Introduction to Nursing Practice
Mock Exam
Course Introduction
Introduction to Nursing Practice offers students a comprehensive foundation in the roles, responsibilities, and professional standards of the nursing profession. Through an exploration of core concepts such as patient-centered care, safety, ethical and legal considerations, and interprofessional collaboration, students develop essential communication and critical thinking skills. Emphasis is placed on basic nursing assessments, vital sign measurements, infection control, and the application of evidence-based practices in various healthcare settings. This course prepares learners to begin clinical experiences by building confidence in fundamental nursing interventions and fostering a compassionate, holistic approach to patient care.
Recommended Textbook
Physical Examination and Health Assessment Canadian 2nd Edition by Carolyn Jarvis
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31 Chapters
1148 Verified Questions
1148 Flashcards
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Page 2
Chapter 1: Critical Thinking and Evidence-Informed Assessment
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) Which of the following statements is a characteristic of the clinical practice guidelines for infants and children for a periodic health examination?
A)They are used to diagnose an illness.
B)They are helpful in identifying developmental delays in children.
C)They recommend that every individual receive an annual physical examination.
D)They list a frequency schedule for periodic health visits for a specific age group.
Answer: D
Q2) Which of the following best describes a proficient nurse?
A)A nurse who has little experience with a specified population and uses rules to guide performance
B)A nurse who has an intuitive grasp of a clinical situation and quickly identifies the accurate solution
C)A nurse who sees actions in the context of daily plans for patients
D)A nurse who sees a patient's situation as a whole,with long-term goals for the patient,rather than as a list of tasks to be performed
Answer: D
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3
Chapter 2: Health Promotion in the Context of Health Assessment
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15 Flashcards
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Sample Questions
Q1) Which of the following is an example of secondary prevention?
A)Pap test
B)Immunization against polio
C)Teaching school-age children the importance of handwashing
D)Teaching foot care to a newly diagnosed diabetic
Answer: A
Q2) Which of the following is true in relation to the current conceptualization of the meaning of health?
A)It is a two-dimensional concept.
B)It is the absence of disease.
C)It accounts for the importance of the physical and social environment.
D)The conceptualization is individual,and health is what the person indicates that it means to that person.
Answer: C
Q3) Which of the following groups has the shortest life expectancy in Canada?
A)Health care providers
B)First Nations and Inuit people
C)Females in relation to males
D)Immigrant workers
Answer: B
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Chapter 3: Cultural Competence: Cultural Care and Social
Considerations in Health Assessment
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) A First Nations family requires dental care.The nurse needs to determine which of the following in order to facilitate the best possible care for this family?
A)Do they have coverage under the Indian Act of 1876?
B)Do they live on a reservation or in town?
C)Do they have noninsured health benefits?
D)Do they have their provincial health cards?
Answer: C
Q2) Which statement is correct regarding the development of one's culture?
A)Culture is genetically determined on the basis of racial background.
B)Culture is rooted in several distinctive and specific social elements.
C)Culture is a nonspecific phenomenon and is adaptive,but unnecessary.
D)Culture is biologically determined on the basis of physical characteristics.
Answer: B
Q3) Which of the following statements accurately reflects the concept of ethnicity?
A)Ethnicity is dynamic and ever changing because of political forces.
B)Ethnicity refers to a group that shares heritage,culture,language,or religion.
C)Ethnicity refers to the belief in a higher power or being.
D)Ethnicity is a learned behaviour that includes language and socialization.
Answer: B
Page 5
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Chapter 4: The Interview
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40 Flashcards
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Sample
Questions
Q1) A woman is describing the problems she is having with her 2-year-old son."He won't go to sleep at night,and during the day he has several fits.I get so upset when that happens." The nurse's best verbal response would be:
A)"Go on,I'm listening."
B)"Fits? Tell me what you mean by this."
C)"Yes,it can be upsetting when a child has a fit."
D)"Don't be upset when he has a fit;every 2-year-old has fits."
Q2) The nurse enters a patient's room and finds her crying because the patient has just found out that the lump in her breast is cancerous.The patient says,"I'm so afraid of,um,you know." The nurse's most therapeutic response would be to say,in a gentle manner:
A)"You're afraid you might lose your breast?"
B)"No,I'm not sure what you are talking about."
C)"I'll wait here until you get yourself under control,and then we can talk."
D)"I can see that you are very upset.Perhaps we should discuss this later."
Q3) The interview portion of data collection obtains:
A)physical data.
B)historical data.
C)objective data.
D)subjective data.
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Chapter 5: The Complete Health History
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) Which of the following is the appropriate health promotion question to ask during a review of symptoms?
A)"Do you use sunscreen while outside?"
B)"I need to see if your skin is warm and dry."
C)"Have you experienced any dizziness or headaches?"
D)"When you cough,what colour is the sputum you bring up?"
Q2) Which of the following statements represents subjective data about the patient's skin?
A)Skin dry in appearance
B)No obvious lesions
C)Denies colour change
D)Lesion noted lateral aspect right arm
Q3) The nurse is obtaining the health history of an 87-year-old woman.Which of the following areas of questioning would be most useful at this time?
A)Obstetrical history
B)Childhood illnesses
C)General health for the past 20 years
D)Current health promotion activities
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Chapter 6: Mental Health Assessment
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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) Which of the following statements best describes the Montreal Cognitive Assessment (MoCA)examination?
A)Scores below 30 indicate cognitive impairment.
B)It is a good tool to evaluate mood and thought processes.
C)It is a good tool to detect delirium and dementia and to differentiate these from psychiatric mental illness.
D)It is useful for an initial evaluation of mental health.Additional tools are needed to evaluate changes in cognition over time.
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Page 8
Chapter 7: Substance Use in the Context of Health Assessment
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Who has the greatest chance of success in a substance misuse treatment program?
A)A 22-year-old female who misuses alcohol and tobacco
B)A 38-year-old male who misuses heroin and tobacco
C)A 62-year-old female who misuses alcohol and marijuana
D)A 43-year-old single mother of three school-aged children who misuses alcohol
Q2) Which of the following are demonstrating an increase in tobacco use?
A)Adolescents
B)Females
C)Low-income populations
D)High-socioeconomic-status families
Q3) Which statement is true in relation to the CAGE questionnaire?
A)It takes about 5 minutes to administer.
B)It has 20 closed-ended questions.
C)It does not distinguish past problem drinking from active present drinking.
D)It is reliable and valid to use on any nationality and both genders.
Q4) 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."
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Chapter 8: Interpersonal Violence Assessment
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) When documenting IPV and elder abuse,the nurse should include:
A)photographic documentation of injuries.
B)a summary of the abused person's statements.
C)verbatim documentation of every statement made by the abused person.
D)a general description of injuries in the progress notes.
Q2) The nurse suspects abuse when a 10-year-old child is brought to the urgent care centre for a leg injury.The best way to document the history and physical findings is to:
A)write what the child's caregiver tells the nurse.
B)use the words the child used to describe how the injury occurred.
C)write what the nurse observes during the conversation.
D)rely on photographs of the injuries.
Q3) The nurse is a mandatory reporter of child abuse.Which of the following must be present before authorities should be notified?
A)Statements from the victim
B)Statements from witnesses
C)Proof of abuse and neglect
D)Suspicion of child abuse and neglect
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Chapter 9: Assessment Techniques and the Clinical Setting
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) During auscultation of a patient's heart,the nurse hears an unfamiliar sound.What should the nurse do next?
A)Document the findings on the patient's record.
B)Wait 10 minutes,and auscultate the heart again.
C)Ask how the patient is feeling.
D)Ask another nurse to double-check the finding.
Q2) Fingers and thumb in a grasping action
A)Should be used to detect the shape and consistency of a mass in the axilla
B)Best for evaluating skin texture over the abdomen.
C)Used to determine the temperature of the patient's skin.
D)Best for detecting vibration over the thorax and abdomen.
Q3) Which of the following statements about the use of the stethoscope is true?
A)The slope of the earpieces should point posteriorly (toward the occiput).
B)The stethoscope does not amplify sound but does block out extraneous noise.
C)The fit and quality of the stethoscope are not as important as its ability to amplify sound.
D)The ideal tubing length should be 56 cm (22 in. )to dampen distortion of sound.
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11
Chapter 10: General Survey, measurement, and Vital Signs
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51 Verified Questions
51 Flashcards
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Sample Questions
Q1) Which of the following best describes mean arterial pressure (MAP)?
A)It is the pressure of the arterial pulse.
B)It reflects the stroke volume of the heart.
C)It is the pressure forcing blood into the tissues,averaged over the cardiac cycle.
D)It is an average of the systolic and diastolic BPs and reflects tissue perfusion.
Q2) Which of the following 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
Q3) A 60-year-old male patient has been treated for pneumonia for the past 6 weeks.He is in the clinic to check an "unexplained" weight loss of 4.5 kg (2 lb)over the last 6 weeks.The nurse knows that:
A)his weight loss is probably from unhealthy eating habits.
B)chronic diseases such as hypertension don't cause weight loss.
C)unexplained weight loss often accompanies short-term illnesses.
D)his weight loss is probably not the result of a mental dysfunction.
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Chapter 11: Pain Assessment
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13 Verified Questions
13 Flashcards
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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) When assessing the intensity of a patient's pain,which of the following questions by the nurse would be appropriate?
A)"What makes your pain better or worse?"
B)"How much pain do you have now?"
C)"How does pain limit your activities?"
D)"What does your pain feel like?"
Q3) Which statement about pain experienced by infants is true?
A)Pain in infants can only be assessed through findings of physiological changes,such as increased heart rate.
B)The Faces Pain Scale can be used to assess pain in infants.
C)A procedure that induces pain in adults will also induce pain in infants.
D)Infants feel pain less than adults do.
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Chapter 12: Nutritional Assessment and Nursing Practice
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) The nurse is performing nutritional assessment on an 80-year-old patient.The nurse knows that physiological changes that directly affect the nutritional status of the older adult include:
A)slowed gastrointestinal motility.
B)hyperstimulation of the salivary glands.
C)an increased sensitivity to spicy and aromatic foods.
D)decreased gastrointestinal absorption causing esophageal reflux.
Q2) Which of the following is a side effect of energy boosting drinks (for example,Red Bull)?
A)Overhydration
B)Hypotension
C)Tachycardia
D)Personality disorders
Q3) Which of the following measurements is an early indicator of protein malnutrition?
A)Serum albumin
B)Serum creatinine
C)Nitrogen balance
D)Serum transferrin
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14
Chapter 13: Skin, hair, and Nails
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56 Verified Questions
56 Flashcards
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Sample Questions
Q1) A newborn infant is found to have Down syndrome. During skin assessment, the nurse notices a transient mottling on the trunk and extremities in response to the cooler temperature in the examination room. The infant's mother has also noticed the mottling and wants to know what it is. The nurse knows that this mottling is called:
A)café au lait spots.
B)carotenemia.
C)acrocyanosis.
D)cutis marmorata.
Q2) A 40-year-old woman reports a change in mole size,accompanied by colour changes,itching,burning,and bleeding over the past month.She has a dark complexion and has no family history of skin cancer,but she has had many blistering sunburns in the past.The nurse would:
A)tell the patient to watch the lesion for further changes and report back in 2 months.
B)refer the patient because of the suspicion of melanoma based on her symptoms.
C)ask additional questions about environmental irritants that may have caused this condition.
D)suspect that this is a compound nevus,which is very common in young to middle-aged adults.
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Chapter 14: Head and Neck, including Regional Lymphatic System
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) During the assessment of an infant,the nurse notes that the fontanelles are depressed and sunken.Which condition does the nurse suspect?
A)Rickets
B)Dehydration
C)Mental retardation
D)Increased intracranial pressure
Q2) The nurse is performing an assessment on a 7-year-old child who has the following symptoms: chronic watery eyes,sneezing,and clear nasal drainage.The nurse notes the presence of a transverse line across the bridge of the nose,dark blue shadows under the eyes,and a double crease on the lower eyelids.These findings are characteristic of:
A)allergies.
B)a sinus infection.
C)nasal congestion.
D)an upper respiratory infection.
Q3) Child,age 4 years
A)Head circumference equal to chest circumference
B)Head circumference greater than chest circumference
C)Head circumference less than chest circumference
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Chapter 15: Eyes
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40 Flashcards
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Sample Questions
Q1) The nurse is testing a patient's visual accommodation,which refers to:
A)pupillary constriction when looking at a near object.
B)pupillary dilation when looking at a far object.
C)changes in peripheral vision in response to light.
D)involuntary blinking in the presence of bright light.
Q2) During an assessment,a patient says that she was diagnosed with open-angle glaucoma 2 years ago.There are various types of glaucoma,such as open-angle glaucoma and closed-angle glaucoma.Which of the following are characteristics of open-angle glaucoma? (Select all that apply. )
A)The patient may experience sensitivity to light,nausea,and halos around lights.
B)It is the most common type of glaucoma.
C)Immediate treatment is needed.
D)Vision loss begins with peripheral vision.
E)It causes sudden attacks of increased pressure that causes blurred vision.
F)There are virtually no symptoms.
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17
Chapter 16: Ears
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) A patient with a middle ear infection asks the nurse,"What does the middle ear do?"
The nurse says that the function of the middle ear is to:
A)maintain balance.
B)interpret sounds as they enter the ear.
C)conduct vibrations of sounds to the inner ear.
D)increase amplitude of sound to enable the inner ear to function.
Q2) The nurse is assessing a 16-year-old patient with head injuries from a recent motor vehicle accident.Which of the following statements indicates the most important reason for assessing for any drainage from the canal?
A)If the drum has ruptured,there will be purulent drainage.
B)Bloody or clear watery drainage can indicate a basal skull fracture.
C)The auditory canal many be occluded from increased cerumen.
D)There may be occlusion of the canal caused by foreign bodies from the accident.
Q3) Which of the following statements about air conduction is true?
A)It is the most efficient pathway for hearing.
B)It is caused by the vibrations of bones in the skull.
C)The amplitude of sound determines the pitch that is heard.
D)A loss of air conduction is called a conductive hearing loss.
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Chapter 17: Nose, mouth, and Throat
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) The nurse is teaching a health class to high school boys.One of the topics is the use of smokeless tobacco (SLT).Which of the following statements about SLT are accurate? (Select all that apply. )
A)One pinch of SLT in the mouth for 30 minutes delivers the effect of an equivalent amount of tobacco in one cigarette.
B)SLT has a greater risk of oral cancer than does smoking.
C)Pain is an early sign of oral cancer.
D)Pain is rarely an early sign of oral cancer.
E)Tooth decay is another risk of SLT because of the use of sugar in it.
F)SLT is considered a healthy alternative to smoking.
Q2) The nurse is obtaining history for a 3-month-old infant.During the interview,the mother states,"I think she is getting her first tooth because she has started drooling a lot."
The nurse's best response would be:
A)"You're right,drooling is usually a sign of the eruption of the first tooth."
B)"It would be unusual for a 3-month-old to be getting her first tooth."
C)"This could be the sign of a problem with the salivary glands."
D)"She is just starting to salivate and hasn't learned to swallow the saliva."
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Chapter 18: Breasts and Regional Lymphatic System
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Sample Questions
Q1) A patient states during the assessment that she noticed a new lump in her left breast near her axilla while in the shower a few days ago.The nurse should plan to:
A)palpate the lump first.
B)palpate the unaffected breast first.
C)avoid palpating the lump because it could be a cyst,which might rupture.
D)palpate the breast with the lump first and the axilla last.
Q2) The nurse is conducting a class about breast health.Which of the following statements is true?
A)The best time to perform BSE is in the middle of the menstrual cycle.
B)The woman needs to do BSE every month.
C)Breast volume is smallest from day 4 to 7 of your menstrual cycle and is a good time to get to know your breast structure.
D)If she suspects that she is pregnant,the woman should not perform BSE until her baby is born.
Q3) During assessment of a woman's axillary lymph system,the nurse will assess the:
A)central,axillary,lateral,and sternal nodes.
B)pectoral,lateral,anterior,and sternal nodes.
C)central,lateral,pectoral,and subscapular nodes.
D)lateral,pectoral,axillary,and suprascapular nodes.
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Page 20
Chapter 19: Thorax and Lungs
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Sample Questions
Q1) The nurse knows that expected assessment findings in the normal adult lung include:
A)adventitious sounds and limited chest expansion.
B)increased tactile fremitus and dull percussion tones.
C)muffled voice sounds and symmetrical tactile fremitus.
D)absent voice sounds and hyperresonant percussion tones.
Q2) The nurse is auscultating the lungs of a sleeping patient and notes short,popping,crackling sounds that stop after a few breaths.The nurse recognizes that these breath sounds are:
A)atelectatic crackles,and not pathological.
B)fine crackles,which may be a sign of pneumonia.
C)vesicular breath sounds.
D)fine wheezes.
Q3) Which of the following adventitious sounds would be produced by air passing through narrowed bronchioles?
A)Wheezes
B)Bronchial sounds
C)Bronchophony
D)Whispered pectoriloquy
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Chapter 20: Heart and Neck Vessels
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Sample Questions
Q1) While auscultating for heart sounds in a 7-year-old during a "routine physical," the nurse hears the following: an S ,a soft murmur at left midsternal border,and a venous hum when the child is standing.Which of the following about the findings is true?
A)S is indicative of heart disease in children.
B)These can all be normal findings in a child.
C)These are indicative of congenital problems.
D)The venous hum most likely indicates an aneurysm.
Q2) A 30-year-old woman with a history of mitral valve problems states that lately she has been "very tired." She has started waking up at night and feels like her "heart is pounding." During assessment,the nurse identifies a thrill and lift at the fifth left intercostal space midclavicular line.In the same area,the nurse also identifies a blowing,swishing sound right after S .These findings would be most consistent with:
A)heart failure.
B)aortic stenosis.
C)pulmonary edema.
D)mitral regurgitation.
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Chapter 21: Peripheral Vascular System and Lymphatic System
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Sample Questions
Q1) How would the nurse document mild,slightly pitting edema of the ankles of a pregnant patient?
A)1+/0-4+
B)3+/0-4+
C)4+/0-4+
D)Edema present
Q2) The nurse uses the "profile sign" to detect:
A)pitting edema.
B)early clubbing.
C)symmetry of the fingers.
D)insufficient capillary refill.
Q3) During an assessment the nurse assists the patient to sit up and dangle his legs over the side of the table.The nurse would expect that a normal finding at this point would be:
A)marked elevational pallor.
B)venous filling within 15 seconds.
C)pain in the feet and lower legs when assuming a sitting position.
D)colour returning to the feet within 20 seconds of assuming a sitting position.
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Page 23
Chapter 22: Abdomen
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Sample Questions
Q1) Percussion notes heard during an abdominal assessment may include:
A)flatness,resonance,and dullness.
B)resonance,dullness,and tympany.
C)tympany,hyperresonance,and dullness.
D)resonance,hyperresonance,and flatness.
Q2) Which of the following percussion findings would be found in a patient with a large amount of ascites?
A)Dullness across the abdomen
B)Flatness in the RUQ
C)Hyperresonance in the LUQ
D)Tympany in the RLQ and LLQ
Q3) A patient's abdomen appears bulging and stretched.The nurse would describe this finding as:
A)obese.
B)herniated.
C)scaphoid.
D)protuberant.
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24
Chapter 23: Anus,rectum and Prostate
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Sample Questions
Q1) Which of the following statements about the sphincters is true?
A)The internal sphincter is under voluntary control.
B)The external sphincter is under voluntary control.
C)Both sphincters remain slightly relaxed at all times.
D)The internal sphincter surrounds the external sphincter.
Q2) The nurse notes that a patient has had a pale,yellow,greasy stool,or steatorrhea,and recalls that this is caused by:
A)occult bleeding.
B)absent bile pigment.
C)increased fat content.
D)ingestion of bismuth preparations.
Q3) A 46-year-old man requires assessment of his sigmoid colon.Which of the following is most appropriate for this examination?
A)A proctoscope
B)An ultrasound
C)A colonoscope
D)A rectal exam with an examining finger
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Chapter 24: Musculoskeletal System
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Sample Questions
Q1) The articulation of the mandible and the temporal bone is known as the:
A)intervertebral foramen.
B)condyle of the mandible.
C)temporomandibular joint.
D)zygomatic arch of the temporal bone.
Q2) During an interview,a patient states,"I can feel this bump on the top of both of my shoulders-it doesn't hurt but I am curious about what it might be." The nurse should tell her:
A)"That is your subacromial bursa."
B)"That is your acromion process."
C)"That is your glenohumeral joint."
D)"That is the greater tubercle of your humerus."
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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Chapter 25: Neurological System
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Sample Questions
Q1) A 32-year-old woman tells the nurse that she has noticed "very sudden,jerky movements," mainly in her hands and arms."They seem to come and go,primarily when I am trying to do something.I haven't noticed them when I'm sleeping." This description suggests:
A)chorea.
B)athetosis.
C)myoclonus.
D)Parkinson's disease.
Q2) While obtaining a history of a 3-month old infant from its mother,the nurse asks about the baby'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
Q3) The two parts of the nervous system are:
A)motor and sensory.
B)central and peripheral.
C)peripheral and autonomic.
D)hypothalamus and cerebral.
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Chapter 26: Male Genitourinary System
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Sample Questions
Q1) A 62-year-old man states that his doctor told him that he has an "inguinal hernia." He asks the nurse to explain what a hernia is.The nurse should:
A)tell him not to worry,since most men his age develop hernias.
B)explain that a hernia is often the result of prenatal growth abnormalities.
C)refer him to his physician for additional consultation,because the physician made the initial diagnosis.
D)explain that a hernia is a loop of bowel protruding through a weak spot in the abdominal muscles.
Q2) During a health history,a patient tells the nurse that he has trouble in starting his urine stream.This problem is known as hesitancy and is commonly seen in men with: A)testicular cancer.
B)prostate enlargement.
C)epididymitis.
D)hydrocele.
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Chapter 27: Female Genitourinary System
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Q1) In performing the bimanual examination,the nurse notes that the cervix feels smooth and firm,is round,and is fixed in place (does not move).When cervical palpation is performed,the patient complains of some pain.Which of the following should be the nurse's interpretation of these results?
A)These findings are all within normal limits.
B)The cervical consistency should be soft and velvety,not firm.
C)The cervix should move when palpated;an immobile cervix may indicate malignancy.
D)It is unusual to have pain when the cervix is palpated,but the rest of the findings are within normal limits.
Q2) A woman who is 22 weeks pregnant has a vaginal infection.She tells the nurse that she is afraid that this infection will "hurt my baby." The nurse knows that which of the following statements is true?
A)If intercourse is avoided,the risk for infection is minimal.
B)A thick mucus plug forms that protects the fetus from infection.
C)The acidic pH of vaginal secretions promotes the growth of pathogenic bacteria.
D)The mucus plug that forms in the cervical canal is a good medium for bacterial growth.
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Sample Questions
Q1) 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: (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)cheilosis.
B)leukoplakia.
C)ankyloglossia.
D)torus palatinus.
Q2) A patient states,"whenever I open my mouth real wide,I feel this popping sensation in front of my ears." To further examine this,the nurse would:
A)place the stethoscope over the temporomandibular joint and listen for bruits.
B)place the hands over his ears,and ask him to open his mouth "really wide."
C)place one hand on his forehead and the other on his jaw,and ask him to try to open his mouth.
D)place a finger on his temporomandibular joint and ask him to open and close his mouth.
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Page 30
Chapter 29: Bedside Assessment of the Hospitalized Patient
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Q1) What should the nurse assess before entering the patient's room on morning rounds?
A)Posted conditions,such as isolation precautions
B)The patient's input and output chart from the previous shift
C)The patient's general appearance
D)The presence of any visitors in the room
Q2) During an assessment of a hospitalized patient,the nurse pinches a fold of skin under the clavicle or on the forearm to note:
A)mobility and turgor.
B)the patient's response to pain.
C)the percentage of the patient's fat-to-muscle ratio.
D)the presence of edema.
Q3) 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.
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Chapter 30: Pregnancy
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Q1) A patient is being seen at the clinic for her 10-week prenatal visit.She asks when she will be able to hear the baby's heartbeat.The nurse should reply:
A)"The baby's heartbeat is not usually heard until the second trimester."
B)"The baby's heartbeat may be heard anywhere from the ninth to the twelfth week."
C)"It is often difficult to hear the heartbeat at this point,but we can try."
D)"It is normal to hear the heartbeat at 6 weeks.We may be able to hear it today."
Q2) Which of the following statements is true regarding pregnancy after 35 years of age?
A)Women over 35 years of age deliver most often by vaginal delivery.
B)The occurrence of having a child with Down syndrome is much more frequent after 35 years of age.
C)Genetic counselling and prenatal screening are not routine until after 40 years of age.
D)Women over 35 years of age who are pregnant have the same rate of pregnancy-related complications as those who are under 35 years of age.
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32
Chapter 31: Functional Assessment of the Older Adult
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Q1) Which of the following is true in relation to ADLs and IADLs instruments?
A)Most can be completed in 5 minutes.
B)They incorporate an objective standardized measure of performance.
C)Administration of the tests does not require training.
D)There is no risk of injury to the older adult when participating in performance testing.
Q2) The nurse is assessing the forms of support an older patient has before she is discharged.Which of the following illustrates an informal source of support?
A)The local senior centre
B)Her cleaning lady
C)Her Meals on Wheels meal delivery service
D)Her neighbour,who visits with her daily
Q3) When using the various instruments to assess an older person's ADLs,the nurse needs to remember that a disadvantage of these instruments includes:
A)the reliability of the tools.
B)the self or proxy report of functional activities.
C)the lack of confidentiality during the assessment.
D)insufficient detail about the deficiencies identified.
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