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Health Assessment for Nurses Review Questions - 1147 Verified Questions

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Health Assessment for Nurses Review

Questions

Course Introduction

Health Assessment for Nurses is a foundational course designed to develop students skills in conducting comprehensive and systematic assessments of patients across the lifespan. Emphasizing the integration of theoretical knowledge and practical skills, the course covers interview techniques, physical examinations, and the use of diagnostic tools to collect and interpret health data. Students learn to recognize normal findings, identify deviations, and document assessments effectively, facilitating critical clinical decision-making and holistic patient care. Throughout the course, cultural competence, communication, and ethical considerations are highlighted to ensure safe and effective health assessment in diverse healthcare settings.

Recommended Textbook

Physical Examination and Health Assessment 6th Edition by Carolyn Jarvis

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30 Chapters

1147 Verified Questions

1147 Flashcards

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Chapter 1: Evidence Based Assessment

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34 Verified Questions

34 Flashcards

Source URL: https://quizplus.com/quiz/20681

Sample Questions

Q1) The nurse is classifying nursing diagnoses.Which of these would be considered a risk diagnosis?

A) Identifying existing levels of wellness

B) Evaluating previous problems and goals

C) Identifying potential problems the individual may develop

D) Focusing on strengths and reflecting an individual's transition to higher levels of wellness

Answer: C

Q2) The patient's record,laboratory studies,objective data,and subjective data combine to form the:

A) data base.

B) admitting data.

C) financial statement.

D) discharge summary.

Answer: A

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Chapter 2: Cultural Competence: Cultural Care

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41 Verified Questions

41 Flashcards

Source URL: https://quizplus.com/quiz/20682

Sample Questions

Q1) If an American Indian has come to the clinic to seek help with regulating her diabetes,the nurse can expect that she:

A) will comply with the treatment prescribed.

B) has obviously given up her beliefs in naturalistic causes of disease.

C) may also be seeking the assistance of a shaman or medicine man. D) will need extra help in dealing with her illness and may be experiencing a crisis of faith.

Answer: C

Q2) In the hot/cold theory,illnesses are believed to be caused by hot or cold entering the body.Which of these patients' conditions is most consistent with a "cold" condition?

A) Diabetic patient with renal failure

B) Teenager with an abscessed tooth

C) Child with symptoms of itching and a rash

D) Elderly male with gastrointestinal discomfort

Answer: D

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4

Chapter 3: The Interview

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41 Verified Questions

41 Flashcards

Source URL: https://quizplus.com/quiz/20683

Sample Questions

Q1) The nurse is performing a health interview on a patient who has a language barrier,and no interpreter is available.Which is the best example of an appropriate question for the nurse to ask in this situation?

A) "Do you take medicine?"

B) "Do you sterilize the bottles?"

C) "Do you have nausea and vomiting?"

D) "You have been taking your medicine, haven't you?"

Answer: A

Q2) The nurse is conducting an interview in an outpatient clinic and is using a computer to record data.Which is the best use of the computer in this situation? Select all that apply.

A) Collect the patient's data in a direct, face-to-face manner.

B) Enter all the data as the patient states it.

C) Ask the patient to wait as the nurse enters data.

D) Type the data into the computer after the narrative is fully explored.

E) Allow the patient to see the monitor during typing.

Answer: A,D,E

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Page 5

Chapter 4: The Complete Health History

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35 Verified Questions

35 Flashcards

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Sample Questions

Q1) 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 male here for "ulcerative colitis."

B) J. M. came into the clinic complaining of black stools for the past 24 hours.

C) J. M., a 59-year-old male, states he has ulcerative colitis and wants it checked.

D) J. M. is a 59-year-old male here for having "black stools" for the past 24 hours.

Q2) The nurse is incorporating a person's spiritual values into the health history.Which of these questions illustrates the "community" portion of the FICA questions?

A) "Do you believe in God?"

B) "Are you a part of any religious or spiritual congregation?"

C) "Do you consider yourself to be a religious or spiritual person?"

D) "How does your religious faith influence the way you think about your health?"

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Chapter 5: Mental Status Assessment

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41 Verified Questions

41 Flashcards

Source URL: https://quizplus.com/quiz/20685

Sample Questions

Q1) The nurse is assessing a patient who was admitted with possible delirium.Which of these are manifestations of delirium? Select all that apply.

A) Develops over a short period of time

B) Person is experiencing apraxia

C) Memory impairment or deficits

D) Occurs as a result of a medical condition, such as systemic infection

E) Person is experiencing agnosia

Q2) The nurse is providing instructions to newly hired graduates about the Mini-Mental State Examination.Which statement best describes this examination?

A) Scores below 30 indicate cognitive impairment.

B) It is a good tool to evaluate mood and thought processes.

C) It is a good tool to detect delirium and dementia and to differentiate these from psychiatric mental illness.

D) It is useful for an initial evaluation of mental status. Additional tools are needed to evaluate cognition changes over time.

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Chapter 6: Substance Use Assessment

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14 Verified Questions

14 Flashcards

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Sample Questions

Q1) A patient has been admitted to the intensive care unit (ICU)after a weekend drinking binge.During the assessment,the nurse will observe for which problems in addition to alcohol withdrawal syndrome?

A) Renal failure

B) Diabetes mellitus

C) Pancreatitis

D) Small bowel obstruction

Q2) During a session on substance abuse,the nurse is reviewing statistics with the class.For persons aged 12 years and older,which of these illicit substances was the one most commonly used?

A) Crack cocaine

B) Heroin

C) Marijuana

D) Hallucinogens

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8

Chapter 7: Domestic Violence Assessment

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15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/20687

Sample Questions

Q1) The nurse is examining a 3-year-old child who was brought to the emergency room after a fall.Which bruise,if found,would be of most concern?

A) A bruise on the knee

B) A bruise on the elbow

C) Bruising on the abdomen

D) A bruise on the shin

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) The nurse suspects abuse when a 10-year-old child is taken to the urgent care center for a leg injury.The best way to document the history and physical findings is to:

A) write what the child's caregiver tells the nurse.

B) use the words the child has given to describe how the injury occurred.

C) write what the nurse observes during the conversation.

D) rely on photographs of the injuries.

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Chapter 8: Assessment Techniques and the Clinical Setting

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43 Verified Questions

43 Flashcards

Source URL: https://quizplus.com/quiz/20688

Sample Questions

Q1) The nurse hears bilateral louder,longer,and lower tones when percussing over the lungs of a 4-year-old child.What should the nurse do next?

A) Palpate over the area for increased pain and tenderness.

B) Ask the child to take shallow breaths and percuss over the area again.

C) Refer the child immediately because of an increased amount of air in the lungs.

D) Consider this a normal finding for a child this age and proceed with the examination.

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 so that the patient does not change positions too often.

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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/20689

Sample Questions

Q1) Which of these specific measurements is the best index of a child's general health?

A) Vital signs

B) Height and weight

C) Head circumference

D) Chest circumference

Q2) The nurse is taking an initial blood pressure on a 72-year-old patient with documented hypertension.How should the nurse proceed?

A) Place the cuff on the patient's arm and inflate it 30 mm Hg above the patient's pulse rate.

B) Inflate the cuff to 200 mm Hg in an attempt to obtain the most accurate systolic reading.

C) Inflate the blood pressure cuff 30 mm Hg above the point at which the palpated pulse disappears.

D) Look at the patient's past blood pressure readings and inflate the cuff 30 mm Hg above the highest systolic reading recorded.

Q3) 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?

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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 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) Which statement indicates that the nurse understands the pain experienced by an elderly person?

A) "Older persons must learn to tolerate pain."

B) "Pain is a normal process of aging and is to be expected."

C) "Pain indicates pathology or injury and is not a normal process of aging."

D) "Older individuals perceive pain to a lesser degree than do younger individuals."

Q3) 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?"

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Chapter 11: Nutritional Assessment

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46 Verified Questions

46 Flashcards

Source URL: https://quizplus.com/quiz/20691

Sample Questions

Q1) During a nutritional assessment,why is it important for the nurse to ask a patient what medications he or she is taking?

A) Certain drugs can affect the metabolism of nutrients.

B) The nurse needs to assess the patient for allergic reactions.

C) Medications need to be documented on the record for the physician's review.

D) Medications can affect one's memory and ability to identify food eaten in the last 24 hours.

Q2) An elderly patient in a nursing home has been receiving tube feedings for several months.During an oral examination,the nurse notes that patient's gums are swollen,ulcerated,and bleeding in some areas.The nurse suspects that the patient has what condition?

A) Rickets

B) Vitamin A deficiency

C) Linoleic acid deficiency

D) Vitamin C deficiency

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13

Chapter 12: Skin, Hair, and Nails

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52 Verified Questions

52 Flashcards

Source URL: https://quizplus.com/quiz/20692

Sample Questions

Q1) A semiconscious woman is brought to the emergency department after she was found on the floor in her kitchen.Her face,nail beds,lips,and oral mucosa are a bright cherry-red color.The nurse suspects that this coloring is due to:

A) polycythemia.

B) carbon monoxide poisoning.

C) carotenemia.

D) uremia.

Q2) During an examination,the nurse finds that a patient has excessive dryness of the skin.The best term to describe this condition is:

A) xerosis.

B) pruritus.

C) alopecia.

D) seborrhea.

Q3) A patient has been admitted for severe psoriasis.The nurse can expect to see what finding in the patient's fingernails?

A) Splinter hemorrhages

B) Paronychia

C) Pitting

D) Beau lines

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Page 14

Chapter 13: Head, Face, and Neck, Including Regional Lymphatics

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42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/20693

Sample Questions

Q1) A patient is unable to differentiate between sharp and dull stimulation to both sides of her face.The nurse suspects:

A) Bell's palsy.

B) damage to the trigeminal nerve.

C) frostbite with resultant paresthesia to the cheeks.

D) scleroderma.

Q2) A physician tells the nurse that a patient's vertebra prominens is tender and asks the nurse to reevaluate the area in 1 hour.The area of the body the nurse will assess is the area:

A) just above the diaphragm.

B) just lateral to the knee cap.

C) at the level of the C7 vertebra.

D) at the level of the T11 vertebra.

Q3) The physician reports that a patient with a neck tumor has a tracheal shift.The nurse is aware that this means that the patient's trachea is:

A) pulled to the affected side.

B) pushed to the unaffected side.

C) pulled downward.

D) pulled downward in a rhythmic pattern.

Page 15

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Chapter 14: Eyes

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41 Verified Questions

41 Flashcards

Source URL: https://quizplus.com/quiz/20694

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) The nurse is testing a patient's visual accommodation,which refers to which action?

A) Pupillary constriction when looking at a near object

B) Pupillary dilation when looking at a far object

C) Changes in peripheral vision in response to light

D) Involuntary blinking in the presence of bright light

Q3) The nurse is performing an eye assessment on an 80-year-old patient.Which of these findings is considered abnormal?

A) A decrease in tear production

B) Unequal pupillary constriction in response to light

C) The presence of arcus senilis seen around the cornea

D) Loss of the outer hair on the eyebrows due to a decrease in hair follicles

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16

Chapter 15: Ears

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41 Verified Questions

41 Flashcards

Source URL: https://quizplus.com/quiz/20695

Sample Questions

Q1) A patient has been shown to have a sensorineural hearing loss.During the assessment,it would be important for the nurse to:

A) speak loudly so he can hear the questions.

B) assess for middle ear infection as a possible cause.

C) ask the patient what medications he is currently taking.

D) look for the source of the obstruction in the external ear.

Q2) In an individual with otitis externa,which of these signs would the nurse expect to find on assessment?

A) Rhinorrhea

B) Periorbital edema

C) Pain over the maxillary sinuses

D) Enlarged superficial cervical nodes

Q3) The nurse is reviewing the structures of the ear.Which of these statements concerning the eustachian tube is true?

A) It is responsible for the production of cerumen.

B) It remains open except when swallowing or yawning.

C) It allows passage of air between the middle and outer ear.

D) It helps equalize air pressure on both sides of the tympanic membrane.

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Chapter 16: Nose, Mouth, and Throat

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43 Verified Questions

43 Flashcards

Source URL: https://quizplus.com/quiz/20696

Sample Questions

Q1) The nurse is performing an assessment.Which of these findings would cause the greatest concern?

A) A painful vesicle inside the cheek for 2 days

B) The presence of moist, nontender Stensen's ducts

C) Stippled gingival margins that adhere snugly to the teeth

D) An ulceration on the side of the tongue with rolled edges

Q2) During an assessment of a 26 year old at the clinic for "a spot on my lip I think is cancer," the nurse notices a group 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 having a biopsy done of any unusual lesion.

C) Tell the patient this is herpes simplex I and will heal in 4 to 10 days.

D) Tell the patient that this is most likely the result of a riboflavin deficiency and discuss nutrition.

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Chapter 17: Breasts and Regional Lymphatics

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45 Verified Questions

45 Flashcards

Source URL: https://quizplus.com/quiz/20697

Sample Questions

Q1) A 43-year-old woman is at the clinic for a routine examination.She reports that she has had a breast lump in her right breast for years.Recently,it has begun to change in consistency and is becoming harder.She reports that 5 years ago her physician evaluated the lump and determined that it "was nothing to worry about." The examination validates the presence of a mass in the right upper outer quadrant at 1 o'clock,approximately 5 cm from the nipple.It is firm,mobile,nontender,with borders that are not well defined.The nurse's recommendation to her is:

A) "Because of the change in consistency of the lump, it should be further evaluated by a physician."

B) "The changes could be related to your menstrual cycles. Keep track of changes in the mass each month."

C) "This is probably nothing to worry about because it has been present for years and was determined to be noncancerous at that time."

D) "Because you are experiencing no pain and the size has not changed, continue to monitor the lump and return to the clinic in 3 months."

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Chapter 18: Thorax and Lungs

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43 Verified Questions

43 Flashcards

Source URL: https://quizplus.com/quiz/20698

Sample Questions

Q1) Which of these statements is true regarding the vertebra prominens? The vertebra prominens is:

A) the spinous process of C7.

B) usually not palpable in most individuals.

C) opposite the interior border of the scapula.

D) located next to the manubrium of the sternum.

Q2) A 70-year-old patient is being seen in the clinic for severe exacerbation of his heart failure.Which of these findings is the nurse most likely to observe in this situation?

A) Shortness of breath, orthopnea, paroxysmal nocturnal dyspnea, ankle edema

B) Rasping cough, thick mucoid sputum, wheezing, bronchitis

C) Productive cough, dyspnea, weight loss, anorexia, tuberculosis

D) Fever, dry nonproductive cough, diminished breath sounds

Q3) The nurse is reviewing the characteristics of breath sounds.Which statement about bronchovesicular breath sounds is true? They are:

A) musical in quality.

B) usually pathological.

C) expected near the major airways.

D) similar to bronchial sounds except that they are shorter in duration.

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Chapter 19: Heart and Neck Vessels

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43 Verified Questions

43 Flashcards

Source URL: https://quizplus.com/quiz/20699

Sample Questions

Q1) The findings from an assessment of a 70-year-old patient with swelling in his ankles include jugular venous pulsations 5 cm above the sternal angle when the head of his bed is elevated 45 degrees.The nurse knows that this finding indicates:

A) decreased fluid volume.

B) increased cardiac output.

C) narrowing of jugular veins.

D) elevated pressure related to heart failure.

Q2) The nurse is preparing to auscultate for heart sounds.Which technique is correct?

A) Listen to the sounds at the aortic, tricuspid, pulmonic, and mitral areas.

B) Listen by inching the stethoscope in a rough Z pattern, from the base of the heart across and down, then over to the apex.

C) Listen to the sounds only at the site where the apical pulse is felt to be the strongest.

D) Listen for all possible sounds at a time at each specified area.

Q3) 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?

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Chapter 20: Peripheral Vascular System and Lymphatic System

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42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/20700

Sample Questions

Q1) During an assessment,the nurse uses the "profile sign" to detect:

A) pitting edema.

B) early clubbing.

C) symmetry of the fingers.

D) insufficient capillary refill.

Q2) 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) The presence of palpable lymph nodes

C) No nodes palpable 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

Q3) The nurse is preparing to perform a manual compression test on a patient.Which of these statements is true about this procedure?

A) Rapid filling of the veins indicates incompetent veins.

B) Competent valves in the veins will transmit a wave to the distal fingers.

C) A palpable wave transmission occurs when the valves are incompetent.

D) The test assesses whether the valves of varicosity are competent when the person is in the supine position.

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Chapter 21: Abdomen

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41 Verified Questions

41 Flashcards

Source URL: https://quizplus.com/quiz/20701

Sample Questions

Q1) A 45-year-old man is in the clinic for a physical examination.During the abdominal assessment,the nurse percusses the abdomen and notices an area of dullness above the right costal margin of about 10 cm.The nurse should:

A) document the presence of hepatomegaly.

B) ask additional history questions regarding his alcohol intake.

C) describe this as an enlarged liver and refer him to a physician.

D) consider this a normal finding and proceed with the examination.

Q2) While examining a patient,the nurse observes abdominal pulsations between the xiphoid and umbilicus.The nurse would suspect that these are:

A) pulsations of the renal arteries.

B) pulsations of the inferior vena cava.

C) normal abdominal aortic pulsations.

D) increased peristalsis from a bowel obstruction.

Q3) During an abdominal assessment,the nurse tests for a fluid wave.A positive fluid wave test occurs with:

A) splenomegaly.

B) distended bladder.

C) constipation.

D) ascites.

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Page 23

Chapter 22: Musculoskeletal System

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53 Verified Questions

53 Flashcards

Source URL: https://quizplus.com/quiz/20702

Sample Questions

Q1) A patient is complaining of pain in his joints that is worse in the morning,is better after he has moved around for awhile,and then gets worse again if he sits for long periods of time.The nurse should assess for other signs of what problem?

A) Tendinitis

B) Osteoarthritis

C) Rheumatoid arthritis

D) Intermittent claudication

Q2) The functional units of the musculoskeletal system are the:

A) joints.

B) bones.

C) muscles.

D) tendons.

Q3) A patient's annual physical examination reveals a lateral curvature of the thoracic and lumbar segments of his spine;however,this curvature disappears with forward bending.The nurse knows that this abnormality of the spine is called:

A) structural scoliosis.

B) functional scoliosis.

C) herniated nucleus pulposus.

D) dislocated hip.

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Page 24

Chapter 23: Neurologic System

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56 Flashcards

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Sample Questions

Q1) During the history,a patient tells the nurse that "it feels like the room is spinning around me." The nurse would document this as:

A) vertigo.

B) syncope.

C) dizziness.

D) seizure activity.

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's 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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Chapter 24: Male Genitourinary System

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42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/20704

Sample Questions

Q1) The nurse is performing a genitourinary assessment on a 50-year-old obese male laborer.On examination the nurse notices a painless round swelling close to the pubis in the area of the internal inguinal ring that is easily reduced when the individual is supine.These findings are most consistent with a(n)_____ hernia.

A) scrotal

B) femoral

C) direct inguinal

D) indirect inguinal

Q2) A newborn baby boy is about to have a circumcision.The nurse knows that indications for circumcision include:

A) cultural and religious beliefs.

B) prevention of testicular cancer.

C) improving the sperm count later in life.

D) preventing dysuria.

Q3) The external male genital structures include the:

A) testis.

B) scrotum.

C) epididymis.

D) vas deferens.

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Chapter 25: Anus, Rectum, and Prostate

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Sample Questions

Q1) While doing an assessment of the perianal area of a patient,the nurse notices that the pigmentation of anus is darker than surrounding skin,the anal opening is closed,and there is a skin sac that is shiny and blue.The patient mentioned that he has had pain with bowel movements and has noted some spots of blood occasionally.What would this assessment and history be most likely to indicate?

A) Anal fistula

B) Pilonidal cyst

C) Rectal prolapse

D) Thrombosed hemorrhoid

Q2) While performing a rectal examination,the nurse notices a firm,irregularly shaped mass.What should the nurse do next?

A) Continue with the examination and document the finding in the chart.

B) Instruct patient to return for repeat assessment in 1 month.

C) Tell the patient that a mass was felt but it is nothing to worry about.

D) Report the finding and refer the patient to a specialist for further examination.

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Chapter 26: Female Genitourinary System

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49 Flashcards

Source URL: https://quizplus.com/quiz/20706

Sample Questions

Q1) The nurse is preparing for an internal genitalia examination of a woman.Which order of the examination is correct?

A) Bimanual, speculum, rectovaginal

B) Speculum, rectovaginal, bimanual

C) Speculum, bimanual, rectovaginal

D) Rectovaginal, bimanual, speculum

Q2) A 25-year-old woman comes to the emergency department with a sudden fever of 101° F and abdominal pain.Upon examination,the nurse notices that she has rigid,boardlike lower abdominal musculature.When the nurse tries to perform a vaginal examination,the patient has severe pain when the uterus and cervix are moved.The nurse knows that these signs and symptoms are suggestive of:

A) endometriosis.

B) uterine fibroids.

C) ectopic pregnancy.

D) pelvic inflammatory disease.

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40 Verified Questions

40 Flashcards

Source URL: https://quizplus.com/quiz/20707

Sample Questions

Q1) A patient states,"Whenever I open my mouth real wide,I feel this popping sensation in front of my ears." To further examine this,the nurse would:

A) place the stethoscope over the temporomandibular joint and listen for bruits.

B) place the hands over his ears and ask him to open his mouth "really wide."

C) place one hand on his forehead and the other on his jaw and ask him to try to open his mouth.

D) place a finger on his temporomandibular joint and ask him to open and close his mouth.

Q2) The nurse should wear gloves for which of these examinations?

A) Measuring vital signs

B) Palpation of the sinuses

C) Palpation of the mouth and tongue

D) Inspection of the eye with an ophthalmoscope

Q3) After the examination of an infant,the nurse documents opisthotonos.The nurse recognizes that this finding often occurs with:

A) cerebral palsy.

B) meningeal irritation.

C) a lower motor neuron lesion.

D) a upper motor neuron lesion.

Page 29

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Chapter 28: Bedside Assessment of the Hospitalized Adult

Available Study Resources on Quizplus for this Chatper

12 Verified Questions

12 Flashcards

Source URL: https://quizplus.com/quiz/20708

Sample Questions

Q1) 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 not palpable.

B) Reassess the pulses in 1 hour.

C) Have the patient turn to the side and then palpate for the pulses again.

D) Use a Doppler device to assess the pulses.

Q2) At the beginning of rounds,when the nurse enters the room,what should the nurse do first?

A) Check the intravenous infusion site for swelling or redness.

B) Check the infusion pump settings for accuracy.

C) Make eye contact with the patient and introduce himself or herself as the patient's nurse.

D) Offer the patient something to drink.

Q3) What should the nurse assess before entering the patient's room on morning rounds?

A) Posted conditions, such as isolation precautions

B) The patient's input and output chart from the previous shift

C) The patient's general appearance

D) The presence of any visitors in the room

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Page 30

Chapter 29: The Pregnant Woman

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35 Verified Questions

35 Flashcards

Source URL: https://quizplus.com/quiz/20709

Sample Questions

Q1) During an internal examination of a woman during her first prenatal visit,the nurse finds that the cervix is soft.This is known as _____ sign.

A) Hegar's

B) Chadwick's C) Homans' D) Goodell's

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 the examination when she will be the most relaxed. B) at the beginning of the interview as a nonthreatening method of gaining 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 30: Functional Assessment of the Older Adult

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16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/20710

Sample Questions

Q1) The nurse is administering a test that is timed over 15 minutes and assesses a patient's upper body fine motor and coarse motor activities,balance,mobility,coordination,and endurance.During this test,activities such as dressing and stair climbing are timed.Which test is described by these activities?

A) The Get Up and Go Test

B) The Performance Activities of Daily Living

C) The Physical Performance Test

D) Tinetti Gait and Balance Evaluation

Q2) When beginning to assess a person's spirituality,which question by the nurse would be most appropriate?

A) "Do you believe in God?"

B) "How does your spirituality relate to your health care decisions?"

C) "What religious faith do you follow?"

D) "Do you believe in the power of prayer?"

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