Nurse Practitioner Assessment
Final Exam
Course Introduction
Nurse Practitioner Assessment is a comprehensive course designed to equip nursing students with advanced skills in patient evaluation and clinical reasoning. Students learn to conduct thorough health histories, perform systematic physical examinations, and interpret diagnostic findings across the lifespan. Emphasis is placed on evidence-based assessment techniques, recognizing normal versus abnormal findings, and integrating cultural, developmental, and psychosocial factors into patient evaluations. The course also explores effective communication strategies and documentation practices, preparing students to develop individualized care plans and collaborate within interdisciplinary healthcare teams.
Recommended Textbook
Physical Examination and Health Assessment 5th Edition by Carolyn Jarvis
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30 Chapters
966 Verified Questions
966 Flashcards
Source URL: https://quizplus.com/study-set/3815 Page 2
Chapter 1: Critical Thinking in Health Assessment
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/76136
Sample Questions
Q1) After completing an initial assessment on a patient,the nurse has charted that his respirations are eupneic and his pulse is 58.This type of data would be:
A)objective.
B)reflective.
C)subjective.
D)introspective.
Answer: A
Q2) A nursing diagnosis made by a critical thinker using a dynamic nursing process would diagnose the actual problem and would also:
A)continue to reassess.
B)predict potential problems.
C)check the appropriateness of goals.
D)modify the diagnosis if necessary.
Answer: B
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3
Chapter 2: Developmental Tasks and Health Promotion
Across the Life Cycle
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) A new mother asks the nurse,"Why does my baby cry so much?" Which statement by the nurse is correct?
A)"You need to try to hold your baby for longer periods of time."
B)"This means he is hungry.He needs to be fed more."
C)"Your baby uses crying to tell us if he feels hungry,uncomfortable,or lonely."
D)"We should examine him for signs of illness."
Answer: C
Q2) Erikson's stage of integrity versus despair could be described as:
A)an adjustment to the tasks of middle age.
B)being productive and contributing to society.
C)cataloging life events to gain a sense of satisfaction.
D)a time to review career goals and possibly change paths to avoid despair.
Answer: C
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Chapter 3: Cultural Competence: Cultural Care
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A woman brings her 15-month-old son in for a well-child visit.When asked questions about his pattern of behaviors and appetite,she seems at a loss for answers.What is the nurse's best response?
A)Contact social services because she may be neglecting her son.
B)Determine whether she is the primary provider of care for her son.
C)Assume that she knows her son's habits and may be hiding something unusual.
D)Discuss with her how important it is to observe growth and development patterns to see a delay early.
Answer: B
Q2) Which of the following illustrates an appropriate category in a cultural assessment?
A)Family history
B)Chief complaint
C)Medical history
D)Health-related beliefs
Answer: D
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Page 5
Chapter 4: The Interview
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) During an interview,the nurse would expect that most of the interview will take place at which distance?
A)Intimate zone
B)Personal distance
C)Social distance
D)Public distance
Q2) The nurse is conducting an interview with a woman who has recently learned that she is pregnant and has come to the clinic today to begin prenatal care.The woman states that she and her husband are excited about the pregnancy but have a few questions.She looks nervously at her hands during the interview and sighs loudly.Considering the concept of communication,the nurse knows that which statement is most accurate? The woman:
A)is excited about her pregnancy but nervous about labor.
B)is exhibiting verbal and nonverbal behavior that does not match.
C)is excited about her pregnancy but her husband is not and this is upsetting to her.
D)is not excited about her pregnancy but believes the nurse will respond negatively to her if she states this.
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Chapter 5: The Complete Health History
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) In obtaining a review of systems on a "healthy" 7-year-old girl,the health care provider knows that it would be important to include the:
A)last glaucoma exam.
B)frequency of breast self-exam.
C)date of her last electrocardiogram.
D)limitations related to her involvement in sports activities.
Q2) When incorporating the person's spiritual values into the health history,which of the following 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?"
Q3) A 29-year-old woman tells the nurse that she has "excruciating pain" in her back.Which of the following would be an appropriate response by the nurse to her statement?
A)"How does your family react to your pain?"
B)"That must be terrible.You probably pinched a nerve."
C)"I've had back pain myself and it can be excruciating."
D)"How would you say the pain affects your ability to do your daily activities?"
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Page 7
Chapter 6: Mental Status Assessment
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/76141
Sample Questions
Q1) When assessing aging adults,the nurse knows that one of the first things that should be assessed before making judgments about their mental status is:
A)the presence of phobias.
B)their general intelligence.
C)the presence of irrational thinking patterns.
D)their sensory-perceptive abilities.
Q2) In an interview with a patient,it will be important for the nurse to ascertain some basic history information.Which of the following statements should be explored more fully during an interview? The patient states that he:
A)"sleeps like a baby."
B)has no health problems.
C)"never did too good in school."
D)is currently not taking any medication.
Q3) The nurse is planning to assess new memory with a patient.The best way to do this would be to:
A)administer the FACT Test.
B)ask him to describe his first job to you.
C)give him the Four Unrelated Words Test.
D)ask him to describe what TV show he was watching before coming to the clinic.
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Page 8
Chapter 7: Domestic Violence Assessment
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) During an examination,the nurse notices a patterned injury on a patient's back.Which of the following would cause such an injury?
A)Blunt force
B)Friction abrasion
C)Stabbing from a kitchen knife
D)Whipping from an extension cord
Q2) As a mandatory reporter of elder abuse,which of the following must be present before a nurse notifies the authorities?
A)Statements from the victim
B)Statements from witnesses
C)Proof of abuse and/or neglect
D)Suspicion of elder abuse and/or neglect
Q3) The nurse is aware that intimate partner violence (IPV)screening should occur with which situation?
A)When IPV is suspected
B)When a woman has an unexplained injury
C)As a routine part of each health care encounter
D)When there is a known history of abuse in the family
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9
Chapter 8: Assessment Techniques and the Clinical Setting
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) The nurse would use bimanual palpation technique in which situation?
A)Palpating the thorax of an infant
B)Palpating the kidneys and uterus
C)Assessing pulsations and vibrations
D)Assessing the presence of tenderness and pain
Q2) The nurse is unable to identify any changes in sound when percussing over the abdomen of an obese patient.What should the nurse do next?
A)Ask the patient to take deep breaths to relax the abdominal musculature
B)Consider this a normal finding and proceed with the abdominal assessment.
C)Increase the amount of strength used when attempting to percuss over the abdomen.
D)Decrease the amount of strength used when attempting to percuss over the abdomen.
Q3) In infants,the nurse knows to elicit the Moro reflex:
A)when the infant is sleeping.
B)at the end of the examination.
C)before auscultation of the thorax.
D)halfway through the examination.
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10
Chapter 9: General Survey, measurement, vital Signs
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) Which of the following factors helps to determine blood pressure?
A)Pulse rate
B)Pulse pressure
C)Vascular output
D)Peripheral vascular resistance
Q2) When measuring a patient's weight,the examiner keeps in mind which of the following?
A)Always weigh the patient with only his or her undergarments on.
B)It does not matter what type of scale is used,as long as the weights are similar from day to day.
C)The patient may leave on his or her jacket and shoes as long as this is documented next to the weight.
D)Attempt to weigh the patient at approximately the same time of day,if a sequence of weights is necessary.
Q3) When counting an infant's respirations,the nurse will:
A)watch the chest rise and fall.
B)watch the abdomen for movement.
C)place a hand across the infant's chest.
D)use a stethoscope to listen to the breath sounds.
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Page 11
Chapter 10: Pain Assessment: the Fifth Vital Sign
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) When assessing a patient's pain,the nurse knows that an example of visceral pain would be:
A)hip fracture.
B)cholecystitis.
C)second-degree burns.
D)pain after a leg amputation.
Q2) A patient has had arthritic pain in her hips for several years since a hip fracture.She is able to move around in her room and has not offered any complaints so far this morning.However,when asked,she states that her pain is "bad this morning" and rates it at an 8 on a 1 to 10 scale.What does the nurse suspect?
A)She is addicted to her pain medications and cannot obtain pain relief.
B)She does not want to trouble the nursing staff with her complaints.
C)She is not in pain but rates it high to receive pain medication.
D)She has experienced chronic pain for years and has adapted to it.
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12
Chapter 11: Nutritional Assessment
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The nurse is performing a nutritional assessment on a 15-year-old girl,who tells the nurse that she is "so fat." Assessment reveals that she is 5 feet 4 inches and weighs 110 pounds.The nurse's appropriate response would be:
A)"How much do you think you should weigh?"
B)"Don't worry about it,you're not that overweight."
C)"The best thing for you would be to go on a diet."
D)"I used to always think I was fat when I was your age."
Q2) Which of the following individuals is most likely to have an anergic response when assessing skin test antigens?
A)An 8-year-old child
B)An obese individual
C)A healthy 80-year-old female
D)An individual with malnutrition
Q3) Which of the following measurements is an early indicator of protein malnutrition?
A)Serum albumin
B)Serum creatinine
C)Nitrogen balance
D)Serum transferrin
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Chapter 12: Skin, hair, and Nails
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) A thorough skin assessment is very important because the skin holds information about:
A)support systems.
B)circulatory status.
C)socioeconomic status.
D)psychological wellness.
Q2) The nurse just noted from a patient's medical record that the patient has a lesion that is confluent in nature.On examination,the nurse would expect to find:
A)lesions that run together.
B)annular lesions that have grown together.
C)lesions arranged in a line along a nerve route.
D)lesions that are grouped or clustered together.
Q3) A patient has been admitted for severe iron deficiency anemia.The nurse can expect to see what finding in the patient's fingernails?
A)Splinter hemorrhages
B)Paronchyia
C)Koilonychia (spoon nails)
D)Beau's lines
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14
Chapter 13: Head, face, and Neck, including Regional Lymphatics
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) During a well-baby checkup,a mother is concerned because her 2-month-old infant cannot hold her head up when she is pulled to a sitting position.Which response by the nurse is appropriate?
A)"Head control is usually achieved by 4 months of age."
B)"You shouldn't be trying to pull your baby up like that until she is older."
C)"This is a concern because head control should be achieved by this time."
D)"This is a concern because it indicates possible nerve damage to the neck muscles."
Q2) The nurse is performing an assessment on a 7-year-old child who has symptoms of chronic watery eyes,sneezing,and clear nasal drainage.The nurse notes the presence of a transverse line across the bridge of the nose,dark blue shadows below the eyes,and a double crease on the lower eyelids.These findings are characteristic of:
A)allergies.
B)a sinus infection.
C)nasal congestion.
D)an upper respiratory infection.
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Page 15
Chapter 14: Eyes
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) Which of the following is an expected normal finding when performing the diagnostic positions test?
A)Convergence of the eyes
B)Parallel movement of both eyes
C)Nystagmus in extreme superior gaze
D)A slight amount of lid lag when moving the eyes from a superior to inferior position
Q2) Which of the following would the nurse expect to find when examining the eyes of a black patient?
A)Increased night vision
B)A dark retinal background
C)Increased photosensitivity
D)Narrowed palpebral fissures
Q3) The nurse is testing a patient's visual accommodation,which refers to:
A)pupillary constriction when looking at a near object.
B)pupillary dilation when looking at a far object.
C)changes in peripheral vision in response to light.
D)involuntary blinking in the presence of bright light.
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16
Chapter 15: Ears
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) The mother of a 2-year-old is concerned about the upcoming placement of tympanostomy tubes in her son's ears.The nurse would include which of the following in the teaching plan?
A)The tubes are placed in the inner ear.
B)The tubes are used in children with sensorineural loss.
C)The tubes are permanently inserted during a surgical procedure.
D)The purpose of the tubes is to decrease the pressure and allow for drainage.
Q2) During an assessment of a 20-year-old Asian patient,the nurse notices that he has dry,flaky cerumen in his canal.What is the significance of this finding?
A)This is probably the result of lesions from eczema in his ear.
B)This represents poor hygiene.
C)This is a normal finding and no further follow-up is necessary.
D)This could be indicative of change in cilia;the nurse should assess for conductive hearing loss.
Q3) Which of the following statements concerning the eustachian tube is true?
A)It is responsible for the production of cerumen.
B)It remains open except when swallowing or yawning.
C)It allows passage of air between the middle and outer ear.
D)It helps equalize air pressure on both sides of the tympanic membrane.
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Page 17
Chapter 16: Nose, mouth, and Throat
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/76151
Sample Questions
Q1) The nurse is doing an oral assessment on a 40-year-old black patient and notes the presence of a 1-cm,nontender,grayish-white lesion on the left buccal mucosa.Which of the following is true concerning this lesion?
A)This lesion is leukoedema and is common in blacks.
B)This is the result of hyperpigmentation and is normal.
C)This is torus palatinus and would normally only be found in smokers.
D)This type of lesion is indicative of cancer and should be tested immediately.
Q2) During the history,a patient tells the nurse that he has frequent nosebleeds and asks the best way to get them to stop.What would be the nurse's best response?
A)"While sitting up,place a cold compress over your nose."
B)"Sit up with your head tilted forward and pinch your nose."
C)"Just let the bleeding stop on its own,but don't blow your nose."
D)"Lie on your back with your head tilted back and pinch your nose."
Q3) The tissue that connects the tongue to the floor of the mouth is the:
A)uvula.
B)palate.
C)papillae.
D)frenulum.
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18
Chapter 17: Breasts and Regional Lymphatics
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) A patient states during the interview that she noticed a new lump in the shower a few days ago.It was on her left breast near her axilla.The nurse should plan to:
A)palpate the lump first .
B)palpate the unaffected breast first.
C)avoid palpating the lump because it could be a cyst,which might rupture.
D)palpate the breast with the lump first but plan to palpate the axilla last.
Q2) In performing a breast examination,the nurse knows that it is especially important to examine the upper outer quadrant of the breast.The reason for this is that the upper outer quadrant is:
A)the largest quadrant of the breast.
B)the location of most breast tumors.
C)where most of the suspensory ligaments attach.
D)more prone to injury and calcifications than other locations in the breast.
Q3) If a patient reports a recent breast infection,the nurse would expect to find:
A)nonspecific node enlargement.
B)ipsilateral axillary node enlargement.
C)contralateral axillary node enlargement.
D)inguinal and cervical node enlargement.
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Chapter 18: Thorax and Lungs
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) A 65-year-old patient with a history of heart failure comes to the clinic with complaints of "being awakened from sleep with shortness of breath." Which action by the nurse is most appropriate?
A)Obtain a detailed history of the patient's allergies and history of asthma.
B)Tell the patient to sleep on his or her right side to facilitate ease of respirations.
C)Assess for other signs and symptoms of paroxysmal nocturnal dyspnea.
D)Assure the patient that this is normal and will probably resolve within the next week.
Q2) B = Bronchophony
A)The normal response is faint,muffled,and almost inaudible when the patient says "one,two,three" in a very soft voice.
B)Ask the person to say "ninety-nine" repeatedly while auscultating the chest wall.Normally,a sound will be heard but the examiner will not be able to distinguish exactly what is being said.
C)Listen to the chest while the patient says a long "ee-ee-ee" sound;hearing a long "aaaaaa" sound may be noted over areas of consolidation.
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20
Chapter 19: Heart and Neck Vessels
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The electrical stimulus of the cardiac cycle follows which sequence?
A)AV node-SA node-bundle of His
B)Bundle of His-AV node-SA node
C)SA node-AV node-bundle of His-bundle branches
D)AV node-SA node-bundle of His-bundle branches
Q2) The mother of a 10-month-old tells the nurse that she has noticed that her son becomes blue when he is crying and that the frequency of this is increasing.He is also not crawling yet.During the examination the nurse palpates a thrill at the left lower sternal border and auscultates a loud systolic murmur in the same area.What would be the most likely cause of these findings?
A)Tetralogy of Fallot
B)Atrial septal defect
C)Patent ductus arteriosus
D)Ventricular septal defect
Q3) Which racial group has the highest prevalence of heart disease and stroke in the United States?
A)Blacks
B)Whites
C)American Indians
D)Mexican-Americans
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Chapter 20: Peripheral Vascular System and Lymphatic System
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) When performing an assessment of a patient,the nurse notes the presence of an enlarged right epitrochlear lymph node.What should the nurse do next?
A)Assess the patient's abdomen,noting any tenderness.
B)Carefully assess the cervical lymph nodes,checking for any enlargement.
C)Ask additional history questions regarding any recent ear infections or sore throats.
D)Examine the patient's lower arm and hand,checking for the presence of infection or lesions.
Q2) The nurse is attempting to assess the femoral pulse in an obese patient.Which of the following actions would be most appropriate?
A)Have the patient assume a prone position.
B)Ask the patient to bend his or her knees to the side in a froglike position.
C)Press firmly against the bone with the patient in a semi-Fowler's position.
D)Listen with a stethoscope for pulsations because it is very difficult to palpate the pulse.
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22
Chapter 21: Abdomen
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Sample Questions
Q1) A patient has been diagnosed with pernicious anemia.The nurse knows that this condition could be related to:
A)increased gastric acid secretion.
B)decreased gastric acid secretion.
C)delayed gastrointestinal emptying time.
D)increased gastrointestinal emptying time.
Q2) Percussion notes heard during the abdominal assessment may include:
A)flatness,resonance,and dullness.
B)resonance,dullness,and tympany.
C)tympany,hyperresonance,and dullness.
D)resonance,hyperresonance,and flatness.
Q3) To the horizontal plane,a scaphoid contour of the abdomen depicts:
A)a flat profile.
B)a convex profile.
C)a bulging profile.
D)a concave profile.
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23
Chapter 22: Musculoskeletal System
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48 Flashcards
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Sample Questions
Q1) A patient who has had rheumatoid arthritis for years comes to the clinic to ask about changes in her hands.The nurse knows that changes associated with rheumatoid arthritis include:
A)Heberden's nodes.
B)Bouchard's nodules.
C)swan-neck deformities.
D)Dupuytren's contractures.
Q2) The nurse suspects that a patient has carpal tunnel syndrome and wants to perform the Phalen's test.To perform this test,the nurse will instruct the patient to:
A)dorsiflex the foot.
B)plantarflex the foot.
C)hold both hands back to back while flexing the wrists 90 degrees for 60 seconds.
D)hyperextend the wrists with the palmar surface of both hands touching and wait for 60 seconds.
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Chapter 23: Neurologic System
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Sample Questions
Q1) During an assessment of a 32-year-old patient with a recent head injury,the nurse notes that the patient responds to pain by extending,adducting,and internally rotating his arms.His palms pronate and his lower extremities extend as well with plantar flexion.Which of the following statements about these findings is accurate?
A)This indicates a lesion of the cerebral cortex.
B)This indicates a completely nonfunctional brainstem.
C)This is a normal response and will go away in 24 to 48 hours.
D)This is a very ominous sign and may indicate brainstem injury.
Q2) The nurse is testing the function of cranial nerve XI.Which of the following best describes the response the nurse would expect if the nerve is intact?
A)Demonstrates full range of motion of the neck
B)Sticks tongue out midline without tremors or deviation
C)Follows an object with eyes without nystagmus or strabismus
D)Moves the head and shoulders against resistance with equal strength
Q3) Which of the following statements is accurate concerning areas of the brain?
A)The cerebellum is the center for speech and emotions.
B)The hypothalamus controls temperature and regulates sleep.
C)The basal ganglia are responsible for controlling voluntary movements.
D)Motor pathways of the spinal cord and brainstem synapse in the thalamus.
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Page 25
Chapter 24: Male Genitourinary System
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37 Flashcards
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Sample Questions
Q1) Which of the following statements about the testes is true?
A)The lymphatics of the testes drain into the abdominal lymph nodes.
B)The vas deferens is located along the inferior portion of each testis.
C)The right testis is lower than the left because the right spermatic cord is longer.
D)The cremaster muscle contracts in response to cold and draws the testicles closer to the body.
Q2) The nurse is performing a genital examination on a male patient and notes urethral drainage.When collecting urethral discharge for microscopic examination and culture,the nurse should:
A)ask the patient to urinate into a sterile cup.
B)ask the patient to obtain a specimen of semen.
C)insert a cotton-tipped applicator into the urethra.
D)compress the glans between the examiner's thumb and forefinger and collect any discharge.
Q3) An accessory glandular structure for the male genital organs is the:
A)testis.
B)penis.
C)prostate.
D)vas deferens.
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Page 26
Chapter 25: Anus,rectum,and Prostate
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Sample Questions
Q1) A 13-year-old girl is visiting the clinic for a sports physical.The nurse should remember to include which of the following in the examination?
A)Test for occult blood
B)The Valsalva maneuver
C)Internal palpation of the anus
D)Inspection of the perianal area
Q2) The nurse notes that a patient has had a pale,yellow,greasy stool,or steatorrhea,and recalls that this is caused by:
A)occult bleeding.
B)absent bile pigment.
C)increased fat content.
D)ingestion of bismuth preparations.
Q3) During an examination,the nurse asks the patient to perform the Valsalva maneuver and notes that the patient has a moist,red,doughnut-shaped protrusion from the anus.The nurse knows that this would be consistent with:
A)a rectal polyp.
B)hemorrhoids.
C)a rectal fissure.
D)rectal prolapse.
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Page 27
Chapter 26: Female Genitourinary System
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34 Flashcards
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Sample Questions
Q1) A nurse is assessing a patient's risk of contracting a sexually transmitted disease (STD).An appropriate question would be:
A)"You use condoms don't you?"
B)"Do you use a condom with each episode of sexual intercourse?"
C)"Do you have an STD?"
D)"You are aware of the dangers of unprotected sex,aren't you?"
Q2) The order of examination of the internal genitalia is important.The nurse will use which order of examination at this time?
A)Bimanual examination,speculum examination,rectovaginal examination
B)Speculum examination,rectovaginal examination,bimanual examination
C)Speculum examination,bimanual examination,rectovaginal examination
D)Rectovaginal examination,bimanual examination,speculum examination
Q3) Which of the following are changes associated with menopause?
A)Uterine and ovarian atrophy along with thinning vaginal epithelium
B)Ovarian atrophy,increased vaginal secretions,and increasing clitoral size
C)Cervical hypertrophy,ovarian atrophy,and increased acidity of vaginal secretions
D)Vaginal mucosa fragility,increased acidity of vaginal secretions,and uterine hypertrophy
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28
Chapter
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Sample Questions
Q1) After assessing a female patient,the nurse notes flesh-colored,soft,pointed,moist,papules in a cauliflower-like patch around her introitus.This finding is most likely:
A)urethral caruncle.
B)syphilitic chancre.
C)herpes.
D)human papillomavirus.
Q2) An 85-year-old man has come in 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.
Q3) During inspection of the posterior chest,the nurse should assess for:
A)symmetric expansion.
B)symmetry of shoulders and muscles.
C)tactile fremitus.
D)diaphragmatic excursion.
Page 29
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Chapter 28: Reassessment of the Hospitalized Adult
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Q1) 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.
Q2) Which statement reflects the assessment of the patient in the hospital setting?
A)The patient will need a brief assessment at least every 4 hours.
B)The patient will need a consistent,specialized exam every 8 hours that focuses on certain parameters.
C)The patient will need a complete head-to-toe physical examination every 24 hours.
D)Most patients require a minimal examination each shift unless they are in critical condition.
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Chapter 29: The Pregnant Female
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Sample Questions
Q1) When palpating the fundus,the nurse knows that:
A)it should be hard and slightly tender to palpation during the first trimester.
B)fetal movement should be felt by the examiner at the beginning of the second trimester.
C)after 20 weeks' gestation,the number of centimeters should approximate the number of weeks' gestation.
D)fundal height is usually less than the number of weeks' gestation,unless there is an abnormal condition such as too much amniotic fluid present.
Q2) A patient is being seen at the clinic for her 10-week prenatal visit.She asks when she will be able to hear the baby's heart beat.The nurse should reply:
A)"The baby's heart beat is not usually heard until the second trimester."
B)"The baby's heart beat may be heard anywhere from the ninth to the twelfth week."
C)"It is often difficult to hear the heart beat at this point,but we can try."
D)"It is normal to hear the heart beat at 6 weeks.We may be able to hear it today."
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Chapter 30: Functional Assessment of the Older Adult
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Q1) During an assessment of a newly admitted 92-year-old woman,the nurse notes that her son does not want to leave the room.In addition,the woman has signs of old bruises and healed cuts that happened "last week," according to the son.Which action by the nurse is appropriate?
A)Ask the son for details about the nature of the patient's injuries.
B)Recognize that older people are often unsteady on their feet and that falls do occur.
C)Notify the authorities of a potential abusive situation.
D)Recognize that these findings do not necessarily indicate that abuse has occurred but are signs that further assessment is needed.
Q2) Which definition correctly describes one's functional ability?
A)Functional ability is the measure of the expected changes of aging that one is experiencing.
B)Functional ability refers to the individual's motivation to live independently.
C)Functional ability refers to the level of cognition present in an older person.
D)Functional ability refers to one's ability to perform activities necessary to live in modern society.
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