Health Assessment
Pre-Test Questions
Course Introduction
Health Assessment is a foundational course that equips students with the knowledge and skills necessary to comprehensively evaluate the health status of individuals across the lifespan. Through a combination of theoretical instruction and hands-on practice, students learn systematic techniques for collecting health histories, performing physical examinations, and recognizing normal versus abnormal findings. Emphasis is placed on effective communication, critical thinking, and the integration of cultural and developmental considerations. The course prepares learners to utilize evidence-based assessment tools, document findings accurately, and collaborate within interdisciplinary healthcare teams to support effective patient care and clinical decision-making.
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 statement best describes an experienced nurse? An experienced nurse is one who:
A)Has little experience with a specified population and uses rules to guide performance.
B)Takes a linear approach to the nursing process.
C)Is focused only on a patient's disease.
D)Understands a patient's situation as a whole, rather than a list of tasks, and recognizes the long-term goals for the patient.
Answer: D
Q2) During a clinical examination of a 68-year-old patient, the nurse will:
A)Remind the patient use medication wisely.
B)Perform a tuberculin skin test.
C)Discuss body image and dieting.
D)Helping the consumer choose a healthier lifestyle.
Answer: A
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3
Chapter 2: Health Promotion in the Context of Health Assessment
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) To implement primary prevention during the influenza season, the nurse will promote:
A)Hospitalization for the individual with influenza.
B)Medication to prevent complications with influenza.
C)Monitoring the individual with influenza-like symptoms.
D)Consistent hand washing and influenza vaccination.
Answer: D
Q2) What are some conditions for which the nurse would normally screen a 75-year-old patient?
A)Literacy and communication skills
B)Falls and loss of hearing and visual acuity
C)Using a helmet when riding a motorcycle
D)Injuries from rock climbing activities
Answer: B
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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) A young mother and her three young children are attending clinic today.During assessment, what information might cause the nurse to have concerns about the family's health?
A)The mother has a very supportive husband, who has a stable, high-paying job.
B)The mother is a lone parent and works as a waitress at a small diner.
C)The mother is very committed to a healthy lifestyle.
D)The mother enjoys preparing nutritious, well-balanced meals for her family.
Answer: B
Q2) While working with an Indigenous patient, the nurse recalls that a call to action from the Truth and Reconciliation Committee (TRC) Report would be supported through:
A)Restricting visitors to only non-Indigenous individuals.
B)Ensuring that all Indigenous paraphernalia is removed from the patient's room.
C)Arranging for an elder to conduct a smudging ceremony at the patient's request.
D)Organizing the patient's room to reflect the hot and cold theory of health and illness.
Answer: C
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5
Chapter 4: The Interview
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) When taking history from a newly admitted patient, the nurse notices that he often pauses and expectantly looks at the nurse.What would be the nurse's best response to this behaviour?
A)Be silent, and allow him to continue when he is ready.
B)Smile at him, and say, "Don't worry about all of this.I'm sure we can find out why you're having these pains."
C)Lean back in the chair, and say, "You are looking at me kind of funny; there isn't anything wrong, is there?"
D)Stand up, and say, "I can see that this interview is uncomfortable for you.We can continue it another time."
Q2) During a follow-up visit, the nurse discovers that a patient has not been taking his insulin on a regular basis.The nurse asks, "Why haven't you taken your insulin?" Which statement is an appropriate evaluation of this question?
A)This question may place the patient on the defensive.
B)This question is an innocent search for information.
C)Discussing his behaviour with his wife would have been better.
D)A direct question is the best way to discover the reasons for his behaviour.
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Chapter 5: The Complete Health History
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) The nurse is preparing to do a functional assessment.Which statement best describes the purpose of the functional assessment?
A)The functional assessment assesses how the individual is coping with life at home.
B)It determines how children are meeting developmental milestones.
C)The functional assessment can identify any problems with memory the individual may be experiencing.
D)It helps determine how a person is managing day-to-day activities.
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 (faith and belief, importance and influence, community, and addressing or applying in care) questions?
A)"Do you believe in God?"
B)"Are you a part of any religious or spiritual group?"
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 6: Mental Health Assessment
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) While assessing a patient with a 7-year-history of bipolar disorder, the nurse is mindful of the connection between:
A)Blunt force trauma and concussive injuries
B)Aggression and violent behaviours
C)Mental illness and chronic physical conditions
D)Physical activity and obesity
Q2) 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
Q3) The nurse needs to determine if the 68-year-old patient is safe to continue living on his own in his own home.The nurse will complete a(n):
A)Risk assessment
B)Exercise log
C)Elimination routine
D)Functional assessment
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Chapter 7: Substance Use and Health Assessment
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse is reviewing aspects of substance use in preparation for a seminar.Which of these statements illustrates the concept of tolerance to an illicit substance? The person:
A)Has a physiological dependence on a substance.
B)Requires an increased amount of the substance to produce the same effect.
C)Requires daily use of the substance to function and is unable to stop using it.
D)Experiences a syndrome of physiologic symptoms if the substance is not used.
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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Chapter 8: Interpersonal Violence Assessments
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) The nurse is conducting a follow-up assessment of a 6-year-old patient 2 years after removal from his parents' home as a result of physical violence between the parents.The nurse will assess the patient for: (Select all that apply.)
A)Developmental progress.
B)Favourite foods.
C)Social interactions in school.
D)Musical talents.
E)Clothing trends.
Q2) The nurse is examining a 3-year-old child who was brought to the emergency department after a fall.Which finding would be of most concern?
A)Bruise on the knee
B)Bruise on the elbow
C)Bruising on the abdomen
D)Bruise on the shin
Q3) Using the TVIC approach during patient assessment, the nurse focuses on:
A)Assessing for violence in high-risk populations
B)Obtaining evidence of abuse by a family member
C)Gathering information of violence
D)Creating a safe, nonjudgmental environment
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Page 10
Chapter 9: Assessment Techniques and the Clinical Setting
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) The nurse is examining an infant and prepares to elicit the Moro reflex at which time during the examination?
A)When the infant is sleeping
B)At the end of the examination
C)Before auscultation of the thorax
D)Halfway through the examination
Q2) The nurse is preparing to examine a 4-year-old child.Which action is appropriate for this age group?
A)Explaining the procedures in detail to alleviate the child's anxiety
B)Giving the child feedback and reassurance during the examination
C)Not asking the child to remove his or her clothes because children at this age are usually very private
D)Performing examination of the ear, nose, and throat first and then examining the thorax and abdomen
Q3) When examining an infant, the nurse should examine which area first?
A)Ear
B)Nose
C)Throat
D)Abdomen
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Chapter 10: General Survey, Measurement, Vital Signs
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52 Verified Questions
52 Flashcards
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Sample Questions
Q1) When assessing a 75-year-old patient who has asthma, the nurse notes that he assumes a tripod position, leaning forward with arms braced on the chair.The nurse:
A)Assumes that the patient is eager and interested in participating in the interview.
B)Evaluates the patient for abdominal pain, which may be exacerbated in the sitting position.
C)Assumes that the patient is having difficulty breathing and assists him to the supine position.
D)Recognizes that a tripod position is often used when a patient is having respiratory difficulties.
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
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12
Chapter 11: Pain Assessment
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse is teaching students about the older adult population and normal aging.Which statement by a nursing student indicates an understanding of older adults and pain?
A)"Older adults must learn to tolerate pain."
B)"Pain is a normal process of aging and is to be expected."
C)"Pain is not a normal process of aging and can indicate injury."
D)"Older adults perceive pain to a lesser degree compared with younger individuals."
Q2) A patient is complaining of severe knee pain after twisting it during a basketball game and is requesting pain medication.Which action by the nurse is appropriate?
A)Completing the physical examination first and then giving the pain medication
B)Telling the patient that the pain medication must wait until after the x-ray images are completed
C)Evaluating the full range of motion of the knee and then medicating for pain
D)Administering pain medication and then proceeding with the assessment
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Chapter 12: Nutritional Assessment
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38 Verified Questions
38 Flashcards
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Sample
Questions
Q1) A 16-year-old girl is being seen at the clinic for gastrointestinal complaints and weight loss.The nurse determines that many of her complaints may be related to erratic eating patterns, eating predominantly fast foods, and high caffeine intake.In this situation, which is most appropriate when collecting current dietary intake information?
A)Scheduling a time for direct observation of the adolescent during meals
B)Asking the patient for a 24-hour diet recall and assuming it to be reflective of a typical day for her
C)Having the patient complete a food diary for 3 days, including 2 weekdays and 1 weekend day
D)Using the food frequency questionnaire to identify the amount of intake of specific foods
Q2) A patient is asked to indicate on a form how many times he eats a specific food.Which method is the nurse using to assess nutritional intake?
A)Food diary
B)Calorie count
C)24-hour recall
D)Food-frequency questionnaire
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Chapter 13: Skin, Hair, and Nails
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53 Verified Questions
53 Flashcards
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Sample Questions
Q1) A physician has diagnosed a patient with purpura.After leaving the room, a nursing student asks the nurse what the physician saw that led to that diagnosis.The nurse replies, "The physician is referring to the:
A)"Blue dilation of blood vessels in a star-shaped linear pattern on the legs."
B)"Fiery red, star-shaped marking on the cheek that has a solid circular centre."
C)"Merging extensive patch of red dots and larger bruises on the feet."
D)"Tiny areas of bruising that are less than 2 mm, round, discrete, and dark red in colour."
Q2) During an examination, the nurse finds that a patient has excessive dryness of the skin.When charting, the nurse describes this condition as:
A)Xerosis.
B)Pruritus.
C)Alopecia.
D)Seborrhea.
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Chapter 14: Head, Face, and Neck, Including Regional Lymphatics
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) A mother brings in her newborn infant for an assessment and tells the nurse that she has noticed that whenever her newborn's head is turned to the right side, she straightens out the arm and leg on the same side and flexes the opposite arm and leg.After observing this on examination, the nurse tells her that this reflex is:
A)Abnormal and is called the atonic neck reflex.
B)Normal and should disappear by the first year of life.
C)Normal and is called the tonic neck reflex, which should disappear between 3 and 4 months of age.
D)Abnormal and the baby should be flexing the arm and leg on the right side of his body when the head is turned to the right.
Q2) A patient who is 7 months pregnant is at the clinic for her routine checkup.During assessment the nurse notes that the patient's thyroid is palpable.The nurse will:
A)Refer the patient to a thyroid specialist.
B)Send the patient for laboratory tests for thyroid hormones.
C)Document the findings as normal.
D)Ask a colleague to check the findings.
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Chapter 15: Eyes
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) When a light is directed across the iris of a patient's eye from the temporal side, the nurse is assessing for:
A)Drainage from dacryocystitis.
B)Presence of conjunctivitis over the iris.
C)Presence of shadows, which may indicate glaucoma.
D)Scattered light reflex, which may be indicative of cataracts.
Q2) The nurse reviews causes of increased intraocular pressure (IOP) with the patient using the following explanation:
A)"The pressure results from the thickness of the lens."
B)"The posterior chamber increases in pressure as it accommodates increased fluid."
C)"Contraction of the ciliary body in response to the aqueous within the eye increases pressure."
D)"The pressure results from the amount of aqueous produced and the resistance to its outflow at the angle of the anterior chamber."
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Chapter 16: Ears
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) In performing an examination of a 3-year-old child with a suspected ear infection, the nurse would:
A)Omit the otoscopic examination if the child has a fever.
B)Pull the ear up and back before inserting the speculum.
C)Ask the mother to leave the room while examining the child.
D)Perform the otoscopic examination at the end of the assessment.
Q2) While performing the otoscopic examination of a 3-year-old boy who has been pulling on his left ear, the nurse finds that his left tympanic membrane is bright red and that the light reflex is not visible.The nurse interprets these findings to indicate:
A)Fungal infection.
B)Acute otitis media.
C)Perforation of the eardrum.
D)Cholesteatoma.
Q3) The nurse is performing an ear examination of an 80-year-old patient.Which of these findings would be considered normal?
A)High-tone frequency loss
B)Increased elasticity of the pinna
C)Thin, translucent membrane
D)Shiny, pink tympanic membrane
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Page 18
Chapter 17: Nose, Mouth, and Throat
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) A patient comes into the clinic complaining of facial pain, fever, and malaise.On examination, the nurse notes swollen turbinates and purulent discharge from the nose.The patient also complains of a dull, throbbing pain in his cheeks and teeth on the right side and pain when the nurse palpates the areas.The nurse recognizes that this patient has:
A)Posterior epistaxis.
B)Frontal sinusitis.
C)Maxillary sinusitis.
D)Nasal polyps.
Q2) When assessing the tongue of an adult, the nurse knows that an abnormal finding would be:
A)Smooth glossy dorsal surface.
B)Thin white coating over the tongue.
C)Raised papillae on the dorsal surface.
D)Visible venous patterns on the ventral surface.
Q3) The tissue that connects the tongue to the floor of the mouth is the:
A)Uvula.
B)Palate.
C)Papillae.
D)Frenulum.
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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) The nurse is performing a breast examination.Which of these statements best describes the correct procedure to use when screening for nipple and skin retraction during a breast examination? Have the woman:
A)Bend over and touch her toes.
B)Lie down on her left side and notice any retraction.
C)Shift from a supine position to a standing position, and note any lag or retraction.
D)Slowly lift her arms above her head, and note any retraction or lag in movement.
Q2) While inspecting a patient's breasts, the nurse finds that the left breast is slightly larger than the right with the bilateral presence of Montgomery's glands.The nurse should:
A)Palpate over Montgomery's glands, checking for drainage.
B)Consider these findings as normal, and proceed with the examination.
C)Ask extensive health history questions regarding the woman's breast asymmetry.
D)Continue with the examination, and then refer the patient for further evaluation of Montgomery's glands.
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20
Chapter 19: Thorax and Lungs
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) The nurse is assessing the lungs of an 85-year-old patient who states having a decreased tolerance for activity.The nurse informs the patient that this results from some of the normal changes that occur in the respiratory system of the older adult:
A)Chest expansion increases with asymmetry.
B)Respiratory muscle strength increases to compensate for a decreased vital capacity.
C)A decrease in small airway closure occurs, leading to problems with atelectasis.
D)Lungs are less elastic and distensible, and this decreases their ability to collapse and recoil.
Q2) During an assessment of an adult, the nurse has noted unequal chest expansion and recognizes that this occurs in which situation?
A)In an obese patient
B)When part of the lung is obstructed or collapsed
C)When bulging of the intercostal spaces is present
D)When accessory muscles are used to augment respiratory effort
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Chapter 20: Heart and Neck Vessels
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) The nurse is preparing for a class on risk factors for heart disease and identifies the population with the highest prevalence of heart disease as people of:
A)African descent
B)European descent
C)Indigenous descent
D)South Asian descent
Q2) A 70-year-old patient with a history of hypertension has a blood pressure of 180/100 mm Hg and a heart rate of 90 beats per minute.The nurse hears an extra heart sound at the apex immediately before S .The sound is heard only with the bell of the stethoscope while the patient is in the left lateral position.With these findings and the patient's history, the nurse knows that this extra heart sound is most likely a(n):
A)Split S1
B)Atrial gallop
C)Diastolic murmur
D)Summation sound
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22
Chapter 21: Peripheral Vascular System and Lymphatic System
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) During a routine office visit, a patient takes off his shoes and shows the nurse "this awful sore that won't heal." On inspection, the nurse notes a 3-cm round ulcer on the left great toe, with a pale ischemic base, well-defined edges, and no drainage.The nurse should assess for other signs and symptoms of:
A)Varicosities
B)Venous stasis ulcer
C)Arterial ischemic ulcer
D)Deep vein thrombophlebitis
Q2) When assessing a patient's pulse, the nurse notes that the amplitude is weaker during inspiration and stronger during expiration.When the nurse measures the blood pressure, the reading decreases by 20 mm Hg during inspiration and increases with expiration.This patient is experiencing pulsus ___________.
A)Alternans
B)Bisferiens
C)Bigeminus
D)Paradoxus
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Page 23
Chapter 22: Abdomen
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) A nurse notices that a patient has ascites, which indicates the presence of:
A)Fluid
B)Feces
C)Flatus
D)Fibroid tumours
Q2) The nurse is preparing to examine a patient who has been complaining of right lower quadrant pain.Which technique is correct during the assessment? The nurse should:
A)Examine the tender area first
B)Examine the tender area last
C)Avoid palpating the tender area
D)Palpate the tender area first and then auscultate for bowel sounds
Q3) During abdominal assessment, the nurse performs deep palpation to screen for:
A)Bowel motility
B)Changes in size of organs
C)Gastroesophageal reflux
D)Abdominal skin and musculature
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24
Chapter 23: Anus, Rectum, and Prostate
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A 70-year-old man is visiting the clinic for difficulty in passing urine.In the health history, he indicates that he has to urinate frequently, especially at night.He has burning when he urinates and has noticed pain in his back.Considering this history, what might the nurse expect to find during the physical assessment?
A)Asymmetrical, hard, and fixed prostate gland
B)Occult blood and perianal pain to palpation
C)Symmetrically enlarged, soft prostate gland
D)Soft nodule protruding from the rectal mucosa
Q2) Which characteristic of the prostate gland would the advance practice nurse recognize as an abnormal finding while palpating the prostate gland through the rectum?
A)Palpable central groove
B)Tenderness to palpation
C)Being heart shaped
D)Elastic and rubbery consistency
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Chapter 24: Musculoskeletal System
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51 Flashcards
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Sample Questions
Q1) The nurse is examining a 3-month-old infant and performs the Ortolani manoeuvre.The nurse notes that the movements feel smooth and no sounds are produced.The nurse will document the findings as a:
A)Normal finding of a positive Ortolani sign
B)Normal finding of a negative Ortolani sign
C)Positive Ortolani sign and warrants a referral
D)Negative Ortolani sign and seek immediate referral
Q2) During assessment of the ankle joint, the nurse asks the patient to flex and extend the articulation of the tibia, fibula, and:
A)Talus
B)Cuboid bones
C)Calcaneus
D)Cuneiform bones
Q3) The nurse is examining a 2-month-old infant and notices asymmetry of the infant's gluteal folds.The nurse should assess for other signs of what disorder?
A)Fractured clavicle
B)Down's syndrome
C)Spina bifida
D)Hip dislocation
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Page 26
Chapter 25: Neurological System
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58 Flashcards
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Sample Questions
Q1) A mother of a 1-month-old infant asks the nurse why it takes so long for infants to learn to roll over.The nurse knows that the reason for this is:
A)A demyelinating process must be occurring with her infant
B)Myelin is needed to conduct the impulses, and the neurons of a newborn are not yet myelinated
C)The cerebral cortex is not fully developed; therefore control over motor function gradually occurs
D)The spinal cord is controlling the movement because the cerebellum is not yet fully developed
Q2) The nurse knows that determining whether a person is oriented to his or her surroundings will test the functioning of which structure(s)?
A)Cerebrum
B)Cerebellum
C)Cranial nerves
D)Medulla oblongata
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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Chapter 26: Male Genitourinary System
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42 Flashcards
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Sample Questions
Q1) When assessing the scrotum of a male patient, the nurse notices the presence of multiple firm, nontender, yellow, 1-cm nodules.The nurse knows that these nodules are most likely:
A)Caused by urethritis
B)Sebaceous cysts
C)Subcutaneous plaques
D)From an inflammation of the epididymis
Q2) An accessory glandular structure for the male genital organs is the:
A)Testis
B)Scrotum
C)Prostate
D)Vas deferens
Q3) A 70-year-old man is in for his annual checkup.He has noticed some changes he is concerned about as he is aging.The nurse explains what normal changes he should expect including: (Select all that apply.)
A)Scrotum hanging lower
B)Decrease in the size of the testes
C)Increase in the amount of pubic hair
D)Decrease in the size of the penis
E)Scrotum shrinking in size
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Chapter 27: Female Genitourinary System
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) A woman who is 8 weeks pregnant is in the clinic for a checkup.The nurse reads on her chart that her cervix is softened and looks cyanotic.The nurse knows that the woman is exhibiting __________ sign and __________ sign.
A)Tanner's; Hegar's B)Hegar's; Goodell's C)Chadwick's; Hegar's D)Goodell's; Chadwick's
Q2) A 22-year-old woman has been considering using oral contraceptives.As a part of her health history, the nurse should ask:
A)"Do you have a history of heart murmurs?"
B)"Are you going to be in a monogamous relationship?"
C)"Have you carefully thought this choice through?"
D)"If you smoke, how many cigarettes do you smoke per day?"
Q3) The nurse is preparing to examine the external genitalia of a school-age girl.Which position would be most appropriate in this situation?
A)In the parent's lap
B)In a frog-leg position on the examining table
C)In the lithotomy position with the feet in stirrups
D)Lying flat on the examining table with legs extended
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Page 29
Chapter
Child, and Adolescent
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/47770
Sample Questions
Q1) Which of these actions is most appropriate to perform on a 9-month-old infant at a well-child checkup?
A)Performing the Ortolani manoeuvre
B)Assessment for stereognosis
C)Blood pressure measurement
D)Assessment for the presence of the startle reflex
Q2) During the examination of a patient's mouth, the nurse observes a nodular bony ridge down the middle of the hard palate.The nurse would chart this finding as:
A)Cheilosis
B)Leukoplakia
C)Ankyloglossia
D)Torus palatinus
Q3) During an examination, the nurse notices that a patient is unable to stick out his tongue.Which cranial nerve is involved with the successful performance of this action?
A)I
B)V
C)XI
D)XII
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Chapter 29: Bedside Assessment of the Hospitalized Patient
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/47771
Sample Questions
Q1) What should the nurse assess before entering the patient's room on morning rounds?
A)Posted conditions, such as isolation precautions
B)Patient's input and output chart from the previous shift
C)Patient's general appearance
D)Presence of any visitors in the room
Q2) When assessing a patient in the hospital setting, the nurse knows which statement to be true?
A)The patient will need a brief assessment at least every 4 hours.
B)The patient will need a consistent, specialized examination every 8 hours, focusing on certain parameters.
C)The patient will need a complete head-to-toe physical examination every 24 hours.
D)Most patients require a minimal examination each shift unless they are in critical condition.
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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) During auscultation of FHTs, the nurse determines that the heart rate is 136 beats per minute.The nurse's next action should be to:
A)Document the results, which are within normal range
B)Take the maternal pulse to verify these findings as the uterine soufflé
C)Have the patient change positions and count the FHTs again
D)Immediately notify the physician for possible fetal distress
Q2) A woman in her second trimester of pregnancy complains of heartburn and indigestion.When discussing this with the woman, the nurse considers which explanation for these problems?
A)Tone and motility of the gastrointestinal tract increase during the second trimester.
B)Sluggish emptying of the gallbladder, resulting from the effects of progesterone, often causes heartburn.
C)Lower blood pressure at this time decreases blood flow to the stomach and gastrointestinal tract.
D)Enlarging uterus and altered esophageal sphincter tone predispose the woman to have heartburn.
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Chapter 31: Functional Assessment of the Older Adult
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse is assessing the forms of support an older patient has before she is discharged.Which of these examples is an informal source of support?
A)Local senior centre
B)Patient's Medicare check
C)Meals on Wheels meal delivery service
D)Patient's neighbour, who visits with her daily
Q2) The nurse is preparing to use the Lawton IADL instrument as part of an assessment.Which statement about the Lawton IADL instrument is true?
A)The nurse uses direct observation to implement this tool.
B)The Lawton IADL instrument is designed as a self-report measure of performance rather than ability.
C)This instrument is not useful in the acute hospital setting.
D)This tool is best used for those residing in an institutional setting.
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