Health Assessment
Final Test Solutions
Course Introduction
Health Assessment is a foundational course designed to equip students with the essential skills needed to systematically collect, interpret, and document comprehensive health data from individuals across the lifespan. The course emphasizes a holistic approach, integrating physical, psychological, social, and cultural dimensions of health. Through theoretical instruction and practical application, students learn techniques in history taking, physical examination, and the use of assessment tools to identify normal and abnormal findings. The course prepares students for clinical decision-making by fostering critical thinking and effective communication required for patient-centered care.
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) The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the __________ diagnosis.
A)Nursing
B)Medical
C)Admission
D)Collaborative
Answer: A
Q2) 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
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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) Symptoms,such as pain,are often influenced by a person's cultural heritage.Which of the following is a true statement regarding pain?
A)Nurses' attitudes toward their patients' pain are unrelated to their own experiences with pain.
B)Nurses need to recognize that many cultures practice silent suffering as a response to pain.
C)A nurse's area of clinical practice will most likely determine his or her assessment of a patient's pain.
D)A nurse's years of clinical experience and current position are strong indicators of his or her response to patient pain.
Answer: B
Q2) The nurse recognizes that an example of a person who is heritage consistent would be a:
A)Woman who has adapted her clothing to the clothing style of her new country.
B)Woman who follows the traditions that her mother followed regarding meals.
C)Man who is not sure of his ancestor's country of origin.
D)Child who is not able to speak his parents' native language.
Answer: B
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Chapter 3: The Interview
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/19728
Sample Questions
Q1) A woman has just entered the emergency department after being battered by her husband.The nurse needs to get some information from her to begin treatment.What is the best choice for an opening phase of the interview with this patient?
A)"Hello, Nancy, my name is Mrs. C."
B)"Hello, Mrs. H., my name is Mrs. C. It sure is cold today!"
C)"Mrs. H., my name is Mrs. C. How are you?"
D)"Mrs. H., my name is Mrs. C. I'll need to ask you a few questions about what happened."
Answer: D
Q2) 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
Answer: D
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5
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) 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) A 59-year-old patient tells the nurse that he has ulcerative colitis.He has been having "black stools" for the last 24 hours.How would the nurse best document his reason for seeking care?
A)J.M. is a 59-year-old man seeking treatment for ulcerative colitis.
B)J.M. came into the clinic complaining of having black stools for the past 24 hours.
C)J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked.
D)J.M. is a 59-year-old man who states that he has been having "black stools" for the past 24 hours.
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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 planning to assess new memory with a patient.The best way for the nurse to do this would be to:
A)Administer the FACT test.
B)Ask him to describe his first job.
C)Give him the Four Unrelated Words Test.
D)Ask him to describe what television show he was watching before coming to the clinic.
Q2) The nurse is conducting a patient interview.Which statement made by the patient should the nurse more fully explore during the interview?
A)"I sleep like a baby."
B)"I have no health problems."
C)"I never did too good in school."
D)"I am not currently taking any medications."
Q3) During a mental status examination,the nurse wants to assess a patient's affect.The nurse should ask the patient which question?
A)"How do you feel today?"
B)"Would you please repeat the following words?"
C)"Have these medications had any effect on your pain?"
D)"Has this pain affected your ability to get dressed by yourself?"
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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) During a session on substance abuse,the nurse is reviewing statistics with the class.For persons aged 12 years and older,which illicit substance was most commonly used?
A)Crack cocaine
B)Heroin
C)Marijuana
D)Hallucinogens
Q2) The nurse is reviewing aspects of substance abuse in preparation for a seminar.Which of these statements illustrates the concept of tolerance to an illicit substance? The person:
A)Has a physiologic dependence on a substance.
B)Requires an increased amount of the substance to produce the same effect.
C)Requires daily use of the substance to function and is unable to stop using it.
D)Experiences a syndrome of physiologic symptoms if the substance is not used.
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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) The nurse is using the danger assessment tool to evaluate the risk of homicide.Which of these statements best describes its use ?
A)The DA tool is to be administered by law enforcement personnel.
B)The DA tool should be used in every assessment of suspected abuse.
C)The number of "yes" answers indicates the woman's understanding of her situation.
D)The higher the number of "yes" answers, the more serious the danger of the woman's situation.
Q2) Which term refers to a wound produced by the tearing or splitting of body tissue,usually from blunt impact over a bony surface?
A)Abrasion
B)Contusion
C)Laceration
D)Hematoma
Q3) When documenting IPV and elder abuse,the nurse should include:
A)Photographic documentation of the injuries.
B)Summary of the abused patient's statements.
C)Verbatim documentation of every statement made.
D)General description of injuries in the progress notes.
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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) The nurse is unable to palpate the right radial pulse on a patient.The best action would be to:
A)Auscultate over the area with a fetoscope.
B)Use a goniometer to measure the pulsations.
C)Use a Doppler device to check for pulsations over the area.
D)Check for the presence of pulsations with a stethoscope.
Q2) The nurse is preparing to perform a physical assessment.The correct action by the nurse is reflected by which statement? The nurse:
A)Performs the examination from the left side of the bed.
B)Examines tender or painful areas first to help relieve the patient's anxiety.
C)Follows the same examination sequence, regardless of the patient's age or condition.
D)Organizes the assessment to ensure that the patient does not change positions too often.
Q3) When examining an infant,the nurse should examine which area first?
A)Ear
B)Nose
C)Throat
D)Abdomen
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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) A patient's weekly blood pressure readings for 2 months have ranged between 124/84 mm Hg and 136/88 mm Hg,with an average reading of 126/86 mm Hg.The nurse knows that this blood pressure falls within which blood pressure category?
A)Normal blood pressure
B)Prehypertension
C)Stage 1 hypertension
D)Stage 2 hypertension
Q2) In a patient with acromegaly,the nurse will expect to discover which assessment findings?
A)Heavy, flattened facial features
B)Growth retardation and a delayed onset of puberty
C)Overgrowth of bone in the face, head, hands, and feet
D)Increased height and weight and delayed sexual development
Q3) When assessing the force,or strength,of a pulse,the nurse recalls that the pulse:
A)Is usually recorded on a 0- to 2-point scale.
B)Demonstrates elasticity of the vessel wall.
C)Is a reflection of the heart's stroke volume.
D)Reflects the blood volume in the arteries during diastole.
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Chapter 10: Pain Assessment: The Fifth Vital Sign
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/19735
Sample Questions
Q1) A patient states that the pain medication is "not working" and rates his postoperative pain at a 10 on a 1-to-10 scale.Which of these assessment findings indicates an acute pain response to poorly controlled pain?
A)Confusion
B)Hyperventilation
C)Increased blood pressure and pulse
D)Depression
Q2) A patient is complaining of severe knee pain after twisting it during a basketball game and is requesting pain medication.Which action by the nurse is appropriate?
A)Completing the physical examination first and then giving the pain medication
B)Telling the patient that the pain medication must wait until after the x-ray images are completed
C)Evaluating the full range of motion of the knee and then medicating for pain
D)Administering pain medication and then proceeding with the assessment
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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) How should the nurse perform a triceps skinfold assessment?
A)After pinching the skin and fat, the calipers are vertically applied to the fat fold.
B)The skin and fat on the front of the patient's arm are gently pinched, and then the calipers are applied.
C)After applying the calipers, the nurse waits 3 seconds before taking a reading. After repeating the procedure three times, an average is recorded.
D)The patient is instructed to stand with his or her back to the examiner and arms folded across the chest. The skin on the forearm is pinched.
Q2) In teaching a patient how to determine total body fat at home,the nurse includes instructions to obtain measurements of:
A)Height and weight.
B)Frame size and weight.
C)Waist and hip circumferences.
D)Mid-upper arm circumference and arm span.
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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 black patient 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, gray, or dull.
D)Patchy areas of pallor.
Q2) A mother has noticed that her son,who has been to a new babysitter,has some blisters and scabs on his face and buttocks.On examination,the nurse notices moist,thin-roofed vesicles with a thin erythematous base and suspects:
A)Eczema.
B)Impetigo.
C)Herpes zoster.
D)Diaper dermatitis.
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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Page 14
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) When examining a patient's CN function,the nurse remembers that the muscles in the neck that are innervated by CN XI are the:
A)Sternomastoid and trapezius.
B)Spinal accessory and omohyoid.
C)Trapezius and sternomandibular.
D)Sternomandibular and spinal accessory.
Q2) The nurse notices that a patient's submental lymph nodes are enlarged.In an effort to identify the cause of the node enlargement,the nurse would assess the patient's:
A)Infraclavicular area.
B)Supraclavicular area.
C)Area distal to the enlarged node.
D)Area proximal to the enlarged node.
Q3) During an examination of a female patient,the nurse notes lymphadenopathy and suspects an acute infection.Acutely infected lymph nodes would be:
A)Clumped.
B)Unilateral.
C)Firm but freely movable.
D)Firm and nontender.
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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 comes to the emergency department after a boxing match,and his left eye is swollen almost shut.He has bruises on his face and neck.He says he is worried because he "can't see well" from his left eye.The physician suspects retinal damage.The nurse recognizes that signs of retinal detachment include:
A)Loss of central vision.
B)Shadow or diminished vision in one quadrant or one half of the visual field.
C)Loss of peripheral vision.
D)Sudden loss of pupillary constriction and accommodation.
Q2) During an assessment of the sclera of a black patient,the nurse would consider which of these an expected finding?
A)Yellow fatty deposits over the cornea
B)Pallor near the outer canthus of the lower lid
C)Yellow color of the sclera that extends up to the iris
D)Presence of small brown macules on the sclera
Q3) In a patient who has anisocoria,the nurse would expect to observe:
A)Dilated pupils.
B)Excessive tearing.
C)Pupils of unequal size.
D)Uneven curvature of the lens.
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Page 16
Chapter 15: Ears
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/19740
Sample Questions
Q1) During an examination,the patient states he is hearing a buzzing sound and says that it is "driving me crazy!" The nurse recognizes that this symptom indicates:
A)Vertigo.
B)Pruritus.
C)Tinnitus.
D)Cholesteatoma.
Q2) The nurse is preparing to perform an otoscopic examination of a newborn infant.Which statement is true regarding this examination?
A)Immobility of the drum is a normal finding.
B)An injected membrane would indicate an infection.
C)The normal membrane may appear thick and opaque.
D)The appearance of the membrane is identical to that of an adult.
Q3) The nurse is performing an ear examination of an 80-year-old patient.Which of these findings would be considered normal?
A)High-tone frequency loss
B)Increased elasticity of the pinna
C)Thin, translucent membrane
D)Shiny, pink tympanic membrane
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17
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 projections in the nasal cavity that increase the surface area are called the:
A)Meatus.
B)Septum.
C)Turbinates.
D)Kiesselbach plexus.
Q2) When examining the nares of a 45-year-old patient who has complaints of rhinorrhea,itching of the nose and eyes,and sneezing,the nurse notices the following: pale turbinates,swelling of the turbinates,and clear rhinorrhea.Which of these conditions is most likely the cause?
A)Nasal polyps
B)Acute sinusitis
C)Allergic rhinitis
D)Acute rhinitis
Q3) When assessing the tongue of an adult,the nurse knows that an abnormal finding would be:
A)Smooth glossy dorsal surface.
B)Thin white coating over the tongue.
C)Raised papillae on the dorsal surface.
D)Visible venous patterns on the ventral surface.
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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 65-year-old patient remarks that she just cannot believe that her breasts "sag so much." She states it must be from a lack of exercise.What explanation should the nurse offer her? After menopause:
A)Only women with large breasts experience sagging.
B)Sagging is usually due to decreased muscle mass within the breast.
C)A diet that is high in protein will help maintain muscle mass, which keeps the breasts from sagging.
D)The glandular and fat tissue atrophies, causing breast size and elasticity to diminish, resulting in breasts that sag.
Q2) In performing a breast examination,the nurse knows that examining the upper outer quadrant of the breast is especially important.The reason for this is that the upper outer quadrant is:
A)The largest quadrant of the breast.
B)The location of most breast tumors.
C)Where most of the suspensory ligaments attach.
D)More prone to injury and calcifications than other locations in the breast.
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19
Chapter 18: Thorax and Lungs
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/19743
Sample Questions
Q1) 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).
Q2) During auscultation of the lungs of an adult patient,the nurse notices the presence of bronchophony.The nurse should assess for signs of which condition?
A)Airway obstruction
B)Emphysema
C)Pulmonary consolidation
D)Asthma
Q3) When assessing a patient's lungs,the nurse recalls that the left lung:
A)Consists of two lobes.
B)Is divided by the horizontal fissure.
C)Primarily consists of an upper lobe on the posterior chest.
D)Is shorter than the right lung because of the underlying stomach.
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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) The nurse is assessing a patient's pulses and notices a difference between the patient's apical pulse and radial pulse.The apical pulse was 118 beats per minute,and the radial pulse was 105 beats per minute.What is the pulse deficit?
Q2) The nurse is preparing for a class on risk factors for hypertension and reviews recent statistics.Which racial group has the highest prevalence of hypertension in the world?
A)Blacks
B)Whites
C)American Indians
D)Hispanics
Q3) 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(n):
A)Normal heart.
B)Systolic murmur.
C)Enlargement of the left ventricle.
D)Enlargement of the right ventricle.
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21
Chapter 20: Peripheral Vascular System and Lymphatic System
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/19745
Sample Questions
Q1) The nurse is examining the lymphatic system of a healthy 3-year-old child.Which finding should the nurse expect?
A)Excessive swelling of the lymph nodes
B)Presence of palpable lymph nodes
C)No palpable nodes because of the immature immune system of a child
D)Fewer numbers and a smaller size of lymph nodes compared with those of an adult
Q2) The nurse is reviewing an assessment of a patient's peripheral pulses and notices that the documentation states that the radial pulses are "2+." The nurse recognizes that this reading indicates what type of pulse?
A)Bounding
B)Normal
C)Weak
D)Absent
Q3) Which statement is true regarding the arterial system?
A)Arteries are large-diameter vessels.
B)The arterial system is a high-pressure system.
C)The walls of arteries are thinner than those of the veins.
D)Arteries can greatly expand to accommodate a large blood volume increase.
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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) During an abdominal assessment,the nurse elicits tenderness on light palpation in the right lower quadrant.The nurse interprets that this finding could indicate a disorder of which of these structures?
A)Spleen
B)Sigmoid
C)Appendix
D)Gallbladder
Q2) During an assessment of a newborn infant,the nurse recalls that pyloric stenosis would be exhibited by:
A)Projectile vomiting.
B)Hypoactive bowel activity.
C)Palpable olive-sized mass in the right lower quadrant.
D)Pronounced peristaltic waves crossing from right to left.
Q3) The nurse is performing percussion during an abdominal assessment.Percussion notes heard during the abdominal assessment may include:
A)Flatness, resonance, and dullness.
B)Resonance, dullness, and tympany.
C)Tympany, hyperresonance, and dullness.
D)Resonance, hyperresonance, and flatness.
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Page 23
Chapter 22: Musculoskeletal System
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/19747
Sample Questions
Q1) The nurse is providing patient education for a man who has been diagnosed with a rotator cuff injury.The nurse knows that a rotator cuff injury involves the:
A)Nucleus pulposus.
B)Articular processes.
C)Medial epicondyle.
D)Glenohumeral joint.
Q2) A patient has been diagnosed with osteoporosis and asks the nurse,"What is osteoporosis?" The nurse explains that osteoporosis is defined as:
A)Increased bone matrix.
B)Loss of bone density.
C)New, weaker bone growth.
D)Increased phagocytic activity.
Q3) A woman who has had rheumatoid arthritis for years is starting to notice that her fingers are drifting to the side.The nurse knows that this condition is commonly referred to as:
A)Radial drift.
B)Ulnar deviation.
C)Swan-neck deformity.
D)Dupuytren contracture.
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Page 24
Chapter 23: Neurologic System
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56 Flashcards
Source URL: https://quizplus.com/quiz/19748
Sample Questions
Q1) Which of these statements about the peripheral nervous system is correct?
A)The CNs enter the brain through the spinal cord.
B)Efferent fibers carry sensory input to the central nervous system through the spinal cord.
C)The peripheral nerves are inside the central nervous system and carry impulses through their motor fibers.
D)The peripheral nerves carry input to the central nervous system by afferent fibers and away from the central nervous system by efferent fibers.
Q2) A 69-year-old patient has been admitted to an adult psychiatric unit because his wife thinks he is getting more and more confused.He laughs when he is found to be forgetful,saying "I'm just getting old!" After the nurse completes a thorough neurologic assessment,which findings would be indicative of Alzheimer disease? Select all that apply.
A)Occasionally forgetting names or appointments
B)Difficulty performing familiar tasks, such as placing a telephone call
C)Misplacing items, such as putting dish soap in the refrigerator
D)Sometimes having trouble finding the right word
E)Rapid mood swings, from calm to tears, for no apparent reason
F)Getting lost in one's own neighborhood
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Page 25
Chapter 24: Male Genitourinary System
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/19749
Sample Questions
Q1) A 59-year-old patient has been diagnosed with prostatitis and is being seen at the clinic for complaints of burning and pain during urination.He is experiencing:
A)Dysuria.
B)Nocturia.
C)Polyuria.
D)Hematuria.
Q2) A 15-year-old boy is seen in the clinic for complaints of "dull pain and pulling" in the scrotal area.On examination,the nurse palpates a soft,irregular mass posterior to and above the testis on the left.This mass collapses when the patient is supine and refills when he is upright.This description is consistent with:
A)Epididymitis.
B)Spermatocele.
C)Testicular torsion.
D)Varicocele.
Q3) The external male genital structures include the:
A)Testis.
B)Scrotum.
C)Epididymis.
D)Vas deferens.
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Page 26
Chapter 25: Anus,Rectum,and Prostate
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/19750
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) 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.
Q3) The mother of a 5-year-old girl tells the nurse that she has noticed her daughter "scratching at her bottom a lot the last few days." During the assessment,the nurse finds redness and raised skin in the anal area.This finding most likely indicates:
A)Pinworms.
B)Chickenpox.
C)Constipation.
D)Bacterial infection.
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Page 27
Chapter 26: Female Genitourinary System
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/19751
Sample Questions
Q1) The nurse is preparing to examine the external genitalia of a school-age girl.Which position would be most appropriate in this situation?
A)In the parent's lap
B)In a frog-leg position on the examining table
C)In the lithotomy position with the feet in stirrups
D)Lying flat on the examining table with legs extended
Q2) During the examination portion of a patient's visit,she will be in lithotomy position.Which statement reflects some things that the nurse can do to make this position more comfortable for her?
A)Ask her to place her hands and arms over her head.
B)Elevate her head and shoulders to maintain eye contact.
C)Allow her to choose to have her feet in the stirrups or have them resting side by side on the edge of the table.
D)Allow her to keep her buttocks approximately 6 inches from the edge of the table to prevent her from feeling as if she will fall off.
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28
Chapter 27: The Complete Health Assessment: Adult
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A patient is unable to shrug her shoulders against the nurse's resistant hands.What cranial nerve is involved with successful shoulder shrugging?
A)VII
B)IX
C)XI
D)XII
Q2) During an examination,the nurse notices that a patient is unable to stick out his tongue.Which cranial nerve is involved with the successful performance of this action?
A)I
B)V
C)XI
D)XII
Q3) The nurse notices that a patient has ulcerations on the tips of the toes and on the lateral aspect of the ankles.This finding indicates:
A)Lymphedema.
B)Raynaud disease.
C)Arterial insufficiency.
D)Venous insufficiency.
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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) When assessing the neonate,the nurse should test for hip stability with which method?
A)Eliciting the Moro reflex
B)Performing the Romberg test
C)Checking for the Ortolani sign
D)Assessing the stepping reflex
Q2) Which of these actions is most appropriate to perform on a 9-month-old infant at a well-child checkup?
A)Testing for Ortolani sign
B)Assessment for stereognosis
C)Blood pressure measurement
D)Assessment for the presence of the startle reflex
Q3) 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) During a morning assessment,the nurse notices that a patient's urine output is below the expected amount.What should the nurse do next?
A)Obtain an order for a Foley catheter.
B)Obtain an order for a straight catheter.
C)Perform a bladder scan test.
D)Refer the patient to an urologist.
Q3) During an assessment,the nurse is unable to palpate pulses in the 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 a Doppler device to assess the pulses.
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Chapter 30: The Pregnant Woman
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/19755
Sample Questions
Q1) A female patient has nausea,breast tenderness,fatigue,and amenorrhea.Her last menstrual period was 6 weeks ago.The nurse interprets that this patient is experiencing __________ signs of pregnancy.
A)Positive
B)Possible
C)Probable
D)Presumptive
Q2) A patient is being seen at the clinic for her 10-week prenatal visit.She asks when she will be able to hear the baby's heartbeat.The nurse should reply:
A)"The baby's heartbeat is not usually heard until the second trimester."
B)"The baby's heartbeat may be heard anywhere from the ninth to the twelfth week."
C)"It is often difficult to hear the heartbeat at this point, but we can try."
D)"It is normal to hear the heartbeat at 6 weeks. We may be able to hear it today."
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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) When using the various instruments to assess an older person's ADLs,the nurse needs to remember that a disadvantage of these instruments includes:
A)Reliability of the tools.
B)Self or proxy reporting of functional activities.
C)Lack of confidentiality during the assessment.
D)Insufficient details concerning the deficiencies identified.
Q2) 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
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