Patient Assessment and Documentation
Final Exam Questions
Course Introduction
Patient Assessment and Documentation is a foundational course that equips students with the skills necessary to systematically evaluate patient health status and accurately record clinical findings. Emphasizing both theoretical knowledge and practical application, the course covers techniques for obtaining medical histories, conducting physical examinations, and utilizing various assessment tools. Students will learn best practices for clear, thorough, and compliant documentation in patient records, adhering to legal, ethical, and professional standards. By the end of the course, participants will be able to gather relevant patient information, make initial clinical judgments, and maintain precise documentation to support continuity of care and effective interdisciplinary communication.
Recommended Textbook
Physical Examination and Health Assessment 6th Edition by Carolyn Jarvis
Available Study Resources on Quizplus
30 Chapters
1147 Verified Questions
1147 Flashcards
Source URL: https://quizplus.com/study-set/1044 Page 2
Chapter 1: Evidence Based Assessment
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/20681
Sample Questions
Q1) After completing an initial assessment on a patient,the nurse has charted that his respirations are eupneic and his pulse is 58.This type of data would be:
A) objective.
B) reflective.
C) subjective.
D) introspective.
Answer: A
Q2) The nurse is classifying nursing diagnoses.Which of these would be considered a risk diagnosis?
A) Identifying existing levels of wellness
B) Evaluating previous problems and goals
C) Identifying potential problems the individual may develop
D) Focusing on strengths and reflecting an individual's transition to higher levels of wellness
Answer: C
To view all questions and flashcards with answers, click on the resource link above.
3
Chapter 2: Cultural Competence: Cultural Care
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20682
Sample Questions
Q1) During a seminar on cultural aspects of nursing,the nurse recognizes that the definition stating "the specific and distinct knowledge,beliefs,skills,and customs acquired by members of a society" reflects which term?
A) Mores
B) Norms
C) Culture
D) Social learning
Answer: C
Q2) During an assessment,the nurse notices that a patient is handling a small charm that is tied to a leather strip around his neck.Which action by the nurse is appropriate?
A) Ask the patient about the item and its significance.
B) Ask the patient to lock the item with other valuables in the hospital's safe.
C) Tell the patient that a family member should take valuables home.
D) No action is necessary.
Answer: A
To view all questions and flashcards with answers, click on the resource link above.
4
Chapter 3: The Interview
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20683
Sample Questions
Q1) Receiving is a part of the communication process.Which receiver is most likely to misinterpret a message sent by a health care professional?
A) Well-adjusted adolescent who came in for a sports physical
B) Recovering alcoholic who came in for a basic physical examination
C) Man whose wife has just been diagnosed with lung cancer
D) Man with a hearing impairment who uses sign language to communicate and who has an interpreter with him
Answer: C
Q2) During an interview,the nurse would expect that most of the interview will take place at which distance?
A) Intimate zone
B) Personal distance
C) Social distance
D) Public distance
Answer: C
To view all questions and flashcards with answers, click on the resource link above. Page 5
Chapter 4: The Complete Health History
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/20684
Sample Questions
Q1) The nurse is assessing a new patient who has recently immigrated to the United States.Which question is appropriate to add to the health history?
A) "Why did you come to the United States?"
B) "When did you come to the United States, and from what country?"
C) "What made you leave your native country?"
D) "Are you planning to return to your home?"
Q2) The nurse is preparing to conduct a health history.Which of these statements best describes the purpose of a health history?
A) To provide an opportunity for interaction between patient and nurse
B) To provide a form for obtaining the patient's biographic information
C) To document the normal and abnormal findings of a physical assessment
D) To provide a data base of subjective information about the patient's past and current health
Q3) The review of systems provides the nurse with:
A) physical findings related to each system.
B) information regarding health promotion practices.
C) an opportunity to teach the patient medical terms.
D) information necessary for the nurse to diagnose the patient's medical problem.
To view all questions and flashcards with answers, click on the resource link above. Page 6
Chapter 5: Mental Status Assessment
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20685
Sample Questions
Q1) The nurse is providing instructions to newly hired graduates about the Mini-Mental State Examination.Which statement best describes this examination?
A) Scores below 30 indicate cognitive impairment.
B) It is a good tool to evaluate mood and thought processes.
C) It is a good tool to detect delirium and dementia and to differentiate these from psychiatric mental illness.
D) It is useful for an initial evaluation of mental status. Additional tools are needed to evaluate cognition changes over time.
Q2) A 20-year-old construction worker has been brought into the emergency department with heat stroke.He has delirium as a result of the fluid and electrolyte imbalance.For the mental status examination,the nurse should first assess the patient's:
A) affect and mood.
B) memory and affect.
C) language abilities.
D) level of consciousness and cognitive abilities.
To view all questions and flashcards with answers, click on the resource link above.
7
Chapter 6: Substance Use Assessment
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/20686
Sample Questions
Q1) The nurse is assessing a patient who has been admitted for cirrhosis of the liver secondary to chronic alcohol use.During the physical assessment,the nurse looks for cardiac problems that are associated with chronic heavy use of alcohol,such as:
A) hypertension.
B) ventricular fibrillation.
C) bradycardia.
D) mitral valve prolapse.
Q2) During a session on substance abuse,the nurse is reviewing statistics with the class.For persons aged 12 years and older,which of these illicit substances was the one most commonly used?
A) Crack cocaine
B) Heroin
C) Marijuana
D) Hallucinogens
To view all questions and flashcards with answers, click on the resource link above. Page 8
Chapter 7: Domestic Violence Assessment
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/20687
Sample Questions
Q1) During a home visit,the nurse notices that an elderly woman is caring for her bedridden husband.The woman states that this is her duty,she does the best she can,and her children come to help when they are in town.Her husband is unable to care for himself,and she appears thin,weak,and exhausted.The nurse notices that several of his prescription medication bottles are empty.This situation is best described by the term:
A) physical abuse.
B) financial neglect.
C) psychological abuse.
D) unintentional physical neglect.
Q2) During an interview,a woman has answered "yes" to two of the Abuse Assessment Screen questions.What should the nurse say next?
A) "I need to report this abuse to the authorities."
B) "Tell me about this abuse in your relationship."
C) "So you were abused?"
D) "Do you know what caused this abuse?"
To view all questions and flashcards with answers, click on the resource link above.
Chapter 8: Assessment Techniques and the Clinical Setting
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/20688
Sample Questions
Q1) When examining an aging adult,the nurse should use which technique?
A) Avoid touching the patient too much.
B) Attempt to perform the entire physical examination during one visit.
C) Speak loudly and slowly because most aging adults have hearing deficits.
D) Arrange the sequence to allow as few position changes as possible.
Q2) The nurse is examining an infant and prepares to elicit the Moro reflex at which time during the examination?
A) When the infant is sleeping
B) At the end of the examination
C) Before auscultation of the thorax
D) Halfway through the examination
Q3) With which of these patients would it be most appropriate for the nurse to use games during the assessment,such as,having the patient "blow out" the light on the penlight?
A) Infant
B) Preschool child
C) School-age child
D) Adolescent
To view all questions and flashcards with answers, click on the resource link above.
Chapter 9: General Survey, Measurement, Vital Signs
Available Study Resources on Quizplus for this Chatper
52 Verified Questions
52 Flashcards
Source URL: https://quizplus.com/quiz/20689
Sample Questions
Q1) 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.
Q2) The nurse is examining a patient who is complaining of "feeling cold." Which is a mechanism of heat loss in the body?
A) Exercise
B) Radiation
C) Metabolism
D) Food digestion
Q3) To accurately assess a rectal temperature on an adult,the nurse would:
A) use a lubricated blunt tip thermometer.
B) insert the thermometer 2 to 3 inches into the rectum.
C) leave the thermometer in place up to 8 minutes if the patient is febrile.
D) wait 2 to 3 minutes if the patient has recently smoked a cigarette.
To view all questions and flashcards with answers, click on the resource link above. Page 11
Chapter 10: Pain Assessment: The Fifth Vital Sign
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/20690
Sample Questions
Q1) A 60-year-old woman has developed reflexive sympathetic dystrophy after arthroscopic repair of her shoulder.A key feature of this condition is that:
A) the affected extremity will eventually regain its function.
B) the pain is felt at one site but originates from another location.
C) her pain will be associated with nausea, pallor, and diaphoresis.
D) the slightest touch, such as a sleeve brushing against her arm, causes severe, intense pain.
Q2) The nurse is assessing a patient's pain.The nurse knows that the most reliable indicator of pain would be the:
A) patient's vital signs.
B) physical examination.
C) results of a computerized axial tomography scan.
D) subjective report.
Q3) When assessing the intensity of a patient's pain,which question by the nurse is appropriate?
A) "What makes your pain better or worse?"
B) "How much pain do you have now?"
C) "How does pain limit your activities?"
D) "What does your pain feel like?"
To view all questions and flashcards with answers, click on the resource link above.
Page 12
Chapter 11: Nutritional Assessment
Available Study Resources on Quizplus for this Chatper
46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/20691
Sample Questions
Q1) A 65-year-old man is brought to the emergency department after he was found dazed and incoherent,alone in his apartment.He has an enlarged liver and is moderately dehydrated.When evaluating his serum albumin level,the nurse must keep in mind that:
A) serum albumin levels will increase as liver function decreases.
B) serum albumin levels are a sensitive measure of early protein malnutrition.
C) low serum albumin levels may be caused by reasons other than protein-calorie malnutrition.
D) the results of the serum albumin measurement along with the patient's hemoglobin level should be considered.
Q2) The nurse needs to perform anthropometric measures of an 80-year-old man who is confined to a wheelchair.Which of the following is true in this situation?
A) Changes in fat distribution will affect the waist-to-hip ratio.
B) Height measurements may not be accurate because of changes in bone.
C) Declining muscle mass will affect the triceps skinfold measure.
D) Mid-arm circumference is difficult to obtain because of loss of skin elasticity.
To view all questions and flashcards with answers, click on the resource link above. Page 13
Chapter 12: Skin, Hair, and Nails
Available Study Resources on Quizplus for this Chatper
52 Verified Questions
52 Flashcards
Source URL: https://quizplus.com/quiz/20692
Sample Questions
Q1) During an examination,the nurse finds that a patient has excessive dryness of the skin.The best term to describe this condition is:
A) xerosis.
B) pruritus.
C) alopecia.
D) seborrhea.
Q2) The nurse notices that a school-aged child has bluish-white,red-based spots in her mouth that are elevated about 1 mm to 3 mm.What other signs would the nurse expect to find in this patient?
A) A pink, papular rash on the face and neck
B) Pruritic vesicles over her trunk and neck
C) Hyperpigmentation on the chest, abdomen, and the back of the arms
D) A red-purple, maculopapular, blotchy rash behind the ears and on the face
Q3) A 13-year old girl is interested in obtaining information about the cause of her acne.The nurse would share with her that acne:
A) is contagious.
B) is caused by a poor diet.
C) has no known cause.
D) has been found to be related to poor hygiene.
To view all questions and flashcards with answers, click on the resource link above.
Page 14
Chapter 13: Head, Face, and Neck, Including Regional Lymphatics
Available Study Resources on Quizplus for this Chatper
42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/20693
Sample Questions
Q1) The nurse is performing an assessment on a 7-year-old child who has symptoms of chronic watery eyes,sneezing,and clear nasal drainage.The nurse notices the presence of a transverse line across the bridge of the nose,dark blue shadows below the eyes,and a double crease on the lower eyelids.These findings are characteristic of: A) allergies.
B) a sinus infection.
C) nasal congestion.
D) an upper respiratory infection.
Q2) The physician reports that a patient with a neck tumor has a tracheal shift.The nurse is aware that this means that the patient's trachea is:
A) pulled to the affected side.
B) pushed to the unaffected side.
C) pulled downward.
D) pulled downward in a rhythmic pattern.
To view all questions and flashcards with answers, click on the resource link above.
15
Chapter 14: Eyes
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20694
Sample Questions
Q1) The nurse is reviewing causes of increased intraocular pressure.Which of these factors determines intraocular pressure?
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 within the eye
D) Amount of aqueous produced and resistance to its outflow at the angle of the anterior chamber
Q2) The nurse is conducting a visual examination.Which of these statements regarding visual pathways and visual fields is true?
A) The right side of the brain interprets vision for the right eye.
B) The image formed on the retina is upside down and reversed from its actual appearance in the outside world.
C) Light rays are refracted through the transparent media of the eye before striking the pupil.
D) The light impulses are conducted through the optic nerve to the temporal lobes of the brain.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 15: Ears
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20695
Sample Questions
Q1) The nurse is conducting a child safety class for new mothers.Which of these is a risk factor for ear infections in young children?
A) Family history
B) Air conditioning
C) Excessive cerumen
D) Passive cigarette smoke
Q2) The nurse is performing an ear examination of an 80-year-old patient.Which of these would be considered a normal finding?
A) A high-tone frequency loss
B) Increased elasticity of the pinna
C) A thin, translucent membrane
D) A shiny, pink tympanic membrane
Q3) The nurse is examining a patient's ears and notices cerumen in the external canal.Which of these statements about cerumen is correct?
A) Sticky honey-colored cerumen is a sign of infection.
B) The presence of cerumen is indicative of poor hygiene.
C) The purpose of cerumen is to protect and lubricate the ear.
D) Cerumen is necessary for transmitting sound through the auditory canal.
To view all questions and flashcards with answers, click on the resource link above.
17
Chapter 16: Nose, Mouth, and Throat
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/20696
Sample Questions
Q1) The nurse is obtaining a history on a 3-month-old infant.During the interview,the mother states,"I think she is getting her first tooth because she has started drooling a lot." The nurse's best response would be:
A) "You're right, drooling is usually a sign of the first tooth."
B) "It would be unusual for a 3 month old to be getting her first tooth."
C) "This could be the sign of a problem with the salivary glands."
D) "She is just starting to salivate and hasn't learned to swallow the saliva."
Q2) A 32-year-old woman is at the clinic for "little white bumps in my mouth." During the assessment,the nurse notes that she has a 0.5 cm white,nontender papule under her tongue and one on the mucosa of her right cheek.What would the nurse tell the patient?
A) "These spots are seen with infections such as strep throat."
B) "These could be indicative of a serious lesion, so I will refer you to a specialist."
C) "This is called leukoplakia and can be caused by chronic irritation such as smoking."
D) "These bumps are Fordyce's granules, which are sebaceous cysts and are not a serious condition."
To view all questions and flashcards with answers, click on the resource link above. Page 18
Chapter 17: Breasts and Regional Lymphatics
Available Study Resources on Quizplus for this Chatper
45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/20697
Sample Questions
Q1) If a patient reports a recent breast infection,then the nurse should expect to find _____ node enlargement.
A) nonspecific
B) ipsilateral axillary
C) contralateral axillary
D) inguinal and cervical
Q2) The nurse is conducting a class about breast self-examination (BSE).Which of these statements indicates proper BSE technique?
A) The best time to perform BSE is in the middle of the menstrual cycle.
B) The woman needs to do BSE only bimonthly unless she has fibrocystic breast tissue.
C) The best time to perform BSE is 4 to 7 days after the first day of the menstrual period.
D) If she suspects that she is pregnant, the woman should not perform a BSE until her baby is born.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 18: Thorax and Lungs
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/20698
Sample Questions
Q1) A 70-year-old patient is being seen in the clinic for severe exacerbation of his heart failure.Which of these findings is the nurse most likely to observe in this situation?
A) Shortness of breath, orthopnea, paroxysmal nocturnal dyspnea, ankle edema
B) Rasping cough, thick mucoid sputum, wheezing, bronchitis
C) Productive cough, dyspnea, weight loss, anorexia, tuberculosis
D) Fever, dry nonproductive cough, diminished breath sounds
Q2) When auscultating the lungs of an adult patient,the nurse notes that over the posterior lower lobes low-pitched,soft breath sounds are heard,with inspiration being longer than expiration.The nurse interprets that these are:
A) sounds normally auscultated over the trachea.
B) bronchial breath sounds and are normal in that location.
C) vesicular breath sounds and are normal in that location.
D) bronchovesicular breath sounds and are normal in that location.
Q3) When assessing a patient's lungs,the nurse recalls that the left lung:
A) consists of two lobes.
B) is divided by the horizontal fissure.
C) consists primarily of an upper lobe on the posterior chest.
D) is shorter than the right lung because of the underlying stomach.
To view all questions and flashcards with answers, click on the resource link above. Page 20
Chapter 19: Heart and Neck Vessels
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/20699
Sample Questions
Q1) During an assessment,the nurse notes that the patient's apical impulse is displaced laterally,and it is palpable over a wide area.This indicates:
A) systemic hypertension.
B) pulmonic hypertension.
C) pressure overload, as in aortic stenosis.
D) volume overload, as in mitral regurgitation.
Q2) A 30-year-old woman with a history of mitral valve problems states that she has been "very tired." She has started waking up at night and feels like her "heart is pounding." During the assessment,the nurse palpates a thrill and lift at the fifth left intercostal space midclavicular line.In the same area the nurse also auscultates a blowing,swishing sound right after S .These findings would be most consistent with:
A) heart failure.
B) aortic stenosis.
C) pulmonary edema.
D) mitral regurgitation.
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?
To view all questions and flashcards with answers, click on the resource link above.
21
Chapter 20: Peripheral Vascular System and Lymphatic System
Available Study Resources on Quizplus for this Chatper
42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/20700
Sample Questions
Q1) When using a Doppler ultrasonic stethoscope,the nurse recognizes venous flow when which sound is heard?
A) Low humming sound
B) Regular "lub, dub" pattern
C) Swishing, whooshing sound
D) Steady, even, flowing sound
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.
Q3) Which of these veins are responsible for most of the venous return in the arm?
A) Deep
B) Ulnar
C) Subclavian
D) Superficial
Page 22
To view all questions and flashcards with answers, click on the resource link above.
Chapter 21: Abdomen
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20701
Sample Questions
Q1) The physician comments that a patient has abdominal borborygmi.The nurse knows that this term refers to:
A) a loud continuous hum.
B) a peritoneal friction rub.
C) hypoactive bowel sounds.
D) hyperactive bowel sounds.
Q2) A 22-year-old man comes to the clinic for an examination after falling off his motorcycle and landing on his left side on the handlebars.The nurse suspects that he may have injured his spleen.Which of these statements is true regarding assessment of the spleen in this situation?
A) The spleen can be enlarged as a result of trauma.
B) The spleen is normally felt upon routine palpation.
C) If an enlarged spleen is noticed, then the nurse should palpate thoroughly to determine size.
D) An enlarged spleen should not be palpated because it can rupture easily.
Q3) Which structure is located in the left lower quadrant of the abdomen?
A) Liver
B) Duodenum
C) Gallbladder
D) Sigmoid colon
To view all questions and flashcards with answers, click on the resource link above. Page 23
Chapter 22: Musculoskeletal System
Available Study Resources on Quizplus for this Chatper
53 Verified Questions
53 Flashcards
Source URL: https://quizplus.com/quiz/20702
Sample Questions
Q1) A patient is able to flex his right arm forward without difficulty or pain but is unable to abduct his arm because of pain and muscle spasms;the nurse should suspect:
A) crepitation.
B) rotator cuff lesions.
C) dislocated shoulder.
D) rheumatoid arthritis.
Q2) 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.
Q3) The ankle joint is the articulation of the tibia,the fibula,and the:
A) talus.
B) cuboid.
C) calcaneus.
D) cuneiform bones.
To view all questions and flashcards with answers, click on the resource link above.
Page 24
Chapter 23: Neurologic System
Available Study Resources on Quizplus for this Chatper
56 Verified Questions
56 Flashcards
Source URL: https://quizplus.com/quiz/20703
Sample Questions
Q1) The nurse is testing the deep tendon reflexes of a 30-year-old woman who is in the clinic for an annual physical examination.When striking the Achilles and quadriceps,the nurse is unable to elicit a reflex.The nurse's next response should be to:
A) ask the patient to lock her fingers and "pull."
B) complete the examination and then test these reflexes again.
C) refer the patient to a specialist for further testing.
D) document these reflexes as "0" on a scale of 0 to 4+.
Q2) When taking the history on a patient with a seizure disorder,the nurse assesses whether the patient has an aura.Which of these would be the best question for obtaining this information?
A) "Does your muscle tone seem tense or limp?"
B) "After the seizure, do you spend a lot of time sleeping?"
C) "Do you have any warning sign before your seizure starts?"
D) "Do you experience any color change or incontinence during the seizure?"
Q3) Which of these statements concerning areas of the brain is true?
A) The cerebellum is the center for speech and emotions.
B) The hypothalamus controls temperature and regulates sleep.
C) The basal ganglia are responsible for controlling voluntary movements.
D) Motor pathways of the spinal cord and brainstem synapse in the thalamus.
To view all questions and flashcards with answers, click on the resource link above.
Page 25
Chapter 24: Male Genitourinary System
Available Study Resources on Quizplus for this Chatper
42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/20704
Sample Questions
Q1) A 62-year-old man states that his doctor told him that he has an "inguinal hernia." He asks the nurse to explain what a hernia is.The nurse should:
A) tell him not to worry and that most men his age develop hernias.
B) explain that a hernia is often the result of prenatal growth abnormalities.
C) refer him to his physician for additional consultation because the physician made the initial diagnosis.
D) explain that a hernia is a loop of bowel protruding through a weak spot in the abdominal muscles.
Q2) The nurse is performing a genitourinary assessment on a 50-year-old obese male laborer.On examination the nurse notices a painless round swelling close to the pubis in the area of the internal inguinal ring that is easily reduced when the individual is supine.These findings are most consistent with a(n)_____ hernia.
A) scrotal
B) femoral
C) direct inguinal
D) indirect inguinal
To view all questions and flashcards with answers, click on the resource link above.
Chapter 25: Anus, Rectum, and Prostate
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/20705
Sample Questions
Q1) After completing an assessment of a 60-year-old man with a family history of colon cancer,the nurse discusses with him early detection measures for colon cancer.The nurse should mention the need for a(n):
A) annual proctoscopy.
B) colonoscopy every 10 years.
C) fecal test for blood every 6 months.
D) digital rectal examinations every 2 years.
Q2) During a digital examination of the rectum,the nurse notices that the patient has hard feces in the rectum.The patient complains of feeling "full," has a distended abdomen,and states that she has not had a bowel movement "for several days." The nurse suspects which condition?
A) Rectal polyp
B) Fecal impaction
C) Rectal abscess
D) Rectal prolapse
To view all questions and flashcards with answers, click on the resource link above.
Chapter 26: Female Genitourinary System
Available Study Resources on Quizplus for this Chatper
49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/20706
Sample Questions
Q1) An 11-year-old girl is in the clinic for a sports physical.The nurse notices that she has begun to develop breasts,and during the conversation the girl reveals that she is worried about her development.The nurse should use which of these techniques to best assist the young girl in understanding the expected sequence for development? The nurse should:
A) use the Tanner's table on the five stages of sexual development.
B) describe her development and compare it with that of other girls her age.
C) use Jacobsen's table on expected development on the basis of height and weight data.
D) reassure her that her development is within normal limits and should tell her not to worry about the next step.
Q2) A 22-year-old woman is being seen at the clinic for problems with vulvar pain,dysuria,and fever.On physical examination,the nurse notices clusters of small,shallow vesicles with surrounding erythema on the labia.There is also inguinal lymphadenopathy present.The most likely cause of these lesions is:
A) pediculosis pubis.
B) contact dermatitis.
C) human papillomavirus.
D) herpes simplex virus type 2.
To view all questions and flashcards with answers, click on the resource link above.
Page 28
Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/20707
Sample Questions
Q1) The nurse notices that a patient has ulcerations on the tips of the toes and on the lateral aspect of the ankles.This finding indicates:
A) lymphedema.
B) Raynaud's disease.
C) arterial insufficiency.
D) venous insufficiency.
Q2) The nurse should use which location for eliciting deep tendon reflexes?
A) Achilles
B) Femoral
C) Scapular
D) Abdominal
Q3) 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 should document _____ sign.
A) positive Allen's
B) negative Allen's
C) positive Homans'
D) negative Homans'
To view all questions and flashcards with answers, click on the resource link above. Page 29
Chapter 28: Bedside Assessment of the Hospitalized Adult
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/20708
Sample Questions
Q1) What should the nurse assess before entering the patient's room on morning rounds?
A) Posted conditions, such as isolation precautions
B) The patient's input and output chart from the previous shift
C) The patient's general appearance
D) The presence of any visitors in the room
Q2) At the beginning of rounds,when the nurse enters the room,what should the nurse do first?
A) Check the intravenous infusion site for swelling or redness.
B) Check the infusion pump settings for accuracy.
C) Make eye contact with the patient and introduce himself or herself as the patient's nurse.
D) Offer the patient something to drink.
Q3) During a morning assessment,the nurse notices that a patient's urine output is below the expected amount.What should the nurse do next?
A) Obtain an order for a Foley catheter.
B) Obtain an order for a straight catheter.
C) Perform a bladder scan test.
D) Refer the patient to a urologist.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 29: The Pregnant Woman
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/20709
Sample Questions
Q1) During auscultation of fetal heart tones (FHTs),the nurse determines that the rate is 136 beats per minute.The nurse's next action should be to:
A) document the results, which are within normal range.
B) take the maternal pulse to verify these findings as the uterine souffle.
C) have the patient change positions and count the FHTs again.
D) notify the physician immediately for possible fetal distress.
Q2) A patient who is 20 weeks pregnant tells the nurse that she feels more shortness of breath as her pregnancy progresses.The nurse recognizes that which of these statements is true?
A) High levels of estrogen cause shortness of breath.
B) Feelings of shortness of breath are abnormal during pregnancy.
C) The hormones of pregnancy cause an increased respiratory effort.
D) She should get more exercise in an attempt to increase her respiratory reserve.
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
To view all questions and flashcards with answers, click on the resource link above.
Chapter 30: Functional Assessment of the Older Adult
Available Study Resources on Quizplus for this Chatper
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 the forms of support an older patient has before she is discharged.Which of these examples is an informal source of support?
A) The local senior center
B) Her Medicare check
C) Meals on Wheels meal delivery service
D) Her neighbor, who visits with her daily
Q3) The nurse is preparing to assess an older adult and discovers that the older adult is in severe pain.Which statement about pain and the older adult is true?
A) Pain is inevitable with aging.
B) Older adults with cognitive impairments feel less pain.
C) Alleviating pain should be a priority over other aspects of the assessment.
D) The assessment should take priority so that care decisions can be made.
To view all questions and flashcards with answers, click on the resource link above.
32