Introduction to Nursing Practice Practice
Questions
Course Introduction
Introduction to Nursing Practice offers students a foundational understanding of the nursing profession, focusing on the roles, responsibilities, and essential competencies required of registered nurses. The course explores the history, values, and ethics of nursing, along with core concepts such as patient-centered care, critical thinking, evidence-based practice, and interdisciplinary collaboration. Students gain practical skills in basic nursing assessments, communication techniques, and therapeutic interventions, preparing them to deliver safe and compassionate care in diverse clinical settings. Emphasis is placed on the development of professional identity, adherence to standards of practice, and the importance of lifelong learning.
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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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 are considered second-level priority problems?
A)Low self-esteem
B)Lack of knowledge
C)Abnormal laboratory values
D)Severely abnormal vital signs
Answer: C
Q2) A patient newly diagnosed with type 2 diabetes mellitus who does not know how to check his own blood glucose levels with a glucometer
A) first-level priority problem
B) second-level priority problem
C) third-level priority problem
Answer: B
Q3) 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
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Chapter 2: Health Promotion in the Context of Health Assessment
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) 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
Q2) Which of the following is the most commonly used developmental screening tool?
A)Denver Developmental Screening Test (DDST)
B)Ages and Stages Questionnaires (ASQs)
C)Nipissing District Developmental Screen (NDDS)
D)Parents' Evaluation of Developmental Status (PEDS)
Answer: C
Q3) Which is an example of tertiary prevention?
A)Pap test
B)Immunization against polio
C)Mammography
D)Teaching foot care to a person newly diagnosed with diabetes
Answer: D
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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) When inquiring about a patient's health,the nurse must remember that:
A)patients will tell nurses anything,as long as they are asked.
B)building trust is important and that this may occur over time.
C)all patients who seek care understand the Canadian health care system.
D)all patients understand the importance of answering all of the questions they are asked.
Answer: B
Q2) Which of the following is an example of health inequity?
A)A lack of clean drinking water
B)Having to drive 30 km to consult with a specialist
C)Having access to a variety of fresh fruit and vegetables
D)Having to wait one week to see a nurse practitioner
Answer: A
Q3) There is a cultural shift happening in Canada.In 2006,new immigrants came primarily from:
A)European countries.
B)Asia and the Middle East.
C)Central and South America.
D)India.
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 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) During a follow-up visit,the nurse discovers that the patient has not been taking his insulin regularly.The nurse asks,"Why haven't you taken your insulin?" Which of the following is an appropriate evaluation of this question?
A)It may put the patient on the defensive.
B)It is an innocent attempt to get information.
C)It would have been better to discuss this with his wife.
D)It is the best way to discover the reasons for his behaviour.
Q3) The interview portion of data collection obtains:
A)physical data.
B)historical data.
C)objective data.
D)subjective data.
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6
Chapter 5: The Complete Health History
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) While obtaining the history from the mother of a 2-year-old with pneumonia,the nurse asks the mother if she smoked or used drugs during her pregnancy.Her response is,"What does that have to do with pneumonia?" How would the nurse answer her question?
A)"You don't need to answer if it makes you uncomfortable."
B)"It's not really that important;we have to ask everyone these questions."
C)"The use of tobacco during your pregnancy could be the cause of your daughter's pneumonia."
D)"Knowing about your pregnancy will help us get a more complete picture of your daughter's health."
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
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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) During an interview,the nurse notes that the patient gets up several times to wash her hands even though they are clean.This is an example of:
A)social phobia.
B)compulsive disorder.
C)generalized anxiety disorder.
D)Post-traumatic stress disorder.
Q2) Which of the following statements is an example of flight of ideas?
A)"My stomach hurts.Hurts,spurts,burts."
B)"Kiss,wood,reading,ducks,onto,maybe."
C)"Take this pill? The pill is red.I see red.Red velvet is soft,soft as a baby's bottom."
D)"I wash my hands,wash them,wash them.I usually go to the sink and wash my hands."
Q3) During morning rounds,the nurse asks a patient,"How are you today?" The patient mumbles,"You today,you today,you today!" This speech pattern is an example of:
A)Echolalia
B)Clanging
C)Word salad
D)Perseveration
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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) 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.
Q2) Which is one of the 5 As for integrating knowledge of substance use in health assessment?
A)Assess own values and attitudes.
B)Avoid social judgement.
C)Assume that substance use is a choice.
D)Anticipate social behavioural problems.
Q3) A pregnant woman has just told you that she is smokes marijuana daily and snorts cocaine regularly.Which should the nurse do in relation to this information?
A)Complete a referral to Child Protection Services.
B)Ask the woman to stop substance use while she is pregnant.
C)Phone the doctor to obtain an order for methadone for the woman.
D)Maintain confidentiality,and use discretion when charting this information.
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Page 9
Chapter 8: Interpersonal Violence Assessment
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) Which one of the following injuries would the nurse expect to commonly see in a patient who is experiencing IPV?
A)Abrasions
B)Contusions
C)Fractures
D)Chronic pain
Q2) The nurse is assessing an older woman and suspects elder abuse.Which of the following questions are appropriate for screening for abuse? (Select all that apply. )
A)Has anyone ever physically hurt you?
B)Are you being abused?
C)Are you alone a lot?
D)Are you afraid of anybody at home or who enters your home?
E)Has anyone ever failed to take care of you when you needed help?
Q3) When assessing bruises,which colour indicates a new bruise that is less than 2 hours old?
A)Red
B)Purple-blue
C)Greenish brown
D)Brownish yellow
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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) 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.
Q2) The nurse is unable to palpate the right radial pulse on a patient.The best action would be to:
A)auscultate over the area with a fetoscope.
B)use a goniometer to measure the pulsations.
C)use a Doppler device to check for pulsations over the area.
D)check for the presence of pulsations with a stethoscope.
Q3) The most important reason to share information and offer brief education while performing the physical examination is to help:
A)the examiner feel more comfortable and gain control of the situation.
B)build rapport and increase the patient's confidence in the examiner.
C)the patient understand his or her disease process and treatment modalities.
D)the patient identify questions about his or her disease and potential areas of patient education.
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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) To accurately measure the rectal temperature in an adult,the nurse would:
A)use a lubricated blunt-tip thermometer.
B)insert the thermometer 5 to 7.5 cm (2 to 3 in. )into the rectum.
C)leave the thermometer in place for up to 8 minutes if the patient is febrile.
D)wait for 2 to 3 minutes if the patient has recently smoked a cigarette.
Q2) 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.
Q3) A patient is at the clinic complaining of "fainting episodes that started last week."
How should the nurse proceed with the examination?
A)Take the BP in both arms and thighs.
B)Assist the patient to a lying position and begin taking the BP.
C)Record the BP with the patient in the lying,sitting,and standing positions.
D)Record the BP with the patient in the lying and sitting positions,and average these numbers to obtain a mean BP.
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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 completing an initial pain assessment,the nurses uses PQRSTU to remember all of the aspects to assess.Which of the following are represented by PQRSTU? (Select all that apply. )
A)Quality
B)Provocative or palliative
C)Malignant or nonmalignant
D)Region
E)Severity
F)Impairment
Q2) A patient states that the pain medication is "not working" and rates his postoperative pain as 10 on a scale of 1 to 10.Which of the following assessment findings indicates an acute pain response to poorly controlled pain?
A)Confusion
B)Hyperventilation
C)Increased blood pressure and pulse
D)Decreased blood pressure and pulse
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13
Chapter 12: Nutritional Assessment and Nursing Practice
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) A patient is at the clinic on his first visit and reports no history of nutrition-related problems.Which of the following should the initial nutritional screening include?
A)Calorie count of nutrients
B)Anthropometric measures
C)Complete physical examination
D)Measurement of weight and weight history
Q2) Which of the following statements about evaluating the results of laboratory tests is true?
A)Normal values do not vary according to age.
B)Consider the patient's history when differences may exist.
C)It is not necessary to repeat laboratory tests once malnutrition has been determined.
D)Laboratory tests are more sensitive than other parts of the assessment and should take priority.
Q3) Which of the following statements about nutritional assessment is true?
A)It is only useful in patients who are overweight.
B)It identifies patients who are at risk of malnutrition.
C)Nutritional assessment can only be thoroughly done by a dietitian.
D)It provides the nurse with physical findings related to all the systems.
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Chapter 13: Skin, hair, and Nails
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56 Verified Questions
56 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 should say:
A)"It is the blue dilation of blood vessels in a star-shaped pattern on the legs."
B)"It is the fiery red,star-shaped marking on the cheek that has a solid circular centre."
C)"It is the confluent and extensive patch of petechiae and ecchymoses on the feet."
D)"It is the tiny little areas of hemorrhage that are less than 2 mm,round,discrete,and dark red in colour."
Q2) A patient has had a "terrible itch" for several months that he has been scratching continuously. On examination, the nurse might expect to find:
A)a keloid.
B)a fissure.
C)keratosis.
D)lichenification.
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15
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) A patient is at the clinic because he has recently noticed that the left side of his mouth is paralyzed.He states that he cannot raise his eyebrow or whistle.The nurse suspects that he has:
A)Cushing's syndrome.
B)Parkinson's syndrome.
C)Bell's palsy.
D)had a cerebrovascular accident (CVA,or stroke).
Q2) A 19-year-old community college student is brought to the emergency department with a severe headache he describes as "like nothing I've ever had before." His temperature is 40°C,and his neck is stiff.What do these signs and symptoms suggest?
A)Head injury
B)Cluster headache
C)Migraine headache
D)Meningeal inflammation
Q3) The muscles in the neck that are innervated by CN XI are the:
A)sternomastoid and trapezius.
B)spinal accessory and omohyoid.
C)trapezius and sternomandibular.
D)sternomandibular and spinal accessory.
Page 16
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Chapter 15: Eyes
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40 Flashcards
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Sample Questions
Q1) In a patient with anisocoria,the nurse would expect to observe:
A)dilated pupils.
B)excessive tearing.
C)pupils of unequal size.
D)an uneven curvature of the lens.
Q2) During an ophthalmoscopic examination of a patient,the examiner notes areas of exudate that look like "cotton wool" or fluffy grey-white cumulus clouds.Which of the possible problems below does this finding indicate?
A)Diabetes
B)Hyperthyroidism
C)Glaucoma
D)Hypotension
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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Chapter 16: Ears
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41 Flashcards
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Sample Questions
Q1) 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.
Q2) 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.
Q3) Which of the following is a risk factor for ear infections in young children?
A)Family history
B)Air conditioning
C)Excessive cerumen
D)Second-hand cigarette smoke
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Page 18
Chapter 17: Nose, mouth, and Throat
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) A 32-year-old woman is at the clinic for a checkup,and she states,"I have little white bumps in my mouth." During the assessment,the nurse notes that she has a 0.5-cm white,nontender papule under her tongue and one on the mucosa of her right cheek.Which of the following would the nurse tell the patient?
A)"These spots are seen with infections such as strep throat."
B)"These could be indicative of a serious lesion,so I will refer you to a specialist."
C)"This is called leukoplakia and can be caused by chronic irritation due to,for example,smoking."
D)"These bumps are Fordyce's granules,which are sebaceous cysts and not a serious condition."
Q2) Which of the following about a newborn infant is true?
A)The sphenoid sinuses are at full size at birth.
B)The maxillary sinuses reach full size after puberty.
C)The frontal sinuses are fairly well developed at birth.
D)The maxillary and ethmoid sinuses are the only ones present at birth.
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Chapter 18: Breasts and Regional Lymphatic System
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) The nurse is teaching a pregnant woman about breast milk.Which of the following statements would be true?
A)Breast milk is secreted immediately after delivery of the baby.
B)Breast milk is rich in protein and sugars (lactose)but has very little fat.
C)Colostrum,a thin,watery fluid,is present on days 4 and 5 postpartum (after the birth).
D)Colostrum is a fluid that contains antibodies and is usually present after the fourth month of pregnancy.
Q2) A 9-year-old girl is in the clinic for a sports physical assessment.Getting over her initial shyness,she asks,"Am I normal? I don't seem to need a bra yet,but I have some friends who do.What if I never get breasts?" The nurse's best response would be:
A)"Don't worry,you still have plenty of time to develop."
B)"I know just how you feel;I was a late bloomer myself.Just be patient;they will develop."
C)"You will probably get your periods before you notice any significant development of your breasts."
D)"I understand that it is hard when you feel different from your friends.Breasts usually develop between 8 and 10 years of age."
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Chapter 19: Thorax and Lungs
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Sample Questions
Q1) The nurse is aware that tactile fremitus is produced by:
A)moisture in the alveoli.
B)air in the subcutaneous tissues.
C)sounds generated from the larynx.
D)blood flow through the pulmonary arteries.
Q2) A 35-year-old recent immigrant complains of having a cough,expectoration of rust-coloured sputum,low-grade afternoon fevers,and night sweats for the past 2 months.The nurse's preliminary analysis,based on this history,is that this patient may be suffering from:
A)bronchitis.
B)pneumonia.
C)tuberculosis.
D)pulmonary edema.
Q3) Percussion over an area of atelectasis in the lungs reveals: A)dullness.
B)tympany.
C)resonance.
D)hyperresonance.
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Chapter 20: Heart and Neck Vessels
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) Normal splitting of the second heart sound is associated with:
A)expiration.
B)inspiration.
C)exercise state.
D)low resting heart rate.
Q2) The nurse is assessing a patient suspected to have cardiomyopathy and is evaluating the hepatojugular reflux.If heart failure is present,what would the nurse find while pushing on the right upper quadrant of the patient's abdomen,just below the rib cage?
A)The jugular veins will rise for a few seconds and then recede back to the previous level if the heart is working properly.
B)The jugular veins will remain elevated as long as pressure on the abdomen is maintained.
C)An impulse will be visible at the fourth or fifth intercostal space,at or inside the midclavicular line.
D)The jugular veins will not be detected during this manoeuvre.
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Chapter 21: Peripheral Vascular System and Lymphatic System
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Sample Questions
Q1) The nurse is performing peripheral vascular assessment on a bedridden patient and notes the following findings in the right leg: increased warmth,swelling,redness,tenderness to palpation,and a positive Homan's sign.The nurse would:
A)reevaluate the patient in a few hours.
B)consider this a normal finding for a bedridden patient.
C)seek emergency referral because of the risk of pulmonary embolism.
D)ask the patient to raise his leg off of the bed and check for pain on elevation.
Q2) Which of the following statements best describes the mechanism(s)by which venous blood returns to the heart?
A)Intraluminal valves ensure unidirectional flow toward the heart.
B)Contracting skeletal muscles milk blood distally toward the veins.
C)The high-pressure system of the heart helps to facilitate venous return.
D)Increased thoracic pressure and decreased abdominal pressure facilitate venous return to the heart.
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Chapter 22: Abdomen
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Sample Questions
Q1) While examining a patient,the nurse observes abdominal pulsations between the xiphoid and umbilicus.The nurse would suspect that these are:
A)pulsations of the renal arteries.
B)pulsations of the inferior vena cava.
C)normal abdominal aortic pulsations.
D)increased peristalsis from a bowel obstruction.
Q2) Which structure is located in the left lower quadrant (LLQ)of the abdomen?
A)Liver
B)Duodenum
C)Gallbladder
D)Sigmoid colon
Q3) While participating in patient assessment,the student nurse hears that a patient has "hepatomegaly" and recognizes that this term refers to:
A)an enlarged liver.
B)an enlarged spleen.
C)distended bowels.
D)excessive diarrhea.
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24
Chapter 23: Anus,rectum and Prostate
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Sample Questions
Q1) A patient who is visiting the clinic complains of having "stomach pains for 2 weeks" and describes his stools as being "soft and black" for about the last 10 days.He denies taking any medications.The nurse is aware that these symptoms are most indicative of:
A)excessive fat caused by malabsorption.
B)increased iron intake resulting from a change in diet.
C)occult blood resulting from gastrointestinal bleeding.
D)increase in bile pigment from liver problems.
Q2) A 70-year-old man is visiting the clinic for "difficulty in passing urine." In the history,he indicates he has to urinate frequently,especially at night.He experiences burning when he urinates and has noticed pain in his back.Given this history,what might the nurse expect to find during the physical assessment?
A)Asymmetrical hard,fixed prostate gland
B)Occult blood and perianal pain with palpation
C)Symmetrically enlarged,soft prostate gland
D)A soft nodule protruding from rectal mucosa
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Chapter 24: Musculoskeletal System
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Sample Questions
Q1) A patient has been diagnosed with a ganglion cyst over the dorsum of his left wrist.He asks the nurse,"What is this thing?" The nurse's best answer is:
A)"It is a common benign tumour."
B)"It is a tumor that will have to be watched because it may turn malignant."
C)"It is caused by chronic repetitive motion injury."
D)"It is a skin infection that will need to be drained."
Q2) A patient's annual physical examination reveals a lateral curvature of the thoracic and lumbar segments of his spine;however,this curvature disappears with forward bending.The nurse knows that this abnormality of the spine is called:
A)structural scoliosis.
B)functional scoliosis.
C)herniated nucleus pulposus.
D)dislocated nucleus pulposus.
Q3) To palpate the temporomandibular joint,the nurse's fingers should be placed in the depression:
A)distal to the helix of the ear.
B)proximal to the helix of the ear.
C)anterior to the tragus of the ear.
D)posterior to the tragus of the ear.
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Page 26
Chapter 25: Neurological System
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Sample Questions
Q1) When doing the history on a patient with a seizure disorder,the nurse assesses whether the patient has an aura.Which of the following would be the best question to ask in order to obtain this information?
A)"Does your muscle tone seem tense or limp?"
B)"After the seizure,do you spend a lot of time sleeping?"
C)"Do you have any warning sign before your seizure starts?"
D)"Do you experience any colour change or incontinence during the seizure?"
Q2) During an assessment of a 62-year-old man the nurse notes stooped posture;shuffling,short steps when walking;a very rigid,flat facial expression;and movement of the fingers as if rolling a pill with them.These findings would be consistent with:
A)parkinsonism.
B)cerebral palsy.
C)cerebellar ataxia.
D)muscular dystrophy.
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) Which of the following findings is considered normal when the nurse is performing a testicular examination on a 25-year-old man?
A)Nontender subcutaneous plaques
B)A scrotal area that is dry,scaly,and nodular
C)Testes that feel oval and movable,and are slightly sensitive to compression
D)A single,hard,circumscribed,movable mass,less than 1 cm under the surface of the testes
Q2) Prolonged,painful erection of the penis without sexual desire is known as:
A)orchitis.
B)stricture.
C)phimosis.
D)priapism.
Q3) The mother of a 10-year-old boy asks the nurse to discuss how puberty can be recognized.The nurse should reply:
A)"Puberty usually begins at about age 15."
B)"The first sign of puberty is enlargement of the testes."
C)"Penis size does not increase until about the age of 16."
D)"The development of pubic hair precedes testicular or penis enlargement."
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Chapter 27: Female Genitourinary System
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Sample Questions
Q1) A 25-year-old woman comes to the emergency department with a sudden fever of 38°C and abdominal pain.Upon examination,the nurse notes that she has rigid,boardlike lower abdominal musculature.When the nurse tries to perform a vaginal examination,the patient has severe pain when the uterus and cervix are moved.The nurse knows that these signs and symptoms are suggestive of:
A)endometriosis.
B)uterine fibroids.
C)ectopic pregnancy.
D)pelvic inflammatory disease.
Q2) A woman has just been diagnosed with HPV infection,or genital warts.The nurse should counsel her to receive regular examinations,because this virus puts her at a higher risk for:
A)uterine cancer.
B)cervical cancer.
C)ovarian cancer.
D)endometrial cancer.
Q3) Second degree prolapse is:
A)Cervix bulges outside the introitus with straining.
B)The whole uterus protrudes,even without straining.
C)Cervix appears at introitus with straining.
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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) An 85-year-old man has come into the clinic for a physical examination,and the nurse notes that he uses a cane.When documenting general appearance,the nurse will document this information under the section that covers:
A)posture.
B)mobility.
C)mood and affect.
D)physical deformity.
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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 a morning assessment,the nurse notes that a patient's urine output is below the expected amount.What should be done next?
A)An order for a Foley catheter should be obtained.
B)An order for a straight catheter should be obtained.
C)Perform a bladder scan test.
D)Refer the patient to a urologist.
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Chapter 30: Pregnancy
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Q1) During the examination of a woman in her second trimester of pregnancy,the nurse notes the presence of a small amount of yellow drainage from the nipples.The nurse knows that this is:
A)an indication that the woman's milk is coming in.
B)a sign of possible breast cancer in a pregnant woman.
C)most likely colostrum,which is considered a normal finding at this stage of the pregnancy.
D)an early stage in the pregnancy for lactation to begin.The woman should be referred to a specialist.
Q2) When auscultating the anterior thorax of a pregnant woman,the nurse notes the presence of a murmur over the second,third,and fourth intercostal spaces.It is continuous but can be obliterated by pressure with the stethoscope or finger on the thorax just lateral to the murmur.The nurse knows that this is:
A)the murmur of aortic stenosis.
B)most likely a mammary souffle.
C)associated with aortic insufficiency.
D)an indication of a patent ductus arteriosus.
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Chapter 31: Functional Assessment of the Older Adult
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Q1) 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
Q2) The nurse is assessing the abilities of an older adult.Which of the following activities are considered IADLs? (Select all that apply. )
A)Feeding oneself
B)Preparing a meal
C)Balancing a chequebook
D)Walking
E)Toileting
F)Grocery shopping
Q3) Which of the following statements about the Lawton IADLs instrument is true?
A)The nurse uses direct observation to implement this tool.
B)It is designed as a self-report measure of performance,rather than ability.
C)It is not useful in the acute hospital setting.
D)It is best used for those residing in an institutional setting.
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