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Health Assessment is a foundational course designed to equip students with the knowledge and practical skills necessary to conduct comprehensive health evaluations across the lifespan. Emphasizing a holistic approach, this course covers the collection and interpretation of health histories, physical examination techniques, and the identification of normal and abnormal findings. Through a combination of theoretical instruction and hands-on practice, students learn to assess various body systems, document findings accurately, and utilize critical thinking in formulating nursing judgments. The course prepares students to deliver patient-centered care by recognizing cultural, developmental, and psychosocial factors influencing health.
Recommended Textbook
Physical Examination and Health Assessment Canadian 2nd Edition by Carolyn Jarvis
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31 Chapters
1148 Verified Questions
1148 Flashcards
Source URL: https://quizplus.com/study-set/1250 Page 2
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/24663
Sample Questions
Q1) An older adult with urinary tract infection who is showing signs of confusion and agitation
A) first-level priority problem
B) second-level priority problem
C) third-level priority problem
Answer: A
Q2) Critical thinking in the expert nurse is greatly enhanced by opportunities to:
A)apply theory in real situations.
B)work with physicians to provide patient care.
C)follow physician orders in providing patient care.
D)develop nursing diagnoses for commonly occurring illnesses.
Answer: A
Q3) Novice nurses,without a background of skills and experience to draw from,are more likely to make their decisions using:
A)intuition.
B)a set of rules.
C)articles in journals.
D)advice from supervisors.
Answer: B

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Sample Questions
Q1) Screening is based upon which of the following?
A)Age
B)Gender
C)Prevalence of disease in the population
D)Health status of a specific population
Answer: C
Q2) In what decade did Nola Pender first describe the Health Promotion Model?
A)1980s
B)1990s
C)2000s
D)2010s
Answer: A
Q3) Which of the following is an example of primary prevention?
A)Pap test
B)Immunization against polio
C)Mammography
D)Teaching foot care to a newly diagnosed diabetic
Answer: B
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Sample Questions
Q1) A nurse is frequently bothered when a patient does not take the medications as prescribed until the patient speaks with her family.The nurse is so irritated by this behaviour that he often finds it hard to provide appropriate care to this individual.What should the nurse do first in trying to overcome his difficulty?
A)Identify the meaning of family inclusion to the patient
B)Understand that this is a cultural practice that is helpful to the patient
C)Allow the patient to take her medications in the way she believes will be helpful
D)Examine his own culturally based values,beliefs,attitudes,and practices
Answer: D
Q2) Which of the following statements reflects a component of spirituality?
A)It is a belief in the worship of a higher power within an organization.
B)It involves attendance at a specific church,synagogue,temple,mosque,or house of worship.
C)It is central to the human experience as a person searches for meaning in life.
D)It is closely tied to a person's ethnic,social,cultural,and historical background.
Answer: C
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Sample Questions
Q1) A female patient does not speak English well,and the nurse needs to choose an interpreter.Which of the following would be the most appropriate choice?
A)A trained interpreter
B)A male family member
C)A female family member
D)A volunteer university student from the foreign language studies department
Q2) A nurse is taking complete health histories from all the patients attending a wellness workshop.One of the questions on the history form is,"You don't smoke,drink,or take drugs,do you?" This question is an example of:
A)talking too much.
B)using confrontation.
C)using biased or leading questions.
D)using blunt language to deal with distasteful topics.
Q3) Which of the following is appropriate for the nurse to say near the end of the interview?
A)"Did we forget anything?"
B)"Is there anything else you would like to mention?"
C)"I need to go on to the next patient.I'll be back."
D)"While I'm here,let's talk about your upcoming surgery."
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse is performing a functional assessment on an 82-year-old patient who recently had a stroke.Which of the following questions would be the 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) The nurse is performing a health assessment on a 16-year-old girl,who has been brought to the clinic by her parents.Which of the following instructions would be appropriate for the parents before the interview begins?
A)"Please stay with your daughter during the interview;you can answer for her if she is not able to."
B)"It would help to interview the three of you together."
C)"While I interview your daughter,will you please stay in the room and complete these family health history questionnaires?"
D)"While I interview your daughter,will you step out to the waiting room and complete these family health history questionnaires?"
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) A patient describes an unreasonable,irrational fear of snakes.The feeling is so persistent that he can no longer even look at pictures of snakes without feeling uncomfortable.He has tried to identify all the places where he might encounter snakes and avoids them.The nurse recognizes that:
A)he has a snake phobia.
B)he is a hypochondriac.Snakes are usually harmless.
C)he has an obsession.In this case,it is about snakes.
D)he has a delusion that snakes are harmful.It must stem from an early traumatic incident involving snakes.
Q2) The nurse is assessing mental health in children.Which of the following statements is true?
A)All aspects of mental health in children are interrelated.
B)Children are highly labile and unstable until the age of 2 years.
C)Until the age of 7 years,children's mental health is largely a function of their parents' mental health.
D)Children's mental health is impossible to assess until they develop the ability to concentrate.
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Sample Questions
Q1) Which of the following statements is false in relation to substance use?
A)Substance use is a recreational activity.
B)Many people use substances to feel numb.
C)Violence decreases with an increase in substance use.
D)Sometimes people use substances to "feel normal."
Q2) Which of the following is a key assumption about substance use that must be challenged?
A)Cannabis should be legalized.
B)Use is a matter of personal choice.
C)The war on drugs is important.
D)Harm-reduction strategies are effective.
Q3) According to the Canadian Nurses Association,which of the following is a principle of harm reduction?
A)Harm reduction focuses on reducing harm associated with a narrow range of substances.
B)Harm reduction requires abstinence and discontinuation of substance use.
C)Harm reduction is the opposite of prevention and treatment approaches.
D)Harm reduction requires substance users to participate in policy making and program development.
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Sample Questions
Q1) During a home visit,the nurse notices that an older woman has very little food in her cabinets or refrigerator and that most of her prescription bottles are empty.She says that she has enough money,but her nephew has her chequebook and "takes care of everything." She says,"Oh,my nephew will get around to getting groceries and my medicine when he can.He's very busy." This situation is an example of:
A)financial abuse.
B)financial neglect.
C)psychological neglect.
D)physical abuse.
Q2) In which following situation is the nurse required to perform intimate partner violence (IPV)screening?
A)When IPV is suspected
B)When a woman has an unexplained injury
C)As a routine part of each health care encounter
D)When there is a known history of abuse in the family
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Sample Questions
Q1) The nurse is preparing to percuss to assess the underlying:
A)tissue turgor.
B)tissue texture.
C)tissue density.
D)tissue consistency.
Q2) A 2-year-old child has been brought to the clinic for a well-child checkup.How should the examiner proceed with the assessment?
A)Ask the parent to place the child on the examining table.
B)Have the parent remove all of the child's clothing before the examination.
C)Allow the child to keep a security object,such as a toy or blanket,during the examination.
D)Initially focus on your interactions with the child,essentially "ignoring" the parent,until the child's trust has been obtained.
Q3) The inspection phase of the physical assessment:
A)yields little information.
B)takes time and reveals a surprising amount of information.
C)may be somewhat uncomfortable for the expert practitioner.
D)requires a quick glance at the patient's body systems before proceeding to palpation.
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Sample Questions
Q1) A 75-year-old man has a history of hypertension and was recently prescribed a new antihypertensive drug.He reports feeling dizzy at times.How should the nurse evaluate his BP?
A)Assess BP and pulse with the patient in the supine,sitting,and standing positions.
B)Have him walk around the room,and assess his BP after the activity.
C)Assess BP and pulse at the beginning as well as at the end of the examination.
D)Take the BP on the right arm and then 5 minutes later on the left arm.
Q2) A 1-month-old infant has a head circumference of 34 cm (13.5 in. )and a chest circumference of 32 cm (12.5 in. ).The nurse would:
A)refer the infant to a physician for further evaluation.
B)consider this a normal finding for a 1-month-old infant.
C)expect the chest circumference to be greater than the head circumference.
D)ask the parent to bring the infant back in 2 weeks to reevaluate the head and chest circumferences.
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Sample Questions
Q1) When assessing a patient's pain,the nurse knows that an example of visceral pain would be pain due to:
A)hip fracture.
B)cholecystitis.
C)second-degree burns.
D)a leg amputation.
Q2) A 4-year-old boy is brought to the emergency department by his mother.She says he points to his stomach and says,"It hurts so bad." Which pain assessment tool would be the best choice when assessing this child's pain?
A)The Descriptor Scale
B)A numeric rating scale
C)The Brief Pain Inventory
D)The Faces Pain Scale
Q3) Which type of pain occurs as a result of abnormal processing of the pain impulse through the peripheral or central nervous system?
A)Visceral pain
B)Referred pain
C)Cutaneous pain
D)Neuropathic pain
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Sample Questions
Q1) A pregnant woman is interested in breastfeeding her baby and asks several questions about it.Which of the following would be appropriate information the nurse should provide?
A)Breastfeeding is best when also supplemented with bottle feedings.
B)Babies who are breastfed often require supplemental vitamins.
C)Breastfeeding is recommended for the first 2 years of life.
D)Breast milk provides the nutrients necessary for growth as well as natural immunity.
Q2) During nutritional assessment,why is it important for the nurse to ask a patient what medications he or she is taking?
A)Certain medications can affect the metabolism of nutrients.
B)The nurse needs to assess the patient for allergic reactions.
C)Medications must be documented on the patient record for the physician's review.
D)Medications can affect one's memory and ability to identify foods eaten in the last 24 hours.
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Sample Questions
Q1) The nurse has discovered decreased skin turgor in a patient. In which of the following would this be an expected finding?
A)Cases of severe obesity
B)During childhood growth spurts
C)In an individual who is severely dehydrated
D)With conditions of connective tissue disorders,such as scleroderma
Q2) When assessing inflammation in a dark-skinned person,the nurse may need to:
A)assess the skin for cyanosis and swelling.
B)assess the oral mucosa for generalized erythema.
C)palpate the skin for edema and increased warmth.
D)palpate for tenderness and local areas of ecchymosis.
Q3) A few days after a summer hiking trip,a 25-year-old man comes to the clinic with a rash.On examination,the nurse notes that the rash is red and circular with central clearing,and is located across his midriff and behind his knees.The nurse suspects: A)rubeola.
B)Lyme disease.
C)allergy to mosquito bites.
D)Rocky Mountain spotted fever.
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Sample Questions
Q1) During an examination,the nurse finds that a patient's left temporal artery is more tortuous and feels hardened and tender compared with the right temporal artery.What condition does the nurse suspect?
A)Crepitation
B)Mastoiditis
C)Temporal arteritis
D)Bell's palsy
Q2) When examining the face,the nurse is aware that the two pairs of salivary glands that are accessible to examination are the _____ glands.
A)occipital and submental
B)parotid and jugulodigastric
C)parotid and submandibular
D)submandibular and occipital
Q3) The physician has diagnosed a tracheal shift in a patient.The nurse is aware that this means that the patient's trachea is:
A)pulled to the side that is affected by systole.
B)pushed to the side that is not affected by a tumour or other mass.
C)pulled to the side that is not affected by pleural adhesions.
D)pushed to the side that is affected by thyroid enlargement.
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40 Flashcards
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Sample Questions
Q1) During a physical education class,a student is hit in the eye with the end of a baseball bat.When examined in the emergency department,the nurse notes the presence of blood in the anterior chamber of the eye.This finding indicates the presence of:
A)hypopyon.
B)hyphema.
C)corneal abrasion.
D)iritis.
Q2) In assessing the sclera of a patient of African descent,which of the following would be an expected finding?
A)Yellow fatty deposits over the cornea
B)Pallor near the outer canthus of the lower lid
C)Yellow colour of the sclera that extends up to the iris
D)The presence of small brown macules on the sclera
Q3) When examining a patient's eyes,the nurse knows that stimulation of the sympathetic branch of the autonomic nervous system:
A)causes pupillary constriction.
B)adjusts the eye for near vision.
C)elevates the eyelid and dilates the pupil.
D)causes contraction of the ciliary body.
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Sample Questions
Q1) When performing an otoscopic examination on a 5-year-old child with a history of chronic ear infections,the nurse sees that his right tympanic membrane is amber-yellow in colour and there are air bubbles behind the tympanic membrane.The child reports occasional hearing loss and a popping sound with swallowing.The preliminary analysis based on this information would be that:
A)this is most likely serous otitis media.
B)the child has acute purulent otitis media.
C)there is evidence of a resolving cholesteatoma.
D)the child is experiencing the early stages of perforation.
Q2) During an otoscopic examination,the nurse notes an area of black and white dots on the tympanic membrane and ear canal wall.What does this finding suggest?
A)Malignancy
B)Viral infection
C)Blood in the middle ear
D)Yeast or fungal infection
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Q1) During history-taking,a patient tells the nurse that he has frequent nosebleeds and asks about the best way to prevent them.What would be the nurse's best response?
A)"Sit straight,and place a cold compress over your nose."
B)"Sit straight with your head tilted forward,and pinch your nose."
C)"Just let the bleeding stop on its own,but don't blow your nose."
D)"Lie on your back with your head tilted back,and pinch your nose."
Q2) While obtaining history for a 1-year-old from the mother,the nurse notices that the baby has had a bottle in his mouth the entire time.The mother states that "it makes a great pacifier." The best response by the nurse would be:
A)"You're right,bottles make very good pacifiers."
B)"Use of a bottle is better for the teeth than thumb-sucking."
C)"It's okay to do this as long as the bottle contains milk and not juice."
D)"Prolonged use of a bottle can increase the risk for tooth decay and ear infections."
Q3) The primary purpose of the ciliated mucous membrane in the nose is to:
A)warm the inhaled air.
B)filter out dust and bacteria.
C)filter coarse particles from inhaled air.
D)facilitate movement of air through the nares.
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Sample Questions
Q1) A breastfeeding mother is diagnosed with a breast abscess.Which of the following instructions from the nurse is correct? The mother needs to:
A)continue to nurse on both sides to encourage milk flow.
B)discontinue nursing immediately to allow for healing.
C)temporarily discontinue nursing on the affected breast,manually express the milk,and discard it.
D)temporarily discontinue nursing on the affected breast but can manually express the milk and give it to the baby.
Q2) During examination,the nurse notices that a woman's left breast is slightly larger than her right breast.Which of the following is true?
A)Breasts should always be symmetrical.
B)This probably resulted from breastfeeding and is nothing to worry about.
C)This finding is not unusual,but the nurse should verify that this change is not new.
D)This finding is very unusual and means that the woman may have an inflammation or growth.
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Sample Questions
Q1) A 65-year-old patient with a history of heart failure comes to the clinic with complaints of "being awakened from sleep with shortness of breath." Which of the following actions by the nurse is most appropriate?
A)Obtain a detailed history of the patient's allergies and asthma.
B)Tell the patient to sleep on his or her right side to facilitate ease of respiration.
C)Assess for other signs and symptoms of paroxysmal nocturnal dyspnea.
D)Reassure the patient that this is normal and will probably resolve within the next week.
Q2) During auscultation of the lungs,the nurse is aware that decreased breath sounds would most likely be heard:
A)when the bronchial tree is obstructed.
B)when adventitious sounds are present.
C)in conjunction with whispered pectoriloquy.
D)in conditions of consolidation,such as pneumonia.
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Q1) Which of the following best describes the direction of blood flow through the heart?
A)Vena cava -> right atrium -> right ventricle -> lungs -> pulmonary artery -> left atrium -> left ventricle
B)Right atrium -> right ventricle -> pulmonary artery -> lungs -> pulmonary vein -> left atrium -> left ventricle
C)Aorta -> right atrium -> right ventricle -> lungs -> pulmonary vein -> left atrium -> left ventricle -> vena cava
D)Right atrium -> right ventricle -> pulmonary vein -> lungs -> pulmonary artery -> left atrium -> left ventricle
Q2) Which of the following statements about S during cardiac auscultation is true?
A)S is louder than S at the base.
B)S indicates the beginning of diastole.
C)S coincides with the carotid artery pulse.
D)S is caused by closure of the semilunar valves.
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Sample Questions
Q1) The nurse is attempting to assess the femoral pulse in an obese patient.Which of the following actions would be most appropriate?
A)Have the patient assume a prone position.
B)Ask the patient to bend the knees to the side in a froglike position.
C)With the patient in a semi-Fowler's position,press firmly against the bone.
D)Listen with a stethoscope for pulsations because it is very difficult to palpate the pulse.
Q2) The major artery supplying the arm is the:
A)ulnar artery.
B)radial artery.
C)brachial artery.
D)deep palmar artery.
Q3) Which of the following veins are responsible for most of the venous return in the arm?
A)Deep veins
B)Ulnar veins
C)Subclavian veins
D)Superficial veins
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Q1) The nurse notes that a patient has had a black,tarry stool.A possible cause would be:
A)gallbladder disease.
B)overuse of laxatives.
C)gastrointestinal bleeding.
D)localized bleeding around the anus.
Q2) The nurse knows that during an abdominal assessment,deep palpation is used to determine:
A)bowel motility.
B)enlarged organs.
C)superficial tenderness.
D)overall impression of skin surface and superficial musculature.
Q3) Which of the following is true of bowel sounds?
A)They are usually loud,high-pitched,rushing,tinkling sounds.
B)They are usually high-pitched,gurgling,irregular sounds.
C)They sound like "two pieces of leather being rubbed together."
D)They originate from the movement of air and fluid through the large intestine.
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Q1) A patient is complaining of pain in his joints that is worse in the morning,is better after he has moved around for a while,and then gets worse again if he sits for long periods of time.The nurse suspects that he may have:
A)tendinitis.
B)osteoarthritis.
C)rheumatoid arthritis.
D)intermittent claudication.
Q2) The nurse is providing patient education for a man who has been diagnosed with a rotator cuff injury.The nurse knows that this injury involves:
A)nucleus pulposus.
B)the articular process.
C)the medial epicondyle.
D)the glenohumeral joint.
Q3) An imaginary line connecting the highest point on each iliac crest would cross:
A)the first sacral vertebra.
B)the fourth lumbar vertebra.
C)the seventh cervical vertebra.
D)the twelfth thoracic vertebra.
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Q1) The nurse is testing superficial reflexes on an adult patient.When stroking up the lateral side of the sole and across the ball of the foot,the nurse notices the plantar flexion of the toes.How would the nurse document this finding?
A)Positive Babinski sign
B)Plantar reflex abnormal
C)Plantar reflex present
D)Plantar reflex "2+" on a scale from "0 to 4+"
Q2) In the assessment of a 1-month-old infant,the nurse notes a lack of response to noise or stimulation.The mother reports that in the last week he has been sleeping most of the time,and when awake,all he does is cry.The nurse hears that the infant's cries are very high-pitched and shrill.What would be the nurse's appropriate response to these findings?
A)Refer the infant for further testing.
B)Talk with the mother about eating habits.
C)Nothing;these are expected findings for an infant of this age.
D)Tell the mother to bring the baby back in a week for a recheck.
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Q1) A 24-year-old man is visiting the clinic for his annual checkup.He is worried because his friend has just been diagnosed with testicular cancer.He wants to know more about testicular cancer.The nurse will discuss the following.(Select all that apply. )
A)The importance of TSE
B)The occurrence of testicular cancer over the age of 50
C)Pain as an early symptom
D)A sense of heaviness or discomfort in the lower abdomen or scrotum
E)Family history
Q2) A 15-year-old boy is seen in the clinic for a complaint 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)a spermatic cord varicocele.
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Q1) A nurse is assessing a patient's risk of contracting a STI.An appropriate question would be:
A)"You use condoms,don't you?"
B)"Do you use a condom at each episode of sexual intercourse?"
C)"Do you have an STI?"
D)"You are aware of the dangers of unprotected sex,aren't you?"
Q2) When observing the vestibule,the nurse should be able to see the:
A)urethral meatus and vaginal orifice.
B)vaginal orifice and vestibular (Bartholin's)glands.
C)urethral meatus and paraurethral (Skene's)glands.
D)paraurethral (Skene's)and vestibular (Bartholin's)glands.
Q3) Which of the following statements is true with regard to the history of a postmenopausal woman?
A)The nurse should ask a postmenopausal woman if she ever has vaginal bleeding.
B)Once a woman reaches menopause,the nurse does not need to ask any further history questions.
C)The nurse should screen for monthly breast tenderness.
D)Postmenopausal women are not at risk for contracting STIs,and thus these questions can be omitted.
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Sample Questions
Q1) During an examination,the patient tells the nurse that she sometimes feels as if objects are spinning around her.The nurse would note that she occasionally experiences: (This question reflects the results an examiner may find during a complete physical examination.Content in this question is not necessarily addressed directly in Jarvis' Physical Examination & Health Assessment. )
A)vertigo.
B)tinnitus.
C)syncope.
D)dizziness.
Q2) During an examination,a patient has successfully completed the finger-to-nose and the rapid-alternating-movements tests,and is able to run each heel down the opposite shin.The nurse will conclude that the patient's:
A)occipital function is intact.
B)cerebral function is intact.
C)temporal function is intact.
D)cerebellar function is intact.
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/24691
Sample Questions
Q1) During an assessment,the nurse is unable to palpate pulses in the left lower leg.The nurse should:
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 be done 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.
Q3) When assessing the neurological system of a hospitalized patient during morning rounds,the nurse will include which of the following assessments?
A)Blood pressure
B)The patient's rating of pain on a 1 to 10 scale
C)The patient's verbal response
D)The patient's personal hygiene level
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Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/24692
Sample Questions
Q1) The nurse is palpating the abdomen of a woman who is 35 weeks pregnant,and notes that the fetal head is facing downward toward the pelvis.The nurse would document this as:
A)fetal lie.
B)fetal variety.
C)fetal attitude.
D)fetal presentation.
Q2) When examining the face of a woman who is 28 weeks pregnant,the nurse notes the presence of a butterfly-shaped increase in pigmentation on her face.When documenting,the correct term for this finding is:
A)striae.
B)chloasma.
C)linea nigra.
D)the mask of pregnancy.
Q3) Which of the following time periods 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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Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/24693
Sample Questions
Q1) During a morning assessment,the nurse notices that an older patient is less attentive and is unable to recall yesterday's events.The nurse administers the Confusion Assessment Method,which will screen for:
A)dementia.
B)depression.
C)delirium.
D)psychosis.
Q2) Which of the following questions would be most appropriate for the nurse to ask when beginning to assess a person's spirituality?
A)"Do you believe in God?"
B)"Do you consider yourself to be a spiritual person?"
C)"What religious faith do you follow?"
D)"Do you believe in the power of prayer?"
Q3) Which of the following tests is recommended as the most valid and reliable for assessing the physical performance of the older adult?
A)The Timed Up and Go Test
B)The Performance Activities of Daily Living
C)The Physical Performance Test
D)Tinetti Gait and Balance Evaluation
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Page 33