Health Assessment Exam Preparation Guide
Course Introduction
Health Assessment is a foundational course that introduces students to the comprehensive evaluation of patients health status across the lifespan. Through a blend of theoretical instruction and practical skill development, students learn systematic methods for collecting health histories, conducting physical examinations, and utilizing clinical reasoning to identify normal and abnormal findings. Emphasis is placed on effective communication, cultural competence, and evidence-based techniques to accurately assess physical, psychological, and social aspects of health. This course prepares students to synthesize assessment data into informed clinical decision-making and care planning within diverse healthcare settings.
Recommended Textbook
Physical Examination and Health Assessment 7th Edition by Jarvis
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31 Chapters
1092 Verified Questions
1092 Flashcards
Source URL: https://quizplus.com/study-set/1000
Page 2
Chapter 1: Evidence-Based Assessment
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/19726
Sample Questions
Q1) After completing an initial assessment of a patient,the nurse has charted that his respirations are eupneic and his pulse is 58 beats per minute.These types of data would be:
A)Objective.
B)Reflective.
C)Subjective.
D)Introspective.
Answer: A
Q2) The nursing process is a sequential method of problem solving that nurses use and includes which steps?
A)Assessment, treatment, planning, evaluation, discharge, and follow-up
B)Admission, assessment, diagnosis, treatment, and discharge planning
C)Admission, diagnosis, treatment, evaluation, and discharge planning
D)Assessment, diagnosis, outcome identification, planning, implementation, and evaluation
Answer: D
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3
Chapter 2: Cultural Competence
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/19727
Sample Questions
Q1) A 63-year-old Chinese-American man enters the hospital with complaints of chest pain,shortness of breath,and palpitations.Which statement most accurately reflects the nurse's best course of action?
A)The nurse should focus on performing a full cardiac assessment.
B)The nurse should focus on psychosomatic complaints because the patient has just learned that his wife has cancer.
C)This patient is not in any danger at present; therefore, the nurse should send him home with instructions to contact his physician.
D)It is unclear what is happening with this patient; consequently, the nurse should perform an assessment in both the physical and the psychosocial realms.
Answer: D
Q2) When planning a cultural assessment,the nurse should include which component?
A)Family history
B)Chief complaint
C)Medical history
D)Health-related beliefs
Answer: D
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Chapter 3: The Interview
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40 Verified Questions
40 Flashcards
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Sample
Questions
Q1) During an interview,a parent of a hospitalized child is sitting in an open position.As the interviewer begins to discuss his son's treatment,however,he suddenly crosses his arms against his chest and crosses his legs.This changed posture would suggest that the parent is:
A)Simply changing positions.
B)More comfortable in this position.
C)Tired and needs a break from the interview.
D)Uncomfortable talking about his son's treatment.
Answer: D
Q2) The nurse is nearing the end of an interview.Which statement is appropriate at this time?
A)"Did we forget something?"
B)"Is there anything else you would like to mention?"
C)"I need to go on to the next patient. I'll be back."
D)"While I'm here, let's talk about your upcoming surgery."
Answer: B
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Chapter 4: The Complete Health History
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/19729
Sample Questions
Q1) As part of the health history of a 6-year-old boy at a clinic for a sports physical examination,the nurse reviews his immunization record and notes that his last measles-mumps-rubella (MMR)vaccination was at 15 months of age.What recommendation should the nurse make?
A)No further MMR immunizations are needed.
B)MMR vaccination needs to be repeated at 4 to 6 years of age.
C)MMR immunization needs to be repeated every 4 years until age 21 years.
D)A recommendation cannot be made until the physician is consulted.
Q2) The nurse is taking a family history.Important diseases or problems about which the patient should be specifically asked include:
A)Emphysema.
B)Head trauma.
C)Mental illness.
D)Fractured bones.
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 6
Chapter 5: Mental Status Assessment
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/19730
Sample Questions
Q1) The nurse is performing the Denver II screening test on a 12-month-old infant during a routine well-child visit.The nurse should tell the infant's parents that the Denver II:
A)Tests three areas of development: cognitive, physical, and psychological
B)Will indicate whether the child has a speech disorder so that treatment can begin.
C)Is a screening instrument designed to detect children who are slow in development.
D)Is a test to determine intellectual ability and may indicate whether problems will develop later in school.
Q2) A woman brings her husband to the clinic for an examination.She is particularly worried because after a recent fall,he seems to have lost a great deal of his memory of recent events.Which statement reflects the nurse's best course of action?
A)Perform a complete mental status examination.
B)Refer him to a psychometrician.
C)Plan to integrate the mental status examination into the history and physical examination.
D)Reassure his wife that memory loss after a physical shock is normal and will soon subside.
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Chapter 6: Substance Use Assessment
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/19731
Sample Questions
Q1) A 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) The nurse is asking an adolescent about illicit substance abuse.The adolescent answers,"Yes,I've used marijuana at parties with my friends." What is the next question the nurse should ask?
A)"Who are these friends?"
B)"Do your parents know about this?"
C)"When was the last time you used marijuana?"
D)"Is this a regular habit?"
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8
Chapter 7: Domestic and Family Violence Assessments
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/19732
Sample Questions
Q1) During an interview,a woman has answered "yes" to two of the Abuse Assessment Screen questions.What should the nurse say next?
A)"I need to report this abuse to the authorities."
B)"Tell me about this abuse in your relationship."
C)"So you were abused?"
D)"Do you know what caused this abuse?"
Q2) A female patient has denied any abuse when answering the Abuse Assessment Screen,but the nurse has noticed some other conditions that are associated with IPV.Examples of such conditions include:
A)Asthma.
B)Confusion.
C)Depression.
D)Frequent colds.
Q3) The nurse is assessing bruising on an injured patient.Which color indicates a new bruise that is less than 2 hours old?
A)Red
B)Purple-blue
C)Greenish-brown
D)Brownish-yellow
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Page 9
Chapter 8: Assessment Techniques and Safety in the Clinical Setting
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/19733
Sample Questions
Q1) A man is at the clinic for a physical examination.He states that he is "very anxious" about the physical examination.What steps can the nurse take to make him more comfortable?
A)Appear unhurried and confident when examining him.
B)Stay in the room when he undresses in case he needs assistance.
C)Ask him to change into an examining gown and to take off his undergarments.
D)Defer measuring vital signs until the end of the examination, which allows him time to become comfortable.
Q2) An examiner is using an ophthalmoscope to examine a patient's eyes.The patient has astigmatism and is nearsighted.The use of which of these techniques would indicate that the examination is being correctly performed?
A)Using the large full circle of light when assessing pupils that are not dilated
B)Rotating the lens selector dial to the black numbers to compensate for astigmatism
C)Using the grid on the lens aperture dial to visualize the external structures of the eye
D)Rotating the lens selector dial to bring the object into focus
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Page 10
Chapter 9: General Survey, Measurement, Vital Signs
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52 Verified Questions
52 Flashcards
Source URL: https://quizplus.com/quiz/19734
Sample Questions
Q1) What is the pulse pressure for a patient whose blood pressure is 158/96 mm Hg and whose pulse rate is 72 beats per minute?
Q2) When auscultating the blood pressure of a 25-year-old patient,the nurse notices the phase I Korotkoff sounds begin at 200 mm Hg.At 100 mm Hg,the Korotkoff sounds muffle.At 92 mm Hg,the Korotkoff sounds disappear.How should the nurse record this patient's blood pressure?
A)200/92
B)200/100
C)100/200/92
D)200/100/92
Q3) Which technique is correct when the nurse is assessing the radial pulse of a patient? The pulse is counted for:
A)1 minute, if the rhythm is irregular.
B)15 seconds and then multiplied by 4, if the rhythm is regular.
C)2 full minutes to detect any variation in amplitude.
D)10 seconds and then multiplied by 6, if the patient has no history of cardiac abnormalities.
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11
Chapter 10: Pain Assessment: The Fifth Vital Sign
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) A 60-year-old woman has developed reflexive sympathetic dystrophy after arthroscopic repair of her shoulder.A key feature of this condition is that the:
A)Affected extremity will eventually regain its function.
B)Pain is felt at one site but originates from another location.
C)Patient's pain will be associated with nausea, pallor, and diaphoresis.
D)Slightest touch, such as a sleeve brushing against her arm, causes severe and intense pain.
Q2) When assessing the quality of a patient's pain,the nurse should ask which question?
A)"When did the pain start?"
B)"Is the pain a stabbing pain?"
C)"Is it a sharp pain or dull pain?"
D)"What does your pain feel like?"
Q3) When assessing a patient's pain,the nurse knows that an example of visceral pain would be:
A)Hip fracture.
B)Cholecystitis.
C)Second-degree burns.
D)Pain after a leg amputation.
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12
Chapter 11: Nutritional Assessment
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/19736
Sample Questions
Q1) The nurse is performing a nutritional assessment on a 15-year-old girl who tells the nurse that she is "so fat." Assessment reveals that she is 5 feet 4 inches and weighs 110 pounds.The nurse's appropriate response would be:
A)"How much do you think you should weigh?"
B)"Don't worry about it; you're not that overweight."
C)"The best thing for you would be to go on a diet."
D)"I used to always think I was fat when I was your age."
Q2) The nurse is preparing to measure fat and lean body mass and bone mineral density.Which tool is appropriate?
A)Measuring tape
B)Skinfold calipers
C)Bioelectrical impedance analysis (BIA)
D)Dual-energy x-ray absorptiometry (DEXA)
Q3) The nurse is providing care for a 68-year-old woman who is complaining of constipation.What concern exists regarding her nutritional status?
A)Absorption of nutrients may be impaired.
B)Constipation may represent a food allergy.
C)The patient may need emergency surgery to correct the problem.
D)Gastrointestinal problems will increase her caloric demand.
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Page 13
Chapter 12: Skin, Hair, and Nails
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/19737
Sample Questions
Q1) A 35-year-old pregnant woman comes to the clinic for a monthly appointment.During the assessment,the nurse notices that she has a brown patch of hyperpigmentation on her face.The nurse continues the skin assessment aware that another finding may be:
A)Keratoses.
B)Xerosis.
C)Chloasma.
D)Acrochordons.
Q2) A patient has been admitted for severe psoriasis.The nurse expects to see what finding in the patient's fingernails?
A)Splinter hemorrhages
B)Paronychia
C)Pitting
D)Beau lines
Q3) The nurse is assessing for inflammation in a dark-skinned person.Which technique is the best?
A)Assessing the skin for cyanosis and swelling
B)Assessing the oral mucosa for generalized erythema
C)Palpating the skin for edema and increased warmth
D)Palpating for tenderness and local areas of ecchymosis
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Chapter 13: Head, Face, and Neck, Including Regional Lymphatics
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/19738
Sample Questions
Q1) A patient says that she has recently noticed a lump in the front of her neck below her "Adam's apple" that seems to be getting bigger.During the assessment,the finding that leads the nurse to suspect that this may not be a cancerous thyroid nodule is that the lump (nodule):
A)Is tender.
B)Is mobile and not hard.
C)Disappears when the patient smiles.
D)Is hard and fixed to the surrounding structures.
Q2) A patient visits the clinic because he has recently noticed that the left side of his mouth is paralyzed.He states that he cannot raise his eyebrow or whistle.The nurse suspects that he has:
A)Cushing syndrome.
B)Parkinson disease.
C)Bell palsy.
D)Experienced a cerebrovascular accident (CVA) or stroke.
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Chapter 14: Eyes
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/19739
Sample Questions
Q1) A patient's vision is recorded as 20/80 in each eye.The nurse interprets this finding to mean that the patient:
A)Has poor vision.
B)Has acute vision.
C)Has normal vision.
D)Is presbyopic.
Q2) When examining a patient's eyes,the nurse recalls that stimulation of the sympathetic branch of the autonomic nervous system:
A)Causes pupillary constriction.
B)Adjusts the eye for near vision.
C)Elevates the eyelid and dilates the pupil.
D)Causes contraction of the ciliary body.
Q3) The nurse is reviewing in age-related changes in the eye for a class.Which of these physiologic changes is responsible for presbyopia?
A)Degeneration of the cornea
B)Loss of lens elasticity
C)Decreased adaptation to darkness
D)Decreased distance vision abilities
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Chapter 15: Ears
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/19740
Sample Questions
Q1) The nurse is examining a patient's ears and notices cerumen in the external canal.Which of these statements about cerumen is correct?
A)Sticky honey-colored 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 needs to pull the portion of the ear that consists of movable cartilage and skin down and back when administering eardrops.This portion of the ear is called the: A)Auricle.
B)Concha.
C)Outer meatus.
D)Mastoid process.
Q3) The nurse assesses the hearing of a 7-month-old by clapping hands.What is the expected response? The infant:
A)Turns his or her head to localize the sound.
B)Shows no obvious response to the noise.
C)Shows a startle and acoustic blink reflex.
D)Stops any movement, and appears to listen for the sound.
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Chapter 16: Nose, Mouth, and Throat
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/19741
Sample Questions
Q1) The nurse is using an otoscope to assess the nasal cavity.Which of these techniques is correct?
A)Inserting the speculum at least 3 cm into the vestibule
B)Avoiding touching the nasal septum with the speculum
C)Gently displacing the nose to the side that is being examined
D)Keeping the speculum tip medial to avoid touching the floor of the nares
Q2) The nurse is performing an assessment on a 21-year-old patient and notices that his nasal mucosa appears pale,gray,and swollen.What would be the most appropriate question to ask the patient?
A)"Are you aware of having any allergies?"
B)"Do you have an elevated temperature?"
C)"Have you had any symptoms of a cold?"
D)"Have you been having frequent nosebleeds?"
Q3) The salivary gland that is the largest and located in the cheek in front of the ear is the _________ gland.
A)Parotid
B)Stensen's
C)Sublingual
D)Submandibular
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Page 18
Chapter 17: Breasts and Regional Lymphatics
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/19742
Sample Questions
Q1) A woman has just learned that she is pregnant.What are some things the nurse should teach her about her breasts?
A)She can expect her areolae to become larger and darker in color.
B)Breasts may begin secreting milk after the fourth month of pregnancy.
C)She should inspect her breasts for visible veins and immediately report these.
D)During pregnancy, breast changes are fairly uncommon; most of the changes occur after the birth.
Q2) During the physical examination,the nurse notices that a female patient has an inverted left nipple.Which statement regarding this is most accurate?
A)Normal nipple inversion is usually bilateral.
B)Unilateral inversion of a nipple is always a serious sign.
C)Whether the inversion is a recent change should be determined.
D)Nipple inversion is not significant unless accompanied by an underlying palpable mass.
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Chapter 18: Thorax and Lungs
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/19743
Sample Questions
Q1) The nurse knows that a normal finding when assessing the respiratory system of an older adult is:
A)Increased thoracic expansion.
B)Decreased mobility of the thorax.
C)Decreased anteroposterior diameter.
D)Bronchovesicular breath sounds throughout the lungs.
Q2) When auscultating the lungs of an adult patient,the nurse notes that low-pitched,soft breath sounds are heard over the posterior lower lobes,with inspiration being longer than expiration.The nurse interprets that these sounds are:
A)Normally auscultated over the trachea.
B)Bronchial breath sounds and normal in that location.
C)Vesicular breath sounds and normal in that location.
D)Bronchovesicular breath sounds and normal in that location.
Q3) Which statement about the apices of the lungs is true? The apices of the lungs:
A)Are at the level of the second rib anteriorly.
B)Extend 3 to 4 cm above the inner third of the clavicles.
C)Are 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).
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Chapter 19: Heart and Neck Vessels
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/19744
Sample Questions
Q1) When the nurse is auscultating the carotid artery for bruits,which of these statements reflects the correct technique?
A)While listening with the bell of the stethoscope, the patient is asked to take a deep breath and hold it.
B)While auscultating one side with the bell of the stethoscope, the carotid artery is palpated on the other side to check pulsations.
C)While lightly applying the bell of the stethoscope over the carotid artery and listening, the patient is asked to take a breath, exhale, and briefly hold it.
D)While firmly placing the bell of the stethoscope over the carotid artery and listening, the patient is asked to take a breath, exhale, and briefly hold it.
Q2) While counting the apical pulse on a 16-year-old patient,the nurse notices an irregular rhythm.His rate speeds up on inspiration and slows on expiration.What would be the nurse's response?
A)Talk with the patient about his intake of caffeine.
B)Perform an electrocardiogram after the examination.
C)No further response is needed because sinus arrhythmia can occur normally.
D)Refer the patient to a cardiologist for further testing.
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Chapter 20: Peripheral Vascular System and Lymphatic System
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) A 67-year-old patient states that he recently began to have pain in his left calf when climbing the 10 stairs to his apartment.This pain is relieved by sitting for approximately 2 minutes; then he is able to resume his activities.The nurse interprets that this patient is most likely experiencing:
A)Claudication.
B)Sore muscles.
C)Muscle cramps.
D)Venous insufficiency.
Q2) The nurse is performing a well-child checkup on a 5-year-old boy.He has no current condition that would lead the nurse to suspect an illness.His health history is unremarkable,and he received immunizations 1 week ago.Which of these findings should be considered normal in this patient?
A)Enlarged, warm, and tender nodes
B)Lymphadenopathy of the cervical nodes
C)Palpable firm, small, shotty, mobile, and nontender lymph nodes
D)Firm, rubbery, and large nodes, somewhat fixed to the underlying tissue
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Chapter 21: Abdomen
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/19746
Sample Questions
Q1) An older patient has been diagnosed with pernicious anemia.The nurse knows that this condition could be related to:
A)Increased gastric acid secretion.
B)Decreased gastric acid secretion.
C)Delayed gastrointestinal emptying time.
D)Increased gastrointestinal emptying time.
Q2) A 22-year-old man comes to the clinic for an examination after falling off his motorcycle and landing on his left side on the handle bars.The nurse suspects that he may have injured his spleen.Which of these statements is true regarding assessment of the spleen in this situation?
A)The spleen can be enlarged as a result of trauma.
B)The spleen is normally felt on routine palpation.
C)If an enlarged spleen is noted, then the nurse should thoroughly palpate to determine its size.
D)An enlarged spleen should not be palpated because it can easily rupture.
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Chapter 22: Musculoskeletal System
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51 Verified Questions
51 Flashcards
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Sample Questions
Q1) A mother brings her newborn baby boy in for a checkup; she tells the nurse that he does not seem to be moving his right arm as much as his left and that he seems to have pain when she lifts him up under the arms.The nurse suspects a fractured clavicle and would observe for:
A)Negative Allis test.
B)Positive Ortolani sign.
C)Limited range of motion during the Moro reflex.
D)Limited range of motion during Lasègue test.
Q2) The nurse is teaching a class on preventing osteoporosis to a group of perimenopausal women.Which of these actions is the best way to prevent or delay bone loss in this group?
A)Taking calcium and vitamin D supplements
B)Taking medications to prevent osteoporosis
C)Performing physical activity, such as fast walking
D)Assessing bone density annually
Q3) The ankle joint is the articulation of the tibia,fibula,and:
A)Talus.
B)Cuboid.
C)Calcaneus.
D)Cuneiform bones.
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Chapter 23: Neurologic System
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56 Flashcards
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Sample Questions
Q1) While assessing a 7-month-old infant,the nurse makes a loud noise and notices the following response: abduction and flexion of the arms and legs; fanning of the fingers,and curling of the index finger and thumb in a C position,followed by the infant bringing in the arms and legs to the body.What does the nurse know about this response?
A)This response could indicate brachial nerve palsy.
B)This reaction is an expected startle response at this age.
C)This reflex should have disappeared between 1 and 4 months of age.
D)This response is normal as long as the movements are bilaterally symmetric.
Q2) During an assessment of a 22-year-old woman who sustained a head injury from an automobile accident 4 hours earlier,the nurse notices the following changes: pupils were equal,but now the right pupil is fully dilated and nonreactive,and the left pupil is 4 mm and reacts to light.What do these findings suggest?
A)Injury to the right eye
B)Increased intracranial pressure
C)Test inaccurately performed
D)Normal response after a head injury
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Page 25
Chapter 24: Male Genitourinary System
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41 Flashcards
Source URL: https://quizplus.com/quiz/19749
Sample Questions
Q1) A 55-year-old man is in the clinic for a yearly checkup.He is worried because his father died of prostate cancer.The nurse knows which tests should be performed at this time? Select all that apply.
A)Blood test for prostate-specific antigen (PSA)
B)Urinalysis
C)Transrectal ultrasound
D)Digital rectal examination (DRE)
E)Prostate biopsy
Q2) Which of these statements is most appropriate when the nurse is obtaining a genitourinary history from an older man?
A)"Do you need to get up at night to urinate?"
B)"Do you experience nocturnal emissions, or 'wet dreams'?"
C)"Do you know how to perform a testicular self-examination?"
D)"Has anyone ever touched your genitals when you did not want them to?"
Q3) Which of these statements is true regarding the penis?
A)The urethral meatus is located on the ventral side of the penis.
B)The prepuce is the fold of foreskin covering the shaft of the penis.
C)The penis is made up of two cylindrical columns of erectile tissue.
D)The corpus spongiosum expands into a cone of erectile tissue called the glans.
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Page 26
Chapter 25: Anus,Rectum,and Prostate
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31 Flashcards
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Sample Questions
Q1) A 40-year-old black man is in the office for his annual physical examination.Which statement regarding the PSA blood test is true,according to the American Cancer Society? The PSA:
A)Should be performed with this visit.
B)Should be performed at age 45 years.
C)Should be performed at age 50 years.
D)Is only necessary if a family history of prostate cancer exists.
Q2) 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)Asymmetric, 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
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Chapter 26: Female Genitourinary System
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48 Flashcards
Source URL: https://quizplus.com/quiz/19751
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 suspects that the problem is:
A)Dysuria.
B)Stress incontinence.
C)Hematuria.
D)Urge incontinence.
Q2) A 22-year-old woman has been considering using oral contraceptives.As a part of her health history,the nurse should ask:
A)"Do you have a history of heart murmurs?"
B)"Will you be in a monogamous relationship?"
C)"Have you carefully thought this choice through?"
D)"If you smoke, how many cigarettes do you smoke per day?"
Q3) The nurse has just completed an inspection of a nulliparous woman's external genitalia.Which of these would be a description of a finding within normal limits?
A)Redness of the labia majora
B)Multiple nontender sebaceous cysts
C)Discharge that is foul smelling and irritating
D)Gaping and slightly shriveled labia majora
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Chapter 27: The Complete Health Assessment: Adult
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/19752
Sample Questions
Q1) The nurse has just recorded a positive iliopsoas test on a patient who has abdominal pain.This test is used to confirm a(n):
A)Inflamed liver.
B)Perforated spleen.
C)Perforated appendix.
D)Enlarged gallbladder.
Q2) After the health history has been obtained and before beginning the physical examination,the nurse should first ask the patient to:
A)Empty the bladder.
B)Completely disrobe.
C)Lie on the examination table.
D)Walk around the room.
Q3) During examination,the nurse finds that a patient is unable to distinguish objects placed in his hand.The nurse would document:
A)Stereognosis.
B)Astereognosis.
C)Graphesthesia.
D)Agraphesthesia.
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Chapter 28: The Complete Physical Assessment: Infant,
Child, and Adolescent
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6 Verified Questions
6 Flashcards
Source URL: https://quizplus.com/quiz/19753
Sample Questions
Q1) Which statement is true regarding the recording of data from the history and physical examination?
A)Use long, descriptive sentences to document findings.
B)Record the data as soon as possible after the interview and physical examination.
C)If the information is not documented, then it can be assumed that it was done as a standard of care.
D)The examiner should avoid taking any notes during the history and examination because of the possibility of decreasing the rapport with the patient.
Q2) The nurse is documenting the assessment of an infant.During the abdominal assessment,the nurse noticed a very loud splash auscultated over the upper abdomen when the nurse rocked her from side to side.This finding would indicate:
A)Epigastric hernia.
B)Pyloric obstruction.
C)Hypoactive bowel sounds.
D)Hyperactive bowel sounds.
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Chapter 29: Bedside Assessment of the Hospitalized Patient
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/19754
Sample Questions
Q1) At the beginning of rounds when entering the room,what should the nurse do first?
A)Check the intravenous (IV) infusion site for swelling or redness.
B)Check the infusion pump settings for accuracy.
C)Make eye contact with the patient, and introduce him or herself as the patient's nurse.
D)Offer the patient something to drink.
Q2) What should the nurse assess before entering the patient's room on morning rounds?
A)Posted conditions, such as isolation precautions
B)Patient's input and output chart from the previous shift
C)Patient's general appearance
D)Presence of any visitors in the room
Q3) The nurse is giving report to the next shift and is using the situation,background,assessment,recommendation (SBAR)framework for communication.Which of these statements reflects the Background portion of the report?
A)"I'm worried that his gastrointestinal bleeding is getting worse."
B)"We need an order for oxygen."
C)"My name is Ms. Smith, and I'm giving the report on Mrs. X in room 1104."
D)"He is 4 days postoperative, and his incision is open to air."
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Page 31
Chapter 30: The Pregnant Woman
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/19755
Sample Questions
Q1) When examining the face of a woman who is 28 weeks' pregnant,the nurse notices the presence of a butterfly-shaped increase in pigmentation on the face.The proper term for this finding in the documentation is:
A)Striae.
B)Chloasma.
C)Linea nigra.
D)Mask of pregnancy.
Q2) During auscultation of fetal heart tones (FHTs),the nurse determines that the heart rate is 136 beats per minute.The nurse's next action should be to:
A)Document the results, which are within normal range.
B)Take the maternal pulse to verify these findings as the uterine souffle.
C)Have the patient change positions and count the FHTs again.
D)Immediately notify the physician for possible fetal distress.
Q3) Which of these correctly describes the average length of pregnancy?
A)38 weeks
B)9 lunar months
C)280 days from the last day of the last menstrual period
D)280 days from the first day of the last menstrual period
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Chapter 31: Functional Assessment of the Older Adult
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/19756
Sample Questions
Q1) The nurse is assessing the abilities of an older adult.Which activities are considered IADLs? Select all that apply.
A)Feeding oneself
B)Preparing a meal
C)Balancing a checkbook
D)Walking
E)Toileting
F)Grocery shopping
Q2) A patient will be ready to be discharged from the hospital soon,and the patient's family members are concerned about whether the patient is able to walk safely outside alone.The nurse will perform which test to assess this?
A)Get Up and Go Test
B)Performance ADLs
C)Physical Performance Test
D)Tinetti Gait and Balance Evaluation
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