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This course offers a comprehensive introduction to the systematic techniques and principles of physical assessment essential for nursing practice. Students will develop the skills necessary to collect and interpret subjective and objective health data through patient interviews, health histories, and hands-on examination techniques. Emphasis is placed on the identification of normal versus abnormal findings, effective communication of assessment results, and critical thinking in clinical decision-making. Through a combination of theoretical instruction and practical experience, students will gain confidence in performing thorough head-to-toe assessments across diverse populations, preparing them to recognize early signs of health alterations and contribute to holistic patient care.
Recommended Textbook
Physical Examination and Health Assessment 5th Edition by Carolyn Jarvis
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30 Chapters
966 Verified Questions
966 Flashcards
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/76136
Sample Questions
Q1) The patient's record,laboratory studies,objective data,and subjective data combine to form the:
A)database.
B)admitting data.
C)financial statement.
D)discharge summary.
Answer: A
Q2) The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the:
A)nursing diagnosis.
B)medical diagnosis.
C)admission diagnosis.
D)collaborative diagnosis.
Answer: A
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Sample Questions
Q1) A baby can sit alone before he or she is able to crawl.This is true because development of gross motor skills:
A)occurs in a cephalocaudal direction.
B)occurs in a distal to proximal direction.
C)is generally the result of a baby's chronological age.
D)is simply the result of the baby's increased desire to move.
Answer: A
Q2) Physical growth is most rapid during which period?
A)Birth to 1 year of age
B)3 to 5 years of age
C)6 to 10 years of age
D)16 to 18 years of age

Answer: A
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Sample Questions
Q1) The belief in a divine or superhuman power or powers to be obeyed and worshipped as the creator(s)and ruler(s)of the universe is known as:
A)culture.
B)religion.
C)ethnicity.
D)spirituality.

Answer: B
Q2) An individual who takes the magicoreligious perspective of illness and disease is likely to believe that their illness was caused by:
A)germs and viruses.
B)supernatural forces.
C)eating imbalanced foods.
D)an imbalance within his or her spiritual nature.
Answer: B
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Q1) The following statement could be found at which phase of the interview? "Mr.S. ,I would like to ask you some questions about your health and your usual daily activities so that we can better plan your stay here."
A)During the summary
B)Closing the interview
C)During the body of the interview
D)Opening/introducing the interview
Q2) A female patient does not speak English well,and the nurse needs to choose an interpreter.Which of the following would be the most appropriate choice?
A)A trained interpreter
B)A male family member
C)A female family member
D)A volunteer college student from the foreign language studies department.
Q3) 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
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Q1) When incorporating the person's spiritual values into the health history,which of the following questions illustrates the "community" portion of the FICA questions?
A)"Do you believe in God?"
B)"Are you a part of any religious or spiritual congregation?"
C)"Do you consider yourself to be a religious or spiritual person?"
D)"How does your religious faith influence the way you think about your health?"
Q2) 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?"
Q3) A 90-year-old patient tells the nurse that he can't remember the names of the drugs he is taking or what they are for.An appropriate response would be:
A)"Can you tell me what they look like?"
B)"Don't worry about it.You are only taking two."
C)"How long have you been taking each of the pills?"
D)"Would you have your family bring in your medications?"
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29 Flashcards
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Sample Questions
Q1) Which of the following statements best describes the Mini-Mental State 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) Which of the following questions would best assess a person's judgment?
A)"Do you feel that you are being watched,followed,or controlled?"
B)"Tell me about what you plan to do once you are discharged from the hospital."
C)"What does the statement,'People in glass houses shouldn't throw stones,' mean to you?"
D)"What would you do if you found a stamped,addressed envelope lying on the sidewalk?"
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Sample Questions
Q1) A female patient has denied any abuse when answering the Abuse Assessment Screen,but the nurse has noticed some other conditions that are associated with intimate partner violence.Examples of such conditions include:
A)asthma.
B)confusion.
C)depression.
D)frequent colds.
Q2) During a home visit,the nurse notices that an elderly woman has very little food in her cabinets or refrigerator and that most of her prescription bottles are empty.She says that she has enough money,but her nephew has her checkbook and he "takes care of everything." She says,"Oh,my nephew will get around to getting groceries and my medicine when he can.He's very busy." This is an example of:
A)financial abuse.
B)financial neglect.
C)psychologic neglect.
D)physical abuse.
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) Which of the following techniques uses the sense of touch when assessing a patient?
A)Palpation
B)Inspection
C)Percussion
D)Auscultation
Q2) During the examination,it is often appropriate to offer some brief teaching about the patient's body or one's 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) When examining an infant,the nurse should examine which area first?
A)Ear
B)Nose
C)Throat
D)Abdomen
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Sample Questions
Q1) In a patient with acromegaly,the nurse will expect to observe:
A)heavy,flattened facial features.
B)growth retardation and a delayed onset of puberty.
C)overgrowth of bone in the face,head,hands,and feet.
D)increased height and weight and delayed sexual development.
Q2) Which of the following statements is true regarding vital sign measurements in aging adults?
A)The pulse is more difficult to palpate because of the stiffness of the blood vessels.
B)An increased respiratory rate and a shallower inspiratory phase are expected findings.
C)A decreased pulse pressure occurs from changes in systolic and diastolic blood pressures.
D)Changes in the body's temperature regulatory mechanism leave the aging person more likely to develop a fever.
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.
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Sample Questions
Q1) A patient states that the pain medication is "not working" and rates his postoperative pain at a 10 on a 1 to 10 scale.Which of 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) A patient has had arthritic pain in her hips for several years since a hip fracture.She is able to move around in her room and has not offered any complaints so far this morning.However,when asked,she states that her pain is "bad this morning" and rates it at an 8 on a 1 to 10 scale.What does the nurse suspect?
A)She is addicted to her pain medications and cannot obtain pain relief.
B)She does not want to trouble the nursing staff with her complaints.
C)She is not in pain but rates it high to receive pain medication.
D)She has experienced chronic pain for years and has adapted to it.
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) In teaching a patient how to determine total body fat at home,the nurse includes instructions to obtain measurements of:
A)height and weight.
B)frame size and weight.
C)waist and hip circumferences.
D)mid upper arm circumference and arm span.
Q2) When considering a nutritional assessment,the nurse is aware that the most common anthropometric measurements include:
A)height and weight.
B)leg circumference.
C)biceps skinfold thickness.
D)hip and waist measurement.
Q3) In performing an assessment on a 49-year-old woman who has imbalanced nutrition as a result of dysphagia,which of the following data would the nurse expect to find?
A)An increase in hair growth
B)Inadequate food intake
C)Weight 10% to 20% over ideal
D)Sore,inflamed buccal cavity
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Q1) The nurse educator is preparing an education module for the nursing staff on the dermis layer of skin.Which of the following would be included in the module?
A)The dermis contains mostly fat cells.
B)The dermis consists mostly of keratin.
C)The dermis is replaced every 4 weeks.
D)The dermis contains sensory receptors.
Q2) A patient comes to the clinic and tells the nurse that he has been confined to his recliner chair for about 3 days with his feet down and he wants the nurse to evaluate his feet.During the assessment,the nurse might expect to find:
A)pallor.
B)coolness.
C)distended veins.
D)decreased capillary filling time.
Q3) When assessing inflammation in a dark-skinned person,the nurse may need to:
A)assess the skin for cyanosis and swelling.
B)assess the oral mucosa for generalized erythema.
C)palpate the skin for edema and increased warmth.
D)palpate for tenderness and local areas of ecchymosis.
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Sample Questions
Q1) The nurse notices that a patient's palpebral fissures are not symmetrical.On examination,the nurse may find that there has been damage to:
A)CN III.
B)CN V.
C)CN VII.
D)CN VIII.
Q2) A patient is unable to differentiate between sharp and dull stimulation to both sides of her face.The nurse suspects:
A)Bell's palsy.
B)damage to the trigeminal nerve.
C)frostbite with resultant paresthesia to the cheeks.
D)scleroderma with a pronounced proliferation of connective tissue in the face and cheeks.
Q3) The physician reports that a patient has a tracheal shift.The nurse is aware that this means that the patient's trachea is:
A)pulled to the affected side with systole.
B)pushed to the unaffected side with a tumor.
C)pulled to the unaffected side with plural adhesions.
D)pushed to the affected side with thyroid enlargement.
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32 Verified Questions
32 Flashcards
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Questions
Q1) When performing the corneal light reflex assessment,the nurse notes that the light is reflected at 2 o'clock in each eye.The nurse would:
A)consider this a normal finding.
B)refer the individual for further evaluation.
C)document this as an asymmetric light reflex.
D)perform the confrontation test to validate the findings.
Q2) To assess color vision on a male child,the nurse would:
A)check color vision annually until the age of 18 years.
B)ask the child to identify the color of his or her clothing.
C)test for color vision once between the ages of 4 and 8.4.begin color vision screening at the child's 2-year check-up.
Q3) When the retina is examined,which of the following is considered a normal finding?
A)An optic disc that is a yellow-orange color
B)Optic disc margins that are blurred around the edges
C)The presence of pigmented crescents in the macular area
D)The presence of the macula located on the nasal side of the retina
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Q1) While discussing the history of a 6-month-old infant,the mother tells the nurse that she took a great deal of aspirin while she was pregnant.What question would the nurse want to include in the history?
A)"Does your baby seem to startle with loud noise?"
B)"Has the baby had any surgeries on the ears?"
C)"Have you noticed any drainage from her ears?"
D)"How many ear infections has your baby had since birth?"
Q2) The nurse is performing an otoscopic examination on an adult.Which of the following is true?
A)Tilt the person's head forward during the exam.
B)Once the speculum is in the ear,release the traction.
C)Pull the pinna up and back before inserting the speculum.
D)Use the smallest speculum to decrease the amount of discomfort.
Q3) A patient in her first trimester of pregnancy is diagnosed with rubella.The nurse recognizes that the significance of this in relation to the infant's hearing is which of the following?
A)Rubella may affect the mother's hearing but not the infant's.
B)Rubella can damage the infant's organ of Corti,which will impair hearing.
C)Rubella is only dangerous to the infant in the second trimester of pregnancy.
D)Rubella can impair the development of CN VIII and thus affect hearing.
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Sample Questions
Q1) Immediately after birth,the nurse is unable to suction the nares of a newborn.An attempt is made to pass a catheter through both nasal cavities with no success.What would be the nurse's best response?
A)Attempt to suction again with a bulb syringe.
B)Wait a few minutes and try again once the infant stops crying.
C)Recognize this is a situation that requires immediate intervention.
D)Contact the physician and request assistance when he gets a chance.
Q2) The primary purpose of the ciliated mucous membrane in the nose is to:
A)warm the inhaled air.
B)filter out dust and bacteria.
C)filter coarse particles from inhaled air.
D)facilitate movement of air through the nares.
Q3) A 92-year-old patient has had a stroke.The right side of his face is drooping.The nurse might also suspect which of the following?
A)Epistaxis
B)Agenesis
C)Dysphagia
D)Xerostomia
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Source URL: https://quizplus.com/quiz/76152
Sample Questions
Q1) The nurse is assessing the breasts of a 68-year-old woman and discovers a mass in the upper outer quadrant of the left breast.When assessing this mass,the nurse keeps in mind that characteristics of a cancerous mass would be: Select all that apply.
A)nontender mass.
B)dull,heavy pain on palpation.
C)rubbery texture and mobile.
D)hard,dense,and immobile.
E)regular border.
F)irregular,poorly delineated border.
Q2) Which of the following statements is true with regard to breast cancer in black women in the United States?
A)Breast cancer is not a threat to black women.
B)Breast cancer is the leading cause of death among black women.
C)Breast cancer is the leading cause of cancer death among black women.
D)Breast cancer incidence in black women is much higher than that of white women.
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39 Flashcards
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Sample Questions
Q1) During an examination of the anterior thorax,the nurse recalls that the trachea bifurcates anteriorly at the:
A)costal angle.
B)sternal angle.
C)xiphoid process.
D)suprasternal notch.
Q2) Which statement about the apices of the lungs is true? The apices of the lungs:
A)are at the level of the second rib anteriorly.
B)extend 3 to 4 cm above the inner third of the clavicles.
C)are located at the sixth rib anteriorly and the eighth rib laterally.
D)rest on the diaphragm at the fifth intercostal space in the midclavicular line.
Q3) The nurse knows that auscultation of fine crackles would most likely be noted in which situation?
A)In a healthy 5-year-old child
B)In the pregnant patient
C)In the immediate newborn period
D)In association with a pneumothorax
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Sample Questions
Q1) In assessing a patient's major risk factors for heart disease,which would the nurse want to include when taking a history?
A)Family history,hypertension,stress,age
B)Personality type,high cholesterol,diabetes,smoking
C)Smoking,hypertension,obesity,diabetes,high cholesterol
D)Alcohol consumption,obesity,diabetes,stress,high cholesterol
Q2) In assessing the carotid arteries of an older patient with cardiovascular disease,the nurse would:
A)palpate the artery in the upper one third of the neck.
B)listen with the bell of the stethoscope to assess for bruits.
C)palpate both arteries simultaneously to compare amplitude.
D)instruct patient to take slow deep breaths during auscultation.
Q3) The findings from an assessment of a 70-year-old patient with swelling in his ankles include jugular venous pulsations 5 cm above the sternal angle when the head of his bed is elevated 45 degrees.The nurse knows that this finding indicates:
A)decreased fluid volume.
B)increased cardiac output.
C)narrowing of jugular veins.
D)increased pressure in the right side of his heart.
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) Which of the following veins are responsible for most of the venous return in the arm?
A)Deep veins
B)Ulnar veins
C)Subclavian veins
D)Superficial veins
Q2) Which of the following statements is true regarding assessment of the ankle-brachial index (ABI)?
A)Normal ABI indices are from 0.50 to 1.0.
B)The normal ankle pressure is slightly lower than the brachial pressure.
C)The ABI is a reliable measurement of peripheral vascular disease in diabetic individuals.
D)An ABI of 0.90 to 0.70 indicates the presence of peripheral vascular disease and mild claudication.
Q3) How would the nurse document mild,slight pitting edema present at 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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Sample Questions
Q1) The main reason auscultation precedes percussion and palpation of the abdomen is to:
A)determine areas of tenderness before using percussion and palpation.
B)prevent distortion of bowel sounds that might occur after percussion and palpation.
C)allow the patient more time to relax and therefore be more comfortable with the physical examination.
D)prevent distortion of vascular sounds such as bruits and hums that might occur after percussion and palpation.
Q2) During report,the student nurse hears that a patient has "hepatomegaly" and recognizes that this term refers to a/an:
A)enlarged liver.
B)enlarged spleen.
C)distended bowels.
D)excessive diarrhea.
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Sample Questions
Q1) The nurse suspects that a patient has carpal tunnel syndrome and wants to perform the Phalen's test.To perform this test,the nurse will instruct the patient to:
A)dorsiflex the foot.
B)plantarflex the foot.
C)hold both hands back to back while flexing the wrists 90 degrees for 60 seconds.
D)hyperextend the wrists with the palmar surface of both hands touching and wait for 60 seconds.
Q2) The nurse is planning to measure a patient's angles of joint flexion and will use which instrument?
A)Caliper
B)Protracter
C)Goniometer
D)Measuring tape
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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Q1) In obtaining a history on a 74-year-old patient the nurse notes the following: he drinks alcohol daily;he has noticed a tremor in his hands that affects his ability to hold things.With this information,what should the nurse's response be?
A)"Does your family know you are drinking every day?"
B)"Does the tremor change when you drink the alcohol?"
C)"We'll do some tests to see what is causing the tremor."
D)"You really shouldn't drink so much alcohol;it may be causing your tremor."
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
Q3) The two parts of the nervous system are the:
A)motor and sensory.
B)central and peripheral.
C)peripheral and autonomic.
D)hypothalamus and cerebral.
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Sample Questions
Q1) During a physical examination,the nurse finds that a male patient's foreskin is fixed and tight and will not retract over the glans.The nurse recognizes that this condition is: A)phimosis.
B)epispadias.
C)urethral stricture.
D)Peyronie's disease.
Q2) When the nurse is performing a testicular examination on a 25-year-old man,which of the following findings is considered normal?
A)Nontender subcutaneous plaques
B)A scrotal area that is dry,scaly and nodular
C)Testes that feel oval and movable and are slightly sensitive to compression
D)A single,hard,circumscribed,movable mass,less than 1 cm under the surface of the testes
Q3) The external male genital structures include the: A)testis.
B)scrotum.
C)epididymis.
D)vas deferens.
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Sample Questions
Q1) During a digital examination of the rectum,the nurse notes 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 prolopse
Q2) Which of the following statements about the sphincters is correct?
A)The internal sphincter is under voluntary control.
B)The external sphincter is under voluntary control.
C)Both sphincters remain slightly relaxed at all times.
D)The internal sphincter surrounds the external sphincter.
Q3) Which of the following statements about the anal canal is true?
A)The anal canal is about 2 cm long in the adult.
B)The anal canal slants backward toward the sacrum.
C)The anal canal contains hair and sebaceous glands.
D)The anal canal is the outlet for the gastrointestinal tract.
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Sample Questions
Q1) The female structure that corresponds with the male penis is called the: A)labia.
B)clitoris.
C)prepuce.
D)frenulum.
Q2) A 54-year-old woman who has just completed menopause is in the clinic today for a yearly physical examination.Which of the following should the nurse include in patient education?
A)A postmenopausal woman is not at any greater risk for heart disease than a younger woman is.
B)A postmenopausal woman should be aware that she is at increased risk for dyspareunia because of decreased vaginal secretions.
C)A postmenopausal woman has only stopped menstruating;there really are no other significant changes that she should be concerned with.
D)A postmenopausal woman is likely to have difficulty with sexual pleasure as a result of drastic changes in the female sexual response cycle.
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Sample Questions
Q1) Gloves should be worn for which of the following examinations?
A)Measuring vital signs
B)Palpation of the sinuses
C)Palpation of the mouth and tongue
D)Inspection of the eye with an ophthalmoscope
Q2) During the examination of a patient's mouth,the nurse observes a nodular bony ridge down the middle of the hard palate.The nurse would chart this finding as:
A)cheilosis.
B)leukoplakia.
C)ankyloglossia.
D)torus palatinus.
Q3) The nurse is documenting the assessment of an infant.During the abdominal assessment,the nurse noted a very loud splash auscultated over the upper abdomen when the nurse rocked her from side to side.This finding would indicate:
A)epigastric hernia.
B)pyloric obstruction.
C)hypoactive bowel sounds.
D)hyperactive bowel sounds.
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Sample Questions
Q1) When assessing the neurologic system of a hospitalized patient during morning rounds,the nurse will include which of the following?
A)Blood pressure
B)The patient's rating of pain on a 1 to 10 scale
C)The patient's ability to communicate
D)The patient's personal hygiene level
Q2) 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
Q3) During an assessment of a hospitalized patient,the nurse pinches a fold of skin under the clavicle or on the forearm to note:
A)mobility and turgor.
B)the patient's response to pain.
C)the percentage of the patient's fat-to-muscle ratio.
D)the presence of edema.
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Sample Questions
Q1) Which of the following best describes the action of the hormone progesterone during pregnancy?
A)It produces the hormone human chorionic gonadotropin.
B)It stimulates duct formation in the breast.
C)It promotes sloughing of the endometrial wall.
D)It maintains the endometrium around the fetus.
Q2) Which of the following is considered a normal and expected finding when the nurse is performing a physical examination on a pregnant woman?
A)A palpable,full thyroid
B)Spontaneously bleeding gingiva
C)Significant diffuse enlargement of the thyroid
D)Pale,hypertrophied mucous membranes of the mouth
Q3) When one is assessing the deep tendon reflexes (DTRs)on a 32-week pregnant woman,which of the following would be considered a normal finding on a 0-4+ scale?
A)Absent DTRs
B)2+
C)4+
D)Brisk reflexes and the presence of clonus
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Sample Questions
Q1) The nurse needs to assess a patient's ability to perform activities of daily living and will choose which tool for this assessment?
A)Direct Assessment of Functional Abilities (DAFA)
B)Lawton and Brody IADL
C)Barthel Index
D)Older Americans Resources and Services Multidimensional Functional Assessment Questionnaire-IADL (OARS-IADL)
Q2) The nurse is preparing to perform a functional assessment of an older patient and knows that a good approach would be to:
A)observe the patient's ability to perform the tasks.
B)ask the patient's wife how he does when performing tasks.
C)review the medical record for information on the patient's abilities.
D)ask the patient's physician for information on the patient's abilities.
Q3) When beginning to assess a person's spirituality,which question by the nurse would be most appropriate?
A)"Do you believe in God?"
B)"Do you consider yourself to be a spiritual person?"
C)"What religious faith do you follow?"
D)"Do you believe in the power of prayer?"
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