Nurse Practitioner Clinical Assessment Exam Practice Tests
Course Introduction
Nurse Practitioner Clinical Assessment provides students with foundational knowledge and practical skills necessary for advanced health assessment in a clinical setting. The course emphasizes comprehensive history-taking, systematic physical examination techniques, and the development of clinical reasoning skills essential for diagnosing common health problems across the lifespan. Students will learn to integrate evidence-based assessment tools, identify normal and abnormal findings, and document care accurately and efficiently. Through hands-on practice, case discussions, and simulation experiences, this course prepares future nurse practitioners to perform thorough assessments and make informed clinical decisions within diverse healthcare environments.
Recommended Textbook
Physical Examination and Health Assessment 7th Edition by Jarvis
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31 Chapters
1092 Verified Questions
1092 Flashcards
Source URL: https://quizplus.com/study-set/1000
Page 2
Chapter 1: Evidence-Based Assessment
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/19726
Sample Questions
Q1) A visiting nurse is making an initial home visit for a patient who has many chronic medical problems.Which type of data base is most appropriate to collect in this setting?
A)A follow-up data base to evaluate changes at appropriate intervals
B)An episodic data base because of the continuing, complex medical problems of this patient
C)A complete health data base because of the nurse's primary responsibility for monitoring the patient's health
D)An emergency data base because of the need to collect information and make accurate diagnoses rapidly
Answer: C
Q2) The nursing process is a sequential method of problem solving that nurses use and includes which steps?
A)Assessment, treatment, planning, evaluation, discharge, and follow-up
B)Admission, assessment, diagnosis, treatment, and discharge planning
C)Admission, diagnosis, treatment, evaluation, and discharge planning
D)Assessment, diagnosis, outcome identification, planning, implementation, and evaluation
Answer: D
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Chapter 2: Cultural Competence
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/19727
Sample Questions
Q1) The nurse recognizes that an example of a person who is heritage consistent would be a:
A)Woman who has adapted her clothing to the clothing style of her new country.
B)Woman who follows the traditions that her mother followed regarding meals.
C)Man who is not sure of his ancestor's country of origin.
D)Child who is not able to speak his parents' native language.
Answer: B
Q2) The nurse manager is explaining culturally competent care during a staff meeting.Which statement accurately describes the concept of culturally competent care? "The caregiver:
A)Is able to speak the patient's native language."
B)Possesses some basic knowledge of the patient's cultural background."
C)Applies the proper background knowledge of a patient's cultural background to provide the best possible health care."
D)Understands and attends to the total context of the patient's situation."
Answer: D
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Chapter 3: The Interview
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) In an interview,the nurse may find it necessary to take notes to aid his or her memory later.Which statement is true regarding note-taking?
A)Note-taking may impede the nurse's observation of the patient's nonverbal behaviors.
B)Note-taking allows the patient to continue at his or her own pace as the nurse records what is said.
C)Note-taking allows the nurse to shift attention away from the patient, resulting in an increased comfort level.
D)Note-taking allows the nurse to break eye contact with the patient, which may increase his or her level of comfort.
Answer: A
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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Chapter 4: The Complete Health History
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/19729
Sample Questions
Q1) The nurse is assessing a patient's headache pain.Which questions reflect one or more of the critical characteristics of symptoms that should be assessed? Select all that apply.
A)"Where is the headache pain?"
B)"Did you have these headaches as a child?"
C)"On a scale of 1 to 10, how bad is the pain?"
D)"How often do the headaches occur?"
E)"What makes the headaches feel better?"
F)"Do you have any family history of headaches?"
Q2) The nurse is performing a review of systems on a 76-year-old patient.Which of these statements is correct for this situation?
A)The questions asked are identical for all ages.
B)The interviewer will start incorporating different questions for patients 70 years of age and older.
C)Questions that are reflective of the normal effects of aging are added.
D)At this age, a review of systems is not necessary-the focus should be on current problems.
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Chapter 5: Mental Status Assessment
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/19730
Sample Questions
Q1) The nurse is performing a mental status examination.Which statement is true regarding the assessment of mental status?
A)Mental status assessment diagnoses specific psychiatric disorders.
B)Mental disorders occur in response to everyday life stressors.
C)Mental status functioning is inferred through the assessment of an individual's behaviors.
D)Mental status can be directly assessed, similar to other systems of the body (e.g., heart sounds, breath sounds).
Q2) During an examination,the nurse notes that a patient is exhibiting flight of ideas.Which statement by the patient is an example of flight of ideas?
A)"My stomach hurts. Hurts, spurts, burts."
B)"Kiss, wood, reading, ducks, onto, maybe."
C)"Take this pill? The pill is red. I see red. Red velvet is soft, soft as a baby's bottom."
D)"I wash my hands, wash them, wash them. I usually go to the sink and wash my hands."
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Chapter 6: Substance Use Assessment
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/19731
Sample Questions
Q1) The nurse is assessing a patient who has been admitted for cirrhosis of the liver,secondary to chronic alcohol use.During the physical assessment,the nurse looks for cardiac problems that are associated with chronic use of alcohol,such as:
A)Hypertension.
B)Ventricular fibrillation.
C)Bradycardia.
D)Mitral valve prolapse.
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 telephone number of our local Alcoholics Anonymous chapter."
D)Give the patient information about a local rehabilitation clinic.
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Chapter 7: Domestic and Family Violence Assessments
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/19732
Sample Questions
Q1) When documenting IPV and elder abuse,the nurse should include:
A)Photographic documentation of the injuries.
B)Summary of the abused patient's statements.
C)Verbatim documentation of every statement made.
D)General description of injuries in the progress notes.
Q2) During an interview,a woman has answered "yes" to two of the Abuse Assessment Screen questions.What should the nurse say next?
A)"I need to report this abuse to the authorities."
B)"Tell me about this abuse in your relationship."
C)"So you were abused?"
D)"Do you know what caused this abuse?"
Q3) The nurse suspects abuse when a 10-year-old child is taken to the urgent care center for a leg injury.The best way to document the history and physical findings is to:
A)Document what the child's caregiver tells the nurse.
B)Use the words the child has said to describe how the injury occurred.
C)Record what the nurse observes during the conversation.
D)Rely on photographs of the injuries.
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Chapter 8: Assessment Techniques and Safety in the Clinical Setting
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/19733
Sample Questions
Q1) The nurse is preparing to use a stethoscope for auscultation.Which statement is true regarding the diaphragm of the stethoscope? The diaphragm:
A)Is used to listen for high-pitched sounds.
B)Is used to listen for low-pitched sounds.
C)Should be lightly held against the person's skin to block out low-pitched sounds.
D)Should be lightly held against the person's skin to listen for extra heart sounds and murmurs.
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 finding as normal, 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.
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10
Chapter 9: General Survey, Measurement, Vital Signs
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52 Verified Questions
52 Flashcards
Source URL: https://quizplus.com/quiz/19734
Sample Questions
Q1) The nurse is preparing to measure the vital signs of a 6-month-old infant.Which action by the nurse is correct?
A)Respirations are measured; then pulse and temperature.
B)Vital signs should be measured more frequently than in an adult.
C)Procedures are explained to the parent, and the infant is encouraged to handle the equipment.
D)The nurse should first perform the physical examination to allow the infant to become more familiar with her and then measure the infant's vital signs.
Q2) A 1-month-old infant has a head measurement of 34 cm and has a chest circumference of 32 cm.Based on the interpretation of these findings,the nurse would:
A)Refer the infant to a physician for further evaluation.
B)Consider these findings normal for a 1-month-old infant.
C)Expect the chest circumference to be greater than the head circumference.
D)Ask the parent to return in 2 weeks to re-evaluate the head and chest circumferences.
Q3) What is the pulse pressure for a patient whose blood pressure is 158/96 mm Hg and whose pulse rate is 72 beats per minute?
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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/19735
Sample Questions
Q1) When assessing the quality of a patient's pain,the nurse should ask which question?
A)"When did the pain start?"
B)"Is the pain a stabbing pain?"
C)"Is it a sharp pain or dull pain?"
D)"What does your pain feel like?"
Q2) A patient states that the pain medication is "not working" and rates his postoperative pain at a 10 on a 1-to-10 scale.Which of these assessment findings indicates an acute pain response to poorly controlled pain?
A)Confusion
B)Hyperventilation
C)Increased blood pressure and pulse
D)Depression
Q3) When evaluating a patient's pain,the nurse knows that an example of acute pain would be:
A)Arthritic pain.
B)Fibromyalgia.
C)Kidney stones.
D)Low back pain.
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Chapter 11: Nutritional Assessment
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/19736
Sample Questions
Q1) A 50-year-old woman with elevated total cholesterol and triglyceride levels is visiting the clinic to find out about her laboratory results.What would be important for the nurse to include in patient teaching in relation to these tests?
A)The risks of undernutrition should be included.
B)Offer methods to reduce the stress in her life.
C)Provide information regarding a diet low in saturated fat.
D)This condition is hereditary; she can do nothing to change the levels.
Q2) The nurse recognizes which of these persons is at greatest risk for undernutrition?
A)5-month-old infant
B)50-year-old woman
C)20-year-old college student
D)30-year-old hospital administrator
Q3) A patient tells the nurse that his food simply does not have any taste anymore.The nurse's best response would be:
A)"That must be really frustrating."
B)"When did you first notice this change?"
C)"My food doesn't always have a lot of taste either."
D)"Sometimes that happens, but your taste will come back."
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Chapter 12: Skin, Hair, and Nails
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/19737
Sample Questions
Q1) The nurse is bathing an 80-year-old man and notices that his skin is wrinkled,thin,lax,and dry.This finding would be related to which factor in the older adult?
A)Increased vascularity of the skin
B)Increased numbers of sweat and sebaceous glands
C)An increase in elastin and a decrease in subcutaneous fat
D)An increased loss of elastin and a decrease in subcutaneous fat
Q2) A father brings in his 2-month-old infant to the clinic because the infant has had diarrhea for the last 24 hours.He says his baby has not been able to keep any formula down and that the diarrhea has been at least every 2 hours.The nurse suspects dehydration.The nurse should test skin mobility and turgor over the infant's:
A)Sternum.
B)Forehead.
C)Forearms.
D)Abdomen.
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Chapter 13: Head, Face, and Neck, Including Regional Lymphatics
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/19738
Sample Questions
Q1) During an examination of a 3-year-old child,the nurse notices a bruit over the left temporal area.The nurse should:
A)Continue the examination because a bruit is a normal finding for this age.
B)Check for the bruit again in 1 hour.
C)Notify the parents that a bruit has been detected in their child.
D)Stop the examination, and notify the physician.
Q2) During an examination,the nurse knows that the best way to palpate the lymph nodes in the neck is described by which statement?
A)Using gentle pressure, palpate with both hands to compare the two sides.
B)Using strong pressure, palpate with both hands to compare the two sides.
C)Gently pinch each node between one's thumb and forefinger, and then move down the neck muscle.
D)Using the index and middle fingers, gently palpate by applying pressure in a rotating pattern.
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15
Chapter 14: Eyes
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/19739
Sample Questions
Q1) During an examination,a patient states that she was diagnosed with open-angle glaucoma 2 years ago.The nurse assesses for characteristics of open-angle glaucoma.Which of these are characteristics of open-angle glaucoma? Select all that apply.
A)Patient may experience sensitivity to light, nausea, and halos around lights.
B)Patient experiences tunnel vision in the late stages.
C)Immediate treatment is needed.
D)Vision loss begins with peripheral vision.
E)Open-angle glaucoma causes sudden attacks of increased pressure that cause blurred vision.
F)Virtually no symptoms are exhibited.
Q2) The nurse notices the presence of periorbital edema when performing an eye assessment on a 70-year-old patient.The nurse should:
A)Check for the presence of exophthalmos.
B)Suspect that the patient has hyperthyroidism.
C)Ask the patient if he or she has a history of heart failure.
D)Assess for blepharitis, which is often associated with periorbital edema.
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Page 16
Chapter 15: Ears
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/19740
Sample Questions
Q1) A 70-year-old patient tells the nurse that he has noticed that he is having trouble hearing,especially in large groups.He says that he "can't always tell where the sound is coming from" and the words often sound "mixed up." What might the nurse suspect as the cause for this change?
A)Atrophy of the apocrine glands
B)Cilia becoming coarse and stiff
C)Nerve degeneration in the inner ear
D)Scarring of the tympanic membrane
Q2) The nurse assesses the hearing of a 7-month-old by clapping hands.What is the expected response? The infant:
A)Turns his or her head to localize the sound.
B)Shows no obvious response to the noise.
C)Shows a startle and acoustic blink reflex.
D)Stops any movement, and appears to listen for the sound.
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Chapter 16: Nose, Mouth, and Throat
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/19741
Sample Questions
Q1) A patient has been diagnosed with strep throat.The nurse is aware that without treatment,which complication may occur?
A)Rubella
B)Leukoplakia
C)Rheumatic fever
D)Scarlet fever
Q2) A woman who is in the second trimester of pregnancy mentions that she has had "more nosebleeds than ever" since she became pregnant.The nurse recognizes that this is a result of:
A)A problem with the patient's coagulation system.
B)Increased vascularity in the upper respiratory tract as a result of the pregnancy.
C)Increased susceptibility to colds and nasal irritation.
D)Inappropriate use of nasal sprays.
Q3) When assessing the tongue of an adult,the nurse knows that an abnormal finding would be:
A)Smooth glossy dorsal surface.
B)Thin white coating over the tongue.
C)Raised papillae on the dorsal surface.
D)Visible venous patterns on the ventral surface.
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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/19742
Sample Questions
Q1) While examining a 75-year-old woman,the nurse notices that the skin over her right breast is thickened and the hair follicles are exaggerated.This condition is known as:
A)Dimpling.
B)Retraction.
C)Peau d'orange.
D)Benign breast disease.
Q2) A 65-year-old patient remarks that she just cannot believe that her breasts "sag so much." She states it must be from a lack of exercise.What explanation should the nurse offer her? After menopause:
A)Only women with large breasts experience sagging.
B)Sagging is usually due to decreased muscle mass within the breast.
C)A diet that is high in protein will help maintain muscle mass, which keeps the breasts from sagging.
D)The glandular and fat tissue atrophies, causing breast size and elasticity to diminish, resulting in breasts that sag.
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Chapter 18: Thorax and Lungs
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/19743
Sample Questions
Q1) When assessing a patient's lungs,the nurse recalls that the left lung:
A)Consists of two lobes.
B)Is divided by the horizontal fissure.
C)Primarily consists of an upper lobe on the posterior chest.
D)Is shorter than the right lung because of the underlying stomach.
Q2) During auscultation of breath sounds,the nurse should correctly use the stethoscope in which of the following ways?
A)Listening to at least one full respiration in each location
B)Listening as the patient inhales and then going to the next site during exhalation
C)Instructing the patient to breathe in and out rapidly while listening to the breath sounds
D)If the patient is modest, listening to sounds over his or her clothing or hospital gown
Q3) The nurse knows that a normal finding when assessing the respiratory system of an older adult is:
A)Increased thoracic expansion.
B)Decreased mobility of the thorax.
C)Decreased anteroposterior diameter.
D)Bronchovesicular breath sounds throughout the lungs.
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Page 20
Chapter 19: Heart and Neck Vessels
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/19744
Sample Questions
Q1) During a cardiac assessment on a 38-year-old patient in the hospital for "chest pain," the nurse finds the following: jugular vein pulsations 4 cm above the sternal angle when the patient is elevated at 45 degrees,blood pressure 98/60 mm Hg,heart rate 130 beats per minute,ankle edema,difficulty breathing when supine,and an S? on auscultation.Which of these conditions best explains the cause of these findings?
A)Fluid overload
B)Atrial septal defect
C)MI
D)Heart failure
Q2) When assessing a newborn infant who is 5 minutes old,the nurse knows which of these statements to be true?
A)The left ventricle is larger and weighs more than the right ventricle.
B)The circulation of a newborn is identical to that of an adult.
C)Blood can flow into the left side of the heart through an opening in the atrial septum.
D)The foramen ovale closes just minutes before birth, and the ductus arteriosus closes immediately after.
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Chapter 20: Peripheral Vascular System and Lymphatic System
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/19745
Sample Questions
Q1) When assessing a patient,the nurse notes that the left femoral pulse as diminished,1+/4+.What should the nurse do next?
A)Document the finding.
B)Auscultate the site for a bruit.
C)Check for calf pain.
D)Check capillary refill in the toes.
Q2) The nurse is preparing to assess the ankle-brachial index (ABI)of a patient.Which statement about the ABI is true?
A)Normal ABI indices are from 0.5 to 1.0.
B)Normal ankle pressure is slightly lower than the brachial pressure.
C)The ABI is a reliable measurement of peripheral vascular disease in individuals with diabetes.
D)An ABI of 0.9 to 0.7 indicates the presence of peripheral vascular disease and mild claudication.
Q3) During an assessment,the nurse uses the profile sign to detect:
A)Pitting edema.
B)Early clubbing.
C)Symmetry of the fingers.
D)Insufficient capillary refill.
Page 22
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Chapter 21: Abdomen
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/19746
Sample Questions
Q1) A nurse notices that a patient has ascites,which indicates the presence of:
A)Fluid.
B)Feces.
C)Flatus.
D)Fibroid tumors.
Q2) A 22-year-old man comes to the clinic for an examination after falling off his motorcycle and landing on his left side on the handle bars.The nurse suspects that he may have injured his spleen.Which of these statements is true regarding assessment of the spleen in this situation?
A)The spleen can be enlarged as a result of trauma.
B)The spleen is normally felt on routine palpation.
C)If an enlarged spleen is noted, then the nurse should thoroughly palpate to determine its size.
D)An enlarged spleen should not be palpated because it can easily rupture.
Q3) The nurse knows that during an abdominal assessment,deep palpation is used to determine:
A)Bowel motility.
B)Enlarged organs.
C)Superficial tenderness.
D)Overall impression of skin surface and superficial musculature.
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Chapter 22: Musculoskeletal System
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/19747
Sample Questions
Q1) The nurse should use which test to check for large amounts of fluid around the patella?
A)Ballottement
B)Tinel sign
C)Phalen test
D)McMurray test
Q2) The ankle joint is the articulation of the tibia,fibula,and:
A)Talus.
B)Cuboid.
C)Calcaneus.
D)Cuneiform bones.
Q3) A patient is complaining of pain in his joints that is worse in the morning,better after he moves around for a while,and then gets worse again if he sits for long periods.The nurse should assess for other signs of what problem?
A)Tendinitis
B)Osteoarthritis
C)Rheumatoid arthritis
D)Intermittent claudication
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24
Chapter 23: Neurologic System
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56 Verified Questions
56 Flashcards
Source URL: https://quizplus.com/quiz/19748
Sample Questions
Q1) During the neurologic assessment of a "healthy" 35-year-old patient,the nurse asks him to relax his muscles completely.The nurse then moves each extremity through full range of motion.Which of these results would the nurse expect to find?
A)Firm, rigid resistance to movement
B)Mild, even resistance to movement
C)Hypotonic muscles as a result of total relaxation
D)Slight pain with some directions of movement
Q2) The nurse is performing a neurologic assessment on a 41-year-old woman with a history of diabetes.When testing her ability to feel the vibrations of a tuning fork,the nurse notices that the patient is unable to feel vibrations on the great toe or ankle bilaterally,but she is able to feel vibrations on both patellae.Given this information,what would the nurse suspect?
A)Hyperalgesia
B)Hyperesthesia
C)Peripheral neuropathy
D)Lesion of sensory cortex
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Chapter 24: Male Genitourinary System
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/19749
Sample Questions
Q1) When performing a genital assessment on a middle-aged man,the nurse notices multiple soft,moist,painless papules in the shape of cauliflower-like patches scattered across the shaft of the penis.These lesions are characteristic of:
A)Carcinoma.
B)Syphilitic chancres.
C)Genital herpes.
D)Genital warts.
Q2) A 59-year-old patient has been diagnosed with prostatitis and is being seen at the clinic for complaints of burning and pain during urination.He is experiencing:
A)Dysuria.
B)Nocturia.
C)Polyuria.
D)Hematuria.
Q3) Which of these statements is true regarding the penis?
A)The urethral meatus is located on the ventral side of the penis.
B)The prepuce is the fold of foreskin covering the shaft of the penis.
C)The penis is made up of two cylindrical columns of erectile tissue.
D)The corpus spongiosum expands into a cone of erectile tissue called the glans.
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26
Chapter 25: Anus,Rectum,and Prostate
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/19750
Sample Questions
Q1) The nurse notices 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.
Q2) During an assessment of the newborn,the nurse expects to see which finding when the anal area is slightly stroked?
A)Jerking of the legs
B)Flexion of the knees
C)Quick contraction of the sphincter
D)Relaxation of the external sphincter
Q3) During a health history of a patient who complains of chronic constipation,the patient asks the nurse about high-fiber foods.The nurse relates that an example of a high-fiber food would be:
A)Broccoli.
B)Hamburger.
C)Iceberg lettuce.
D)Yogurt.
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Page 27
Chapter 26: Female Genitourinary System
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/19751
Sample Questions
Q1) A patient calls the clinic for instructions before having a Papanicolaou (Pap)smear.The most appropriate instructions from the nurse are:
A)"If you are menstruating, please use pads to avoid placing anything into the vagina."
B)"Avoid intercourse, inserting anything into the vagina, or douching within 24 hours of your appointment."
C)"If you suspect that you have a vaginal infection, please gather a sample of the discharge to bring with you."
D)"We would like you to use a mild saline douche before your examination. You may pick this up in our office."
Q2) During the interview,a patient reveals that she has some vaginal discharge.She is worried that it may be a sexually transmitted infection.The nurse's most appropriate response to this would be:
A)"Oh, don't worry. Some cyclic vaginal discharge is normal."
B)"Have you been engaging in unprotected sexual intercourse?"
C)"I'd like some information about the discharge. What color is it?"
D)"Have you had any urinary incontinence associated with the discharge?"
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Chapter 27: The Complete Health Assessment: Adult
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Sample Questions
Q1) The nurse has just recorded a positive iliopsoas test on a patient who has abdominal pain.This test is used to confirm a(n):
A)Inflamed liver.
B)Perforated spleen.
C)Perforated appendix.
D)Enlarged gallbladder.
Q2) During an examination,the nurse notices that a patient's legs turn white when they are raised above the patient's head.The nurse should suspect:
A)Lymphedema.
B)Raynaud disease.
C)Chronic arterial insufficiency.
D)Chronic venous insufficiency.
Q3) During an examination,the nurse notices that a patient is unable to stick out his tongue.Which cranial nerve is involved with the successful performance of this action?
A)I
B)V
C)XI
D)XII
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Chapter 28: The Complete Physical Assessment: Infant,
Child, and Adolescent
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Q1) A 5-year-old child is in the clinic for a checkup.The nurse would expect him to:
A)Need to be held on his mother's lap.
B)Be able to sit on the examination table.
C)Be able to stand on the floor for the examination.
D)Be able to remain alone in the examination room.
Q2) When assessing the neonate,the nurse should test for hip stability with which method?
A)Eliciting the Moro reflex
B)Performing the Romberg test
C)Checking for the Ortolani sign
D)Assessing the stepping reflex
Q3) Which of these actions is most appropriate to perform on a 9-month-old infant at a well-child checkup?
A)Testing for Ortolani sign
B)Assessment for stereognosis
C)Blood pressure measurement
D)Assessment for the presence of the startle reflex
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Chapter 29: Bedside Assessment of the Hospitalized Patient
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Q1) During an assessment,the nurse is unable to palpate pulses in the left lower leg.What should the nurse do next?
A)Document that the pulses are nonpalpable.
B)Reassess the pulses in 1 hour.
C)Ask the patient turn to the side, and then palpate for the pulses again.
D)Use a Doppler device to assess the pulses.
Q2) During an assessment of a hospitalized patient,the nurse pinches a fold of skin under the clavicle or on the forearm to test the:
A)Mobility and turgor.
B)Patient's response to pain.
C)Percentage of the patient's fat-to-muscle ratio.
D)Presence of edema.
Q3) The nurse is giving report to the next shift and is using the situation,background,assessment,recommendation (SBAR)framework for communication.Which of these statements reflects the Background portion of the report?
A)"I'm worried that his gastrointestinal bleeding is getting worse."
B)"We need an order for oxygen."
C)"My name is Ms. Smith, and I'm giving the report on Mrs. X in room 1104."
D)"He is 4 days postoperative, and his incision is open to air."
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Chapter 30: The Pregnant Woman
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Q1) A female patient has nausea,breast tenderness,fatigue,and amenorrhea.Her last menstrual period was 6 weeks ago.The nurse interprets that this patient is experiencing __________ signs of pregnancy.
A)Positive
B)Possible
C)Probable
D)Presumptive
Q2) The nurse knows that the best time to assess a woman's blood pressure during an initial prenatal visit is:
A)At the end of the examination when she will be the most relaxed.
B)At the beginning of the interview as a nonthreatening method of gaining rapport.
C)During the middle of the physical examination when she is the most comfortable.
D)Before beginning the pelvic examination because her blood pressure will be higher after the pelvic examination.
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Chapter 31: Functional Assessment of the Older Adult
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Q1) The nurse is preparing to perform a functional assessment of an older patient and knows that a good approach would be to:
A)Observe the patient's ability to perform the tasks.
B)Ask the patient's wife how he does when performing tasks.
C)Review the medical record for information on the patient's abilities.
D)Ask the patient's physician for information on the patient's abilities.
Q2) During a morning assessment,the nurse notices that an older patient is less attentive and is unable to recall yesterday's events.Which test is appropriate for assessing the patient's mental status?
A)Geriatric Depression Scale, short form
B)Rapid Disability Rating Scale-2
C)Mini-Cog
D)Get Up and Go Test
Q3) The nurse is assessing an older adult's advanced activities of daily living (AADLs),which would include:
A)Recreational activities.
B)Meal preparation.
C)Balancing the checkbook.
D)Self-grooming activities.
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