Nursing Practice II Exam Practice Tests
Course Introduction
Nursing Practice II is designed to build upon foundational nursing concepts and skills acquired in previous courses, emphasizing the application of evidence-based practice in diverse healthcare settings. Students will deepen their understanding of the nursing process, develop advanced clinical judgment, and refine communication and teamwork skills essential for collaborative patient care. The course integrates simulation, case studies, and supervised clinical experiences to reinforce the assessment, planning, intervention, and evaluation of care for individuals and families across the lifespan, with a focus on patient safety, cultural competence, and ethical practice.
Recommended Textbook
Health Assessment for Nursing Practice 6th Edition by Wilson
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24 Chapters
634 Verified Questions
634 Flashcards
Source URL: https://quizplus.com/study-set/177
Page 2
Chapter 1: Introduction to Health Assessment
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/2458
Sample Questions
Q1) For which person is a shift assessment indicated?
A) The person who had abdominal surgery yesterday
B) The person who is unaware of his high serum glucose levels
C) The person who is being admitted to a long-term care facility
D) The person who is beginning rehabilitation after a knee replacement
Answer: A
Q2) Which activity illustrates the concept of secondary prevention?
A) Annual mammogram
B) Nutrition classes on low-fat cooking
C) Education on living with diabetes mellitus
D) Cardiac rehabilitation after coronary artery bypass surgery
Answer: A
Q3) The nurse documents which information in the patient's history?
A) The patient's skin feels warm to the touch.
B) The patient is scratching his arm.
C) The patient's temperature is 100° F.
D) The patient complains of itching.
Answer: D
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3
Chapter 2: Obtaining a Health History
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) Which statement is appropriate to use when beginning an interview with a new patient?
A) "Have you ever been a patient in this clinic before?"
B) "What is your purpose for coming to the clinic today?"
C) "Tell me a little about yourself and your family."
D) "Did you have any difficulty finding the clinic?"
Answer: B
Q2) A patient answers questions quietly and appears sad. While answering questions about her marriage, she begins to cry. Which response by the nurse is appropriate in this situation?
A) "Don't cry! I'll come back when you've settled down."
B) "I only have a few more questions to ask, and then I'll leave you alone for a while."
C) "Everyone has ups and downs in their marriage. What problems are you having?"
D) "I see that you are upset. Is there something you'd like to discuss?"
Answer: D
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4
Chapter 3: Techniques and Equipment for Physical Assessment
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/2460
Sample Questions
Q1) To test deep tendon reflexes, the nurse uses which instrument?
A) Goniometer
B) Calipers
C) Reflex hammer
D) Monofilament
Answer: C
Q2) How does the nurse detect an extra heart sound in an adult?
A) Using the bell of a stethoscope
B) With a pulse oximeter
C) Using the diaphragm of a stethoscope
D) With a Doppler ultrasound probe
Answer: A
Q3) The nurse is unable to hear the patient's breath sounds. What checks does the nurse make of the stethoscope to determine the cause of this problem?
A) Ensure the stethoscope tubing is at least 20 inches long.
B) Ensure the valve is open to the diaphragm on the head of the stethoscope.
C) Ensure the earpieces are pointed toward the back of the ears.
D) Ensure the bell is placed firmly against the patient's skin.
Answer: B
Page 5
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Chapter 4: General Inspection and Measurement of Vital Signs
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/2461
Sample Questions
Q1) A temperature of 99.8° F taken in the axilla is equivalent to which temperature value taken orally?
A) 100.8° F
B) 99.8° F
C) 98.8° F
D) 97.8° F
Q2) Which action by the nurse results in the patient's blood pressure measurement being falsely low? (Select all that apply.)
A) Using a blood pressure cuff that is too wide for the patients arm
B) Not inflating the blood pressure cuff enough
C) Positioning the patient's arm above the level of the heart
D) Wrapping the cuff too loosely around the arm
E) Deflating the cuff too rapidly
Q3) Which of these respiratory rates are within normal limits?
A) 16-month-old; 42
B) 6-year-old; 20
C) 14-year-old; 26
D) 40-year-old; 10
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Chapter 5: Cultural Assessment
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) A patient tells the nurse that her religion prohibits her from eating food prepared outside of a special kitchen. What is the nurse's appropriate action to meet this patient's needs?
A) Call the dietary department to cancel the patient's meal tray.
B) Tell the patient that her diet must be carefully monitored and prepared at the hospital.
C) Tell the patient that because of her illness, a few changes to her religious requirements will be necessary.
D) Ask the patient to describe the requirements for the special kitchen.
Q2) Which of the components described below represent the Filipino culture? (Select all that apply.)
A) Tagalog and Cebuano are the primary dialects spoken.
B) Orientation to the past is evident in their respect for elders.
C) The family, rather than the individual, is the unit.
D) Most Filipinos are Catholic.
E) Filipinos like to eat rice with most meals.
F) Sharing is common since interdependence is important.
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Chapter 6: Pain Assessment
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A patient has had chronic back pain for several years. On assessment, the nurse notes that the patient sits quietly in a chair, reads a book, talks with a companion, and does not appear to be in pain. When questioned, the patient rates the pain as a 6 on a scale of 0 to 10. How does the nurse interpret these data?
A) Many patients cannot be believed when they complain of severe pain lasting many months.
B) Patients may not have the same objective responses to chronic pain because of compensation over time.
C) The patient probably has already taken a very effective pain medication.
D) This patient is probably not having as much pain as reported initially, and more assessment is required.
Q2) How do nurses assess a patient's pain?
A) By assessing physiologic changes of the patient
B) By understanding the sensory experience related to the amount of tissue damage
C) By the patient's medical diagnosis or surgical procedure
D) By asking the patient to rate the pain being experienced
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Chapter 7: Mental Health Assessment
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/2464
Sample Questions
Q1) During conversation, the nurse observes that the patient is talking continuously and excitedly, and is switching rapidly from one topic to another with seemingly no relationship between topics. This behavior is often associated with which disorder?
A) Depression
B) Obsessive-compulsive disorder
C) Schizophrenia
D) Bipolar disorder
Q2) In contrasting the assessment of mental status from mental health, a nurse recognizes that data for the mental status examination are obtained using which techniques?
A) Asking them about their relatives who have mental health disorders
B) Having them demonstrate their ability to reason and calculate
C) Asking them to recall how they have coped with daily stress
D) Having them describe their mood and emotions
Q3) What function do neurotransmitters have in mental health disorders?
A) Dopamine levels are increased in schizophrenia.
B) Increased levels of gamma aminobutyric acid (GABA) contribute to anxiety.
C) Serotonin is decreased in a state of anxiety.
D) Norepinephrine is increased in depression.
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Page 9
Chapter 8: Nutritional Assessment
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2465
Sample Questions
Q1) A man who is 6 feet 9 inches tall is told by his provider to lose weight so that he is closer to his desired body weight. He asks the nurse, How can I find out what my desired body weight should be? The nurse responds, Let me show you how to calculate it. Your desired body weight (DBW) should be ______ lb.
Q2) A patient who has anorexia nervosa reports a healthy diet and no protein calorie malnutrition. Which lab value best confirms this patient's report?
A) Prealbumin
B) Serum albumin
C) Blood glucose
D) Serum cholesterol
Q3) A patient who keeps his fat consumption at 10% of his total caloric intake is at risk for deficiency of which nutrient(s)?
A) Iron
B) Vitamins A, D, and K
C) Zinc
D) B and C vitamins
Q4) A woman's waist circumference is 32 inches and her hip circumference is 29 inches. Her waist-to-hip ratio is _____.
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Page 10
Chapter 9: Skin, Hair, and Nails
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2466
Sample Questions
Q1) When the patient's chart includes a notation that petechiae are present, what finding does a nurse expect during inspection?
A) Purplish-red pinpoint lesions
B) Deep purplish or red patches of skin
C) Small raised fluid-filled pinkish nodules
D) Generalized reddish discoloration of an area of skin
Q2) A 45-year-old woman tells the nurse she is distressed by the presence of dark, coarse hair on her face that has recently developed. What is the nurse's most appropriate response to this patient?
A) "This is simple vellus hair and it will decrease in amount over time."
B) "Some women in your cultural group normally have dark hair on their faces."
C) "This is unusual; female hair distribution should be limited to arms, legs, and pubis."
D) "Coarse dark hair could result from hormonal changes such as from menopause."
Q3) How does the nurse recognize jaundice in a dark-skinned patient?
A) Inspect the conjunctiva for ashen-gray color.
B) Inspect the nail beds for a deeper brown or purple skin tone.
C) Inspect the palms and soles for yellowish-green color.
D) Inspect the oral mucous membrane for yellow color.
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11
Chapter 10: Head, Eyes, Ears, Nose, and Throat
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75 Verified Questions
75 Flashcards
Source URL: https://quizplus.com/quiz/2467
Sample Questions
Q1) During an examination of the head and neck of a healthy adult, the nurse expects which findings? (Select all that apply.)
A) Small red lesions with white flakes scattered on the scalp.
B) The head and facial bones are proportional for the size of the body.
C) Depressions palpated on the right and left sides over the parietal bones.
D) Head held flexed 15 degrees to the left.
E) Face and jaw are symmetric and proportional.
F) Temporomandibular joint moves smoothly.
Q2) A patient has had an infected facial wound for more than 3 months. How does the nurse expect the patient's enlarged lymph nodes to feel?
A) Soft, edematous, and tender
B) Round, tender, and movable
C) Hard, nontender, and nonmobile
D) Irregularly shaped, tender, and firm
Q3) How does a nurse recognize a patient's mydriasis?
A) The lens of each of the patient's eyes is opaque.
B) There is involuntary rhythmical, horizontal movement of the patient's eyes.
C) There is a white opaque ring encircling the patient's limbus.
D) The patient's pupils are 7 mm and do not constrict.
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Page 12
Chapter 11: Lungs and Respiratory System
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/2468
Sample Questions
Q1) During a history, a nurse notices a patient is short of breath, is using pursed-lip breathing, and maintains a tripod position. Based on these data, what abnormal finding should the nurse expect to find during the examination?
A) Increased tactile fremitus
B) Inspiratory and expiratory wheezing
C) Tracheal deviation
D) An increased anteroposterior diameter
Q2) A patient complains of shortness of breath and having to sleep on three pillows to breathe comfortably at night. During the nurse's examination, what findings will suggest that the cause of this patient's dyspnea is due to heart disease rather than respiratory disease?
A) Increased anteroposterior diameter
B) Clubbing of the fingers
C) Bilateral peripheral edema
D) Increased tactile fremitus
Q3) A patient tells the nurse that he has smoked 1 \(\frac{1}{2}\) packs of cigarettes a day for 14 years. The number of packs the nurse should record in the medical record is ___ pack-years.
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Chapter 12: Heart and Peripheral Vascular System
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/2469
Sample Questions
Q1) A nurse who is auscultating a patient's heart hears a harsh sound, a raspy machine-like blowing sound, after S1 and before S2. How does this nurse document this finding?
A) An opening snap
B) A diastolic murmur
C) A systolic murmur
D) A pericardial friction rub
Q2) A nurse is having difficulty auscultating a patient's heart sounds because the lung sounds are too loud. What does the nurse ask the patient to do to improve hearing the heart sounds?
A) Lie in a supine position.
B) Cough.
C) Hold his or her breath for a few seconds.
D) Sit up and lean forward.
Q3) Which patient does the nurse identify as the one at greatest risk for hypertension?
A) Woman with coronary artery disease
B) Hispanic male
C) Obese male with diabetes mellitus
D) Postmenopausal woman
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Page 14
Chapter 13: Abdomen and Gastrointestinal System
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/2470
Sample Questions
Q1) Which techniques does a nurse use to palpate a patient's right kidney?
A) Asks the patient to take a deep breath, elevates the patient's eleventh and twelfth ribs with the left hand, and deeply palpates for the right kidney with the right hand.
B) Asks the patient to exhale, elevates the patient's eleventh and twelfth ribs with the left hand, and deeply palpates for the right kidney with the right hand.
C) Asks the patient to take a deep breath, elevates the patient's right flank with the left hand, and deeply palpates for the right kidney with the right hand.
D) Asks the patient to exhale, elevates the patient's right flank with the left hand, and deeply palpates for the right kidney with the right hand.
Q2) When auscultating a patient's abdomen using the bell of the stethoscope, the nurse hears soft, low-pitched murmurs over the right and left upper midline. What do these sounds indicate?
A) Expected peristalsis
B) Femoral artery stenosis
C) Renal artery stenosis
D) Hyperactive bowel sounds
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15
Chapter 14: Musculoskeletal System
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/2471
Sample Questions
Q1) How does a nurse assess the eversion and inversion of a patient's ankle?
A) For eversion, ask the patient to turn the sole of the foot away from the body and for inversion turn the sole of the foot toward the midline.
B) For eversion, ask the patient to turn the sole of the inward toward the midline and for inversion turn the sole of the foot away from the body.
C) For eversion, ask the patient to walk on his toes and, for inversion, to walk on his heels.
D) For eversion, ask the patient to point the toes forward and, for inversion, to point the toes backward.
Q2) A nurse asks a patient to describe his new onset of leg pain. He slept well through the night, but this morning he suddenly developed pain in his left lower leg that is red and too painful to touch. Nothing relieves the pain. Based on these data, the nurse suspects which disorder is causing this pain?
A) Rheumatoid arthritis
B) Osteoarthritis
C) Gout
D) Tendonitis
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16
Chapter 15: Neurologic System
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/2472
Sample Questions
Q1) As a patient is walking down the hall, the nurse notices the patient's staggering, unsteady gait. What findings does the nurse anticipate on the neurologic examination?
A) When the patient stands with feet together, eyes open and then closed, an upright posture is maintained.
B) When the patient touches the end of each finger to the thumb of the same hand, a tremor is observed in the fingers.
C) When the patient is giving a history to the nurse, a tremor is noticed as the patient's hands rest in the lap.
D) When lying supine, the patient is able to move the heel of one foot down the shin of the other leg.
Q2) A patient reports having difficulty swallowing. Based on this information, how does the nurse assess the appropriate cranial nerve?
A) Ask the patient to stick out the tongue and move it in all directions.
B) Ask the patient to move the head to the right and left.
C) Observe the symmetry of the face when the patient talks.
D) Assess for taste on the anterior part of the tongue.
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Page 17
Chapter 16: Breasts and Axillae
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Based on the history, a nurse determines that the patient with which finding requires further assessment?
A) Occasional discharge from nipples
B) Supernumerary nipples along the milk line
C) Rash in the axillae associated with change in deodorant
D) Mild breast swelling that fluctuates with the menstrual cycle
Q2) While giving a presentation about breast health, a nurse informs patients about which recommendation?
A) Women in their 30s should have annual clinical breast examinations.
B) Women at high risk of breast cancer should have semiannual mammograms.
C) Women who are postmenopausal require clinical breast examination every 5 years.
D) A screening mammogram is recommended for all women beginning at age 50 years.
Q3) The nurse would give immediate attention to the patient who presents with which complaint?
A) Bilateral breast swelling
B) Unilateral nipple discharge
C) A breast lump that changes during the menstrual cycle
D) Unequal breast size
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18
Chapter 17: Reproductive System and the Perineum
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) The nurse documents which finding as expected on inspection of the anus?
A) Skin tone darker and coarser than that of the surrounding skin
B) Sphincter lightly closed when the patient is relaxed
C) Large amount of stiff, curling hair surrounding the anus
D) Slight protrusion under the skin when the patient strains or bears down
Q2) A patient with testicular torsion is experiencing which abnormality?
A) Abnormal dilation and tortuosity of the veins along the spermatic cord
B) Twisting of the testicle and spermatic cord
C) A cystic mass filled with sperm and seminal fluid in the epididymis
D) An accumulation of fluid in the scrotum
Q3) On inspection of the external male genitalia, the nurse notes which finding as abnormal?
A) The scrotum is covered with dark rugous skin.
B) The skin covering the penis is hairless and loose.
C) The urinary meatus is located on the upper surface of the penis.
D) The left side of the scrotum hangs slightly lower than the right.
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Chapter 18: Developmental Assessment Throughout the Life Span
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which statement best illustrates Erikson's theory of development?
A) The main goal is to establish equilibrium between self and environment.
B) One progresses through stages that involve specific psychosocial tasks.
C) There are four distinct, sequential levels of cognitive development.
D) Cognitive development occurs from birth to around age 15.
Q2) A nurse is assessing a preschooler who is able to draw a three-part human figure, hop on one foot, and recognize three colors. The nurse recognizes these characteristics as consistent for what age?
A) 3 years old
B) 4 years old
C) 5 years old
D) 6 years old
Q3) Interviewing patients in middle adulthood, the nurse recognizes which behavior as an expected developmental task for this age group?
A) Finding meaning in life
B) Establishing autonomy as an individual
C) Increased self-understanding
D) Dissatisfaction with one's interpersonal relationships
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Chapter 19: Assessment of the Infant, Child, and Adolescent
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/2476
Sample Questions
Q1) An adolescent patient appears reluctant to discuss sensitive issues with her parents present. What is the nurse's most appropriate intervention?
A) Tell the patient that it is very important to be honest and specific.
B) Provide time when the adolescent is alone with the nurse.
C) Reassure the patient that anything said in the interview is considered confidential.
D) Ask the parents to answer the questions if the patient is not willing to answer.
Q2) Which assessment technique is appropriate to measure the 8-month-old's vital signs during a well-baby check?
A) Assess temperature using a rectal thermometer.
B) Observe the infant's abdomen when counting respirations.
C) Take the infant from the parent's arms to assess pulse.
D) Measure blood pressure in the leg.
Q3) A nurse refers which child for further assessment?
A) A 2-year-old who has a jugular venous hum after playing
B) A 4-year-old who has a resting heart rate of 100
C) A 5-year-old who positions herself in a squat after running a few feet
D) A 7-year-old who has a strong femoral pulse readily detected on palpation
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21
Chapter 20: Assessment of the Pregnant Patient
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) To perform Leopold maneuvers, the nurse uses which assessment technique?
A) Percussing over the symphysis pubis
B) Auscultating all four abdominal quadrants
C) Palpating the fundus
D) Measuring from symphysis pubis to the umbilicus
Q2) In measuring fundal height, the nurse documents which finding as abnormal?
A) 29 cm at week 30
B) 28 cm at week 26
C) 34 cm at week 38
D) 26 cm at week 24
Q3) In reviewing the results of physical examination of a 25-year-old pregnant patient, a nurse recognizes which finding as expected?
A) Small, round, oval cervix
B) Pale, symmetrical cervix
C) Smooth, bluish-colored cervix
D) Slit-shaped, pink cervix
Q4) A pregnant patient's weight before pregnancy was 163 lb. The nurse expects the patient to weigh ______ to ______ lb during the second trimester.
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Page 22
Chapter 21: Assessment of the Older Adult
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A nurse asks an older adult patient to rise from an arm chair without using the arms, stand with eyes closed, and turn around in a circle. What is the nurse assessing in this patient?
A) Ability to follow instructions
B) Muscle strength
C) Balance
D) Hearing
Q2) In assessing the nails of an older adult, which finding does a nurse expect to find?
A) Transverse ridges
B) Thick, brittle, and yellow nails
C) Thin, brittle nails
D) Lateral edges turned upward
Q3) Which finding on cardiovascular assessment of an older adult patient warrants further evaluation?
A) Occasional ectopic beats heard on auscultation of the heart
B) Murmur heard over the mitral valve
C) Systolic pressure of 156 in the right arm and 188 in the left arm
D) Persistent S4 sound in a patient with a history of decreased ventricular function
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Chapter 22: Conducting a Head-to-Toe Examination
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Sample Questions
Q1) When does the health assessment begin?
A) When the nurse first meets the patient
B) When the patient tells the nurse his name and age
C) When the nurse asks the patient the first health-related question
D) When the patient consents to have a health assessment performed
Q2) Which data does a nurse collect during the general survey when meeting a patient for the first time? (Select all that apply.)
A) Gait
B) Muscle strength
C) Heart sounds
D) Hearing and speech abilities
E) Mood or affect
F) Position of the trachea
Q3) Which assessments are routine examination techniques of the upper extremities?
A) Palpating the epitrochlear lymph nodes for size and tenderness
B) Palpating the arms for skin characteristics, symmetry, tenderness, and deformities
C) Testing the range of motion and muscle strength comparing one arm with the other
D) Testing triceps, biceps, and brachioradialis deep tendon reflexes bilaterally
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24
Chapter 23: Documenting the Comprehensive Health Assessment
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Sample Questions
Q1) Which data do nurses document under the category of past health history?
A) Chronic diseases
B) Immunizations received
C) Allergies to medications or food
D) Causes of death of the patient's parents
Q2) The nurse documents which data under the category of present health status?
A) Counts on her friends in stressful times
B) "I only sleep for 2 to 3 hours a night and use diphenhydramine for sleep."
C) Has a physical examination and flu vaccination annually
D) "I feel good about myself most of the time."
Q3) Which documentation by a nurse is most descriptive?
A) Heart sounds normal.
B) Few ectopic beats heard during auscultation.
C) S1 murmur is heard at second right sternal border.
D) Pulse within normal limits.
Q4) What data do nurses document under the category general survey?
A) Mental health
B) Functional ability
C) Diet and nutrition
D) Orientation
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Chapter 24: Adapting Health Assessment to the Hospitalized Patient
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Sample Questions
Q1) Which patient using respiratory equipment requires skin assessment? (Select all that apply.)
A) A patient using a nasal cannula
B) A patient with a tracheostomy
C) A patient using an incentive spirometer
D) A patient using a Ventimask
E) A patient with an IV
Q2) Which tube interferes with hearing lung sounds during auscultation? (Select all that apply.)
A) Gastrostomy tube
B) Chest tube
C) Nasogastric tube
D) Tracheostomy tube
E) Oral endotracheal tube
Q3) Development of which complication is considered a never event?
A) Fever
B) Atelectasis
C) Pressure ulcer
D) Thrombophlebitis
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