Health Assessment
Midterm Exam
Course Introduction
Health Assessment is a foundational course designed to equip students with the knowledge and skills necessary for comprehensive health evaluation across the lifespan. Emphasizing a holistic approach, the course covers systematic techniques for collecting health histories, performing physical examinations, and utilizing diagnostic tools. Students will learn how to identify normal and abnormal findings, communicate effectively with patients, and document assessments accurately. Through laboratory experiences and case studies, students develop clinical reasoning and critical thinking skills essential for formulating effective care plans in diverse healthcare settings.
Recommended Textbook
Physical Examination and Health Assessment 3rd Canadian edition by Carolyn Jarvis
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31 Chapters
1123 Verified Questions
1123 Flashcards
Source URL: https://quizplus.com/study-set/2401
Page 2
Chapter 1: Evidence-Based Assessment
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/47743
Sample Questions
Q1) Which critical thinking skill helps the nurse see relationships among the data?
A)Validation
B)Clustering related cues
C)Identifying gaps in data
D)Distinguishing relevant data from irrelevant data
Answer: B
Q2) The nurse is conducting a class for new graduate nurses.During the teaching session, the nurse should keep in mind that novice nurses, with less experience, are more likely to base their decisions on:
A)Intuition
B)Clear-cut rules
C)Articles in journals
D)Advice from supervisors
Answer: B
Q3) Expert nurses assess and make decisions through the use of:
A)Critical thinking
B)The nursing process
C)Clinical knowledge
D)Diagnostic reasoning
Answer: A
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Chapter 2: Health Promotion in the Context of Health Assessment
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/47744
Sample Questions
Q1) To implement primary prevention in practice.The nurse will: (Select all that apply.)
A)Promote routine childhood immunizations.
B)Provide teaching on heart failure management.
C)Encouraging the use of helmets when bicycling.
D)Recommend a mammography for the 55-year-old patient.
E)Discuss weight loss strategies for children diagnosed with obesity.
Answer: A, C
Q2) During a health encounter with a patient, which statement by the patient demonstrates readiness for a health education intervention?
A)"I visit the dentist annually for a checkup."
B)"I would really like to quit smoking."
C)"My immunizations are up to date."
D)"I really enjoy having a smoke with my beer."
Answer: B
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4
Chapter 3: Cultural Competence: Cultural Care
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/47745
Sample Questions
Q1) The nurse manager is explaining culturally competent care during a staff meeting.Which of the following best describes the concept of culturally competent care?
A)Treating patients of different ethnicities with discrimination
B)Making assumptions about patients based on their race
C)Developing personal relationships with patients of the same culture
D)Maximizing respectful relationships with patients different from us
Answer: D
Q2) The nurse would like to include cultural safe care when working with new immigrants from different countries.The nurse can:
A)Adapt personal clothing to the patients' style.
B)Focus on the causes for inequities within the health care system.
C)Focus on the problems caused by cultural differences.
D)Recognize that culturalism is prevalent and unchangeable in the health care system.
Answer: B
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Chapter 4: The Interview
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A patient has finished giving the nurse information about the reason he is seeking care.When reviewing the data, the nurse finds that some information about past hospitalizations is missing.At this point, which statement by the nurse would be most appropriate to gather these data?
A)"Mr.Y., at your age, surely you have been hospitalized before!"
B)"Mr.Y., I just need permission to get your medical records from County Medical."
C)"Mr.Y., you mentioned that you have been hospitalized on several occasions.Would you tell me more about that?"
D)"Mr.Y., I just need to get some additional information about your past hospitalizations.When was the last time you were admitted for chest pain?"
Q2) The nurse is performing a health interview with 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 medicines?"
B)"Do you sterilize the bottles?"
C)"Do you have nausea and vomiting?"
D)"You have been taking your medicine, haven't you?"
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Page 6
Chapter 5: The Complete Health History
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) In recording the childhood illnesses of a patient who denies having had any, which note by the nurse would be most accurate?
A)Patient denies usual childhood illnesses.
B)Patient states he was a "very healthy" child.
C)Patient states his sister had measles, but he did not.
D)Patient denies having had measles, mumps, rubella, chickenpox, pertussis, and strep throat.
Q2) The nurse is asking a patient for his reason for seeking care and asks about the signs and symptoms he is experiencing.Which of these is an example of a symptom?
A)Chest pain
B)Clammy skin
C)Serum potassium level at 4.2 mEq/L
D)Body temperature of 100° F
Q3) The review of systems section provides the nurse with:
A)Physical findings related to each system
B)Information regarding health promotion practices
C)An opportunity to teach the patient medical terms
D)Information necessary for the nurse to diagnose the patient's medical problem
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Chapter 6: Mental Health Assessment
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/47748
Sample Questions
Q1) During an interview with a patient who expresses grief over the loss of a loved one and states his intent to harm himself, what should the nurse ask?
A)"Really! Are you serious?"
B)"Do you have a plan and a time decided on?"
C)"What will be the point?"
D)"Have you seen what happens with suicidal attempts?"
Q2) The nurse working with university students is taking a health promotion approach to support mental health by:
A)Increasing immunization rates with newly admitted students
B)Helping students develop coping skills to handles the stressors of university
C)Providing information to develop academic writing skills
D)Developing cultural cooking groups
Q3) The nurse is interviewing a 17-year-old Indigenous patient after a possible accidental acetaminophen overdose.The nurse should determine:
A)The patient's medication preferences for pain management
B)The patient's intention to self-harm
C)The patient's need for education on medication use
D)The patient's ability to perform activities of daily living
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Chapter 7: Substance Use and Health Assessment
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/47749
Sample Questions
Q1) Having affirmed alcohol use, the nurse is asking an adolescent about illicit substance use.The adolescent answers, "Yes, I've tried cocaine 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)"How much did you use?"
D)"Is this a regular habit?"
Q2) The nurse is arranging a health promotion information session for the community's older adults.What is a common concern for the older adult population regarding substance use should the nurse include?
A)Binge drinking to conform
B)Risks of taking many different medications
C)Facing judgment for using marijuana
D)Medicating for behaviour problems
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9
Chapter 8: Interpersonal Violence Assessments
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/47750
Sample Questions
Q1) The nurse is using the Danger Assessment (DA) tool to evaluate the risk for violence.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 is the danger of the woman's situation.
Q2) As a nurse working with many different populations, which of the following individuals can be at increased risk for abuse? (Select all that apply.)
A)The 70-year-old confined to a wheelchair
B)The 45-year-old female bank manager
C)The 21-year-old living with a boyfriend who uses harmful amounts of alcohol
D)The 35-year-old stay-at-home mother with a controlling spouse
E)The 21-year-old university student living at home
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Chapter 9: Assessment Techniques and the Clinical Setting
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/47751
Sample Questions
Q1) The nurse is reviewing percussion techniques with a newly graduated nurse.Which technique, if used by the new nurse, indicates that more review is needed?
A)Percussing once over each area
B)Quickly lifting the striking finger after each stroke
C)Striking with the fingertip, not the finger pad
D)Using the wrist, not the arm, to make the strikes
Q2) The nurse is preparing to percuss the abdomen of a patient.The purpose of the percussion is to assess the __________ of the underlying tissue.
A)Turgor
B)Texture
C)Density
D)Consistency
Q3) The nurse would use bimanual palpation technique in which situation?
A)Palpating the thorax of an infant
B)Palpating the kidneys and uterus
C)Assessing pulsations and vibrations
D)Assessing the presence of tenderness and pain
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Chapter 10: General Survey, Measurement, Vital Signs
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52 Verified Questions
52 Flashcards
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Sample Questions
Q1) When checking for proper blood pressure cuff size, which guideline is correct?
A)The standard cuff size is appropriate for all sizes.
B)The length of the rubber bladder should equal 80% of the arm circumference.
C)The width of the rubber bladder should equal 80% of the arm circumference.
D)The width of the rubber bladder should equal 40% of the arm circumference.
Q2) During an examination, the nurse notices that a female patient has a round "moon" face, central trunk obesity, and a cervical hump.Her skin is fragile with bruises.The nurse determines that the patient has which condition?
A)Marfan's syndrome
B)Gigantism
C)Cushing's syndrome
D)Acromegaly
Q3) 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
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Chapter 11: Pain Assessment
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/47753
Sample Questions
Q1) When working with Indigenous children, the nurse recognizes that they: (Select all that apply.)
A)Express pain through their facial expressions.
B)Silently suffer through their pain.
C)Cry easily when in pain.
D)Are reluctant to express their pain vocally.
E)Are at increased risk for pain.
Q2) To which patient will the nurse plan to provide teaching on managing acute pain?
A)Patient with arthritis
B)Patient with fibromyalgia
C)Patient with kidney stones
D)Patient with low back pain
Q3) The nurse is reviewing the principles of pain.Which type of pain is caused by an abnormal processing of the pain impulse through the peripheral or central nervous system?
A)Visceral
B)Referred
C)Cutaneous
D)Neuropathic
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Page 13
Chapter 12: Nutritional Assessment
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/47754
Sample Questions
Q1) A 50-year-old woman with elevated total cholesterol and triglyceride levels is visiting the clinic to discuss the laboratory results.The nurse will include patient education on:
A)The risks of undernutrition.
B)Methods to reduce stress in her life.
C)Information to include a diet low in saturated fat.
D)The condition being hereditary and why nothing she can do can change the levels.
Q2) The nurse is performing a nutritional assessment on an 80-year-old patient.The nurse knows that physiological changes can directly affect the nutritional status of the older adult and include:
A)Slowed gastrointestinal motility.
B)Hyperstimulation of the salivary glands.
C)Increased sensitivity to spicy and aromatic foods.
D)Decreased gastrointestinal absorption causing esophageal reflux.
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14
Chapter 13: Skin, Hair, and Nails
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53 Verified Questions
53 Flashcards
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Sample Questions
Q1) A 70-year-old woman who loves to garden has small, flat, brown macules over her arms and hands.She asks, "What causes these liver spots?" The nurse tells her, "They are:
A)"Signs of decreased hematocrit related to anemia."
B)"Caused by the destruction of melanin in your skin from exposure to the sun."
C)"Clusters of melanocytes that appear after extensive sun exposure."
D)"Areas of hyperpigmentation related to decreased perfusion and vasoconstriction."
Q2) A father brings in his 2-month-old infant to the clinic because the infant has had diarrhea for the past 24 hours.He says his baby has not been able to keep any formula down and that the diarrhea has been at least every 2 hours.The nurse suspects dehydration and tests skin mobility and turgor over the infant's:
A)Sternum.
B)Forehead.
C)Forearms.
D)Abdomen.
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Chapter 14: Head, Face, and Neck, Including Regional Lymphatics
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/47756
Sample Questions
Q1) A patient is concerned that while studying for an examination he began to notice a severe headache in the left front and side of his head that was throbbing and was relieved when he lay down.He tells the nurse that his mother also had these headaches.The nurse suspects that he may be suffering from:
A)Hypertension.
B)Cluster headaches.
C)Tension headaches.
D)Migraine headaches.
Q2) When examining the face of a patient, the nurse is aware that the two pairs of salivary glands that are accessible for examination are the ___________ and ___________ glands.
A)Occipital; submental
B)Parotid; jugulodigastric
C)Parotid; submandibular
D)Submandibular; occipital
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Chapter 15: Eyes
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/47757
Sample Questions
Q1) The nurse recognizes that a patient has a normal pupillary light reflex when:
A)The eyes converge to focus on the light.
B)Light is reflected at the same spot in both eyes.
C)The eye focuses the image in the centre of the pupil.
D)Constriction of both pupils occurs in response to bright light.
Q2) The nurse is conducting an eye-screening clinic at a daycare centre.When examining a 2-year-old child, the nurse suspects that the child has a "lazy eye" and will:
A)Examine the external structures of the eye.
B)Assess visual acuity with the Snellen eye chart.
C)Assess the child's visual fields with the confrontation test.
D)Test for strabismus by performing the corneal light reflex test.
Q3) During an ophthalmoscopic examination of the eye, the nurse notices areas of exudate that appear similar to cotton wool or fluffy clouds.The nurse recognizes that the patient may have:
A)Diabetes.
B)Hyperthyroidism.
C)Glaucoma.
D)Hypotension.
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17
Chapter 16: Ears
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/47758
Sample Questions
Q1) 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
Q2) The mother of a 2-year-old toddler is questioning the need for tympanostomy tubes in her son's ears.The nurse will provide the following information in the teaching plan:
A)The tubes will be placed in the inner ear.
B)The tubes will correct sensorineural loss in children.
C)The tubes do not need surgery to be inserted.
D)The tubes will decrease the pressure and allow for drainage.
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 17: Nose, Mouth, and Throat
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/47759
Sample Questions
Q1) The nurse is performing an oral assessment on a 40-year-old dark-skinned patient and notices the presence of a 1-cm, nontender, greyish-white lesion on the left buccal mucosa.The nurse will:
A)Document as leukoedema and benign.
B)Document as hyperpigmentation requiring further investigation.
C)Document as torus palatinus and normal for smokers.
D)Refer to specialist as finding is indicative of cancer and should be immediately tested.
Q2) During an oral examination of a 4-year-old Indigenous child, the nurse notices that her uvula is partially split.Which of these statements is accurate?
A)This condition is a cleft palate and is common in Indigenous people.
B)A bifid uvula may occur in some groups of Indigenous descent.
C)This condition is caused by an injury and should be reported to the authorities.
D)A bifid uvula is palatinus, which frequently occurs in Indigenous people.
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19
Chapter 18: Breasts and Regional Lymphatics
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/47760
Sample Questions
Q1) If a patient reports a recent breast infection, then the nurse should expect to find ________________ node enlargement.
A)Nonspecific
B)Ipsilateral axillary
C)Contralateral axillary
D)Inguinal and cervical
Q2) 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 colour.
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.
Q3) The nurse recognizes which of the following populations as being at increased risk for breast cancer?
A)Obese female
B)Transgender
C)Athletic male
D)Thin female
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Chapter 19: Thorax and Lungs
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/47761
Sample Questions
Q1) A patient has been admitted to the emergency department with a possible medical diagnosis of pulmonary embolism.The nurse expects to see which assessment findings related to this condition?
A)Absent or decreased breath sounds
B)Productive cough with thin, frothy sputum
C)Chest pain that is worse on deep inspiration and dyspnea
D)Diffuse infiltrates with areas of dullness upon percussion
Q2) To correctly auscultate the patient's breath sounds, the nurse will:
A)Listen to at least one full respiration in each location.
B)Listen as the patient inhales and then go to the next site during exhalation.
C)Instruct the patient to breathe in and out rapidly while listening to the breath sounds.
D)If the patient is modest, listen to sounds over his or her clothing or hospital gown.
Q3) During an examination of the anterior thorax, the nurse is aware that the trachea bifurcates anteriorly at the:
A)Costal angle.
B)Sternal angle.
C)Xiphoid process.
D)Suprasternal notch.
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21
Chapter 20: Heart and Neck Vessels
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/47762
Sample Questions
Q1) The mother of a 10-month-old infant tells the nurse that she has noticed that her son becomes blue when he is crying and that the frequency of this is increasing.He is also not crawling yet.During the examination, the nurse palpates a vibration that feels like a purring cat at the left lower sternal border and auscultates a loud systolic murmur in the same area.What would be the most likely cause of these findings?
A)Tetralogy of Fallot
B)Atrial septal defect
C)Patent ductus arteriosus
D)Ventricular septal defect
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 ECG 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 21: Peripheral Vascular System and Lymphatic System
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/47763
Sample Questions
Q1) When using a Doppler ultrasonic stethoscope, the nurse recognizes venous flow when which sound is heard?
A)Low humming sound
B)Regular "lub, dub" pattern
C)Swishing, whooshing sound
D)Steady, even, flowing sound
Q2) The nurse is reviewing the blood supply to the arm.The major artery supplying the arm is the ___________ artery.
A)Ulnar
B)Radial
C)Brachial
D)Deep palmar
Q3) The nurse is reviewing the risk factors for venous disease.Which of these situations best describes a person at highest risk for the development of venous disease?
A)A 25-year-old female who is 3 months pregnant
B)A 50-year-old female who has remained in bed for 4 days
C)A 35-year-old male with a body mass index (BMI) of 18
D)A 60-year-old female taking anticoagulant medication
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Chapter 22: Abdomen
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/47764
Sample Questions
Q1) A patient is having difficulty swallowing medications and food.The nurse would document that this patient has:
A)Aphasia
B)Dysphasia
C)Dysphagia
D)Anorexia
Q2) The nurse is describing a scaphoid abdomen.To the horizontal plane, a scaphoid contour of the abdomen depicts a __________ profile.
A)Flat
B)Convex
C)Bulging
D)Concave
Q3) The physician comments that a patient has abdominal borborygmi.The nurse knows that this term refers to:
A)Loud continual hum
B)Peritoneal friction rub
C)Hypoactive bowel sounds
D)Hyperactive bowel sounds
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24
Chapter 23: Anus, Rectum, and Prostate
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/47765
Sample Questions
Q1) While performing an assessment of the perianal area of a patient, the nurse notices that the pigmentation of anus is darker than that of the surrounding skin, the anal opening is closed, and a skin sac that is shiny and blue is noted.The patient mentioned that he has had pain with bowel movements and has occasionally noted some spots of blood.What would this assessment and history most likely indicate?
A)Anal fistula
B)Pilonidal cyst
C)Rectal prolapse
D)Thrombosed hemorrhoid
Q2) During examination of a 65-year-old female patient, the nurse asks the patient to hold her breath and bear down.The nurse observes that the patient has a moist, red, doughnut-shaped protrusion from the anus and recognizes this finding as a:
A)Rectal polyp
B)Hemorrhoid
C)Rectal fissure
D)Rectal prolapse
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Chapter 24: Musculoskeletal System
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/47766
Sample Questions
Q1) When assessing muscle strength, the nurse observes that a patient has complete ROM against gravity with full resistance.What grade of muscle strength should the nurse record using a 0-to-5-point scale?
A)2
B)3
C)4
D)5
Q2) During assessment of a 75-year-old female admitted with a hip fracture after falling, the patient states a history of osteoporosis.The nurse recognizes that the patient is more susceptible to bone fractures because of:
A)Increased bone matrix
B)Loss of bone density
C)New, weaker bone growth
D)Increased phagocytic activity
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Chapter 25: Neurological System
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58 Verified Questions
58 Flashcards
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Sample Questions
Q1) While obtaining a health history of a 3-month-old infant from the mother, the nurse asks about the infant's ability to suck and grasp the mother's finger.What is the nurse assessing?
A)Reflexes
B)Intelligence
C)Cranial nerves
D)Cerebral cortex function
Q2) The nurse is working at a blood pressure clinic with a multicultural community.The nurse ensures to provide health education resources on stroke, especially to certain individuals who are from the following ethnocultural backgrounds and have a greater risk for stroke: (Select all that apply.)
A)Middle Eastern
B)Indigenous
C)European
D)African
E)South Asian
Q3) During the assessment of DTRs, the nurse finds that a patient's responses are bilaterally normal.What number is used to indicate normal DTRs when the documenting this finding? __________+
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Page 27
Chapter 26: Male Genitourinary System
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/47768
Sample Questions
Q1) During an examination of an older adult male, the nurse recognizes that normal changes to expect would be:
A)Change in scrotal colour
B)Decrease in the size of the penis
C)Enlargement of the testes and scrotum
D)Increase in the number of rugae over the scrotal sac
Q2) During a genital examination, the nurse notices that a male patient has clusters of small vesicles on the glans, surrounded by erythema.The nurse recognizes that these lesions are:
A)Peyronie's disease
B)Genital warts
C)Genital herpes
D)Syphilitic cancer
Q3) A baby boy is about to have a circumcision.The nurse knows that the reasons for circumcision include:
A)Cultural and religious beliefs
B)Prevention of testicular cancer
C)Improving the sperm count later in life
D)Prevention of dysuria
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Page 28
Chapter 27: Female Genitourinary System
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) During an internal examination of a woman's genitalia, the advanced practice nurse will use which technique for proper insertion of the speculum?
A)The woman is instructed to bear down, and the speculum blades are opened and applied in a swift, upward movement.
B)The blades of the speculum are inserted on a horizontal plane, turning them to a 30-degree angle while continuing to insert them.The woman is asked to bear down after the speculum is inserted.
C)The woman is instructed to bear down, the width of the blades is horizontally turned, and the speculum is inserted downward at a 45-degree angle toward the small of the woman's back.
D)The blades are locked open by turning the thumbscrew.Once the blades are open, pressure is applied to the introitus, and the blades are inserted downward at a 45-degree angle to bring the cervix into view.
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Chapter 28: The Complete Health Assessment: Adult, Infant,
Child, and Adolescent
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/47770
Sample Questions
Q1) During an inspection of a patient's face, the nurse notices that the facial features are symmetrical.This finding indicates which cranial nerve is intact?
A)VII
B)IX
C)XI
D)XII
Q2) During the examination of a patient, the nurse notices that the patient has several small, flat macules on the posterior portion of her thorax.These macules are less than 1 cm wide.Another name for these macules is:
A)Warts
B)Bullae
C)Freckles
D)Papules
Q3) During inspection of the posterior chest, the nurse should assess for:
A)Symmetrical expansion
B)Symmetry of shoulders and muscles
C)Tactile fremitus
D)Diaphragmatic excursion
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Chapter 29: Bedside Assessment of the Hospitalized Patient
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11 Flashcards
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Sample Questions
Q1) 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 himself 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 a urologist
Q3) When assessing a patient's general appearance, the nurse should include which question?
A)Is the patient's muscle strength equal in both arms?
B)Is ptosis or facial droop present?
C)Does the patient respond appropriately to questions?
D)Are the pupils equal in reaction and size?
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Chapter 30: The Pregnant Woman
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A patient's pregnancy test yields a positive result, and she wants to know when the baby is due.The first day of her last menstrual period was June 14, and that period ended June 20.Using Nägele's rule, what is her expected date of delivery?
A)March 7
B)March 14
C)March 21
D)March 27
Q2) 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
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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Page 32
Chapter 31: Functional Assessment of the Older Adult
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Sample Questions
Q1) The nurse is preparing to perform a functional assessment with an older patient and knows that a good approach would be to:
A)Observe the patient's ability to perform the tasks
B)Ask the patient's wife how he does when performing tasks
C)Review the medical record for information on the patient's abilities
D)Ask the patient's physician for information on the patient's abilities
Q2) The nurse is assessing an older adult's advanced activities of daily living (AADLs), which would include:
A)Recreational activities
B)Meal preparation
C)Balancing the chequebook
D)Self-grooming activities
Q3) 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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