Family and Community Health Nursing Final Exam Questions
Course Introduction
Family and Community Health Nursing explores the principles and practices of nursing care focused on health promotion, disease prevention, and holistic wellness in families and communities. The course emphasizes the nurses roles in assessing family structure and dynamics, conducting community health assessments, and addressing cultural, environmental, and socioeconomic factors impacting health. Students learn to plan, implement, and evaluate health programs and interventions suited to diverse populations, while collaborating with community resources and multidisciplinary teams to strengthen family and community health outcomes.
Recommended Textbook
Physical Examination and Health Assessment 3rd Canadian edition by Carolyn Jarvis
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31 Chapters
1123 Verified Questions
1123 Flashcards
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Page 2
Chapter 1: Evidence-Based Assessment
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) What is an important concept when undertaking a life-cycle approach to health assessment?
A)Consideration of the patient's cultural view of health
B)Being responsive to the patient's gestures to build a relationship
C)Acknowledgement of the effect of poverty on health
D)Awareness of age-specific developmental factors
Answer: D
Q2) Which of the following are social determinants of health with potential to influence a patient's health? (Select all that apply.)
A)Poverty
B)Poor research studies
C)Unaffordable housing
D)Lack of education
E)Poor nursing skills
Answer: A, C, D
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Chapter 2: Health Promotion in the Context of Health Assessment
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) When reviewing the inequities in health of certain populations in Canada, the nurse recognizes that social and health inequities can increase morbidity as a result of infectious diseases among:
A)The Indigenous population
B)The African Canadian population
C)The South-East Asian Canadian population
D)The Middle-Eastern Canadian population
Answer: A
Q2) A new family is attending the clinic for their first appointment.To practise primary prevention, the nurse will:
A)Discuss the need for smoking cessation.
B)Share information on nutrition and approaches to maintaining present health.
C)Provide patient education on diabetes management.
D)Encourage weight loss strategies for obesity.
Answer: B
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Page 4
Chapter 3: Cultural Competence: Cultural Care
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse encounters a young male who is questioning his gender.The nurse is aware that this young person:
A)May be at increased risk for breast cancer because of population differences
B)May encounter increased job opportunities
C)May be at risk for poor health because of difficulty with health care accessibility as a result of stigmatization
D)May experience greater health equity
Answer: C
Q2) The nurse is meeting a new Asian patient for the first time.The nurse recognizes that assuming the patient understands health to be a balance of hot and cold demonstrates:
A)Ethnicity
B)Dominance
C)Culturalism
D)Vulnerability
Answer: C
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Chapter 4: The Interview
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) During an interview, the nurse states, "You mentioned having shortness of breath.Tell me more about that." Which verbal skill is used with this statement?
A)Reflection
B)Facilitation
C)Direct question
D)Open-ended question
Q2) The nurse is interviewing a male patient who has a hearing impairment.What techniques would be most beneficial in communicating with this patient?
A)Determine the communication method he prefers
B)Avoid using facial and hand gestures because most hearing-impaired people find this degrading
C)Request a sign language interpreter before meeting with him to help facilitate the communication
D)Speak loudly and with exaggerated facial movement when talking with him because doing so will help him lip read
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6
Chapter 5: The Complete Health History
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) The nurse is performing a functional assessment on an 82-year-old patient who recently had a stroke.Which of these questions would be most important to ask?
A)"Do you wear glasses?"
B)"Are you able to dress yourself?"
C)"Do you have any thyroid problems?"
D)"How many times a day do you have a bowel movement?"
Q2) The nurse is performing a review of systems on a 76-year-old patient.Which of these statements is correct for this situation?
A)The questions asked are identical for all ages.
B)The interviewer will start incorporating different questions for patients 70 years of age and older.
C)Questions that are reflective of the normal effects of aging are added.
D)At this age, a review of systems is not necessary-the focus should be on current problems.
Q3) The review of systems section provides the nurse with:
A)Physical findings related to each system
B)Information regarding health promotion practices
C)An opportunity to teach the patient medical terms
D)Information necessary for the nurse to diagnose the patient's medical problem
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Page 7
Chapter 6: Mental Health Assessment
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse is admitting a 75-year-old patient to the hospital with new confusion and changes in behaviour that had developed overnight.The family state that she was just started on antibiotics for a urinary tract infection.The nurse should assess for:
A)Dementia
B)Depressive disorder
C)Delirium
D)Bipolar disorder
Q2) The nurse discovers that the patient with schizophrenia is consuming a 12-pack case of beer every night.The nurse is concerned that the patient has a:
A)Abrasive disorder
B)Conflicting diagnosis
C)Concurrent disorder
D)Heavy consumption diagnosis
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8
Chapter 7: Substance Use and Health Assessment
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A woman who has just discovered that she is pregnant is in the clinic for her first obstetric visit.She asks the nurse, "How many drinks a day is safe for my baby?" The nurse's best response is:
A)"You should limit your drinking to once or twice a week."
B)"It's okay to have up to two glasses of wine a day."
C)"As long as you avoid getting drunk, you should be safe."
D)"No amount of alcohol has been determined to be safe during pregnancy."
Q2) During the first meeting with the patient, the nurse takes a respectful, least invasive approach to assessing substance use by asking:
A)"How much do you drink?"
B)"What types of drugs do you use?"
C)"What drugs are you injecting?"
D)"Do you drink alcohol at all?"
Q3) The nurse is admitting a patient with a history of cocaine use.The nurse will document:
A)Patient is an addict and lives on the street.
B)Patient is seeking drugs and wants any drug he can have.
C)Patient is a cocaine addict.
D)Patient states injecting cocaine daily over the past week.
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Page 9
Chapter 8: Interpersonal Violence Assessments
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) During a home visit, the nurse notices that an older adult woman is caring for her bedridden husband.The woman states that this is her duty, she does the best she can, and her children come to help when they are in town.Her husband is unable to care for himself, and she appears thin, weak, and exhausted.The nurse notices that several of his prescription medication bottles are empty.This situation is best described by the term:
A)Physical abuse
B)Financial neglect
C)Psychological abuse
D)Unintentional physical neglect
Q2) A patient has come to the clinic with persistent abdominal pains.During the interview, the patient tells the nurse that her husband controls the finances, gives her a minimal allowance, and makes her account for what she spends to the penny.The patient constantly looks down and will not make eye contact with the nurse.What will the nurse assess for?
A)Situational violence
B)Chronic ulcerative colitis
C)Stomach flu
D)Intimate partner terrorism
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10
Chapter 9: Assessment Techniques and the Clinical Setting
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) During auscultation of a patient's heart sounds, the nurse hears an unfamiliar sound.The nurse should:
A)Document the findings in the patient's record.
B)Wait 10 minutes, and auscultate the sound again.
C)Ask the patient how he or she is feeling.
D)Ask another nurse to double check the finding.
Q2) The nurse is preparing to palpate the thorax and abdomen of a patient.Which of these statements describes the correct technique for this procedure? (Select all that apply.)
A)Warm the hands first before touching the patient.
B)For deep palpation, use one long continuous palpation when assessing the liver.
C)Start with light palpation to detect surface characteristics.
D)Use the fingertips to examine skin texture, swelling, pulsation, and presence of lumps.
E)Identify any tender areas, and palpate them last.
F)Use the palms of the hands to assess temperature of the skin.
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11
Chapter 10: General Survey, Measurement, Vital Signs
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52 Verified Questions
52 Flashcards
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Sample Questions
Q1) A patient's blood pressure is 118/82 mm Hg.He asks the nurse, "What do the numbers mean?" The nurse's best reply is:
A)"The numbers are within the normal range, and there is nothing to worry about."
B)"The bottom number is the diastolic pressure and reflects the stroke volume of the heart."
C)"The top number is the systolic blood pressure and reflects the pressure of the blood against the arteries when the heart contracts."
D)"The concept of blood pressure is difficult to understand.The primary thing to be concerned about is the top number, or the systolic blood pressure."
Q2) The nurse should measure rectal temperatures in which of these patients?
A)School-age child
B)Older adult
C)Comatose adult
D)Patient receiving oxygen by nasal cannula
Q3) What is the pulse pressure for a patient whose blood pressure is 158/96 mm Hg and pulse rate is 72 beats per minute?
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Chapter 11: Pain Assessment
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse is teaching students about the older adult population and normal aging.Which statement by a nursing student indicates an understanding of older adults and pain?
A)"Older adults must learn to tolerate pain."
B)"Pain is a normal process of aging and is to be expected."
C)"Pain is not a normal process of aging and can indicate injury."
D)"Older adults perceive pain to a lesser degree compared with younger individuals."
Q2) When assessing a patient's pain, the nurse knows that the most reliable indicator of pain would be the:
A)Patient's vital signs.
B)Physical examination findings.
C)Results of a computed tomography (CT) scan.
D)Subjective report by the patient.
Q3) To which patient will the nurse plan to provide teaching on managing acute pain?
A)Patient with arthritis
B)Patient with fibromyalgia
C)Patient with kidney stones
D)Patient with low back pain
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Chapter 12: Nutritional Assessment
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) During a 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 need to be documented in the record for the physician's review.
D)Medications can affect memory and ability to identify food eaten in the last 24 hours.
Q2) A patient is asked to indicate on a form how many times he eats a specific food.Which method is the nurse using to assess nutritional intake?
A)Food diary
B)Calorie count
C)24-hour recall
D)Food-frequency questionnaire
Q3) A patient tells the nurse that he simply does not find any food tasty anymore.The best response by the nurse would be:
A)"That must be really frustrating."
B)"When did you first notice this change?"
C)"My food doesn't always have a lot of taste either."
D)"Sometimes that happens, but your taste will come back."
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Chapter 13: Skin, Hair, and Nails
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53 Verified Questions
53 Flashcards
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Sample Questions
Q1) The nurse has discovered decreased skin turgor in a patient and knows that this finding is expected in which condition?
A)Severe obesity
B)Childhood growth spurts
C)Severe dehydration
D)Connective tissue disorders, such as scleroderma
Q2) A patient of African origin is in the intensive care unit because of impending shock after an accident.The nurse expects to find what characteristics in this patient's skin?
A)Ruddy blue
B)Generalized pallor
C)Ashen, grey, or dull
D)Patchy areas of pallor
Q3) The nurse educator is preparing an education module for the nursing staff on the epidermal layer of skin.Which of these statements would be included in the module? The epidermis is:
A)Highly vascular.
B)Thick and tough.
C)Thin and nonstratified.
D)Replaced every 4 weeks.
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Page 15
Chapter 14: Head, Face, and Neck, Including Regional Lymphatics
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) The nurse suspects that a patient has hyperthyroidism, and the laboratory data indicate that the patient's T and T levels are elevated.During assessment, the nurse will likely find the patient has:
A)Tachycardia.
B)Constipation.
C)Rapid dyspnea.
D)Atrophied nodular thyroid gland.
Q2) The nurse is aware that the four areas in the body where lymph nodes are accessible are the:
A)Head, breasts, groin, and abdomen.
B)Arms, breasts, inguinal area, and legs.
C)Head and neck, arms, breasts, and axillae.
D)Head and neck, arms, inguinal area, and axillae.
Q3) During an assessment of an infant, the nurse notes that the fontanelles are depressed and sunken.The nurse suspects which condition?
A)Rickets
B)Dehydration
C)Mental retardation
D)Increased intracranial pressure
Page 16
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Chapter 15: Eyes
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) During assessment of the lacrimal apparatus, the nurse would document the following as a normal finding:
A)Presence of tears along the inner canthus
B)Blocked nasolacrimal duct in a newborn infant
C)Slight swelling over the upper lid and along the bony orbit if the individual has a cold
D)Absence of drainage from the puncta when pressing against the inner orbital rim
Q2) When assessing the pupillary light reflex, the nurse will:
A)Shine a penlight from directly in front of the patient, and inspect for pupillary constriction.
B)Ask the patient to follow the penlight in eight directions, and observe for bilateral pupil constriction.
C)Shine a light across the pupil from the side, and observe for direct and consensual pupillary constriction.
D)Ask the patient to focus on a distant object and then to follow the penlight to approximately 7 cm from the nose.
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Chapter 16: Ears
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41 Flashcards
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Sample Questions
Q1) An assessment of a 23-year-old patient reveals the following: an auricle that is tender and reddish-blue in colour with small vesicles.The nurse would need to know additional information that includes which of these?
A)Any change in the ability to hear
B)Any recent drainage from the ear
C)Recent history of trauma to the ear
D)Any prolonged exposure to extreme cold
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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18
Chapter 17: Nose, Mouth, and Throat
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) A pregnant woman states that she is concerned about her gums because she has noticed they are swollen and have started bleeding.What would be an appropriate response by the nurse?
A)"Your condition is probably caused by a vitamin C deficiency."
B)"I'm not sure what causes swollen and bleeding gums, but let me know if it's not better in a few weeks."
C)"You need to make an appointment with your dentist as soon as possible to have this checked."
D)"Swollen and bleeding gums can be caused by the change in hormonal balance in your system during pregnancy."
Q2) A 40-year-old patient who has just finished chemotherapy for breast cancer tells the nurse that she is concerned about her mouth.During the assessment the nurse finds areas of buccal mucosa that are raw and red with some bleeding and other areas that have a white, cheesy coating.The nurse recognizes that this abnormality is:
A)Aphthous ulcers.
B)Candidiasis.
C)Leukoplakia.
D)Koplik's spots.
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Page 19
Chapter 18: Breasts and Regional Lymphatics
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) A 9-year-old girl is in the clinic for a sport physical examination.After some initial shyness, she finally asks, "Am I normal? I don't seem to need a bra yet, but I have some friends who do.What if I never get breasts?" The nurse's best response would be:
A)"Don't worry, you still have plenty of time to develop."
B)"I know just how you feel, I was a late bloomer myself.Just be patient, and they will grow."
C)"You will probably get your periods before you notice any significant growth in your breasts."
D)"I understand that it is hard to feel different from your friends.Breasts usually develop between 8 and 10 years of age."
Q2) If a patient reports a recent breast infection, then the nurse should expect to find ________________ node enlargement.
A)Nonspecific
B)Ipsilateral axillary
C)Contralateral axillary
D)Inguinal and cervical
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Chapter 19: Thorax and Lungs
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) When assessing the respiratory system of a 4-year-old child, which of these findings would the nurse expect?
A)Crepitus palpated at the costochondral junctions
B)No diaphragmatic excursion as a result of a child's decreased inspiratory volume
C)Presence of bronchovesicular breath sounds in the peripheral lung fields
D)Irregular respiratory pattern and a respiratory rate of 40 breaths per minute at rest
Q2) The nurse landmarks the apices of the lungs to:
A)Be at the level of the second rib anteriorly.
B)Extend 3 to 4 cm above the inner third of the clavicles.
C)Be located at the sixth rib anteriorly and the eighth rib laterally.
D)Rest on the diaphragm at the fifth intercostal space in the midclavicular line (MCL).
Q3) The nurse is auscultating the chest of an adult patient.Which technique is correct?
A)Instructing the patient to take deep, rapid breaths
B)Instructing the patient to breathe in and out through his or her nose
C)Firmly holding the diaphragm of the stethoscope against the patient's skin
D)Lightly holding the bell of the stethoscope over the gown to avoid friction
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21
Chapter 20: Heart and Neck Vessels
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) During an inspection of the precordium of an adult patient, the nurse notices the chest moving in a forceful manner along the sternal border.This finding most likely suggests:
A)A normal heart
B)Systolic murmur
C)Enlargement of the left ventricle
D)Enlargement of the right ventricle
Q2) During the precordial assessment on a patient who is 8 months pregnant, the nurse palpates the apical impulse at the fourth left intercostal space lateral to the MCL.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) During a cardiovascular assessment, the nurse knows that a thrill is:
A)A palpable vibration of rushing blood flow
B)Palpated in the right epigastric area
C)Associated with ventricular hypertrophy
D)A murmur auscultated at the third intercostal space
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Page 22
Chapter 21: Peripheral Vascular System and Lymphatic System
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) During an assessment, a patient tells the nurse that her fingers often change colour when she goes out in cold weather.She describes these episodes as her fingers first turning white, then blue, and then red with a burning, throbbing pain.The nurse suspects that she is experiencing:
A)Lymphedema
B)Raynaud's phenomenon
C)Deep vein thrombosis
D)Chronic arterial insufficiency
Q2) During an assessment, the nurse notices that a patient's left arm is swollen from the shoulder down to the fingers, with nonpitting brawny edema.The right arm is normal.The patient had a left-sided mastectomy 1 year ago.The nurse suspects which problem?
A)Venous stasis
B)Lymphedema
C)Arteriosclerosis
D)Deep vein thrombosis
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23
Chapter 22: Abdomen
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42 Flashcards
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Sample Questions
Q1) During abdominal assessment, the nurse performs deep palpation to screen for:
A)Bowel motility
B)Changes in size of organs
C)Gastroesophageal reflux
D)Abdominal skin and musculature
Q2) During an abdominal assessment, the nurse tests for a fluid wave.A positive fluid wave test occurs with:
A)Splenomegaly
B)Distended bladder
C)Constipation
D)Ascites
Q3) The 22-year-old patient informs the nurse she feels bloated and has diarrhea when she drinks milkshakes and eats ice cream.The nurse recognizes this as possible:
A)Celiac disease
B)Lactose intolerance
C)Cholecystitis
D)Wheat allergy
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Chapter 23: Anus, Rectum, and Prostate
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A 70-year-old man is visiting the clinic for difficulty in passing urine.In the health history, he indicates that he has to urinate frequently, especially at night.He has burning when he urinates and has noticed pain in his back.Considering this history, what might the nurse expect to find during the physical assessment?
A)Asymmetrical, hard, and fixed prostate gland
B)Occult blood and perianal pain to palpation
C)Symmetrically enlarged, soft prostate gland
D)Soft nodule protruding from the rectal mucosa
Q2) During a discussion with a men's health group, the nurse identifies a number of nonmodifiable risk factors for prostate cancer, including:
A)European descent, obesity
B)Older age, family history, African ancestry
C)Asian ancestry, older age, diet
D)Physical activity, lifestyle
Q3) Which statement concerning the anal canal is true? The anal canal:
A)Is approximately 2 cm long in the adult
B)Slants backward toward the sacrum
C)Contains hair and sebaceous glands
D)Is the outlet for the gastrointestinal tract
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Page 25
Chapter 24: Musculoskeletal System
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Sample Questions
Q1) An 85-year-old patient comments during his annual physical examination 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)The vertebral column shortens.
C)A significant loss of subcutaneous fat occurs.
D)A thickening of the intervertebral discs develops.
Q2) 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 discs
Q3) After an impact injury to the jaw, the nurse palpates the area in front of both ears to assess the function of the patient's:
A)Intervertebral foramen
B)Condyle of the mandible
C)Temporomandibular joint
D)Zygomatic arch of the temporal bone
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Page 26
Chapter 25: Neurological System
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Sample Questions
Q1) The nurse is performing a neurological assessment on a 41-year-old woman with a history of diabetes.When testing her ability to feel the vibrations of a tuning fork, the nurse notices that the patient is unable to feel vibrations on the great toe or ankle bilaterally, but she is able to feel vibrations on both patellae.Given this information, what would the nurse suspect?
A)Hyperalgesia
B)Hyperesthesia
C)Peripheral neuropathy
D)Lesion of sensory cortex
Q2) The area of the nervous system that is responsible for mediating reflexes is the:
A)Medulla
B)Cerebellum
C)Spinal cord
D)Cerebral cortex
Q3) The nurse knows that testing kinesthesia is a test of a person's:
A)Fine touch
B)Position sense
C)Motor coordination
D)Perception of vibration
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Chapter 26: Male Genitourinary System
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42 Flashcards
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Sample Questions
Q1) When the nurse is performing a testicular examination on a 25-year-old man, which finding is considered normal?
A)Nontender subcutaneous plaques
B)Scrotal area that is dry, scaly, and nodular
C)Testes that feel oval and movable and are slightly sensitive to compression
D)Single, hard, circumscribed, movable mass, less than 1 cm under the surface of the testes
Q2) When the nurse is performing a genital examination on a male patient, which action is correct?
A)Auscultating for the presence of a bruit over the scrotum
B)Palpating for the vertical chain of lymph nodes along the groin, inferior to the inguinal ligament
C)Palpating the inguinal canal only if a bulge is present in the inguinal region during inspection
D)Having the patient shift his weight onto the left (unexamined) leg when palpating the right inguinal canal for a mass
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Chapter 27: Female Genitourinary System
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Sample Questions
Q1) A woman is in the clinic for an annual gynecological examination.The nurse should plan to begin the interview with the:
A)Menstrual history, because it is generally nonthreatening
B)Obstetric history, because it includes the most important information
C)Urinary system history, because problems may develop in this area as well
D)Sexual history, because discussing it first will build rapport
Q2) A patient has had three pregnancies and two live births.The nurse would record this information as grav __________, para __________, A __________.
A)2; 2; 1
B)3; 2; 0
C)3; 2; 1
D)3; 3; 1
Q3) The advanced practice nurse is preparing for an examination of the internal genitalia of a woman.Which order of the examination is correct?
A)Bimanual, speculum, and rectovaginal
B)Speculum, rectovaginal, and bimanual
C)Speculum, bimanual, and rectovaginal
D)Rectovaginal, bimanual, and speculum
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Child, and Adolescent
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A patient tells the nurse, "Sometimes I wake up at night and I have real trouble breathing.I have to sit up in bed to get a good breath." When documenting this information, the nurse would note:
A)Orthopnea
B)Acute emphysema
C)Paroxysmal nocturnal dyspnea
D)Acute shortness of breath episode
Q2) While reviewing a patient's medical record, the nurse notices that a patient's Hematest results are positive.This finding indicates that there is (are):
A)Crystals in his urine
B)Parasites in his stool
C)Occult blood in his stool
D)Bacteria in his sputum
Q3) The nurse should use which location for eliciting deep tendon reflexes?
A)Achilles
B)Femoral
C)Scapular
D)Abdominal
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Chapter 29: Bedside Assessment of the Hospitalized Patient
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11 Flashcards
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Sample Questions
Q1) During an assessment, the nurse is unable to palpate pulses in the patient's 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 the 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) When assessing a patient's general appearance, the nurse should include which question?
A)Is the patient's muscle strength equal in both arms?
B)Is ptosis or facial droop present?
C)Does the patient respond appropriately to questions?
D)Are the pupils equal in reaction and size?
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Chapter 30: The Pregnant Woman
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Sample Questions
Q1) The nurse is palpating the uterus of a woman who is 8 weeks pregnant.Which finding would be considered to be most consistent with this stage of pregnancy?
A)The uterus seems slightly enlarged and softened.
B)It reaches the pelvic brim and is approximately the size of a grapefruit.
C)The uterus rises above the pelvic brim and is approximately the size of a cantaloupe.
D)It is about the size of an avocado, approximately 8 cm across the fundus.
Q2) A woman in her second trimester of pregnancy states, "I'm so glad the morning sickness is gone, but I feel so tired!" What action by the nurse is appropriate at this time?
(Select all that apply.)
A)Order a test of the woman's vitamin D level.
B)Instruct her to get more rest during the day.
C)Order a complete blood cell count.
D)Order thyroid function studies.
E)Offer human immunodeficiency virus (HIV) screening.
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Chapter 31: Functional Assessment of the Older Adult
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Sample Questions
Q1) The nurse is working with the older adult population and recognizes that polypharmacy can increase the risk for the older adult for:
A)Increased sexuality
B)Reduction of falls
C)Decrease in functional ability
D)Improved cognition
Q2) The nurse is assessing an older adult's functional ability.The nurse will need to determine the patient's:
A)Experience of the expected changes of aging.
B)Motivation to live independently
C)Level of cognition
D)Ability to perform activities necessary to live in modern society
Q3) During a health history interview with an 88-year-old female patient and daughter who is the caregiver, the nurse notes that the daughter appears stressed and her responses are abrupt.The nurse uses STOPHARM to:
A)Assess for physical and cognitive changes
B)Determine potential elder abuse
C)Measure physical function
D)Evaluate support and stress
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