Nursing Assessment
Exam Answer Key
Course Introduction
Nursing Assessment is a foundational course that introduces students to the systematic process of collecting, analyzing, and documenting patient data to inform clinical decision-making. Emphasizing both theoretical knowledge and practical skills, the course covers comprehensive health assessments across the lifespan, including physical, psychological, social, and cultural dimensions. Students learn to perform initial and ongoing assessments, utilize effective communication techniques, and apply critical thinking to interpret findings. The course also explores the use of assessment tools, patient interview techniques, and evidence-based practices to ensure accurate evaluation and holistic care planning.
Recommended Textbook
Physical Examination and Health Assessment 6th Edition by Carolyn Jarvis
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30 Chapters
1147 Verified Questions
1147 Flashcards
Source URL: https://quizplus.com/study-set/1044
Page 2
Chapter 1: Evidence Based Assessment
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/20681
Sample Questions
Q1) What is the step of the nursing process that includes data collection by health history,physical examination,and interview?
A) Planning
B) Diagnosis
C) Evaluation
D) Assessment
Answer: D
Q2) The nurse is conducting a class for new graduate nurses.During the teaching session,the nurse should keep in mind that novice nurses,without a background of skills and experience to draw from,are more likely to make their decisions using:
A) intuition.
B) a set of rules.
C) articles in journals.
D) advice from supervisors.
Answer: B
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Chapter 2: Cultural Competence: Cultural Care
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20682
Sample Questions
Q1) The nurse is reviewing the development of culture.Which statement is correct regarding the development of one's culture? Culture is:
A) genetically determined on the basis of racial background.
B) learned through language acquisition and socialization.
C) a nonspecific phenomenon and is adaptive but unnecessary.
D) biologically determined on the basis of physical characteristics.
Answer: B
Q2) A 30-year-old woman has recently moved to the United States with her husband.They are living with the woman's sister until they can get a house of their own.When company arrives to visit with the woman's sister,the woman feels suddenly shy and retreats to the back bedroom to hide until the company leaves again.She states that this is just because she doesn't know how to speak perfect English.This woman could be experiencing:
A) culture shock.
B) cultural taboos.
C) cultural unfamiliarity.
D) culture disorientation.
Answer: A
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Chapter 3: The Interview
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20683
Sample Questions
Q1) The nurse is conducting an interview in an outpatient clinic and is using a computer to record data.Which is the best use of the computer in this situation? Select all that apply.
A) Collect the patient's data in a direct, face-to-face manner.
B) Enter all the data as the patient states it.
C) Ask the patient to wait as the nurse enters data.
D) Type the data into the computer after the narrative is fully explored.
E) Allow the patient to see the monitor during typing.
Answer: A,D,E
Q2) As the nurse enters a patient's room,the nurse finds her crying.The patient states that she has just found out that the lump in her breast is cancer and says,"I'm so afraid of,um,you know." The nurse's most therapeutic response would be to say,in a gentle manner:
A) "You're afraid you might lose your breast?"
B) "No, I'm not sure what you are talking about."
C) "I'll wait here until you get yourself under control and then we can talk."
D) "I can see that you are very upset. Perhaps we should discuss this later."
Answer: A
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Chapter 4: The Complete Health History
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/20684
Sample Questions
Q1) Which of these responses might the nurse expect during a functional assessment of a patient whose leg is in a cast?
A) "I broke my right leg in a car accident 2 weeks ago."
B) "The pain is decreasing, but I still need to take acetaminophen."
C) "I check the color of my toes every evening just like I was taught."
D) "I'm able to transfer myself from the wheelchair to the bed without help."
Q2) The nurse is preparing to complete a health assessment on a 16-year-old girl whose parents have brought her to the clinic.Which instruction would be appropriate for the parents before the interview begins?
A) "Please stay during the interview; you can answer for her if she does not know the answer."
B) "It would help to interview the three of you together."
C) "While I interview your daughter, will you please stay in the room and complete these family health history questionnaires?"
D) "While I interview your daughter, will you step out to the waiting room and complete these family health history questionnaires?"
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Chapter 5: Mental Status Assessment
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20685
Sample Questions
Q1) A 30-year-old female patient is describing feelings of hopelessness and depression.She has attempted self-mutilation and has a history of prior suicide attempts.She describes difficulty sleeping at night and has lost 10 pounds in the past month.Which of these statements or questions is the nurse's best response in this situation?
A) "Do you have a weapon?"
B) "How do other people treat you?"
C) "Are you feeling so hopeless that you feel like hurting yourself now?"
D) "Oftentimes people feel hopeless, but the feelings resolve within a few weeks."
Q2) A 45-year-old woman is brought to the emergency department with a head injury after her car hit a tree.A few months after recovering from her injuries,the nurse notes during an examination that she is unable to learn new information or recall previously learned information.This is an example of:
A) mania.
B) agnosia.
C) dementia.
D) amnestic disorder.
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Page 7
Chapter 6: Substance Use Assessment
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/20686
Sample Questions
Q1) When reviewing the use of alcohol by older adults,the nurse notes that older adults have several characteristics that can increase the risk of alcohol use.Which would increase the bioavailability of alcohol in the blood for longer periods of time in the older adult?
A) Increased muscle mass
B) Decreased liver and kidney functioning
C) Decreased blood pressure
D) Increased cardiac output
Q2) A patient visits the clinic to ask about smoking cessation.He has smoked heavily for 30 years,and wants to stop "cold turkey." He asks the nurse,"What symptoms can I expect if I do this?" Which of these symptoms should the nurse share with the patient as possible symptoms of nicotine withdrawal? Select all that apply.
A) Headaches
B) Hunger
C) Sleepiness
D) Restlessness
E) Nervousness
F) Sweating
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Chapter 7: Domestic Violence Assessment
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/20687
Sample Questions
Q1) Which term refers to a wound produced by the tearing or splitting of body tissue,usually from blunt impact over a bony surface?
A) Abrasion
B) Contusion
C) Laceration
D) Hematoma
Q2) The nurse is assessing bruising on an injured patient.Which color indicates a new bruise that is less than 2 hours old?
A) Red
B) Purple-blue
C) Greenish-brown
D) Brownish-yellow
Q3) 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?"
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9
Chapter 8: Assessment Techniques and the Clinical Setting
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/20688
Sample Questions
Q1) The nurse is preparing to percuss the abdomen of a patient.The purpose of the percussion is to assess the underlying tissue:
A) turgor.
B) texture.
C) density.
D) consistency.
Q2) The nurse is preparing to use an otoscope for an examination.Which statement is true regarding the otoscope? The otoscope:
A) is often used to direct light onto the sinuses.
B) uses a short, broad speculum to help visualize the ear.
C) is used to examine the structures of the internal ear.
D) directs light into the ear canal and onto the tympanic membrane.
Q3) When examining an infant,the nurse should examine which area first?
A) Ear
B) Nose
C) Throat
D) Abdomen
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Chapter 9: General Survey, Measurement, Vital Signs
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52 Verified Questions
52 Flashcards
Source URL: https://quizplus.com/quiz/20689
Sample Questions
Q1) The nurse is preparing to measure the length,weight,chest,and head circumference of a 6-month-old infant.Which measurement technique is correct?
A) Measure the infant's length by using a tape measure.
B) Weigh the infant by placing him on an electronic standing scale.
C) Measure chest circumference at the nipple line with a tape measure.
D) Measure the head circumference by wrapping the tape measure over the nose and cheekbones.
Q2) A patient is being seen in the clinic for complaints of "fainting episodes that started last week." How should the nurse proceed with the examination?
A) Take his blood pressure in both arms and thighs.
B) Assist him to a lying position and begin taking his blood pressure.
C) Record his blood pressure in the lying, sitting, and standing positions.
D) Record his blood pressure in the lying and sitting positions and average these numbers. to obtain a mean blood pressure.
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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Chapter 10: Pain Assessment: The Fifth Vital Sign
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/20690
Sample Questions
Q1) A patient 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.
Q2) The nurse is reviewing the principles of nociception.During which phase of nociception does the conscious awareness of a painful sensation occur?
A) Perception
B) Modulation
C) Transduction
D) Transmission
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Chapter 11: Nutritional Assessment
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/20691
Sample Questions
Q1) A 50-year-old patient has been brought to the emergency department after a housemate found that he could not get out of bed alone.He has lived in a group home for years,but for several months he has not participated in the activities and has stayed in his room.The nurse assesses for signs of undernutrition,and x-rays reveal that he has osteomalacia,which is a deficiency of:
A) iron.
B) riboflavin.
C) vitamin D and calcium.
D) vitamin C.
Q2) A mother and her 13-year-old daughter express their concern related to the daughter's recent weight gain and increase in appetite.Which of these statements represents information the nurse should discuss with them?
A) It is necessary to diet and exercise at this age.
B) Snacks should be high in protein, iron, and calcium.
C) Teenagers who have a weight problem should not be allowed to snack.
D) A low-calorie diet is important to prevent the accumulation of fat.
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13
Chapter 12: Skin, Hair, and Nails
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52 Verified Questions
52 Flashcards
Source URL: https://quizplus.com/quiz/20692
Sample Questions
Q1) The nurse 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.
Q2) A woman is leaving on a trip to Hawaii and has come in for a checkup.During the examination the nurse notices that she is diabetic and takes oral hypoglycemic agents.The patient needs to be concerned about which possible effect of her medications?
A) An increased possibility of bruising
B) Skin sensitivity as a result of exposure to salt water
C) Lack of availability of glucose monitoring supplies
D) The importance of sunscreen and avoiding direct sunlight
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14
Chapter 13: Head, Face, and Neck, Including Regional Lymphatics
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/20693
Sample Questions
Q1) The nurse notices that a patient's submental lymph nodes are enlarged.In an effort to identify the cause of the node enlargement,the nurse would assess the patient's:
A) infraclavicular area.
B) supraclavicular area.
C) area distal to the enlarged node.
D) area proximal to the enlarged node.
Q2) While performing a well-child assessment on a 5 year old,the nurse notes the presence of palpable,bilateral,cervical,and inguinal lymph nodes.They are approximately 0.5 cm in size,round,mobile,and nontender.The nurse suspects that this:
A) child has chronic allergies.
B) child may have an infection.
C) is a normal finding for a well child of this age.
D) child should be referred for additional evaluation.
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15
Chapter 14: Eyes
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20694
Sample Questions
Q1) When a light is directed across the iris of a patient's eye from the temporal side,the nurse is assessing for:
A) drainage from dacryocystitis.
B) the presence of conjunctivitis over the iris.
C) the presence of shadows, which may indicate glaucoma.
D) a scattered light reflex, which may be indicative of cataracts.
Q2) The nurse is examining a patient's retina with an ophthalmoscope.Which finding is considered normal?
A) An optic disc that is a yellow-orange color
B) Optic disc margins that are blurred around the edges
C) The presence of pigmented crescents in the macular area
D) The presence of the macula located on the nasal side of the retina
Q3) The nurse is performing the diagnostic positions test.Normal findings would be which of these results?
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
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Chapter 15: Ears
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20695
Sample Questions
Q1) The nurse is taking the history of a patient who may have a perforated eardrum.What would be an important question in this situation?
A) "Do you ever notice ringing or crackling in your ears?"
B) "When was the last time you had your hearing checked?"
C) "Have you ever been told you have any type of hearing loss?"
D) "Was there any relationship between the ear pain and the discharge you mentioned?"
Q2) A 31-year-old patient tells the nurse that he has noticed a progressive loss in his hearing.He says that it does seem to help when people speak louder or if he turns up the volume.The most likely cause of his hearing loss is:
A) otosclerosis.
B) presbycusis.
C) trauma to the bones.
D) frequent ear infections.
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Chapter 16: Nose, Mouth, and Throat
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/20696
Sample Questions
Q1) The nurse is assessing a patient with a history of intravenous drug abuse.In assessing his mouth,the nurse notices a dark red confluent macule on the hard palate.This could be an early sign of:
A) AIDS.
B) measles.
C) leukemia.
D) carcinoma.
Q2) During an assessment of a 20-year-old patient with a 3-day history of nausea and vomiting,the nurse notices dry mucosa and deep vertical fissures in the tongue.These findings are reflective of:
A) dehydration.
B) irritation by gastric juices.
C) a normal oral assessment.
D) side effects from nausea medication.
Q3) The primary purpose of the ciliated mucous membrane in the nose is to:
A) warm the inhaled air.
B) filter out dust and bacteria.
C) filter coarse particles from inhaled air.
D) facilitate movement of air through the nares.
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Page 18
Chapter 17: Breasts and Regional Lymphatics
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/20697
Sample Questions
Q1) Which of the following statements is true regarding the internal structures of the breast? The breast is:
A) mainly muscle, with very little fibrous tissue.
B) composed of fibrous, glandular, and adipose tissue.
C) composed mostly of milk ducts, known as lactiferous ducts.
D) composed of glandular tissue, which supports the breast by attaching to the chest wall.
Q2) A 65-year-old patient remarks that she just can't believe that her breasts sag so much.She states it must be from lack of exercise.What explanation should the nurse offer her?
A) After menopause, only women with large breasts experience sagging.
B) After menopause, sagging is usually due to decreased muscle mass within the breast.
C) After menopause, a diet that is high in protein will help maintain muscle mass, which keeps the breasts from sagging.
D) After menopause, 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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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/20698
Sample Questions
Q1) During percussion,the nurse knows that a dull percussion note elicited over a lung lobe most likely results from:
A) shallow breathing.
B) normal lung tissue.
C) decreased adipose tissue.
D) increased density of lung tissue.
Q2) The nurse is assessing the lungs of an older adult.Which of these describes normal changes in the respiratory system of the older adult?
A) Severe dyspnea is experienced on exertion resulting from changes in the lungs.
B) Respiratory muscle strength increases to compensate for a decreased vital capacity.
C) There is a decrease in small airway closure, leading to problems with atelectasis.
D) The lungs are less elastic and distensible, which decreases their ability to collapse and recoil.
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Chapter 19: Heart and Neck Vessels
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/20699
Sample Questions
Q1) The mother of a 3-month-old infant states that her baby has not been gaining weight.With further questioning,the nurse finds that the infant falls asleep after nursing and wakes up after a short amount of time,hungry again.What other information would the nurse want to have?
A) The infant's sleeping position
B) Sibling history of eating disorders
C) Amount of background noise when eating
D) Presence of dyspnea or diaphoresis when sucking
Q2) A 45-year-old man is in the clinic for a routine physical.During the history the patient states he's been having difficulty sleeping."I'll be sleeping great and then I wake up and feel like I can't get my breath." The nurse's best response to this would be:
A) "When was your last electrocardiogram?"
B) "It's probably because it's been so hot at night."
C) "Do you have any history of problems with your heart?"
D) "Have you had a recent sinus infection or upper respiratory infection?"
Q3) The nurse is assessing a patient's pulses and notices a difference between the patient's apical pulse and radial pulse.The apical pulse was 118 beats per minute,and the radial pulse was 105 beats per minute.What is the pulse deficit?
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21
Chapter 20: Peripheral Vascular System and Lymphatic System
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/20700
Sample Questions
Q1) A patient has hard,nonpitting edema of the left lower leg and ankle.The right leg has no edema.Based on these findings,the nurse recalls that:
A) nonpitting, hard edema occurs with lymphatic obstruction.
B) alterations in arterial function will cause this edema.
C) phlebitis of a superficial vein will cause bilateral edema.
D) long-standing arterial obstruction will cause pitting edema.
Q2) A patient complains of leg pain that wakes him at night.He states that he "has been having problems" with his legs.He has pain in his legs when they are elevated that disappears when he dangles them.He recently noticed "a sore" on the inner aspect of the right ankle.On the basis of this history information,the nurse interprets that the patient is most likely experiencing:
A) pain related to lymphatic abnormalities.
B) problems related to arterial insufficiency.
C) problems related to venous insufficiency.
D) pain related to musculoskeletal abnormalities.
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Page 22
Chapter 21: Abdomen
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20701
Sample Questions
Q1) During an abdominal assessment,the nurse would consider which of these findings as normal?
A) The presence of a bruit in the femoral area
B) A tympanic percussion note in the umbilical region
C) A palpable spleen between the ninth and eleventh ribs in the left midaxillary line
D) A dull percussion note in the left upper quadrant at the midclavicular line
Q2) A patient has hypoactive bowel sounds.The nurse knows that a potential cause of hypoactive bowel sounds is:
A) diarrhea.
B) peritonitis.
C) laxative use.
D) gastroenteritis.
Q3) During an assessment of a newborn infant,the nurse recalls that pyloric stenosis would be manifested by:
A) projectile vomiting.
B) hypoactive bowel activity.
C) palpable olive-sized mass in right lower quadrant.
D) pronounced peristaltic waves crossing from right to left.
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23
Chapter 22: Musculoskeletal System
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53 Verified Questions
53 Flashcards
Source URL: https://quizplus.com/quiz/20702
Sample Questions
Q1) The nurse is assessing a 1-week-old infant and is testing his muscle strength.The nurse lifts the infant with hands under the axillae and notices that the infant starts to "slip" between the hands.The nurse should:
A) suspect a fractured clavicle.
B) suspect that the infant may have a deformity of the spine.
C) suspect that the infant may have weakness of the shoulder muscles.
D) consider this a normal finding because the musculature of an infant this age is undeveloped.
Q2) The nurse is providing patient education for a man who has been diagnosed with a rotator cuff injury.The nurse knows that a rotator cuff injury involves the: A) nucleus pulposus. B) articular process.
C) medial epicondyle.
D) glenohumeral joint.
Q3) The functional units of the musculoskeletal system are the: A) joints. B) bones.
C) muscles.
D) tendons.
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Page 24
Chapter 23: Neurologic System
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56 Verified Questions
56 Flashcards
Source URL: https://quizplus.com/quiz/20703
Sample Questions
Q1) A 69-year-old patient has been admitted to an adult psychiatric unit because his wife thinks he is getting more and more confused.He laughs when he is found to be forgetful,saying "I'm just getting old!" After the nurse completes a thorough neurologic assessment,which findings would be indicative of Alzheimer's disease? Select all that apply.
A) Occasionally forgetting names or appointments
B) Difficulty performing familiar tasks, such as placing a telephone call
C) Misplacing items, such as putting dish soap in the refrigerator
D) Sometimes having trouble finding the right word
E) Rapid mood swings, from calm to tears, for no apparent reason
F) Getting lost in one's own neighborhood
Q2) During the assessment of deep tendon reflexes,the nurse finds that a patient's responses are normal bilaterally.What number is used to indicate "normal" deep tendon reflexes when the documenting this finding._____+
Q3) The two parts of the nervous system are the:
A) motor and sensory.
B) central and peripheral.
C) peripheral and autonomic.
D) hypothalamus and cerebral.
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Page 25
Chapter 24: Male Genitourinary System
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/20704
Sample Questions
Q1) When performing a genital examination on a 25-year-old man,the nurse notices deeply pigmented,wrinkled scrotal skin with large sebaceous follicles.On the basis of this information the nurse would:
A) squeeze the glans to check for the presence of discharge.
B) consider this a normal finding and proceed with the examination.
C) assess the testicles for the presence of masses or painless lumps.
D) obtain a more detailed history focusing on any scrotal abnormalities the patient has noticed.
Q2) When assessing the scrotum of a male patient,the nurse notices the presence of multiple firm,nontender,yellow 1-cm nodules.The nurse knows that these nodules are most likely:
A) from urethritis.
B) sebaceous cysts.
C) subcutaneous plaques.
D) from inflammation of the epididymis.
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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Chapter 25: Anus, Rectum, and Prostate
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/20705
Sample Questions
Q1) The nurse is performing a digital examination of a patient's prostate gland and notices that characteristics of a normal prostate gland include which of the following? Select all that apply.
A) The gland protruding 1 cm into the rectum
B) Heart-shaped with a palpable central groove
C) Flat with no groove palpable
D) Boggy and soft consistency
E) Smooth surface, elastic, or rubbery consistency
F) Fixed mobility
Q2) While assessing a hospitalized,bedridden patient,the nurse notices that the patient has been incontinent of stool.The stool is loose and gray-tan in color.The nurse recognizes that this finding indicates which of the following?
A) Occult blood
B) Inflammation
C) Absent bile pigment
D) Ingestion of iron preparations
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Chapter 26: Female Genitourinary System
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/20706
Sample Questions
Q1) During an internal examination of a woman's genitalia,the nurse will use which technique for proper insertion of the speculum?
A) Instruct the woman to bear down, open the speculum blades, and apply in a swift, upward movement.
B) Insert the blades of the speculum on a horizontal plane, turning them to a 30-degree angle while continuing to insert them. Ask the woman to bear down after the speculum is inserted.
C) Instruct the woman to bear down, turn the width of the blades horizontally, and insert the speculum at a 45-degree angle downward toward the small of the woman's back.
D) Lock the blades open by turning the thumbscrew. Once the blades are open, apply pressure to the introitus and insert the blades at a 45-degree angle downward to bring the cervix into view.
Q2) During an examination the nurse observes a female patient's vestibule and expects to see the:
A) urethral meatus and vaginal orifice.
B) vaginal orifice and vestibular (Bartholin) glands.
C) urethral meatus and paraurethral (Skene) glands.
D) paraurethral (Skene) and vestibular (Bartholin) glands.
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/20707
Sample Questions
Q1) During an examination,the nurse notices that a patient is unable to stick out his tongue.Which cranial nerve is involved with successful performance of this action?
A) I
B) V
C) XI
D) XII
Q2) The nurse should wear gloves for which of these examinations?
A) Measuring vital signs
B) Palpation of the sinuses
C) Palpation of the mouth and tongue
D) Inspection of the eye with an ophthalmoscope
Q3) The nurse documents that a patient has coarse,thickened skin and brown discoloration over the lower legs.Pulses are present.This finding is probably the result of: A) lymphedema.
B) Raynaud's disease.
C) chronic arterial insufficiency.
D) chronic venous insufficiency.
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Chapter 28: Bedside Assessment of the Hospitalized Adult
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/20708
Sample Questions
Q1) The nurse has administered a pain medication to a patient by an intravenous infusion.The nurse should reassess the patient's response to the pain medication within _____ minutes.
A) 5
B) 15
C) 30
D) 60
Q2) When assessing a patient's general appearance,the nurse should include which of these questions?
A) Is the patient's muscle strength equal in both arms?
B) Is ptosis or facial droop present?
C) Does the patient respond appropriately to questions?
D) Are the pupils equal in reaction and size?
Q3) 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 not palpable.
B) Reassess the pulses in 1 hour.
C) Have the patient turn to the side and then palpate for the pulses again.
D) Use a Doppler device to assess the pulses.
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Chapter 29: The Pregnant Woman
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/20709
Sample Questions
Q1) When assessing a woman who is in her third trimester of pregnancy,the nurse looks for the classic symptoms associated with preeclampsia,which include:
A) edema, headaches, and seizures.
B) elevated blood pressure and proteinuria.
C) elevated liver enzymes and high platelet counts.
D) decreased blood pressure and edema.
Q2) A patient's pregnancy test is positive,and she wants to know when the baby is due.The first day of her last menstrual period was June 14,and that period ended June 20.Using Nägele's rule,what is her expected date of delivery?
A) March 7
B) March 14
C) March 21
D) March 27
Q3) Which of these correctly describes the average length of pregnancy?
A) 38 weeks
B) 9 lunar months
C) 280 days from the last day of the last menstrual period
D) 280 days from the first day of the last menstrual period
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Chapter 30: Functional Assessment of the Older Adult
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/20710
Sample Questions
Q1) The nurse is preparing to use the Lawton IADL instrument as part of an assessment.Which statement about the Lawton IADL instrument is true?
A) The nurse uses direct observation to implement this tool.
B) It is designed as a self-report measure of performance rather than ability.
C) It is not useful in the acute hospital setting.
D) It is best used for those residing in an institutional setting.
Q2) The nurse is assessing an older adult's advanced activities of daily living,which would include:
A) recreational activities.
B) meal preparation.
C) balancing the checkbook.
D) self-grooming activities.
Q3) 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) The Physical Performance Test
C) Mini-Cog
D) The Get Up and Go Test
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