar present on the right forearm.
Answer: D
Q3) Which of the following is an example of a first-level priority problem?
A)A patient with postoperative pain
B)A patient newly diagnosed with diabetes who needs teaching about diabetes
C)An individual with a small laceration on the sole of the foot
D)An individual with shortness of breath and respiratory distress
Answer: D
Page 3
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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) According to the Ottawa Charter for Health Promotion,which of the following is the definition of health promotion?
A)The inclusion of primary,secondary,and tertiary prevention strategies
B)The process of enabling people to increase control over,and improve their health
C)A positive view of all environmental and biological influences on health
D)Maximizing all of the social determinants of health for families
Answer: B
Q2) 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
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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) Which of the following statements reflects a component of spirituality?
A)It is a belief in the worship of a higher power within an organization.
B)It involves attendance at a specific church,synagogue,temple,mosque,or house of worship.
C)It is central to the human experience as a person searches for meaning in life.
D)It is closely tied to a person's ethnic,social,cultural,and historical background.
Answer: C
Q2) A nurse preparing to conduct a prenatal class is aware that which of the following groups is at highest risk for infant mortality?
A)European Canadians
B)Asian Canadians
C)African Canadians
D)First Nations people
Answer: D
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5
Chapter 4: The Interview
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) Critique the following statement made by the nurse: "I know it may be hard,but you should do what the doctor ordered because he/she is the expert in this field."
A)This statement is inappropriate because it shows the nurse's bias.
B)This statement is appropriate because members of the health care team are experts in the area of patient care.
C)This type of statement creates dependency and inferiority in the patient and is best avoided in an interview situation.
D)At times,it is necessary to use authority statements when dealing with patients,especially when they are undecided about an issue.
Q2) During an interview,a parent of a hospitalized child is sitting with an "open" posture.As the interviewer begins to discuss his son's treatment,however,the father suddenly crosses his arms against his chest and crosses his legs.This would suggest that he is:
A)just changing positions.
B)more comfortable in this position.
C)tired and needs a break in the interview.
D)uncomfortable talking about his son's treatment.
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Page 6
Chapter 5: The Complete Health History
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) What question would you initially ask a patient who has a positive tuberculin test?
A)Have you recently been hospitalized?
B)Are you a member of the homeless population?
C)Have you received bacille Calmette-Guérin (BCG)?
D)Have you been out of the country over the past 3 months?
Q2) A 5-year-old boy is being admitted to the hospital to have his tonsils removed.Which of the following information should be collected before this procedure?
A)The child's birth weight
B)The age at which he started to crawl
C)Whether he has had the measles
D)Reactions to previous hospitalizations
Q3) 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-examination.
C)date of her last electrocardiogram.
D)limitations related to her involvement in sports activities.
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Page 7
Chapter 6: Mental Health Assessment
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) Which of the following are characteristics of delirium? (Select all that apply. )
A)Develops over a short period of time
B)Presence of apraxia
C)Memory impairment or deficits
D)Occurs as a result of a medical condition,such as systemic infection
E)Presence of agnosia
Q2) Which of the following questions would best assess a person's judgement?
A)"Do you feel that you are being watched,followed,or controlled?"
B)"Tell me about what you plan to do once you are discharged from the hospital."
C)"What does the saying,'People in glass houses shouldn't throw stones' mean to you?"
D)"What would you do if you found a stamped,addressed envelope on the sidewalk?"
Q3) The nurse is planning health education for a 65-year-old woman who has had a cerebrovascular accident (stroke)and is aphasic.Which of the following is most important to use when assessing mental health in this situation?
A)"Please count back from 100 by sevens."
B)"I will name three items and ask you to repeat them in a few minutes."
C)"Please point to articles in the room and parts of the body as I name them."
D)"What would you do if you found a stamped,addressed envelope on the sidewalk?"
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8
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) When administering the TWEAK questions as part of the nursing health assessment,which letter in the acronym directs the nurse to ask "Do you sometimes feel the need to cut down on your drinking"?
A)T
B)W
C)E
D)K
Q2) When beginning the substance use section on a history-taking health assessment,what is the best initial question for the nurse to ask?
A)"Do you use any illegal substances?"
B)"Do you drink alcohol?"
C)"How much alcohol do you drink?"
D)"Many people use marijuana;is this something you have tried?"
Q3) Which following substance is on the decline for use among those aged 15 years and older?
A)Alcohol
B)Cannabis
C)Crystal methadone
D)Tobacco
Page 9
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Chapter 8: Interpersonal Violence Assessment
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) 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.
Q2) The nurse is assessing an older woman and suspects elder abuse.Which of the following questions are appropriate for screening for abuse? (Select all that apply. )
A)Has anyone ever physically hurt you?
B)Are you being abused?
C)Are you alone a lot?
D)Are you afraid of anybody at home or who enters your home?
E)Has anyone ever failed to take care of you when you needed help?
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Chapter 9: Assessment Techniques and the Clinical Setting
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) The nurse is preparing to examine a 4-year-old child.Which of the following actions is appropriate as the first step?
A)Explain procedures in detail to alleviate the child's anxiety.
B)Give the child feedback and reassurance during the examination.
C)Do not ask the child to remove his clothes because children at this age are usually very private.
D)Perform an examination of the ear,nose,and throat first,and then examine the thorax and abdomen.
Q2) Which of the following statements about the diaphragm of the stethoscope is true?
A)Use the diaphragm to listen for high-pitched sounds.
B)Use the diaphragm to listen for low-pitched sounds.
C)Hold the diaphragm lightly against the patient's skin to block out low-pitched sounds.
D)Hold the diaphragm lightly against the patient's skin to listen for extra heart sounds and murmurs.
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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) The nurse is preparing to measure the vital signs of a 6-month-old infant.The nurse will:
A)measure respirations and then pulse and temperature.
B)measure vital signs more frequently than in an adult.
C)explain procedures and encourage the infant to handle the equipment.
D)allow the infant to become familiar with the nurse by performing the physical examination first and then measuring the vital signs.
Q2) A nurse is helping at a health fair at a local mall.When measuring BPs in a variety of people,the nurse keeps in mind that:
A)after menopause,BP in women is usually lower than in men.
B)an adult of African descent often has a higher BP than an adult of European descent who is the same age.
C)BP measurements in overweight people should be the same as in those of normal weight.
D)a teen's BP reading will be lower than that of an adult.
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12
Chapter 11: Pain Assessment
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) When completing an initial pain assessment,the nurses uses PQRSTU to remember all of the aspects to assess.Which of the following are represented by PQRSTU? (Select all that apply. )
A)Quality
B)Provocative or palliative
C)Malignant or nonmalignant
D)Region
E)Severity
F)Impairment
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.
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13
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 assessing an obese patient for signs of metabolic syndrome.This condition is diagnosed when three or more risk factors are present.Which of the following are risk factors for metabolic syndrome? Select all that apply.
A)Fasting plasma glucose level <6.1 mmol/L
B)Fasting plasma glucose level >=6.1 mmol/L
C)Blood pressure reading of 140/90 mm Hg
D)Blood pressure reading of 110/80 mm Hg
E)Triglyceride level of 1.2 mmol/L
Q2) During nutritional assessment,why is it important for the nurse to ask a patient what medications he or she is taking?
A)Certain medications can affect the metabolism of nutrients.
B)The nurse needs to assess the patient for allergic reactions.
C)Medications must be documented on the patient record for the physician's review.
D)Medications can affect one's memory and ability to identify foods eaten in the last 24 hours.
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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) A 65-year-old man with emphysema and bronchitis has come to the clinic for a follow-up appointment. On assessment of his skin, the nurse would expect to find which of the following?
A)anasarca.
B)scleroderma.
C)pedal erythema.
D)clubbing of the nails.
Q2) The nurse has discovered decreased skin turgor in a patient. In which of the following would this be an expected finding?
A)Cases of severe obesity
B)During childhood growth spurts
C)In an individual who is severely dehydrated
D)With conditions of connective tissue disorders,such as scleroderma
Q3) The nurse educator is preparing an education module on the epidermal layer of skin for the nursing staff.Which of the following would be included in the module?
A)The epidermis is very vascular.
B)The epidermis is thick and tough.
C)The epidermis is thin and nonstratified.
D)The epidermis is replaced every 4 weeks.
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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) The nurse has just completed a lymph assessment on a 60-year-old healthy female patient.The nurse knows that most lymph nodes in healthy adults are normally: A)shotty.
B)not palpable.
C)large,firm,and fixed to the tissue.
D)rubbery,discrete,and mobile.
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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) A 68-year-old woman is in the eye clinic for a checkup.She tells the nurse that she has been having trouble 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) A 2-week-old infant can fixate on an object but not follow a light or bright toy.The nurse would:
A)consider this a normal finding.
B)assess the pupillary light reflex for possible blindness.
C)continue with the examination and assess visual fields.
D)expect that a 2-week-old infant should be able to fixate and follow an object.
Q3) The nurse is testing a patient's visual accommodation,which refers to:
A)pupillary constriction when looking at a near object.
B)pupillary dilation when looking at a far object.
C)changes in peripheral vision in response to light.
D)involuntary blinking in the presence of bright light.
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Page 17
Chapter 16: Ears
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) The nurse is examining a patient's ears and notices cerumen in the external canal.Which of the following statements about cerumen is correct?
A)Sticky,honey-coloured cerumen is a sign of infection.
B)The presence of cerumen is indicative of poor hygiene.
C)The purpose of cerumen is to protect and lubricate the ear.
D)Cerumen is necessary for transmitting sound through the auditory canal.
Q2) The nurse is testing the hearing of a 78-year-old man.Which of the following age-related hearing changes should the nurse keep in mind? (Select all that apply. )
A)Age-related hearing loss begins in the mid-40s.
B)The progression of hearing loss is slow.
C)Low-frequency tone loss occurs with aging.
D)It may be harder to hear consonants than vowels.
E)Sounds may be garbled and difficult to localize.
F)Hearing loss reflects nerve degeneration in the middle ear.
Q3) Which of the following is a risk factor for ear infections in young children?
A)Family history
B)Air conditioning
C)Excessive cerumen
D)Second-hand cigarette smoke
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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 nurse is assessing a 3-year-old who has been brought to the clinic for "drainage from the nose." On assessment,it is found that there is a purulent,malodorous drainage from the left naris but no drainage from the right naris.The child is afebrile and has no other symptoms.What should the nurse do next?
A)Refer the child to a physician for an antibiotic prescription.
B)Have the mother bring the child back in 1 week.
C)Perform an otoscopic examination of the left naris.
D)Tell the mother that this is normal for children of this age.
Q2) A 10-year-old is at the clinic for "a sore throat lasting 6 days." Which of the following would be consistent with an acute infection?
A)Tonsils 1+/1-4+ and pink
B)Tonsils 2+/1-4+ with small plugs of white debris
C)Tonsils 3+/1-4+ with large white spots
D)Tonsils 3+/1-4+ with yellowish exudates
Q3) Which of the following about a newborn infant is true?
A)The sphenoid sinuses are at full size at birth.
B)The maxillary sinuses reach full size after puberty.
C)The frontal sinuses are fairly well developed at birth.
D)The maxillary and ethmoid sinuses are the only ones present at birth.
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Page 19
Chapter 18: Breasts and Regional Lymphatic System
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) The nurse is assessing the breasts of a 68-year-old woman and discovers a mass in the upper outer quadrant of the left breast.When assessing this mass,the nurse keeps in mind certain characteristics of a cancerous mass.(Select all that apply. )
A)Nontender mass
B)Dull,heavy pain on palpation
C)Rubbery texture and mobile
D)Hard,dense,and immobile
E)Regular border
F)Irregular,poorly delineated border
Q2) 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.
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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) While auscultating for breath sounds,the nurse will use the stethoscope correctly by:
A)listening to at least one full respiration in each location.
B)listening as the patient inhales and then going to the next site during exhalation.
C)having the patient breathe in and out rapidly while listening to the breath sounds.
D)listening to sounds through clothing or the hospital gown if the patient is shy.
Q2) When inspecting the anterior chest of an adult,the nurse should assess for:
A)diaphragmatic excursion.
B)symmetrical chest expansion.
C)the presence of breath sounds.
D)the shape and configuration of the chest wall.
Q3) 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
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Chapter 20: Heart and Neck Vessels
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Sample Questions
Q1) A 30-year-old woman with a history of mitral valve problems states that lately she has been "very tired." She has started waking up at night and feels like her "heart is pounding." During assessment,the nurse identifies a thrill and lift at the fifth left intercostal space midclavicular line.In the same area,the nurse also identifies a blowing,swishing sound right after S .These findings would be most consistent with:
A)heart failure.
B)aortic stenosis.
C)pulmonary edema.
D)mitral regurgitation.
Q2) The vital signs of a 70-year-old patient with a history of hypertension are BP 180/100 mm Hg and HR 90 bpm.The nurse hears an extra heart sound at the apex immediately before S .The sound is heard only with the bell while patient is in the left lateral position.With these findings and the patient's history,the nurse knows that this extra heart sound is most likely:
A)split S .
B)atrial gallop.
C)diastolic murmur.
D)summation sound.
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Chapter 21: Peripheral Vascular System and Lymphatic System
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Sample Questions
Q1) A 65-year-old patient is experiencing pain in his left calf during exercise,which disappears after resting for a few minutes.The nurse recognizes that this description is most consistent with:
A)venous obstruction of the left leg.
B)claudication due to venous abnormalities in the left leg.
C)ischemia caused by partial blockage of an artery supplying the left leg.
D)ischemia caused by complete blockage of an artery supplying the left leg.
Q2) The nurse is performing a well-child assessment on a 5-year-old boy.He has no current history that would lead the nurse to suspect any illness.His past medical history is unremarkable,and he received immunizations 1 week ago.Which of the following findings would be considered normal in this situation?
A)Enlarged,warm,tender nodes
B)Lymphadenopathy of the cervical nodes
C)Palpable firm,small,shotty,mobile,nontender lymph nodes
D)Firm,rubbery,large nodes,somewhat fixed to the underlying tissue
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Page 23
Chapter 22: Abdomen
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Sample Questions
Q1) While participating in patient assessment,the student nurse hears that a patient has "hepatomegaly" and recognizes that this term refers to:
A)an enlarged liver.
B)an enlarged spleen.
C)distended bowels.
D)excessive diarrhea.
Q2) Percussion notes heard during an 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) 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.
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Chapter 23: Anus,rectum and Prostate
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Sample Questions
Q1) Which of the following statements about the sphincters is true?
A)The internal sphincter is under voluntary control.
B)The external sphincter is under voluntary control.
C)Both sphincters remain slightly relaxed at all times.
D)The internal sphincter surrounds the external sphincter.
Q2) 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.
Q3) Which of the following statements about the anal canal is true?
A)The anal canal is about 2 cm long in the adult.
B)The anal canal slants backward toward the sacrum.
C)The anal canal contains hair and sebaceous glands.
D)The anal canal is the outlet for the gastrointestinal tract.
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Chapter 24: Musculoskeletal System
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Sample Questions
Q1) To palpate the temporomandibular joint,the nurse's fingers should be placed in the depression:
A)distal to the helix of the ear.
B)proximal to the helix of the ear.
C)anterior to the tragus of the ear.
D)posterior to the tragus of the ear.
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) A patient is visiting the clinic for an evaluation of a swollen,painful knuckle.The nurse notices that the knuckle above his wedding ring on the left hand is swollen,and he is unable to remove the ring.This joint is called the:
A)interphalangeal joint.
B)tarsometatarsal joint.
C)metacarpophalangeal joint.
D)talocalcaneonavicular joint.
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Page 26
Chapter 25: Neurological System
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Sample Questions
Q1) A 78-year-old man has a history of a cerebrovascular accident.The nurse notes that when he walks,his left arm is immobile against the body,with flexion of the shoulder,elbow,wrist,and fingers and adduction of the shoulder.His left leg is stiff and extended,and circumducts with each step.What type of gait disturbance is this individual experiencing?
A)Scissors gait
B)Cerebellar ataxia
C)Parkinsonian gait
D)Spastic hemiparesis
Q2) When the nurse asks a 68-year-old patient to stand with his feet together,his arms at his sides,and his eyes closed,he starts to sway and moves his feet further apart.The nurse would document this finding as a(n):
A)ataxia.
B)lack of coordination.
C)negative Homan's sign.
D)positive Romberg sign.
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Chapter 26: Male Genitourinary System
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Sample Questions
Q1) When assessing the scrotum of a male patient,the nurse notes the presence of multiple firm,nontender,yellow,1-cm nodules.The nurse knows that these nodules are most likely:
A)from urethritis.
B)sebaceous cysts.
C)subcutaneous plaques.
D)from inflammation of the epididymis.
Q2) A 24-year-old man is visiting the clinic for his annual checkup.He is worried because his friend has just been diagnosed with testicular cancer.He wants to know more about testicular cancer.The nurse will discuss the following.(Select all that apply. )
A)The importance of TSE
B)The occurrence of testicular cancer over the age of 50
C)Pain as an early symptom
D)A sense of heaviness or discomfort in the lower abdomen or scrotum
E)Family history
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Chapter 27: Female Genitourinary System
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Sample Questions
Q1) A 52-year-old patient states that when she sneezes or coughs,she "wets herself a little." She is very concerned that something may be wrong with her.The nurse knows that the problem is:
A)hematuria,and usually needs to be evaluated by a urologist.
B)stress incontinence and is usually due to muscle weakness.
C)true urinary incontinence and may mean that she has a kidney infection.
D)urgency incontinence and she should empty her bladder before she sneezes or coughs.
Q2) When the nurse is discussing sexuality and sexual issues with adolescents,a permission statement helps to convey that it is normal to think or feel a certain way.Which of the following is the best example of a permission statement?
A)"It's okay that you have become sexually active."
B)"Often girls your age have questions about sexual activity.Do you?"
C)"If it's okay with you,I'd like to ask you some questions about your sexual history."
D)"Often girls your age engage in sexual activity.It's okay to tell me if you have had intercourse."
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Sample Questions
Q1) If the nurse records the results to the Hirschberg test,the nurse has:
(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)tested the patellar reflex.
B)assessed for appendicitis.
C)tested the corneal light reflex.
D)assessed for thrombophlebitis.
Q2) During an examination,the nurse notes that a patient's legs turn white when they are raised above her head.The nurse would suspect:
(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)lymphedema.
B)Raynaud's disease.
C)chronic arterial insufficiency.
D)chronic venous insufficiency.
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Chapter 29: Bedside Assessment of the Hospitalized Patient
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Sample Questions
Q1) When assessing the neurological system of a hospitalized patient during morning rounds,the nurse will include which of the following assessments?
A)Blood pressure
B)The patient's rating of pain on a 1 to 10 scale
C)The patient's verbal response
D)The patient's personal hygiene level
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) During an assessment,the nurse is unable to palpate pulses in the left lower leg.The nurse should:
A)document that the pulses are not palpable.
B)reassess the pulses in 1 hour.
C)have the patient turn to the side,and then palpate for the pulses again.
D)use a Doppler device to assess the pulses.
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Chapter 30: Pregnancy
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Sample Questions
Q1) When auscultating the anterior thorax of a pregnant woman,the nurse notes the presence of a murmur over the second,third,and fourth intercostal spaces.It is continuous but can be obliterated by pressure with the stethoscope or finger on the thorax just lateral to the murmur.The nurse knows that this is:
A)the murmur of aortic stenosis.
B)most likely a mammary souffle.
C)associated with aortic insufficiency.
D)an indication of a patent ductus arteriosus.
Q2) Which of the following findings is considered normal and expected when the nurse is performing a physical examination on a pregnant woman?
A)A palpable,full thyroid
B)Spontaneously bleeding gingiva
C)Significant,diffuse enlargement of the thyroid
D)Pale,hypertrophied mucous membranes of the mouth
Q3) The nurse knows that classic symptoms associated with pre-eclampsia include:
A)proteinuria,headaches,and seizures.
B)elevated blood pressure and proteinuria.
C)elevated liver enzymes and high platelet count.
D)neurological signs,elevated blood pressure,and edema.
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Chapter 31: Functional Assessment of the Older Adult
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Sample Questions
Q1) The nurse is preparing to assess an older adult and discovers that he is in severe pain.Which of the following statements about pain and the older adult is true?
A)Pain is inevitable with aging.
B)Older adults with cognitive impairment feel less pain.
C)Alleviating pain should take priority over other aspects of the assessment.
D)The assessment should take priority so that care decisions can be made.
Q2) The nurse is assessing the abilities of an older adult.Which of the following activities are considered IADLs? (Select all that apply. )
A)Feeding oneself
B)Preparing a meal
C)Balancing a chequebook
D)Walking
E)Toileting
F)Grocery shopping
Q3) Which of the following statements about the Lawton IADLs 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.
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