Introduction to Nursing Science Exam Bank - 634 Verified Questions

Page 1


Introduction to Nursing Science Exam Bank

Course Introduction

Introduction to Nursing Science offers an overview of the fundamental concepts and principles that form the foundation of the nursing profession. This course explores the history, philosophy, and evolution of nursing, emphasizing the integration of scientific knowledge and evidence-based practice in patient care. Students will learn about the roles and responsibilities of nurses within diverse healthcare settings, the significance of critical thinking and ethical decision-making, and the importance of culturally competent care. The course also introduces basic nursing theories, health promotion, patient safety, and professional standards, preparing students for further study and practice in the field of nursing.

Recommended Textbook

Health Assessment for Nursing Practice 6th Edition by Wilson

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24 Chapters

634 Verified Questions

634 Flashcards

Source URL: https://quizplus.com/study-set/177

Page 2

Chapter 1: Introduction to Health Assessment

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14 Verified Questions

14 Flashcards

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Sample Questions

Q1) A community organization sponsors a health fair to increase awareness of colon cancer. At the health fair, colorectal cancer screening kits are distributed, and health care professionals answer questions, take blood pressure, and distribute literature. What level of health prevention is being implemented by this community organization?

A) Primary

B) Secondary

C) Tertiary

D) Risk factor

Answer: B

Q2) Which patient information does the nurse document in the patient's physical assessment?

A) Slurred speech

B) Immunizations

C) Smoking habit

D) Allergies

Answer: A

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3

Chapter 2: Obtaining a Health History

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32 Verified Questions

32 Flashcards

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Sample Questions

Q1) A patient comes to the ambulatory surgery center for an elective procedure this morning. While giving the admission history, the patient states she is allergic to latex. What is the most appropriate response by the nurse at this time?

A) Removing all latex products from the patient's room

B) Using powdered gloves when providing care to this patient

C) Informing the surgeon that the patient has type I hypersensitivity to latex

D) Questioning the patient about symptoms experienced in the past with latex

Answer: D

Q2) Which data do nurses document under the heading of Past Health History? (Select all that apply.)

A) Father has Alzheimer disease.

B) Last tetanus in 2009

C) Had chicken pox as a child

D) Drinks three to four beers each day

E) Had a dental examination 6 months ago

Answer: B, C, E

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Chapter 3: Techniques and Equipment for Physical Assessment

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31 Verified Questions

31 Flashcards

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Sample Questions

Q1) Where does the nurse attach the sensor probe of the pulse oximeter to measure an adult patient's oxygen saturation?

A) The chest over the patient's heart

B) Over the patient's abdominal aorta

C) Over the patient's radial pulse

D) Around the patient's index finger nail

Answer: D

Q2) What is the most important nursing action to reduce transmission of microorganisms prior to initiation of the physical assessment?

A) Clean the bell and diaphragm of the stethoscope between patients.

B) Perform hand hygiene.

C) Wear gloves when anticipating exposure to body fluids.

D) Wear eye protection when anticipating spatter of body fluids.

Answer: B

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Chapter 4: General Inspection and Measurement of Vital Signs

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Sample Questions

Q1) A patient's blood pressure has been averaging 120/72 when using the upper arms. Today, the nurse uses this patient's thigh to measure the blood pressure. What is the expected systolic pressure using the thigh that is equivalent to a systolic pressure of 120?

A) A systolic reading of 110 mm Hg

B) A systolic reading of 120 mm Hg

C) A systolic reading of 140 mm Hg

D) A systolic reading of 170 mm Hg

Q2) A nurse is taking vital signs of an adult patient whose oxygen saturation is 96%. The patient's temperature is 102° F, blood pressure is 130/86, pulse is 100 beats/min, and respiratory rate is 26 breaths/min. Which factor may be contributing to the elevated respiratory rate?

A) The patient's temperature

B) The patient's oxygen saturation

C) The patient's pulse rate

D) The patient's blood pressure

Q3) A female patient admitted with fluid retention has been in diuretic therapy to remove fluid. She weighed 187 lb on admission. Today she weighs 179 lb. Since admission, this patient has lost _____ L from fluid loss.

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Chapter 5: Cultural Assessment

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Sample Questions

Q1) What are the characteristics of one's culture?

A) Color of skin and hair

B) System of beliefs and practices

C) Food preferences

D) Language and religion

Q2) Which example below best characterizes a patient's race?

A) The language spoken in the patient's home is Tagalog.

B) The patient's family follows a kosher diet.

C) The patient and his family have blonde hair and fair skin.

D) The patient's grandparents came to the United States from Germany.

Q3) A Hispanic patient tells an African-American nurse, "You are African-American and can't possibly understand how a person like me feels." What is an appropriate response by the nurse at this time?

A) Find a nurse who is not African-American to interview the patient.

B) Ask the patient, "Why do you think that, since we just met?"

C) Note that the patient is very defensive about being racially different.

D) Encourage the patient to describe what he means by his statement.

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Chapter 6: Pain Assessment

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15 Flashcards

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Sample Questions

Q1) How do nurses assess a patient's pain?

A) By assessing physiologic changes of the patient

B) By understanding the sensory experience related to the amount of tissue damage

C) By the patient's medical diagnosis or surgical procedure

D) By asking the patient to rate the pain being experienced

Q2) Which patient would be expected to experience acute pain?

A) A patient who had abdominal surgery 8 hours ago

B) A patient who has cancer and has been receiving treatment for 4 months

C) A patient who states that he or she has lived with severe pain for many years

D) A patient who has been treated unsuccessfully over the past year for back pain

Q3) The nurse is performing a symptom analysis of a patient with pain. Which questions below are appropriate for a symptom analysis? (Select all that apply.)

A) Have you had any other symptoms such as nausea, vomiting, and sweating?

B) Where is the pain located?

C) Have you had a pain like this before?

D) What does the pain feel like?

E) What do you do to make your pain better?

F) In your culture, how are you encouraged to express your pain?

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8

Chapter 7: Mental Health Assessment

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17 Flashcards

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Sample Questions

Q1) What function do neurotransmitters have in mental health disorders?

A) Dopamine levels are increased in schizophrenia.

B) Increased levels of gamma aminobutyric acid (GABA) contribute to anxiety.

C) Serotonin is decreased in a state of anxiety.

D) Norepinephrine is increased in depression.

Q2) A nurse is admitting a new patient. Which statement by the patient suggests a bipolar disorder?

A) "The last time I had blood drawn at the office, I fainted dead away."

B) "No matter how hard I try, I just can't get into an elevator of any kind."

C) "Everyone knows I can control the financial health of this town with a snap of my fingers."

D) "I worked for Frank Sinatra's band for several months when I lived in New Jersey years ago."

Q3) During a sports physical for a 16-year-old girl, the nurse asks which question to collect data about drug use?

A) "Many teenagers have tried street drugs. Have you tried these drugs?"

B) "Tell me which street drugs your friends have offered to you?"

C) "Do most of your friends drink alcohol or do street drugs?"

D) "Your high school has a reputation for drug use. Do you use drugs?"

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Page 9

Chapter 8: Nutritional Assessment

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) A man who is 6 feet 9 inches tall is told by his provider to lose weight so that he is closer to his desired body weight. He asks the nurse, How can I find out what my desired body weight should be? The nurse responds, Let me show you how to calculate it. Your desired body weight (DBW) should be ______ lb.

Q2) A patient tells the nurse that she tries to keep her fat intake at less than 15% of her total caloric intake per day. What is the nurse's most appropriate response to this patient's comment?

A) "That is admirable; how do you accomplish fat intake that low on a daily basis?"

B) "Eating fat is essential for good health, and you should consume about 40% of your fats as monounsaturated fat."

C) "Limiting fat prevents some diseases, but your fat intake is much lower than the 25% recommended."

D) "If you want to bring your fat intake down further, you might want to eliminate eating fast foods."

Q3) A woman's waist circumference is 32 inches and her hip circumference is 29 inches. Her waist-to-hip ratio is _____.

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Chapter 9: Skin, Hair, and Nails

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30 Verified Questions

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Sample Questions

Q1) A nurse is performing an admission physical examination on a patient who has been bedridden for a month. The nurse notices a pressure ulcer on the patient's left trochanter area that involves partial-thickness skin loss with damage to the subcutaneous tissue.

The nurse reports this ulcer at what stage?

A) Stage I

B) Stage II

C) Stage III

D) Stage IV

Q2) How does the nurse recognize jaundice in a dark-skinned patient?

A) Inspect the conjunctiva for ashen-gray color.

B) Inspect the nail beds for a deeper brown or purple skin tone.

C) Inspect the palms and soles for yellowish-green color.

D) Inspect the oral mucous membrane for yellow color.

Q3) What signs of cyanosis does a nurse inspect for in a dark-skinned patient?

A) Ashen-gray color of the oral mucous membranes

B) Blue color in the nail beds

C) Ashen-blue color in the palms and soles

D) Blue-gray color in the ear lobes and lips

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Chapter 10: Head, Eyes, Ears, Nose, and Throat

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75 Verified Questions

75 Flashcards

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Sample Questions

Q1) What technique does a nurse use when palpating the right lobe of a patient's thyroid gland using the posterior approach?

A) Pushes the cricoid process to the left with the right thumb and feels the right lobe with the left hand

B) Uses the left hand to push the sternocleidomastoid muscle to the right and feels the lobe with the right hand

C) Pushes the trachea to the right with the left hand and feels the right lobe with the right hand

D) Places the fingers on either side of the trachea above the cricoid cartilage and feels the right lobe

Q2) Which finding indicates that this patient has a sensorineural hearing loss?

A) The patient hears sound by air conduction longer than by bone conduction.

B) The patient hears sound from a vibrating tuning fork in the affected ear only.

C) The patient hears normal conversation at 40 dB and a whisper at 20 dB.

D) The patient hears the rubbing of fingers together from a distance of 4 inches from each ear.

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Chapter 11: Lungs and Respiratory System

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32 Verified Questions

32 Flashcards

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Sample Questions

Q1) A patient has right lower lobe pneumonia, creating a consolidation in that lung. In assessing for vocal fremitus, the nurse found increased fremitus over the right lower lung. What finding does the nurse anticipate when assessing vocal resonance to confirm the consolidation?

A) Bronchophony reveals the patient's spoken "99" as clear and loud.

B) No sounds are expected since sounds cannot be transmitted through consolidation.

C) Egophony reveals indistinguishable sounds when the patient says "e-e-e."

D) Whispered pectoriloquy reveals a muffled sound when the patient says "1-2-3."

Q2) A patient is suspected of having a lung consolidation. A nurse uses the three techniques for assessing vocal resonance in this patient. What is the expected finding among the three procedures that will help eliminate consolidation as a problem?

A) The nurse documents clearly hearing the patient say "99."

B) The nurse documents hearing muffled sounds when the patient says "1-2-3."

C) The nurse documents hearing no sounds when the patient says "e-e-e."

D) The nurse documents clearly hearing the patient say "a-a-a."

Q3) A patient tells the nurse that he has smoked 1 \(\frac{1}{2}\) packs of cigarettes a day for 14 years. The number of packs the nurse should record in the medical record is ___ pack-years.

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Chapter 12: Heart and Peripheral Vascular System

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32 Verified Questions

32 Flashcards

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Sample Questions

Q1) During a health fair, the nurse is alert for which risk factors for hypertension? (Select all that apply.)

A) Excessive protein intake

B) Having parents with hypertension

C) Excessive alcohol intake

D) Being Asian

E) Experiencing persistent stress

F) Elevated serum lipids

Q2) When auscultating the heart of a patient with pericarditis, the nurse expects to hear which sound?

A) A systolic murmur

B) An S3 heart sound

C) A friction rub

D) An S4 heart sound

Q3) A nurse determines that a patient has a heart rate of 42 beats/min. What might be a cause of this heart rate?

A) Sinoatrial (SA) node failure

B) Atrial bradycardia

C) A well-conditioned heart muscle

D) Left ventricular hypertrophy

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Chapter 13: Abdomen and Gastrointestinal System

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38 Verified Questions

38 Flashcards

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Sample Questions

Q1) On inspection of a female patient's abdomen, the nurse asks the patient to raise her head without using her arms and notes a midline bulge. What is the appropriate response of the nurse at this time?

A) Ask the patient to hold her breath to see if the bulge reappears.

B) Auscultate the patient's abdomen for hypoactive bowel sounds.

C) Document this as a normal finding and continue the examination.

D) Perform light palpation of the abdomen.

Q2) What sound does a nurse expect to hear when using the bell of the stethoscope over the epigastric area of the abdomen of a healthy patient?

A) Bowel sounds

B) Venous hum

C) Soft, low-pitched murmur

D) No sounds

Q3) When inspecting a patient's abdomen, the nurse notes which finding as abnormal?

A) Protruding abdomen with skin that is lighter in color than the arms and legs

B) Marked, widely lateral pulsating mass to the left of the midline

C) Faint, fine vascular network

D) Small shadows created by changes in contour

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Chapter 14: Musculoskeletal System

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27 Verified Questions

27 Flashcards

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Sample Questions

Q1) A patient reports joint pain interfering with sleep and morning joint stiffness for the first hour after getting out of bed. Considering this report, what abnormal findings does the nurse anticipate during the examination?

A) Abrupt onset of local tenderness, edema, and decreased range of motion of the shoulder and hip bilaterally

B) Decreased range of motion of one hip and knee with pain on flexion and crepitus during movement of these joints

C) Erythema in one great toe, ankle, and lower leg that is painful to the touch

D) Hot, painful, deformed, and edematous wrists and peripheral interphalangeal joints bilaterally

Q2) A patient asks, "Why is touching my toes necessary? This is a sports physical examination, not exercise class." What is the most appropriate response by the nurse?

A) "This is the best way to check for symmetry of your arms."

B) "I am looking at the stretch of your hamstrings."

C) "This allows me to see how straight your spinal column is."

D) "I am assessing the flexion of your spine."

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16

Chapter 15: Neurologic System

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34 Verified Questions

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Sample Questions

Q1) The nurse holds the patient's relaxed arm with elbow flexed at a 90-degree angle, places a thumb over a tendon in the antecubital fossa, and strikes the thumb with the pointed end of the reflex hammer. Which deep tendon reflex is the nurse assessing?

A) Brachioradialis

B) Biceps

C) Triceps

D) Deltoid

Q2) Which part of the nervous system is a nurse assessing when he places a vibrating tuning fork on a patient's wrist or ankle?

A) Frontal lobe and motor tracts

B) Parietal lobe and sensory tracts

C) Hypothalamus and sensory tracts

D) Cerebellum and motor tracts

Q3) Which patient behavior indicates to the nurse that the patient's facial cranial nerve (CN VII) is intact?

A) The patient's eyes move to the left, right, up, down, and obliquely.

B) The patient moistens the lips with the tongue.

C) The sides of the mouth are symmetric when the patient smiles.

D) The patient's eyelids blink periodically.

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Page 17

Chapter 16: Breasts and Axillae

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Sample Questions

Q1) A patient comes to the clinic complaining of a new onset of nipple discharge. After inspection of the breast and discharge, what action of the nurse has the highest priority?

A) Palpating both breasts comparing amount of discharge

B) Asking the patient about breast pain

C) Asking the patient to raise her arms and comparing the movement of the breasts

D) Obtaining a specimen of the discharge for cytology

Q2) In reviewing the charts of several patients in the clinic, a nurse recognizes which patient as being at highest risk of breast cancer?

A) A woman who had her first child at age 26

B) A woman who reached menopause at age 58

C) A woman who breastfed all four of her children

D) A woman who states that she reached menarche at age 14

Q3) The nurse would give immediate attention to the patient who presents with which complaint?

A) Bilateral breast swelling

B) Unilateral nipple discharge

C) A breast lump that changes during the menstrual cycle

D) Unequal breast size

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Chapter 17: Reproductive System and the Perineum

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Sample Questions

Q1) In inspecting the scrotum, the nurse documents which finding as normal?

A) The epididymides are round, solid nodular masses.

B) The scrotum is deeply pigmented with a rugous surface.

C) The scrotal skin is a lighter color than the body skin.

D) The vas deferens is palpable bilaterally.

Q2) After a rectal examination of a patient with obstructive jaundice, the nurse expects the stool to be what color?

A) Tan

B) Pale yellow

C) Black

D) Bright red

Q3) A patient asks when she should make an appointment for her first Pap (Papanicolaou) test to screen for cervical cancer. What is the nurse's most appropriate response?

A) "There is no need for Pap tests until after you have become pregnant."

B) "All women should have the first Pap test after reaching menarche."

C) "All women should have the first Pap test after they are 19 years of age."

D) "All women should have the first Pap test when they become sexually active or at age 21."

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Page 19

Chapter 18: Developmental Assessment Throughout the Life Span

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Sample Questions

Q1) A nurse makes observations about a toddler's motor development. Which behavior is an example of fine motor behavior?

A) Sitting up in a chair

B) Walking while holding on to the edge of a table

C) Creeping up the stairs

D) Stacking blocks to make a tower

Q2) Which statement best illustrates Erikson's theory of development?

A) The main goal is to establish equilibrium between self and environment.

B) One progresses through stages that involve specific psychosocial tasks.

C) There are four distinct, sequential levels of cognitive development.

D) Cognitive development occurs from birth to around age 15.

Q3) Which statement reflects a 21-year-old woman's achievement of an expected developmental task?

A) "I am planning to get married next year."

B) "I don't plan anything without asking my boyfriend first."

C) "I don't know which direction I'll take after college."

D) "I am living with my parents and may stay for a while."

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Page 20

Chapter 19: Assessment of the Infant, Child, and Adolescent

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Sample Questions

Q1) How does a nurse collect baseline measurements of a 6-month-old infant?

A) Measure the chest circumference around the lower ribs.

B) Ask the parent how much the infant's weight has changed since birth.

C) Measure the head just above the ears and eyebrows.

D) Ask the parent to hold the infant while the nurse measures the length.

Q2) Which behavior would be most indicative of hearing impairment in a 1-year-old child?

A) Failure to respond to mother's voice

B) Crying when a loud noise occurs unexpectedly

C) Saying only single-syllable words

D) Disinterest in playing with musical toys

Q3) In inspecting the eyes and ears of an infant, the nurse documents which finding as normal?

A) The external ear is in direct line with the outer margin of the eyelid.

B) The ear lobe is within 10 degrees of alignment with the outer margin of the eyelid.

C) A lateral upward slant of the eyes aligns them with the helix of the ear.

D) The inner margin of the eye is directly aligned with the helix of the ear.

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Chapter 20: Assessment of the Pregnant Patient

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Sample Questions

Q1) A patient at 20 weeks of gestation is concerned about a discharge from her nipples. What is the nurse's appropriate response to this patient?

A) "That is expected. It is milk production that begins at the onset of pregnancy."

B) "A nipple discharge is unusual. I advise you to consult your obstetrician."

C) "I suggest you decrease your fluid intake for several days to see if this makes a difference."

D) "After the first trimester a thin, yellow fluid called colostrum may be secreted from the nipples."

Q2) A nurse refers which pregnant patient for additional assessment?

A) A woman at 36 weeks of gestation who has 30% effacement of the cervix

B) A woman at 19 weeks of gestation who has noticed fetal movement every day this week

C) A woman at 20 weeks of gestation who has gained 4 lb in the last 2 weeks

D) A woman at 28 weeks of gestation who has a systolic blood pressure of 40 mg Hg over baseline

Q3) A pregnant patient's weight before pregnancy was 163 lb. The nurse expects the patient to weigh ______ to ______ lb during the second trimester.

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Page 22

Chapter 21: Assessment of the Older Adult

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Sample Questions

Q1) Which assessment finding of older adult patients indicates expected respiratory function?

A) Increased elasticity of the alveoli

B) Flaccidity of the chest wall

C) Reduced inspiratory and expiratory effort

D) Decreased anteroposterior diameter

Q2) A 75-year-old patient tells the nurse, "I just do not enjoy eating as much as I used to because the food does not have much taste or smell." Which statement by the nurse is most appropriate?

A) "You should make an appointment with your health care provider."

B) "Try eating small, frequent meals."

C) "The senses of smell and taste decrease as we age."

D) "Maybe you should use saline drops in your nose."

Q3) In collecting a history from an older adult, which information does the nurse consider least essential for a patient of this age?

A) Past health history

B) Genogram

C) Functional abilities

D) Mental health

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Page 23

Chapter 22: Conducting a Head-to-Toe Examination

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Sample Questions

Q1) Which techniques does a nurse routinely use to collect data when assessing the lower extremities of a patient? (Select all that apply.)

A) Inspecting of legs, ankles, and feet for skin characteristics and hair distribution

B) Assessing for knee stability with the drawer test, McMurray test, or Apley test

C) Palpating lower legs and feet for temperature, pulses, and tenderness

D) Assessing for nerve root compression with straight leg raises

E) Palpating hips for stability and tenderness

F) Testing for patellar and Achilles deep tendon reflexes bilaterally

Q2) Which data does a nurse collect during the general survey when meeting a patient for the first time? (Select all that apply.)

A) Gait

B) Muscle strength

C) Heart sounds

D) Hearing and speech abilities

E) Mood or affect

F) Position of the trachea

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Chapter 23: Documenting the Comprehensive Health Assessment

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Sample Questions

Q1) Which documentation by a nurse is most descriptive?

A) Heart sounds normal.

B) Few ectopic beats heard during auscultation.

C) S1 murmur is heard at second right sternal border.

D) Pulse within normal limits.

Q2) A patient reports she has shortness of breath and peripheral edema. Under which category does the nurse document these data?

A) Review of systems

B) Present health status

C) Past health history

D) Functional ability

Q3) Which data do nurses document under the category of personal and psychosocial health history? (Select all that apply.)

A) Allergies to medications or food

B) Diet and foods eaten on a regular basis

C) Type of employment

D) Address and date of birth

E) Activities that promote health

F) Use of tobacco and alcohol

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Chapter 24: Adapting Health Assessment to the Hospitalized Patient

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Sample Questions

Q1) What data do nurses collect when assessing a patient's wound? (Select all that apply.)

A) Skin turgor

B) Width, length, and depth

C) Presence of pulsations

D) Wound color

E) Presence of edema

F) Drainage color

Q2) For which patient does the nurse make assessment of the oral mucous membrane a priority?

A) The patient who has an arteriovenous (AV) fistula

B) The patient who has a gastrostomy tube

C) The patient who uses a Ventimask

D) The patient who has a colostomy

Q3) A nurse uses the Glasgow Coma Scale to assess which patient?

A) The patient who has a new onset of quadriplegia

B) The patient who has tonic-clonic seizures

C) The patient who requires stimuli for responses

D) The patient who has dementia

26

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