Introduction to Nursing Practice Test Bank
Course Introduction
Introduction to Nursing Practice provides students with a foundational understanding of the nursing profession, emphasizing the roles, responsibilities, and ethical standards expected of nurses in various healthcare environments. The course introduces key concepts such as patient-centered care, communication, teamwork, and safety, while exploring the nursing process assessment, diagnosis, planning, implementation, and evaluation as a framework for clinical decision-making. Students will also gain exposure to core clinical skills, infection control, documentation, and an overview of healthcare systems, preparing them for further hands-on experiences in nursing education.
Recommended Textbook
Physical Examination and Health Assessment 6th Edition by Carolyn Jarvis
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30 Chapters
1147 Verified Questions
1147 Flashcards
Source URL: https://quizplus.com/study-set/1044
Page 2
Chapter 1: Evidence Based Assessment
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/20681
Sample Questions
Q1) During a staff meeting,nurses discuss the problems with accessing research studies in order to incorporate evidence-based clinical decision making into their practice.Which suggestion by the nurse manager would best help this problem?
A) Form a committee to conduct research studies.
B) Post published research studies on the unit's bulletin boards.
C) Encourage the nurses to visit the library to review studies.
D) Teach the nurses how to conduct electronic searches for research studies.
Answer: D
Q2) C = third-level priority problem
A)A patient newly diagnosed with type 2 diabetes mellitus does not know how to check his own blood glucose levels with a glucometer.
B)A teenager who was stung by a bee during a soccer match is having trouble breathing.
C)An older adult with a urinary tract infection is also showing signs of confusion and agitation.
Answer: A
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3
Chapter 2: Cultural Competence: Cultural Care
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20682
Sample Questions
Q1) A 63-year-old Chinese-American man enters the hospital with complaints of chest pain,shortness of breath,and palpitations.Which statement most accurately reflects the nurse's best course of action?
A) The nurse should focus on performing a full cardiac assessment.
B) The nurse should focus on psychosomatic complaints because he has just learned that his wife has cancer.
C) This patient is not in any danger at present, so the nurse should send him home with instructions to contact his physician.
D) It is unclear what is happening with this patient, so the nurse should perform an assessment in both the physical and the psychosocial realms.
Answer: D
Q2) Which of the following reflects the traditional health and illness beliefs and practices of those of African heritage? Health is:
A) the reward for good behavior.
B) the balance of the body and spirit.
C) maintained by wearing jade amulets.
D) harmony with nature.
Answer: D
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Chapter 3: The Interview
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20683
Sample Questions
Q1) A female nurse is interviewing a male patient who is near the same age as the nurse.During the interview,the patient makes an overtly sexual comment.The nurse's best reaction would be:
A) "Stop that immediately!"
B) "Oh, you are too funny. Let's keep going with the interview."
C) "Do you really think I would be interested?"
D) "It makes me uncomfortable when you talk that way. Please stop."
Answer: D
Q2) The nurse is nearing the end of an interview.Which statement is appropriate at this time?
A) "Did we forget something?"
B) "Is there anything else you would like to mention?"
C) "I need to go on to the next patient. I'll be back."
D) "While I'm here, let's talk about your upcoming surgery."
Answer: B
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5
Chapter 4: The Complete Health History
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/20684
Sample Questions
Q1) The nurse is incorporating a person's spiritual values into the health history.Which of these questions illustrates the "community" portion of the FICA questions?
A) "Do you believe in God?"
B) "Are you a part of any religious or spiritual congregation?"
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?"
Q2) A patient tells the nurse that he is allergic to penicillin.What would be the nurse's best response to this information?
A) "Are you allergic to any other drugs?"
B) "How often have you received penicillin?"
C) "I'll write your allergy on your chart so you won't receive any penicillin."
D) "Please describe what happens to you when you take penicillin."
Q3) The nurse is taking a family history.Important diseases or problems to ask the patient about specifically include:
A) emphysema.
B) head trauma.
C) mental illness.
D) fractured bones.
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6
Chapter 5: Mental Status Assessment
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20685
Sample Questions
Q1) The nurse is assessing orientation in a 79-year-old patient.Which of these responses would lead the nurse to conclude that this patient is oriented?
A) "I know that my name is John. I couldn't tell you where I am. I think it is 2010, though."
B) "I know that my name is John, but to tell you the truth, I get kind of confused about the date."
C) "I know that my name is John; I guess I'm at the hospital in Spokane. No, I don't know the date."
D) "I know that my name is John. I am at the hospital in Spokane. I couldn't tell you what date it is, but I know that it is February of a new year-2010."
Q2) The nurse is administering a Mini-Cog test to an elderly woman.When asked to draw a clock showing the time of 10:45,the patient drew a clock with the numbers out of order and with the time incorrect.This result indicates which finding?
A) Cognitive impairment
B) Amnesia
C) Delirium
D) Attention deficit disorder
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Chapter 6: Substance Use Assessment
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/20686
Sample Questions
Q1) The nurse is reviewing aspects of substance abuse in preparation for a seminar.Which of these statements illustrates the concept of "tolerance" to an illicit substance? The person:
A) has a physiologic dependence on a substance.
B) requires an increased amount of the substance to produce the same effect.
C) requires daily use of the substance in order 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 has completed an assessment on a patient who came to the clinic for a leg injury.As a result of the assessment,the nurse has determined that the patient has "at risk" alcohol use.Which action by the nurse is most appropriate at this time?
A) Record the results of the assessment and notify the physician on call.
B) State, "You are drinking more than is medically safe. I strongly recommend that you quit drinking, and I'm willing to help you."
C) State, "It appears that you may have a drinking problem. Here is the phone number of our local Alcoholics Anonymous chapter."
D) Give the patient information about a local rehabilitation clinic.
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Chapter 7: Domestic Violence Assessment
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/20687
Sample Questions
Q1) The nurse is assessing an elderly woman and suspects abuse.Which 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 anyone who enters your home?"
E) "Has anyone ever failed to help you take care of yourself when you needed help?"
Q2) The nurse is examining a 3-year-old child who was brought to the emergency room after a fall.Which bruise,if found,would be of most concern?
A) A bruise on the knee
B) A bruise on the elbow
C) Bruising on the abdomen
D) A bruise on the shin
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9
Chapter 8: Assessment Techniques and the Clinical Setting
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/20688
Sample Questions
Q1) During the examination,it is often appropriate to offer some brief teaching about the patient's body or the examiner's findings.Which of these statements by the nurse is most appropriate?
A) "Your atrial dysrhythmias are under control."
B) "You have pitting edema and mild varicosities."
C) "Your pulse is 80 beats per minute. This is within the normal range."
D) "I'm using my stethoscope to listen for any crackles, wheezes, or rubs."
Q2) The most important step that the nurse can take to prevent transmission of microorganisms in the hospital setting is to:
A) wear protective eye wear at all times.
B) wear gloves during any and all contact with patients.
C) wash hands before and after contact with each patient.
D) clean the stethoscope with an alcohol swab between patients.
Q3) The nurse is preparing to percuss the abdomen of a patient.The purpose of the percussion is to assess the underlying tissue:
A) turgor.
B) texture.
C) density.
D) consistency.
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Page 10
Chapter 9: General Survey, Measurement, Vital Signs
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52 Verified Questions
52 Flashcards
Source URL: https://quizplus.com/quiz/20689
Sample Questions
Q1) Which technique is correct when the nurse is assessing the radial pulse of a patient? Count the:
A) pulse for 1 minute if the rhythm is irregular.
B) pulse for 15 seconds and multiply by four, if the rhythm is regular.
C) initial pulse for a full 2 minutes to detect any variation in amplitude.
D) pulse for 10 seconds and multiply by six, if the patient has no history of cardiac abnormalities.
Q2) To accurately assess a rectal temperature on an adult,the nurse would:
A) use a lubricated blunt tip thermometer.
B) insert the thermometer 2 to 3 inches into the rectum.
C) leave the thermometer in place up to 8 minutes if the patient is febrile.
D) wait 2 to 3 minutes if the patient has recently smoked a cigarette.
Q3) During an examination of a child,the nurse considers that physical growth is the best index of a child's:
A) general health.
B) genetic makeup.
C) nutritional status.
D) activity and exercise patterns.
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11
Chapter 10: Pain Assessment: The Fifth Vital Sign
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/20690
Sample Questions
Q1) 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) Complete the physical examination first and then give the pain medication.
B) Tell the patient that the pain medication must wait until after the x-rays are completed.
C) Evaluate full range of motion of the knee and then medicate for pain.
D) Administer pain medication and then proceed with the assessment.
Q2) During an admission assessment of a patient with dementia,the nurse assesses for pain because the patient has recently had several falls.Which of these are appropriate for the nurse to assess in a patient with dementia? Select all that apply.
A) Ask the patient, "Do you have pain?"
B) Assess the patient's breathing independent of vocalization.
C) Note whether the patient is calling out, groaning, or crying.
D) Have the patient rate pain on a 1 to 10 scale.
E) Observe the patient's body language for pacing and agitation.
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Chapter 11: Nutritional Assessment
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/20691
Sample Questions
Q1) A 65-year-old man is brought to the emergency department after he was found dazed and incoherent,alone in his apartment.He has an enlarged liver and is moderately dehydrated.When evaluating his serum albumin level,the nurse must keep in mind that:
A) serum albumin levels will increase as liver function decreases.
B) serum albumin levels are a sensitive measure of early protein malnutrition.
C) low serum albumin levels may be caused by reasons other than protein-calorie malnutrition.
D) the results of the serum albumin measurement along with the patient's hemoglobin level should be considered.
Q2) During an assessment of a patient who has been homeless for several years,the nurse notices that his tongue is magenta in color.This is an indication of _____ deficiency.
A) iron
B) riboflavin
C) vitamin D and calcium
D) vitamin C
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Chapter 12: Skin, Hair, and Nails
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52 Verified Questions
52 Flashcards
Source URL: https://quizplus.com/quiz/20692
Sample Questions
Q1) The nurse educator is preparing an education module for the nursing staff on the dermis layer of skin.Which of these statements would be included in the module? The dermis:
A) contains mostly fat cells.
B) consists mostly of keratin.
C) is replaced every 4 weeks.
D) contains sensory receptors.
Q2) The nurse has discovered decreased skin turgor in a patient and knows that this is an expected finding in which of these conditions?
A) Severe obesity
B) Childhood growth spurts
C) Severe dehydration
D) Connective tissue disorders such as scleroderma
Q3) A 13-year old girl is interested in obtaining information about the cause of her acne.The nurse would share with her that acne:
A) is contagious.
B) is caused by a poor diet.
C) has no known cause.
D) has been found to be related to poor hygiene.
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Page 14
Chapter 13: Head, Face, and Neck, Including Regional Lymphatics
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/20693
Sample Questions
Q1) A patient's laboratory data reveal an elevated thyroxine level.The nurse would proceed with an examination of the _____ gland.
A) thyroid
B) parotid
C) adrenal
D) parathyroid
Q2) A patient has come in for an examination and states,"I have this spot in front of my ear lobe here on my cheek that seems to be getting bigger and is tender.What do you think it is?" The nurse notes swelling below the angle of the jaw and suspects that it could be an inflammation of his:
A) thyroid gland.
B) parotid gland.
C) occipital lymph node.
D) submental lymph node.
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Chapter 14: Eyes
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20694
Sample Questions
Q1) The nurse is reviewing causes of increased intraocular pressure.Which of these factors determines intraocular pressure?
A) Thickness or bulging of the lens
B) Posterior chamber as it accommodates an increase in fluid
C) Contraction of the ciliary body in response to the aqueous within the eye
D) Amount of aqueous produced and resistance to its outflow at the angle of the anterior chamber
Q2) The nurse is examining a patient's retina with an ophthalmoscope.Which finding is considered normal?
A) An optic disc that is a yellow-orange color
B) Optic disc margins that are blurred around the edges
C) The presence of pigmented crescents in the macular area
D) The presence of the macula located on the nasal side of the retina
Q3) The nurse is assessing a patient's eyes for the accommodation response and would expect to see which normal finding?
A) Dilation of the pupils
B) A consensual light reflex
C) Conjugate movement of the eyes
D) Convergence of the axes of the eyes
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Page 16
Chapter 15: Ears
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20695
Sample Questions
Q1) In performing an examination of a 3 year old 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) The nurse suspects that a patient has otitis media.Early signs of otitis media include which of these findings of the tympanic membrane?
A) Red and bulging
B) Hypomobility
C) Retraction with landmarks clearly visible
D) Flat, slightly pulled in at the center, and moves with insufflation
Q3) The nurse is preparing to do an otoscopic examination on a 2-year-old child.Which of these reflects correct procedure?
A) Pull the pinna down.
B) Pull the pinna up and back.
C) Tilt the child's head slightly toward the examiner.
D) Have the child touch his chin to his chest.
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17
Chapter 16: Nose, Mouth, and Throat
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/20696
Sample Questions
Q1) Immediately after birth,the nurse is unable to suction the nares of a newborn.An attempt is made to pass a catheter through both nasal cavities with no success.What should the nurse do next?
A) Attempt to suction again with a bulb syringe.
B) Wait a few minutes and try again once the infant stops crying.
C) Recognize this is a situation that requires immediate intervention.
D) Contact the physician to see the infant at the next hospital visit.
Q2) The salivary gland that is the largest and located in the cheek in front of the ear is the _____ gland.
A) parotid
B) Stensen's
C) sublingual
D) submandibular
Q3) The nurse is reviewing the development of the newborn infant.Regarding the sinuses,which statement is true in relation to a newborn infant?
A) The sphenoid sinuses are 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 sinuses present at birth.
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Page 18
Chapter 17: Breasts and Regional Lymphatics
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/20697
Sample Questions
Q1) The nurse is assisting with a self-breast examination clinic.Which of these women reflect abnormal findings during the inspection phase of breast examination?
A) Woman whose nipples are in different planes (deviated)
B) Woman whose left breast is slightly larger than her right
C) Nonpregnant woman whose skin is marked with linear striae
D) Pregnant woman whose breasts have a fine blue network of veins visible under the skin
Q2) 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; notice any lag or retraction.
D) slowly lift her arms above her head and note any retraction or lag in movement.
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Chapter 18: Thorax and Lungs
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/20698
Sample Questions
Q1) The nurse is auscultating the lungs of a patient who had been sleeping and notices short,popping,crackling sounds that stop after a few breaths.The nurse recognizes that these breath sounds are:
A) atelectatic crackles, and that they are not pathologic.
B) fine crackles, and that they may be a sign of pneumonia.
C) vesicular breath sounds.
D) fine wheezes.
Q2) The nurse is listening to the breath sounds of a patient with severe asthma.Air passing through narrowed bronchioles would produce which of these adventitious sounds?
A) Wheezes
B) Bronchial sounds
C) Bronchophony
D) Whispered pectoriloquy
Q3) During auscultation of the lungs,the nurse expects decreased breath sounds to be heard in which situation?
A) When the bronchial tree is obstructed
B) When adventitious sounds are present
C) In conjunction with whispered pectoriloquy
D) In conditions of consolidation, such as pneumonia
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Chapter 19: Heart and Neck Vessels
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/20699
Sample Questions
Q1) Which of these statements describes the closure of the valves in a normal cardiac cycle?
A) The aortic valve closes slightly before the tricuspid valve.
B) The pulmonic valve closes slightly before the aortic valve.
C) The tricuspid valve closes slightly later than the mitral valve.
D) Both the tricuspid and pulmonic valves close at the same time.
Q2) During the cardiac auscultation the nurse hears a sound occurring immediately after S at the second left intercostal space.To further assess this sound,what should the nurse do?
A) Have the patient turn to the left side while the nurse listens with the bell.
B) Ask the patient to hold his breath while the nurse listens again.
C) No further assessment is needed because the nurse knows it is an S3.
D) Watch the patient's respirations while listening for effect on the sound.
Q3) During a cardiovascular assessment,the nurse knows that a "thrill" is:
A) a vibration that is palpable.
B) palpated in the right epigastric area.
C) associated with ventricular hypertrophy.
D) a murmur auscultated at the third intercostal space.
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Chapter 20: Peripheral Vascular System and Lymphatic System
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/20700
Sample Questions
Q1) The nurse is assessing the pulses of a patient who has been admitted for untreated hyperthyroidism.The nurse should expect to find a(n)_____ pulse.
A) normal
B) absent
C) bounding
D) weak, thready
Q2) Which of these veins are responsible for most of the venous return in the arm?
A) Deep
B) Ulnar
C) Subclavian
D) Superficial
Q3) During an assessment,the nurse notices that a patient's left arm is swollen from the shoulder down to the fingers,with nonpitting brawny edema.The right arm is normal.The patient had a left-sided mastectomy 1 year ago.The nurse suspects which problem?
A) Venous stasis
B) Lymphedema
C) Arteriosclerosis
D) Deep vein thrombosis
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Chapter 21: Abdomen
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20701
Sample Questions
Q1) The nurse is percussing the seventh right intercostal space at the midclavicular line over the liver.Which sound should the nurse expect to hear?
A) Dullness
B) Tympany
C) Resonance
D) Hyperresonance
Q2) During an assessment the nurse notices that a patient's umbilicus is enlarged and everted.It is midline,and there is no change in skin color.The nurse recognizes that the patient may have which condition?
A) Intra-abdominal bleeding
B) Constipation
C) Umbilical hernia
D) An abdominal tumor
Q3) The nurse notices that a patient has had a black,tarry stool and recalls that a possible cause would be:
A) gallbladder disease.
B) overuse of laxatives.
C) gastrointestinal bleeding.
D) localized bleeding around the anus.
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Page 23
Chapter 22: Musculoskeletal System
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53 Verified Questions
53 Flashcards
Source URL: https://quizplus.com/quiz/20702
Sample Questions
Q1) A patient states,"I can hear a crunching or grating sound when I kneel." She also states that "it is very difficult to get out of bed in the morning because of stiffness and pain in my joints." The nurse should assess for signs of what problem?
A) Crepitation
B) A bone spur
C) A loose tendon
D) Fluid in the knee joint
Q2) To palpate the temporomandibular joint,the nurse's fingers should be placed in the depression _____ of the ear.
A) distal to the helix
B) proximal to the helix
C) anterior to the tragus
D) posterior to the tragus
Q3) The functional units of the musculoskeletal system are the:
A) joints.
B) bones.
C) muscles.
D) tendons.
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Chapter 23: Neurologic System
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56 Verified Questions
56 Flashcards
Source URL: https://quizplus.com/quiz/20703
Sample Questions
Q1) The nurse is testing the deep tendon reflexes of a 30-year-old woman who is in the clinic for an annual physical examination.When striking the Achilles and quadriceps,the nurse is unable to elicit a reflex.The nurse's next response should be to:
A) ask the patient to lock her fingers and "pull."
B) complete the examination and then test these reflexes again.
C) refer the patient to a specialist for further testing.
D) document these reflexes as "0" on a scale of 0 to 4+.
Q2) A 78-year-old man has a history of a cerebrovascular accident.The nurse notes that when he walks his left arm is immobile against the body with flexion of the shoulder,elbow,wrist,and fingers and adduction of the shoulder.His left leg is stiff and extended and circumducts with each step.What type of gait disturbance is this individual experiencing?
A) Scissors gait
B) Cerebellar ataxia
C) Parkinsonian gait
D) Spastic hemiparesis
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Chapter 24: Male Genitourinary System
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/20704
Sample Questions
Q1) When the nurse is conducting sexual history from a male adolescent,which statement would be most appropriate to use at the beginning of the interview?
A) "Do you use condoms?"
B) "You don't masturbate, do you?"
C) "Have you had sex in the last 6 months?"
D) "Often boys your age have questions about sexual activity."
Q2) A 2-month-old uncircumcised infant has been brought to the clinic for a well-baby checkup.How would the nurse proceed with the genital examination?
A) Elicit the cremasteric reflex.
B) Assess the glans for redness or lesions.
C) Avoid retracting the foreskin until the infant is 3 months old.
D) Note any dirt or smegma that has collected under the foreskin.
Q3) The nurse is inspecting the scrotum and testes of a 43-year-old man.Which finding would require additional follow-up and evaluation?
A) The skin on the scrotum is taut.
B) The left testicle hangs lower than the right testicle.
C) The scrotal skin has yellowish 1-cm nodules that are firm and nontender.
D) The testes move closer to the body in response to cold temperatures.
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26
Chapter 25: Anus, Rectum, and Prostate
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/20705
Sample Questions
Q1) A 30-year-old woman is visiting the clinic because of "pain in my bottom when I have a bowel movement." The nurse should assess for which problem?
A) Pinworms
B) Hemorrhoids
C) Colon cancer
D) Fecal incontinence
Q2) A 40-year-old black man is in the office for his annual physical.Which statement regarding the prostate-specific antigen (PSA)blood test is true,according to the American Cancer Society? The PSA:
A) should be done with this visit.
B) should be done at age 45 years.
C) should be done at age 50 years.
D) is only necessary if there is a family history of prostate cancer.
Q3) Which of these statements about the anal canal is true? The anal canal:
A) is about 2 cm long in the adult.
B) slants backward toward the sacrum.
C) contains hair and sebaceous glands.
D) is the outlet for the gastrointestinal tract.
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Chapter 26: Female Genitourinary System
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/20706
Sample Questions
Q1) The nurse is preparing to examine the external genitalia of a school-age girl.Which of these positions 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
Q2) A 25-year-old woman comes to the emergency department with a sudden fever of 101° F and abdominal pain.Upon examination,the nurse notices 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.
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Sample Questions
Q1) The nurse should use which location for eliciting deep tendon reflexes?
A) Achilles
B) Femoral
C) Scapular
D) Abdominal
Q2) If the nurse records the results to the Hirschberg test,the nurse has:
A) tested the patellar reflex.
B) assessed for appendicitis.
C) tested the corneal light reflex.
D) assessed for thrombophlebitis.
Q3) During the examination of a patient,the nurse notices that the patient has several small,flat macules on the posterior portion of her thorax.These macules are less than 1 cm wide.Another name for these macules is:
A) warts.
B) bullae.
C) freckles.
D) papules.
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Page 29
Chapter 28: Bedside Assessment of the Hospitalized Adult
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Sample Questions
Q1) The nurse has administered a pain medication to a patient by an intravenous infusion.The nurse should reassess the patient's response to the pain medication within _____ minutes.
A) 5
B) 15
C) 30
D) 60
Q2) The nurse is assessing the intravenous (IV)infusion at the beginning of the shift.Which of these should be included in the assessment of the infusion? Select all that apply.
A) Proper IV solution is infusing according to physician's orders.
B) IV solution is infusing at the proper rate according to physician's orders.
C) The infusion is proper according to the nurse's assessment of the patient's needs.
D) Capillary refill in the fingers
E) IV site date
F) Whether the patient is voiding sufficiently
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Chapter 29: The Pregnant Woman
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Q1) When examining the face of a woman who is 28 weeks pregnant,the nurse notices the presence of a butterfly-shaped increase in pigmentation on the face.The proper term for this finding in the documentation is:
A) striae.
B) chloasma.
C) linea nigra.
D) the mask of pregnancy.
Q2) A patient who is 20 weeks pregnant tells the nurse that she feels more shortness of breath as her pregnancy progresses.The nurse recognizes that which of these statements is true?
A) High levels of estrogen cause shortness of breath.
B) Feelings of shortness of breath are abnormal during pregnancy.
C) The hormones of pregnancy cause an increased respiratory effort.
D) She should get more exercise in an attempt to increase her respiratory reserve.
Q3) Which of these correctly describes the average length of pregnancy?
A) 38 weeks
B) 9 lunar months
C) 280 days from the last day of the last menstrual period
D) 280 days from the first day of the last menstrual period
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Page 31
Chapter 30: Functional Assessment of the Older Adult
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Sample Questions
Q1) The nurse is administering a test that is timed over 15 minutes and assesses a patient's upper body fine motor and coarse motor activities,balance,mobility,coordination,and endurance.During this test,activities such as dressing and stair climbing are timed.Which test is described by these activities?
A) The Get Up and Go Test
B) The Performance Activities of Daily Living
C) The Physical Performance Test
D) Tinetti Gait and Balance Evaluation
Q2) When using the various instruments to assess an older person's activities of daily living (ADLs),the nurse needs to remember that a disadvantage of these instruments includes:
A) the reliability of the tools.
B) self or proxy report of functional activities.
C) lack of confidentiality during the assessment.
D) insufficient detail about the deficiencies identified.
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