Foundations of Nursing Practice Study Guide Questions
Course Introduction
Foundations of Nursing Practice introduces students to the core principles, concepts, and skills essential to the nursing profession. This course emphasizes the nursing process, professional standards, ethical and legal considerations, cultural competence, and patient-centered care. Through classroom instruction, laboratory simulations, and clinical experiences, students develop fundamental competencies in assessment, basic interventions, communication, and documentation. The course also explores the historical evolution of nursing, health promotion, safety, and collaboration within interdisciplinary healthcare teams, preparing students for more advanced nursing roles and responsibilities.
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
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Sample Questions
Q1) Which critical thinking skill helps the nurse recognize relationships among data?
A)Validation
B)Clustering-related cues
C)Identifying gaps in data
D)Distinguishing relevant from irrelevant
Answer: B
Q2) A visiting nurse is making an initial home visit to a patient who has a number of chronic medical problems.Which type of database is most appropriate to collect in this setting?
A)A follow-up database to evaluate changes at appropriate intervals
B)An episodic database because of the continuing,complex medical problems of this patient
C)A complete health database because of the nurse's primary responsibility for monitoring the patient's health
D)An emergency database because of the need to rapidly collect information and make accurate diagnoses
Answer: C
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3
Chapter 2: Health Promotion in the Context of Health Assessment
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which of the following is an example of an active immunization through the use of a toxoid preparation?
A)Measles-mumps-rubella (MMR)
B)Tetanus
C)Polio
D)Immunoglobulin administration
Answer: B
Q2) Which of the following is an example of secondary prevention?
A)Pap test
B)Immunization against polio
C)Teaching school-age children the importance of handwashing
D)Teaching foot care to a newly diagnosed diabetic
Answer: A
Q3) Which is an example of tertiary prevention?
A)Pap test
B)Immunization against polio
C)Mammography
D)Teaching foot care to a person newly diagnosed with diabetes
Answer: D
Page 4
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Chapter 3: Cultural Competence: Cultural Care and Social
Considerations in Health Assessment
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) A patient tells the nurse that she believes in "the hot-cold theory,where illness is caused by hot or cold entering the body." Which of the following responses from the nurse would be most appropriate?
A)"I do not believe in this theory,but tell me about it."
B)"I know that this is your belief,but the cause is actually a virus."
C)"I did not take this in school,so it's unfamiliar to me."
D)"I have not heard of this theory.Tell me more."
Answer: D
Q2) A 32-year-old patient shares with the nurse that she has been unwell for 2 weeks.She has had a variety of symptoms and has been treating them with herbs that her mother has provided.The nurse should:
A)tell the patient that it is the herbs that are making her feel unwell.
B)ask the patient more about the effects of the herbs.
C)take a sample of the herbs to send to the laboratory for analysis.
D)ask the patient's mother to explain the use of the herbs.
Answer: B
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Chapter 4: The Interview
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40 Flashcards
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Sample Questions
Q1) Because the physical environment in which an interview takes place is an important consideration for the success of the interview,the interviewer should:
A)reduce noise by turning off televisions and radios.
B)keep a distance of about 0.6 m (2 ft)or closer between himself or herself and the patient.
C)ensure dim lighting that makes the room cozier and will help the patient relax.
D)arrange seating across a desk or table to allow the patient some personal space.
Q2) At which phase of the interview could the following statement be made? "Mr.S. ,I would like to ask you some questions about your health and your usual daily activities so that we can better plan your stay here."
A)During the summary
B)While closing the interview
C)During the body of the interview
D)When opening or introducing the interview
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Chapter 5: The Complete Health History
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Sample Questions
Q1) A 59-year-old patient tells the nurse that he is in the clinic to "check up on his ulcerative colitis." He has been having "black stools" in the last 24 hours.How would the nurse document his reason for seeking care?
A)J.M.is a 59-year-old male here for "ulcerative colitis."
B)J.M.came into the clinic complaining of black stools in the past 24 hours.
C)J.M. ,a 59-year-old male,states he has ulcerative colitis and wants to have it checked up.
D)J.M.is a 59-year-old male here for having "black stools" in the past 24 hours.
Q2) When using the mnemonic PQRSTU to help remember all the points of a patient's perception of his or her problem,what does the "S" signify?
A)Swelling
B)Subjectivity
C)Severity
D)Symptoms
Q3) The review of systems 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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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) When interviewing a patient,it is important for the nurse to obtain some basic history.Which of the following statements should be explored more fully during an interview? The patient states that he:
A)"sleeps like a baby."
B)has no health problems.
C)"never did too good in school."
D)is currently not taking any medication.
Q2) A 45-year-old woman is at the clinic for a mental health assessment.When giving her the Four Unrelated Words Test,the nurse would be concerned if the patient:
A)could not give four unrelated words within 5 minutes.
B)could not give four unrelated words within 30 seconds.
C)could not recall four unrelated words after a 30-minute delay.
D)could not recall four unrelated words after a 60-minute delay.
Q3) The nurse is planning to assess new memory with a patient.The best way to do this would be to:
A)administer the FACT test.
B)ask him to describe his first job to you.
C)give him the Four Unrelated Words Test.
D)ask him to describe the last TV show he watched before coming to the clinic.
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Page 8
Chapter 7: Substance Use in the Context of Health Assessment
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25 Flashcards
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Sample Questions
Q1) A pregnant woman has just told you that she is smokes marijuana daily and snorts cocaine regularly.Which should the nurse do in relation to this information?
A)Complete a referral to Child Protection Services.
B)Ask the woman to stop substance use while she is pregnant.
C)Phone the doctor to obtain an order for methadone for the woman.
D)Maintain confidentiality,and use discretion when charting this information.
Q2) According to Health Canada's low-risk alcohol drinking guidelines,which one of the following individuals would be classified as low risk?
A)A 22-year-old male who has 15 beers over the course of a week.
B)A 62-year-old female who has three glasses of wine with her evening meal,every night.
C)A 39-year-old male who has four beers after work every day during the week and does not consume alcohol on the weekends.
D)A 19-year-old female who drinks 12 alcoholic cooler beverages on the weekends.
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9
Chapter 8: Interpersonal Violence Assessment
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Sample Questions
Q1) In which following situation is the nurse required to perform intimate partner violence (IPV)screening?
A)When IPV is suspected
B)When a woman has an unexplained injury
C)As a routine part of each health care encounter
D)When there is a known history of abuse in the family
Q2) Which one of the following injuries would the nurse expect to commonly see in a patient who is experiencing IPV?
A)Abrasions
B)Contusions
C)Fractures
D)Chronic pain
Q3) During an examination,the nurse notices a patterned injury on a patient's back.Which of the following would cause such an injury?
A)Blunt force
B)Friction abrasion
C)Stabbing with a kitchen knife
D)Whipping from an extension cord
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10
Chapter 9: Assessment Techniques and the Clinical Setting
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Sample Questions
Q1) The nurse is preparing to percuss to assess the underlying:
A)tissue turgor.
B)tissue texture.
C)tissue density.
D)tissue consistency.
Q2) A patient has suddenly developed shortness of breath and appears to be in significant respiratory distress.Which of the following is the best action for the nurse to take?
A)Count the respirations,and call a physician immediately.
B)Percuss the thorax bilaterally,noting any differences in percussion tones.
C)Call for a chest x-ray examination,and wait for the results before beginning an assessment.
D)Inspect the thorax for any masses and bleeding associated with respirations.
Q3) Which of the following techniques involves the use of the sense of touch when assessing a patient?
A)Palpation
B)Inspection
C)Percussion
D)Auscultation
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Chapter 10: General Survey, measurement, and Vital Signs
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51 Verified Questions
51 Flashcards
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Sample Questions
Q1) A patient is at the clinic complaining of "fainting episodes that started last week." How should the nurse proceed with the examination?
A)Take the BP in both arms and thighs.
B)Assist the patient to a lying position and begin taking the BP.
C)Record the BP with the patient in the lying,sitting,and standing positions.
D)Record the BP with the patient in the lying and sitting positions,and average these numbers to obtain a mean BP.
Q2) The nurse is preparing to measure the length,weight,and chest and head circumferences of a 6-month-old infant.The nurse would measure the infant's:
A)length by using a tape measure.
B)weight by placing the infant on an electronic standing scale.
C)chest circumference at the nipple line with a tape measure.
D)head circumference by wrapping the tape measure over the infant's nose and cheekbones.
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Chapter 11: Pain Assessment
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13 Flashcards
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Sample Questions
Q1) When assessing the quality of a patient's pain,which of the following questions should the nurse ask the patient?
A)"When did the pain start?"
B)"Is the pain a stabbing pain?"
C)"Is it a sharp pain or a dull pain?"
D)"What does your pain feel like?"
Q2) A patient states that the pain medication is "not working" and rates his postoperative pain as 10 on a scale of 1 to 10.Which of the following assessment findings indicates an acute pain response to poorly controlled pain?
A)Confusion
B)Hyperventilation
C)Increased blood pressure and pulse
D)Decreased blood pressure and pulse
Q3) When assessing a patient's pain,the nurse knows that an example of visceral pain would be pain due to:
A)hip fracture.
B)cholecystitis.
C)second-degree burns.
D)a leg amputation.
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Chapter 12: Nutritional Assessment and Nursing Practice
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) The nurse is providing nutrition information to the mother of a 1-year-old child.Which of the following statements represents accurate information for this age group?
A)It is important to maintain adequate fat and caloric intake.
B)The recommended dietary allowances for an infant are the same as those for an adolescent.
C)At this age,the baby's growth is minimal,so caloric requirements are lower.
D)The baby should be given skim milk to decrease the risk of coronary artery disease later in life.
Q2) A mother and her 13-year-old daughter express their concern about the daughter's recent weight gain and increase in appetite.Which of the following should the nurse discuss with them?
A)The necessity of exercise and dieting at this age
B)Suggestions for snacks high in protein,iron,and calcium
C)Not allowing snacking by teenagers with a weight problem
D)The importance of a low-calorie diet to prevent the accumulation of fat
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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 father brings his 2-month-old infant to the clinic because the infant has had diarrhea for the last 24 hours.He says that his baby has not been able to keep any formula down and that the diarrhea has been occurring at least every 2 hours.The nurse suspects dehydration.Where should the nurse test skin mobility and turgor in this infant?
A)Over the sternum
B)Over the forehead
C)Over the forearms
D)Over the abdomen
Q2) The nurse is discussing epidermal appendages with a patient.Which of the following would be included in the discussion?
A)Skin
B)Arms
C)Sweat glands
D)Parotid glands
Q3) When assessing inflammation in a dark-skinned person,the nurse may need to:
A)assess the skin for cyanosis and swelling.
B)assess the oral mucosa for generalized erythema.
C)palpate the skin for edema and increased warmth.
D)palpate for tenderness and local areas of ecchymosis.
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Page 15
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) When examining children with Down's syndrome (trisomy 21),the nurse looks for the possible presence of:
A)ear dysplasia.
B)a long,thin neck.
C)a protruding thin tongue.
D)a narrow and raised nasal bridge.
Q2) During an admission assessment,the nurse notices that a male patient has an enlarged and rather thick skull.The nurse suspects acromegaly and would further assess for:
A)exophthalmos.
B)bowed long bones.
C)coarse facial features.
D)an acorn-shaped cranium.
Q3) A woman is at the clinic for a checkup and says,"My eyes have gotten puffy,and my eyebrows and hair have become coarse and dry." The nurse suspects:
A)cachexia.
B)cretinism.
C)myxedema.
D)scleroderma.
Page 16
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Chapter 15: Eyes
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Sample Questions
Q1) The mother of a newborn asks the nurse when her baby's eyesight will be fully developed.The nurse should say:
A)"Vision is not totally developed until 2 years of age."
B)"Infants develop the ability to focus on an object around 8 months."
C)"By about 3 months,infants develop more coordinated eye movements and can fixate on an object."
D)"Most infants have uncoordinated eye movements in the first year of life."
Q2) A patient's vision is recorded as 20/30 when the Snellen eye chart is used.The nurse recognizes that these results indicate that:
A)at 9.1 m (30 ft)the patient can read the entire chart.
B)the patient can read at 6.1 m (20 ft)what a person with normal vision can read at 9.1 m (30 ft).
C)the patient can read the chart from 6.1 m (20 ft)with the left eye and 9.1 m (30 ft)with the right eye.
D)the patient can read from 9.1 m (30 ft)what a person with normal vision can read from 6.1 m (20 ft).
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Chapter 16: Ears
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Sample Questions
Q1) 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.
Q2) The nurse is assessing a 16-year-old patient with head injuries from a recent motor vehicle accident.Which of the following statements indicates the most important reason for assessing for any drainage from the canal?
A)If the drum has ruptured,there will be purulent drainage.
B)Bloody or clear watery drainage can indicate a basal skull fracture.
C)The auditory canal many be occluded from increased cerumen.
D)There may be occlusion of the canal caused by foreign bodies from the accident.
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Chapter 17: Nose, mouth, and Throat
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Sample Questions
Q1) During the assessment of a 26-year-old,she states,"I have a spot on my lip I think is cancer." The nurse notes the following: a cluster of clear vesicles with an erythematous base around them located at the lip-skin border.The patient mentions that she just returned from Hawaii.What would be the most appropriate response by the nurse?
A)Tell the patient she will need to see a skin specialist.
B)Discuss the benefits of doing a biopsy of any unusual lesion.
C)Tell the patient this is herpes simplex virus 1 infection,which will heal in 4 to 10 days.
D)Tell the patient this is most likely the result of a riboflavin deficiency,and discuss nutrition.
Q2) A mother is concerned that her 18-month-old already has 12 teeth.She is wondering if this is normal for a child of this age.The nurse's best response would be:
A)"How many teeth did you have at this age?"
B)"All 20 deciduous teeth are expected to have erupted by 4 years."
C)"This is a normal number of teeth for an 18-month-old."
D)"Normally,16 deciduous teeth are expected to have erupted between 2 and 3 years."
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19
Chapter 18: Breasts and Regional Lymphatic System
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Sample Questions
Q1) If a patient reports a recent infection in the breast,the nurse would expect to find:
A)nonspecific node enlargement.
B)ipsilateral axillary node enlargement.
C)contralateral axillary node enlargement.
D)inguinal and cervical node enlargement.
Q2) During history-taking,a female patient reports that she has noticed a few drops of clear discharge from her right nipple.What should the nurse do next?
A)Immediately report this to the physician.
B)Discontinue the interview,and refer the patient for a mammogram.
C)Question the patient about medications she is taking.
D)Make a note about the discharge,but ask no further questions because clear discharge is often found in healthy women.
Q3) Which of the following women has risk factors that place her at a higher risk for breast cancer?
A)A 37-year-old who is slightly overweight
B)A 42-year-old who had a diagnosis of ovarian cancer
C)A 45-year-old who has never been pregnant
D)A 65-year-old whose mother had breast cancer
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Chapter 19: Thorax and Lungs
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Sample Questions
Q1) A 65-year-old patient with a history of heart failure comes to the clinic with complaints of "being awakened from sleep with shortness of breath." Which of the following actions by the nurse is most appropriate?
A)Obtain a detailed history of the patient's allergies and asthma.
B)Tell the patient to sleep on his or her right side to facilitate ease of respiration.
C)Assess for other signs and symptoms of paroxysmal nocturnal dyspnea.
D)Reassure the patient that this is normal and will probably resolve within the next week.
Q2) During morning assessment,the nurse notes that the patient's sputum is frothy and pink.Which of the following conditions could this finding indicate?
A)Croup
B)Tuberculosis
C)Viral infection
D)Pulmonary edema
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Chapter 20: Heart and Neck Vessels
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Sample Questions
Q1) Assessment of a 70-year-old patient with swelling in his ankles reveals jugular venous pulsations 5 cm above the sternal angle when the head of his bed is elevated 45 degrees.The nurse is aware that this indicates:
A)decreased fluid volume.
B)increased cardiac output.
C)narrowing of jugular veins.
D)increased pressure on the right side of his heart.
Q2) 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.
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Chapter 21: Peripheral Vascular System and Lymphatic System
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Sample Questions
Q1) A 35-year-old man is at the clinic for an "infection in my left foot." Which of the following would the nurse expect to find during assessment of this patient?
A)Hard and fixed cervical nodes
B)Enlarged and tender inguinal nodes
C)Bilateral enlargement of the popliteal nodes
D)"Pellet-like" nodes in the supraclavicular region
Q2) During 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,then red with a burning,throbbing pain.The nurse suspects that she is experiencing:
A)lymphedema.
B)Raynaud's syndrome.
C)deep-vein thrombosis.
D)chronic arterial insufficiency.
Q3) To assess the dorsalis pedis artery,the nurse would palpate:
A)behind the knee.
B)over the lateral malleolus.
C)in the groove behind the medial malleolus.
D)lateral to the extensor tendon of the great toe.
Page 23
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Chapter 22: Abdomen
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Sample Questions
Q1) The nurse knows that during an abdominal assessment,deep palpation is used to determine:
A)bowel motility.
B)enlarged organs.
C)superficial tenderness.
D)overall impression of skin surface and superficial musculature.
Q2) 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.
Q3) During an assessment,the nurse notes that a patient's umbilicus is enlarged and everted.It is midline,and there is no change in skin colour.The nurse recognizes that the patient may have which condition?
A)Intra-abdominal bleeding
B)Constipation
C)Umbilical hernia
D)An abdominal tumour
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Page 24
Chapter 23: Anus,rectum and Prostate
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Sample Questions
Q1) The nurse is performing a digital examination of a patient's prostate gland and notes a normal prostate gland includes the following characteristics: (Select all that apply. )
A)The gland is protruding 1 cm into the rectum.
B)The gland is heart-shaped,with a palpable central groove.
C)The gland is flat,with no palpable groove.
D)The gland has a boggy and soft consistency.
E)The gland has a smooth surface and an elastic or rubbery consistency.
F)The gland has fixed mobility.
Q2) A 40-year-old male of African descent is in the office for his annual physical.Which statement is true regarding screening for prostate cancer,according to the Canadian Cancer Society?
A)DRE is more effective than prostate-specific antigen (PSA)in finding prostate cancer.
B)Ancestry is a factor in determining when PSA testing begins.
C)PSA will be done at 50 years of age if there is a family history.
D)BPH increases an individual's risk for prostate cancer.
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Chapter 24: Musculoskeletal System
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Sample Questions
Q1) The functional units of the musculoskeletal system are the:
A)joints.
B)bones.
C)muscles.
D)tendons.
Q2) A 14-year-old boy who has been diagnosed with Osgood-Schlatter disease reports painful swelling just below the knee for the past 5 months.Which response by the nurse is appropriate?
A)"If these symptoms persist,you may need arthroscopic surgery."
B)"You are experiencing degeneration of your knee,which may not resolve."
C)"Your disease is due to repeated stress on the patellar tendon.It is usually self-limited,and your symptoms should resolve with rest."
D)"Increasing your activity and performing knee-strengthening exercises will help to decrease the inflammation and maintain mobility in the knee."
Q3) The nurse knows that another term for "knock knees" is:
A)genu varum.
B)genu valgum.
C)pes planus.
D)metatarsus adductus.
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Page 26
Chapter 25: Neurological System
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Sample Questions
Q1) In obtaining a history for a 74-year-old patient,the nurse notes that he drinks alcohol daily and that he has noticed a tremor in his hands that affects his ability to hold things.With this information,what should the nurse's response be?
A)"Does your family know you are drinking every day?"
B)"Does the tremor change when you drink the alcohol?"
C)"We'll do some tests to see what is causing the tremor."
D)"You really shouldn't drink so much alcohol;it may be causing your tremor."
Q2) A man who was found wandering in a park at 2 A.M.has been brought to the emergency department for an examination because he said he fell and hit his head.During the examination,the nurse asks him to use his index finger to touch the nurse's finger,then his own nose,and then the nurse's finger again (which has been moved to a different location).The patient is clumsy,unable to follow the instructions,and overshoots the mark,missing the finger.The nurse suspects which of the following?
A)Cerebral injury
B)Cerebrovascular accident
C)Acute alcohol intoxication
D)Peripheral neuropathy
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Chapter 26: Male Genitourinary System
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Sample Questions
Q1) The nurse is performing a genitourinary assessment on a 50-year-old obese male labourer.On examination,the nurse notes a painless round swelling close to the pubis,in the area of the internal inguinal ring,which is easily reduced when the individual is supine.These findings are most consistent with which of the following conditions?
A)A scrotal hernia
B)A femoral hernia
C)A direct inguinal hernia
D)An indirect inguinal hernia
Q2) When performing a scrotal assessment,the nurse notes that the scrotal contents transilluminate and show a red glow.On the basis of this finding,the nurse would:
A)assess the patient for the presence of a hernia.
B)suspect the presence of serous fluid in the scrotum.
C)consider this a normal finding and proceed with the examination.
D)refer the patient for evaluation of a possible mass in the scrotum.
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Chapter 27: Female Genitourinary System
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Sample Questions
Q1) When the nurse is interviewing a preadolescent girl,which of the following opening statements would be least threatening?
A)"Do you have any questions about growing up?"
B)"What has your mother told you about growing up?"
C)"When did you notice that your body was changing?"
D)"I remember being very scared when I got my period.How do you think you'll feel?"
Q2) A nonpregnant patient tells the nurse that she has had three pregnancies and two live births.How would the nurse record this information?
A)G2 P2 A1
B)G3 P2 A0
C)G3 P2 A1
D)G3 P3 A1
Q3) The uterus is usually positioned tilting forward and superior to the bladder.This position is known as:
A)anteverted and anteflexed.
B)retroverted and anteflexed.
C)retroverted and retroflexed.
D)superiorverted and anteflexed.
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Sample Questions
Q1) When assessing the neonate,the nurse should use which of the following methods to test for hip stability?
A)Elicit the Moro reflex.
B)Perform Romberg's test.
C)Check for the Ortolani sign.
D)Assess the stepping reflex.
Q2) During inspection of a patient's face,the nurse notes that the facial features are symmetrical.This finding indicates that which cranial nerve is intact?
A)VII
B)IX
C)XI
D)XII
Q3) During an examination,a patient has successfully completed the finger-to-nose and the rapid-alternating-movements tests,and is able to run each heel down the opposite shin.The nurse will conclude that the patient's:
A)occipital function is intact.
B)cerebral function is intact.
C)temporal function is intact.
D)cerebellar function is intact.
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Chapter 29: Bedside Assessment of the Hospitalized Patient
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Q1) During a morning assessment,the nurse notes that a patient's urine output is below the expected amount.What should be done next?
A)An order for a Foley catheter should be obtained.
B)An order for a straight catheter should be obtained.
C)Perform a bladder scan test.
D)Refer the patient to a urologist.
Q2) 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
Q3) The nurse has administered a pain medication to a patient by IV infusion.The nurse should reassess the patient's response to the pain medication within:
A)5 minutes.
B)15 minutes.
C)30 minutes.
D)60 minutes.
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Chapter 30: Pregnancy
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Q1) During an internal examination of a woman during her first prenatal visit,the nurse notes that the cervix is soft.This is known as:
A)Hegar's sign.
B)Chadwick's sign.
C)Homan's sign.
D)Goodell's sign.
Q2) The nurse knows that the best time to assess a woman's blood pressure during an initial prenatal visit is:
A)at the end of history-taking,before the physical exam,when she will be the most relaxed.
B)at the beginning of the interview,as a nonthreatening method of establishing rapport. C)during the middle of the physical examination,when she is the most comfortable.
D)before beginning the pelvic examination,because her blood pressure will be higher after the pelvic examination.
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Chapter 31: Functional Assessment of the Older Adult
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Q1) Which definition correctly describes a person's functional ability?
A)Functional ability is the measure of the expected changes of aging that a person is experiencing.
B)Functional ability refers to an individual's motivation to live independently.
C)Functional ability refers to the level of cognition present in an older person.
D)Functional ability refers to a person's ability to perform activities necessary to live in modern society.
Q2) During an assessment of a newly admitted 92-year-old woman,the nurse notes that her son does not want to leave the room.The woman has signs of old bruises and healed cuts that happened "last week," according to the son.Which of the following actions by the nurse is appropriate?
A)Ask the son for details about the nature of the patient's injuries.
B)Recognize that older people are often unsteady on their feet and that falls do occur.
C)Notify the authorities of a potential abusive situation.
D)Recognize that these findings do not necessarily indicate that abuse has occurred but are signs that further assessment is needed.
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