Nursing Fundamentals
Midterm Exam
Course Introduction
Nursing Fundamentals introduces students to the essential concepts, skills, and professional roles within the field of nursing. The course covers the foundational principles of patient care, basic health assessment techniques, infection control, communication strategies, ethical and legal considerations, and the nursing process. Through theoretical instruction and practical demonstrations, students develop competencies in vital sign monitoring, hygiene procedures, patient safety, and documentation, preparing them for deeper clinical practice and further nursing education.
Recommended Textbook
Physical Examination and Health Assessment Canadian 2nd Edition by Carolyn Jarvis
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31 Chapters
1148 Verified Questions
1148 Flashcards
Source URL: https://quizplus.com/study-set/1250 Page 2
Chapter 1: Critical Thinking and Evidence-Informed Assessment
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/24663
Sample Questions
Q1) Which of the following best describes a proficient nurse?
A)A nurse who has little experience with a specified population and uses rules to guide performance
B)A nurse who has an intuitive grasp of a clinical situation and quickly identifies the accurate solution
C)A nurse who sees actions in the context of daily plans for patients
D)A nurse who sees a patient's situation as a whole,with long-term goals for the patient,rather than as a list of tasks to be performed
Answer: D
Q2) Which of the following would be formulated by a nurse using diagnostic reasoning?
A)Nursing diagnosis
B)Medical diagnosis
C)Diagnostic hypothesis
D)Diagnostic assessment
Answer: C
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Chapter 2: Health Promotion in the Context of Health Assessment
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which of the following is true related to "moving upstream"?
A)It is the hallmark of secondary prevention.
B)It encompasses healthy lifestyle behaviours.
C)It involves taking action to avoid a problem before it occurs.
D)It prevents complications of chronic disease.
Answer: C
Q2) Which of the following is the most commonly used developmental screening tool?
A)Denver Developmental Screening Test (DDST)
B)Ages and Stages Questionnaires (ASQs)
C)Nipissing District Developmental Screen (NDDS)
D)Parents' Evaluation of Developmental Status (PEDS)
Answer: C
Q3) Providing tobacco cessation strategies to a current long-term smoker who has expressed an interest in cutting down on smoking is an example of which type of prevention?
A)Primary
B)Secondary
C)Tertiary
D)Risk-benefit
Answer: B
Page 4
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Chapter 3: Cultural Competence: Cultural Care and Social
Considerations in Health Assessment
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/24665
Sample Questions
Q1) A 30-year-old woman who was born in Canada brings her 68-year-old mother to hospital.The nurse notes that the mother is reluctant to follow the plan of care,but her daughter,who is a dental hygienist,is insisting that she do so.This is an example of:
A)generational differences.
B)dominant health care culture.
C)lack of respect for independence.
D)critical cultural perspective.
Answer: B
Q2) An Aboriginal woman who lives away from the reserve has come to the clinic to seek help with regulating her diabetes.In conducting an interview,the nurse's priority involves:
A)finding out why the patient is not compliant.
B)reinforcing the health teaching related to diet and exercise.
C)determining if the patient can afford her medications.
D)sending the patient to the diabetic clinic for follow-up.
Answer: C
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Chapter 4: The Interview
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) During a clinic visit,the patient states,"The doctor just told me I should stop smoking.He doesn't understand how hard I've tried.I just don't know the best way to do it.What should I do?" The nurse's most appropriate response in this case would be:
A)"I'd quit.The doctor really knows what he is talking about."
B)"Would you like some information about the different ways a person can quit smoking?"
C)"Stopping your dependence on cigarettes can be very difficult.I understand how you feel."
D)"Why are you confused? Didn't the doctor give you the information about the smoking cessation program we offer?"
Q2) Which of the following is appropriate for the nurse to say near the end of the interview?
A)"Did we forget anything?"
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."
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Chapter 5: The Complete Health History
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A 5-year-old boy is being admitted to the hospital to have his tonsils removed.Which of the following information should be collected before this procedure?
A)The child's birth weight
B)The age at which he started to crawl
C)Whether he has had the measles
D)Reactions to previous hospitalizations
Q2) While obtaining the history from the mother of a 2-year-old with pneumonia,the nurse asks the mother if she smoked or used drugs during her pregnancy.Her response is,"What does that have to do with pneumonia?" How would the nurse answer her question?
A)"You don't need to answer if it makes you uncomfortable."
B)"It's not really that important;we have to ask everyone these questions."
C)"The use of tobacco during your pregnancy could be the cause of your daughter's pneumonia."
D)"Knowing about your pregnancy will help us get a more complete picture of your daughter's health."
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Chapter 6: Mental Health Assessment
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/24668
Sample Questions
Q1) The nurse is assessing orientation in a 79-year-old patient.Which of the following responses would lead the nurse to conclude that this patient is oriented?
A)"I know that my name is John.I couldn't tell you where I am.I think this year is 2009,though."
B)"I know that my name is John,but to tell you the truth,I get kind of confused about the date."
C)"I know that my name is John;I guess I'm at the hospital in Victoria.No,I don't know the date."
D)"I know that my name is John.I am at the hospital in Victoria.I couldn't tell you what date it is,but I know that it is February of a new year-2009."
Q2) When interviewing a patient,it is important for the nurse to obtain some basic history.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.
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Page 8
Chapter 7: Substance Use in the Context of Health Assessment
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/24669
Sample Questions
Q1) Gender,as a social determinant of health,places women more at risk of substance misuse problems.Which of the following is true in relation to women and substance use?
A)Women are perceived as being more in control.
B)Women receive harsher legal sentences than men.
C)Women who are mothers are rarely sent to jail for drug use.
D)Women are less sexually promiscuous than their male counterparts.
Q2) A pregnant woman has just told you that she is smokes marijuana daily and snorts cocaine regularly.Which should the nurse do in relation to this information?
A)Complete a referral to Child Protection Services.
B)Ask the woman to stop substance use while she is pregnant.
C)Phone the doctor to obtain an order for methadone for the woman.
D)Maintain confidentiality,and use discretion when charting this information.
Q3) It is critical for nurses to remain focused on which one of the following,in relation to substance use?
A)Prevalence
B)Health promotion
C)Law enforcement
D)Social determinants of health
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Chapter 8: Interpersonal Violence Assessment
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/24670
Sample Questions
Q1) The nurse is assessing an older woman and suspects elder abuse.Which of the following questions are appropriate for screening for abuse? (Select all that apply. )
A)Has anyone ever physically hurt you?
B)Are you being abused?
C)Are you alone a lot?
D)Are you afraid of anybody at home or who enters your home?
E)Has anyone ever failed to take care of you when you needed help?
Q2) Which one of the following injuries would the nurse expect to commonly see in a patient who is experiencing IPV?
A)Abrasions
B)Contusions
C)Fractures
D)Chronic pain
Q3) When assessing bruises,which colour indicates a new bruise that is less than 2 hours old?
A)Red
B)Purple-blue
C)Greenish brown
D)Brownish yellow
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Chapter 9: Assessment Techniques and the Clinical Setting
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/24671
Sample Questions
Q1) Fingers and thumb in a grasping action
A)Should be used to detect the shape and consistency of a mass in the axilla
B)Best for evaluating skin texture over the abdomen.
C)Used to determine the temperature of the patient's skin.
D)Best for detecting vibration over the thorax and abdomen.
Q2) During the examination,it is often appropriate to offer some education to the patient about the findings.Which of the following statements by the nurse is most appropriate?
A)"Your hypertension is under control."
B)"You have pitting edema and mild varicosities."
C)"Your pulse is 80 beats per minute.This is within the normal range."
D)"I'm using my stethoscope to listen for any crackles,wheezes,or rubs."
Q3) The most important reason to share information and offer brief education while performing the physical examination is to help:
A)the examiner feel more comfortable and gain control of the situation.
B)build rapport and increase the patient's confidence in the examiner.
C)the patient understand his or her disease process and treatment modalities.
D)the patient identify questions about his or her disease and potential areas of patient education.
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11
Chapter 10: General Survey, measurement, and Vital Signs
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/24672
Sample Questions
Q1) When performing a general survey,the examiner is:
A)observing the patient's overall body structure and mobility.
B)interpreting the subjective information the patient has provided.
C)measuring the patient's temperature,pulse,respirations,and blood pressure (BP).
D)observing specific body systems while performing the physical assessment.
Q2) Which of the following statements about taking an axillary temperature is true?
A)A stable axillary temperature will register after 3 minutes.
B)The accuracy and reliability of this method are well established.
C)Its results are closer to the core temperature than the inguinal method.
D)The axillary method is safer and more accessible than the rectal method.
Q3) The nurse notices that a colleague is about to check the BP of an obese patient with a standard-sized BP cuff.The nurse should expect the reading to:
A)yield a falsely low BP.
B)yield a falsely high BP.
C)be the same regardless of cuff size.
D)vary as a result of the technique of the person performing the assessment.
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Chapter 11: Pain Assessment
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/24673
Sample Questions
Q1) A patient states that the pain medication is "not working" and rates his postoperative pain as 10 on a scale of 1 to 10.Which of the following assessment findings indicates an acute pain response to poorly controlled pain?
A)Confusion
B)Hyperventilation
C)Increased blood pressure and pulse
D)Decreased blood pressure and pulse
Q2) When assessing the quality of a patient's pain,which of the following questions should the nurse ask the patient?
A)"When did the pain start?"
B)"Is the pain a stabbing pain?"
C)"Is it a sharp pain or a dull pain?"
D)"What does your pain feel like?"
Q3) Which of the following statements indicates that the nurse understands the pain experience in older adults?
A)"Older persons must learn to tolerate pain."
B)"Pain is a normal process of aging and is to be expected."
C)"Pain indicates pathology or injury and is not a normal process of aging."
D)"Older adults perceive pain to a lesser degree than do younger individuals."
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Page 13
Chapter 12: Nutritional Assessment and Nursing Practice
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/24674
Sample Questions
Q1) A pregnant woman is interested in breastfeeding her baby and asks several questions about it.Which of the following would be appropriate information the nurse should provide?
A)Breastfeeding is best when also supplemented with bottle feedings.
B)Babies who are breastfed often require supplemental vitamins.
C)Breastfeeding is recommended for the first 2 years of life.
D)Breast milk provides the nutrients necessary for growth as well as natural immunity.
Q2) A 21-year-old woman has been on a low-protein,low-calorie liquid diet for the past 2 months.She appears well nourished.With further assessment,what would the nurse expect to find?
A)Poor skin turgor
B)Decreased serum albumin
C)Increased lymphocyte count
D)Triceps skinfold less than standard
Q3) Which of the following statements about nutritional assessment is true?
A)It is only useful in patients who are overweight.
B)It identifies patients who are at risk of malnutrition.
C)Nutritional assessment can only be thoroughly done by a dietitian.
D)It provides the nurse with physical findings related to all the systems.
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Page 14
Chapter 13: Skin, hair, and Nails
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56 Verified Questions
56 Flashcards
Source URL: https://quizplus.com/quiz/24675
Sample Questions
Q1) Solid,elevated,hard or soft,larger than 1 cm
A) Bulla
B) Petechiae
C) Nodule
D) Keloid
E) Vesicle
F) Ecchymosis (bruise)
Q2) A physician has diagnosed a patient with purpura. After leaving the room, a nursing student asks the nurse what the physician saw that led to that diagnosis. The nurse should say:
A)"It is the blue dilation of blood vessels in a star-shaped pattern on the legs."
B)"It is the fiery red,star-shaped marking on the cheek that has a solid circular centre."
C)"It is the confluent and extensive patch of petechiae and ecchymoses on the feet."
D)"It is the tiny little areas of hemorrhage that are less than 2 mm,round,discrete,and dark red in colour."
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Chapter 14: Head and Neck, including Regional Lymphatic System
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/24676
Sample Questions
Q1) The nurse is performing an assessment on a 7-year-old child who has the following symptoms: 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 under 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.
Q2) A mother who has brought her newborn infant for assessment tells the nurse that she has noticed that whenever her newborn's head is turned to the right side,the baby straightens out the arm and leg on the same side and flexes the opposite arm and leg.After confirming this on examination,the nurse would tell the mother that this is:
A)abnormal and is called the atonic neck reflex.
B)normal and should disappear by the first year of life.
C)normal and should disappear between 3 and 4 months of age.
D)abnormal.The baby should be flexing the arm and leg on the right side of his body when the head is turned to the right.
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Page 16
Chapter 15: Eyes
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) Which of the following would the nurse expect to find when examining the eyes of a patient of African descent?
A)Increased night vision
B)A dark retinal background
C)Increased photosensitivity
D)Narrowed palpebral fissures
Q2) Intraocular pressure is determined by the:
A)thickness or bulging of the lens.
B)posterior chamber as it accommodates an increase in fluid.
C)contraction of the ciliary body in response to the aqueous humor within the eye.
D)amount of aqueous humor produced and resistance to its outflow at the angle of the anterior chamber.
Q3) A patient's vision is recorded as 20/80 in each eye.The nurse recognizes that this finding indicates:
A)poor vision.
B)acute vision.
C)normal vision.
D)presbyopia.
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17
Chapter 16: Ears
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) The nurse is conducting a hearing assessment using the Romberg test.The nurse is assessing for:
A)a conductive hearing loss in the right ear.
B)lateralization of hearing.
C)a sensorineural loss.
D)the maintenance of standing balance.
Q2) The nurse is testing the hearing of a 78-year-old man.Which of the following age-related hearing changes should the nurse keep in mind? (Select all that apply. )
A)Age-related hearing loss begins in the mid-40s.
B)The progression of hearing loss is slow.
C)Low-frequency tone loss occurs with aging.
D)It may be harder to hear consonants than vowels.
E)Sounds may be garbled and difficult to localize.
F)Hearing loss reflects nerve degeneration in the middle ear.
Q3) Which of the following statements about air conduction is true?
A)It is the most efficient pathway for hearing.
B)It is caused by the vibrations of bones in the skull.
C)The amplitude of sound determines the pitch that is heard.
D)A loss of air conduction is called a conductive hearing loss.
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Page 18
Chapter 17: Nose, mouth, and Throat
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/24679
Sample Questions
Q1) A pregnant woman states that she is concerned about her gums because she has noticed they are swollen and have started bleeding.What would be an appropriate response by the nurse?
A)"This is probably due to a vitamin C deficiency."
B)"I'm not sure what causes it,but let me know if it doesn't get better in a few weeks."
C)"You need to make an appointment with your dentist as soon as possible to have this checked."
D)"This can be caused by hormonal changes during pregnancy."
Q2) When assessing the tongue of an adult,an abnormal finding would be:
A)a smooth,glossy dorsal surface.
B)a thin white coating over the tongue.
C)raised papillae on the dorsal surface.
D)visible venous patterns on the ventral surface.
Q3) Which of the following assessment findings would the nurse be most concerned about?
A)A painful vesicle inside the cheek for 2 days
B)The presence of moist,nontender Stenson's ducts
C)Stippled gingival margins that adhere snugly to the teeth
D)An ulceration with rolled edges on the side of the tongue
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Page 19
Chapter 18: Breasts and Regional Lymphatic System
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/24680
Sample Questions
Q1) Which of the following women has risk factors that place her at a higher risk for breast cancer?
A)A 37-year-old who is slightly overweight
B)A 42-year-old who had a diagnosis of ovarian cancer
C)A 45-year-old who has never been pregnant
D)A 65-year-old whose mother had breast cancer
Q2) During a breast health interview,a patient states that she occasionally experiences pain in her left breast.The nurse's most appropriate response to this would be:
A)"Don't worry about the pain;breast cancer is not painful."
B)"I would like some more information about the pain in your left breast."
C)"Oh,I had pain like that after my son was born;it turned out to be a blocked milk duct."
D)"Breast pain is almost always the result of benign breast disease,so let's just ignore it."
Q3) During assessment of a woman's axillary lymph system,the nurse will assess the:
A)central,axillary,lateral,and sternal nodes.
B)pectoral,lateral,anterior,and sternal nodes.
C)central,lateral,pectoral,and subscapular nodes.
D)lateral,pectoral,axillary,and suprascapular nodes.
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Chapter 19: Thorax and Lungs
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) The normal response is faint,muffled,and almost inaudible when the patient says "one,two,three" in a very soft voice.
A)Bronchophony
B)Egophony
C)Whispered pectoriloquy
Q2) During morning assessment,the nurse notes that the patient's sputum is frothy and pink.Which of the following conditions could this finding indicate?
A)Croup
B)Tuberculosis
C)Viral infection
D)Pulmonary edema
Q3) The nurse is auscultating the lungs of a sleeping patient and notes short,popping,crackling sounds that stop after a few breaths.The nurse recognizes that these breath sounds are:
A)atelectatic crackles,and not pathological.
B)fine crackles,which may be a sign of pneumonia.
C)vesicular breath sounds.
D)fine wheezes.
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Chapter 20: Heart and Neck Vessels
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) While counting the apical pulse in a 16-year-old patient,the nurse notes an irregular rhythm.His rate speeds up on inspiration and slows on expiration.What would the nurse do next?
A)Talk to the patient about his intake of caffeine.
B)Do an electrocardiogram after the examination.
C)No further action is needed because this is normal.
D)Refer the patient to a cardiologist for further testing.
Q2) The mother of a 3-month-old infant states that her daughter 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 obtain?
A)The position in which the baby sleeps
B)Sibling history of eating disorders
C)Amount of background noise when the baby is eating
D)Presence of dyspnea or diaphoresis when sucking
Q3) While auscultating for heart sounds,which sequence would the nurse use?
A)Aortic area -> pulmonic area -> Erb's point -> tricuspid area -> mitral area
B)Pulmonic area -> aortic area -> Erb's point -> tricuspid area -> mitral area
C)Aortic area -> tricuspid area -> Erb's point -> mitral area -> pulmonic area
D)Pulmonic area -> Erb's point -> tricuspid area -> pulmonic area -> mitral area
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Chapter 21: Peripheral Vascular System and Lymphatic System
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) During an assessment the nurse assists the patient to sit up and dangle his legs over the side of the table.The nurse would expect that a normal finding at this point would be:
A)marked elevational pallor.
B)venous filling within 15 seconds.
C)pain in the feet and lower legs when assuming a sitting position.
D)colour returning to the feet within 20 seconds of assuming a sitting position.
Q2) Which of the following statements about the arterial system is true?
A)Arteries are large-diameter vessels.
B)The arterial system is a high-pressure system.
C)The walls of arteries are thinner than those of veins.
D)Arteries can expand greatly to accommodate a large blood volume increase.
Q3) How would the nurse document mild,slightly pitting edema of the ankles of a pregnant patient?
A)1+/0-4+
B)3+/0-4+
C)4+/0-4+
D)Edema present
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Page 23
Chapter 22: Abdomen
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/24684
Sample Questions
Q1) The nurse is assessing the abdomen of a pregnant woman,who is complaining of having a continuous "stomach ache." The nurse knows that esophageal reflux during pregnancy can cause:
A)diarrhea.
B)pyrosis.
C)dysphagia.
D)constipation.
Q2) 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.
Q3) When palpating the abdomen of a 20-year-old patient,the nurse notes the presence of tenderness with deep palpation in the LUQ.Which of the following structures is most likely to be involved?
A)Spleen
B)Sigmoid
C)Appendix
D)Gallbladder
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Chapter 23: Anus,rectum and Prostate
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29 Flashcards
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Sample Questions
Q1) A 70-year-old man is visiting the clinic for "difficulty in passing urine." In the history,he indicates he has to urinate frequently,especially at night.He experiences burning when he urinates and has noticed pain in his back.Given this history,what might the nurse expect to find during the physical assessment?
A)Asymmetrical hard,fixed prostate gland
B)Occult blood and perianal pain with palpation
C)Symmetrically enlarged,soft prostate gland
D)A soft nodule protruding from rectal mucosa
Q2) A patient who is visiting the clinic complains of having "stomach pains for 2 weeks" and describes his stools as being "soft and black" for about the last 10 days.He denies taking any medications.The nurse is aware that these symptoms are most indicative of:
A)excessive fat caused by malabsorption.
B)increased iron intake resulting from a change in diet.
C)occult blood resulting from gastrointestinal bleeding.
D)increase in bile pigment from liver problems.
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Chapter 24: Musculoskeletal System
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52 Flashcards
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Sample Questions
Q1) The nurse is planning to measure a patient's angles of joint flexion.What instrument will be used?
A)Caliper
B)Protractor
C)Goniometer
D)Measuring tape
Q2) The nurse is explaining the growth of long bones to a mother of a toddler.The nurse knows that bones increase in width or diameter by deposition of new bony tissue around the shafts.The nurse also knows that lengthening occurs at the:
A)bursa.
B)calcaneus.
C)epiphyses.
D)tuberosities.
Q3) The articulation of the mandible and the temporal bone is known as the:
A)intervertebral foramen.
B)condyle of the mandible.
C)temporomandibular joint.
D)zygomatic arch of the temporal bone.
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Chapter 25: Neurological System
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54 Verified Questions
54 Flashcards
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Sample Questions
Q1) In the assessment of a 1-month-old infant,the nurse notes a lack of response to noise or stimulation.The mother reports that in the last week he has been sleeping most of the time,and when awake,all he does is cry.The nurse hears that the infant's cries are very high-pitched and shrill.What would be the nurse's appropriate response to these findings?
A)Refer the infant for further testing.
B)Talk with the mother about eating habits.
C)Nothing;these are expected findings for an infant of this age.
D)Tell the mother to bring the baby back in a week for a recheck.
Q2) The nurse is caring for a patient who has just had neurosurgery.To assess for increased intracranial pressure,what would the nurse include in the assessment?
A)Cranial nerves,motor function,and sensory function
B)Deep tendon reflexes,vital signs,and coordinated movements
C)Level of consciousness,motor function,pupillary response,and vital signs
D)Mental status,deep tendon reflexes,sensory function,and pupillary response
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Chapter 26: Male Genitourinary System
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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) A newborn baby boy is about to have a circumcision.The nurse knows that indications for circumcision include:
A)cultural beliefs.
B)prevention of testicular cancer.
C)improving the sperm count later in life.
D)preventing the transmission of human immunodeficiency virus during sexual intercourse.
Q3) The external male genital structures include the:
A)testis.
B)scrotum.
C)epididymis.
D)vas deferens.
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Chapter 27: Female Genitourinary System
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Q1) The uterus is usually positioned tilting forward and superior to the bladder.This position is known as:
A)anteverted and anteflexed.
B)retroverted and anteflexed.
C)retroverted and retroflexed.
D)superiorverted and anteflexed.
Q2) When the nurse is interviewing a preadolescent girl,which of the following opening statements would be least threatening?
A)"Do you have any questions about growing up?"
B)"What has your mother told you about growing up?"
C)"When did you notice that your body was changing?"
D)"I remember being very scared when I got my period.How do you think you'll feel?"
Q3) The nurse is preparing to examine the external genitalia of a school-age girl.Which of the following positions would be most appropriate in this situation?
A)In the parent's lap
B)In a frog-leg position on the examining table
C)In the lithotomy position with the feet in stirrups
D)Lying flat on the examining table with legs extended
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Q1) When the nurse flexes the patient's knee and gently compresses the gastrocnemius muscle anteriorly against the tibia,the patient indicates that he is having calf pain.The nurse would document:
(This question reflects the results an examiner may find during a complete physical examination.Content in this question is not necessarily addressed directly in Jarvis' Physical Examination & Health Assessment. )
A)positive Allen's sign.
B)negative Allen's sign.
C)positive Homan's sign.
D)negative Homan's sign.
Q2) A patient states,"whenever I open my mouth real wide,I feel this popping sensation in front of my ears." To further examine this,the nurse would:
A)place the stethoscope over the temporomandibular joint and listen for bruits.
B)place the hands over his ears,and ask him to open his mouth "really wide."
C)place one hand on his forehead and the other on his jaw,and ask him to try to open his mouth.
D)place a finger on his temporomandibular joint and ask him to open and close his mouth.
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Chapter 29: Bedside Assessment of the Hospitalized Patient
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Q1) Which statement reflects the assessment of a 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 at least 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 during each shift,unless they are in critical condition.
Q2) The nurse is assessing the IV infusion at the beginning of the shift.Which of the following should be included in the assessment of the infusion? (Select all that apply. )
A)The proper IV solution is infusing,according to physician's orders.
B)Infusion is occurring at the proper rate,according to physician's orders.
C)The infusion solution and rate are proper,according to the nurse's own assessment of the patient's needs.
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Chapter 30: Pregnancy
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Q1) When the nurse is assessing the deep tendon reflexes (DTRs)of a woman who is 32 weeks pregnant,which of the following findings would be considered normal,on a 0-4+ scale?
A)Absent DTRs
B)2+
C)4+
D)Brisk reflexes and the presence of clonus
Q2) 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 centimetres should approximate the number of weeks of gestation.
D)fundal height is usually less than the number of weeks of gestation,unless there is an abnormal condition such as the presence of too much amniotic fluid.
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Chapter 31: Functional Assessment of the Older Adult
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Q1) The nurse is assessing the abilities of an older adult.Which of the following activities are considered IADLs? (Select all that apply. )
A)Feeding oneself
B)Preparing a meal
C)Balancing a chequebook
D)Walking
E)Toileting
F)Grocery shopping
Q2) The nurse will choose which of the following tools to assess a patient's ability to perform activities of daily living (ADLs)?
A)Direct Assessment of Functional Abilities (DAFA)
B)Lawton and Brody IADLs
C)Katz Index
D)Older Americans Resources and Services Multidimensional Functional Assessment
Questionnaire-IADL (OARS-IADL)
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