Physical Assessment for Nurses Exam Preparation Guide
Course Introduction
This course provides nursing students with the foundational knowledge and practical skills necessary for conducting comprehensive and focused physical assessments across the lifespan. Emphasizing a systematic approach, students will learn techniques for patient interviewing, inspection, palpation, percussion, and auscultation. The course covers normal and abnormal findings, documentation standards, and the integration of assessment data into clinical decision-making. Through lectures, demonstrations, and hands-on practice, students will develop the competence and confidence required to perform effective physical assessments in diverse healthcare settings.
Recommended Textbook
Physical Examination and Health Assessment 6th Edition by Carolyn Jarvis
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30 Chapters
1147 Verified Questions
1147 Flashcards
Source URL: https://quizplus.com/study-set/1044
Page 2
Chapter 1: Evidence Based Assessment
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/20681
Sample Questions
Q1) C = third-level priority problem
A)A patient newly diagnosed with type 2 diabetes mellitus does not know how to check his own blood glucose levels with a glucometer.
B)A teenager who was stung by a bee during a soccer match is having trouble breathing.
C)An older adult with a urinary tract infection is also showing signs of confusion and agitation.
Answer: A
Q2) The nurse is reviewing the components of the nursing process.Which statement about nursing diagnoses is true?
A) They evaluate the etiology of disease.
B) They are a process based on the medical diagnosis.
C) They are clinical judgments about a person's response to an actual or potential health state.
D) They focus on the function and malfunction of a specific organ system in response to disease.
Answer: C
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Chapter 2: Cultural Competence: Cultural Care
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) Symptoms,such as pain,are often influenced by a person's cultural heritage.Which of the following is a true statement regarding pain?
A) Nurses' attitudes toward their patients' pain are unrelated to their own experiences with pain.
B) Nurses need to recognize that many cultures practice silent suffering as a response to pain.
C) A nurse's area of clinical practice is most likely to determine his or her assessment of a patient's pain.
D) A nurse's years of clinical experience and current position are a strong indicator of his or her response to patient pain.
Answer: B
Q2) When reviewing the demographics of ethnic groups in the United States,the nurse recalls that the largest and fasting growing population is: A) Hispanic.
B) Black.
C) Asian.
D) American Indian.
Answer: A
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Page 4
Chapter 3: The Interview
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20683
Sample Questions
Q1) A man arrives at the clinic for an annual wellness physical.He is experiencing no acute health problems.Which question or statement by the nurse is most appropriate when beginning the interview?
A) "How is your family?"
B) "How is your job?"
C) "Tell me about your hypertension."
D) "How has your health been since your last visit?"
Answer: D
Q2) An American Indian woman has come to the clinic for diabetic follow-up teaching.During the interview,the nurse notices that she never makes eye contact and speaks mostly to the floor.Which statement is true regarding this situation?
A) She is nervous and embarrassed.
B) She has something to hide and is ashamed.
C) She is showing inconsistent verbal and nonverbal behaviors.
D) She is showing that she is listening carefully to what the nurse is saying.
Answer: D
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Chapter 4: The Complete Health History
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The nurse is performing a review of systems on a 76-year-old patient.Which of these statements is correct for this situation?
A) The questions asked are identical for all ages.
B) The interviewer will start incorporating different questions for patients 70 years of age and older.
C) Additional questions to include are reflective of the normal effects of aging.
D) At this age, a review of systems is not necessary-the focus should be on current problems.
Q2) In recording the childhood illnesses of a patient who denies having had any,which note by the nurse would be most accurate?
A) Patient denies usual childhood illnesses.
B) Patient states he was a "very healthy" child.
C) Patient states sister had measles, but he didn't.
D) Patient denies measles, mumps, rubella, chickenpox, pertussis, and strep throat.
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6
Chapter 5: Mental Status Assessment
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20685
Sample Questions
Q1) The nurse is assessing a 75-year-old man.As the nurse begins the mental status portion of the assessment,the nurse expects that this patient:
A) will have no decrease in any of his abilities, including response time.
B) will have difficulty on tests of remote memory because this typically decreases with age.
C) may take a little longer to respond, but his general knowledge and abilities should not have declined.
D) will have had a decrease in his response time because of language loss and a decrease in general knowledge.
Q2) The nurse is administering a Mini-Cog test to an elderly woman.When asked to draw a clock showing the time of 10:45,the patient drew a clock with the numbers out of order and with the time incorrect.This result indicates which finding?
A) Cognitive impairment
B) Amnesia
C) Delirium
D) Attention deficit disorder
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Chapter 6: Substance Use Assessment
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/20686
Sample Questions
Q1) 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
Q2) A patient has been admitted to the intensive care unit (ICU)after a weekend drinking binge.During the assessment,the nurse will observe for which problems in addition to alcohol withdrawal syndrome?
A) Renal failure
B) Diabetes mellitus
C) Pancreatitis
D) Small bowel obstruction
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8
Chapter 7: Domestic Violence Assessment
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/20687
Sample Questions
Q1) The nurse is assessing an elderly woman and suspects abuse.Which questions are appropriate for screening for abuse? Select all that apply.
A) "Has anyone ever physically hurt you?"
B) "Are you being abused?"
C) "Are you alone a lot?"
D) "Are you afraid of anybody at home or anyone who enters your home?"
E) "Has anyone ever failed to help you take care of yourself when you needed help?"
Q2) The nurse is assessing bruising on an injured patient.Which color indicates a new bruise that is less than 2 hours old?
A) Red
B) Purple-blue
C) Greenish-brown
D) Brownish-yellow
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9
Chapter 8: Assessment Techniques and the Clinical Setting
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/20688
Sample Questions
Q1) The nurse is preparing to assess a hospitalized patient who is experiencing significant shortness of breath.How should the nurse proceed with the assessment?
A) Have the patient lie down to obtain an accurate cardiac, respiratory, and abdominal assessment.
B) Obtain a thorough history and physical assessment information from the patient's family member.
C) Perform a complete history and physical assessment immediately to obtain baseline information.
D) Examine body areas appropriate to the problem and then complete the assessment after the problem has resolved.
Q2) The nurse hears bilateral louder,longer,and lower tones when percussing over the lungs of a 4-year-old child.What should the nurse do next?
A) Palpate over the area for increased pain and tenderness.
B) Ask the child to take shallow breaths and percuss over the area again.
C) Refer the child immediately because of an increased amount of air in the lungs.
D) Consider this a normal finding for a child this age and proceed with the examination.
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Chapter 9: General Survey, Measurement, Vital Signs
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52 Verified Questions
52 Flashcards
Source URL: https://quizplus.com/quiz/20689
Sample Questions
Q1) The nurse is conducting a health fair for older adults.Which statement 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.
Q2) In a patient with acromegaly,the nurse will expect to discover which assessment findings?
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
Q3) What is the pulse pressure for a patient whose blood pressure is 158/96 mm Hg and whose pulse rate is 72 beats per minute?
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11
Chapter 10: Pain Assessment: The Fifth Vital Sign
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/20690
Sample Questions
Q1) A patient is complaining of severe knee pain after twisting it during a basketball game and is requesting pain medication.Which action by the nurse is appropriate?
A) Complete the physical examination first and then give the pain medication.
B) Tell the patient that the pain medication must wait until after the x-rays are completed.
C) Evaluate full range of motion of the knee and then medicate for pain.
D) Administer pain medication and then proceed with the assessment.
Q2) When evaluating a patient's pain,the nurse knows that an example of acute pain would be:
A) arthritic pain.
B) fibromyalgia.
C) kidney stones.
D) low back pain.
Q3) When assessing a patient's pain,the nurse knows that an example of visceral pain would be:
A) hip fracture.
B) cholecystitis.
C) second-degree burns.
D) pain after a leg amputation.
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Page 12
Chapter 11: Nutritional Assessment
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/20691
Sample Questions
Q1) The nurse recognizes that which of these persons is at greatest risk for undernutrition?
A) 5-month-old infant
B) 50-year-old woman
C) 20-year-old college student
D) 30-year-old hospital administrator
Q2) Which of these interventions is most appropriate when the nurse is planning nutritional interventions for a healthy,active 74-year-old woman?
A) Decrease the amount of carbohydrates to prevent lean muscle catabolism.
B) Increase the amount of soy and tofu in her diet to promote bone growth and reverse osteoporosis.
C) Decrease the number of calories she is eating because of the decrease in energy requirements from loss of lean body mass.
D) Increase the number of calories she is eating because of the increased energy needs of the elderly.
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13
Chapter 12: Skin, Hair, and Nails
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52 Verified Questions
52 Flashcards
Source URL: https://quizplus.com/quiz/20692
Sample Questions
Q1) The nurse is assessing the skin of a patient who has AIDS and notices multiple patch-like lesions on the temple and beard area that are faint pink in color.The nurse recognizes these lesions as:
A) measles (rubeola).
B) Kaposi's sarcoma.
C) angiomas.
D) herpes zoster.
Q2) A 70-year-old woman who loves to garden has small,flat,brown macules over her arms and hands.She asks,"What causes these liver spots?" The nurse tells her,"They are:
A) signs of decreased hematocrit related to anemia."
B) due to destruction of melanin in your skin from exposure to the sun."
C) clusters of melanocytes that appear after extensive sun exposure."
D) areas of hyperpigmentation related to decreased perfusion and vasoconstriction."
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Chapter 13: Head, Face, and Neck, Including Regional Lymphatics
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/20693
Sample Questions
Q1) A patient complains that while studying for an examination he began to notice a severe headache in the frontotemporal area of his head that is throbbing and is somewhat relieved when he lies down.He tells the nurse that his mother also had these headaches.The nurse suspects that he may be suffering from:
A) hypertension.
B) cluster headaches.
C) tension headaches.
D) migraine headaches.
Q2) The nurse has just completed a lymph node assessment on a 60-year-old healthy female patient.The nurse knows that most lymph nodes in healthy adults are normally: A) shotty.
B) not palpable.
C) large, firm, and fixed to the tissue.
D) rubbery, discrete, and mobile.
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Chapter 14: Eyes
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20694
Sample Questions
Q1) When examining the eye,the nurse notices that the patient's eyelid margins approximate completely.The nurse recognizes that this assessment finding:
A) is expected.
B) may indicate a problem with extraocular muscles.
C) may result in problems with tearing.
D) indicates increased intraocular pressure.
Q2) During a physical education class,a student is hit in the eye with the end of a baseball bat.When examined in the emergency department,the nurse notices the presence of blood in the anterior chamber of the eye.This finding indicates the presence of:
A) hypopyon.
B) hyphema.
C) corneal abrasion.
D) pterygium
Q3) In a patient who has anisocoria,the nurse would expect to observe:
A) dilated pupils.
B) excessive tearing.
C) pupils of unequal size.
D) an uneven curvature of the lens.
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Page 16
Chapter 15: Ears
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20695
Sample Questions
Q1) The nurse suspects that a patient has otitis media.Early signs of otitis media include which of these findings of the tympanic membrane?
A) Red and bulging
B) Hypomobility
C) Retraction with landmarks clearly visible
D) Flat, slightly pulled in at the center, and moves with insufflation
Q2) A colleague is assessing an 80-year-old patient who has ear pain and asks him to hold his nose and swallow.The nurse knows that which of the following is true concerning this technique?
A) This should not be used in an 80-year-old patient.
B) This technique is helpful in assessing for otitis media.
C) This is especially useful in assessing a patient with an upper respiratory infection.
D) This will cause the eardrum to bulge slightly and make landmarks more visible.
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Chapter 16: Nose, Mouth, and Throat
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/20696
Sample Questions
Q1) A 10-year-old is at the clinic for "a sore throat lasting 6 days." The nurse is aware that which of these findings would be consistent with an acute infection?
A) Tonsils 1+/1-4+ and pink, same color as oral mucosa
B) Tonsils 2+/1-4+ with small plugs of white debris
C) Tonsils 3+/1-4+ with large white spots
D) Tonsils 3+/1-4+ with pale coloring
Q2) During an assessment,a patient mentions that "I just can't smell like I used to.I can barely smell the roses in my garden.Why is that?" The nurse will assess for what possible causes of changes in the sense of smell? Select all that apply.
A) Chronic alcohol use
B) Cigarette smoking
C) Frequent episodes of strep throat
D) Chronic allergies
E) Aging
F) Herpes simplex I
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18
Chapter 17: Breasts and Regional Lymphatics
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/20697
Sample Questions
Q1) The nurse is discussing breast self-examination with a postmenopausal woman.The best time for postmenopausal women to perform breast self-examination is:
A) the same day every month.
B) daily, during the shower or bath.
C) 1 week after her menstrual period.
D) every year with her annual gynecologic examination.
Q2) The nurse is preparing to teach a woman about breast self-examination (BSE).Which statement by the nurse is correct?
A) "BSE is more important than ever for you because you have never had any children."
B) "BSE is so important because one out of nine women will develop breast cancer in her lifetime."
C) "BSE on a monthly basis will help you feel familiar with your own breasts and their normal variations."
D) "BSE will save your life because you are likely to find a cancerous lump between mammograms."
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19
Chapter 18: Thorax and Lungs
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/20698
Sample Questions
Q1) A teenage patient comes to the emergency department with complaints of an inability to breathe and a sharp pain in the left side of his chest.The assessment findings include cyanosis,tachypnea,tracheal deviation to the right,decreased tactile fremitus on the left,hyperresonance on the left,and decreased breath sounds on the left.The nurse interprets that these assessment findings are consistent with: A) bronchitis.
B) a pneumothorax.
C) acute pneumonia.
D) an asthmatic attack.
Q2) When performing a respiratory assessment on a patient,the nurse notices a costal angle of approximately 90 degrees.This characteristic is:
A) seen in patients with kyphosis.
B) indicative of pectus excavatum.
C) a normal finding in a healthy adult.
D) an expected finding in a patient with a barrel chest.
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Chapter 19: Heart and Neck Vessels
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/20699
Sample Questions
Q1) When the nurse is auscultating the carotid artery for bruits,which of these statements reflects correct technique?
A) While listening with the bell of the stethoscope, have the patient take a deep breath and hold it.
B) While auscultating one side with the bell of the stethoscope, palpate the carotid artery on the other side to check pulsations.
C) Lightly apply the bell of the stethoscope over the carotid artery, and while listening, have the patient take a breath, exhale, and hold it briefly.
D) Firmly place the bell of the stethoscope over the carotid artery, and while listening, have the patient take a breath, exhale, and hold it briefly.
Q2) The nurse knows that normal splitting of the second heart sound is associated with:
A) expiration.
B) inspiration.
C) exercise state.
D) low resting heart rate.
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Chapter 20: Peripheral Vascular System and Lymphatic System
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/20700
Sample Questions
Q1) When performing an assessment of a patient,the nurse notices the presence of an enlarged right epitrochlear lymph node.What should the nurse do next?
A) Assess the patient's abdomen, and notice any tenderness.
B) Carefully assess the cervical lymph nodes, and check for any enlargement.
C) Ask additional history questions regarding any recent ear infections or sore throats.
D) Examine the patient's lower arm and hand, and check for the presence of infection or lesions.
Q2) The nurse is examining the lymphatic system of a healthy 3-year-old child.Which finding should the nurse expect?
A) Excessive swelling of the lymph nodes
B) The presence of palpable lymph nodes
C) No nodes palpable because of the immature immune system of a child
D) Fewer numbers and a smaller size of lymph nodes compared with those of an adult
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Chapter 21: Abdomen
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20701
Sample Questions
Q1) A patient has hypoactive bowel sounds.The nurse knows that a potential cause of hypoactive bowel sounds is:
A) diarrhea.
B) peritonitis.
C) laxative use.
D) gastroenteritis.
Q2) 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.
Q3) Which structure is located in the left lower quadrant of the abdomen?
A) Liver
B) Duodenum
C) Gallbladder
D) Sigmoid colon
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Chapter 22: Musculoskeletal System
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53 Verified Questions
53 Flashcards
Source URL: https://quizplus.com/quiz/20702
Sample Questions
Q1) During an interview the patient states,"I can feel this bump on the top of both of my shoulders-it doesn't hurt but I am curious about what it might be." The nurse should tell the patient,"That is:
A) your subacromial bursa."
B) your acromion process."
C) your glenohumeral joint."
D) the greater tubercle of your humerus."
Q2) An 85-year-old patient comments during his annual physical that he seems to be getting shorter as he ages.The nurse should explain that decreased height occurs with aging because:
A) long bones tend to shorten with age.
B) of the shortening of the vertebral column.
C) there is a significant loss of subcutaneous fat.
D) there is a thickening of the intervertebral disks.
Q3) The functional units of the musculoskeletal system are the:
A) joints.
B) bones.
C) muscles.
D) tendons.
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Page 24
Chapter 23: Neurologic System
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56 Verified Questions
56 Flashcards
Source URL: https://quizplus.com/quiz/20703
Sample Questions
Q1) During an assessment of a 62-year-old man the nurse notices the patient has a stooped posture,shuffling walk with short steps,flat facial expression,and pill-rolling finger movements.These findings would be consistent with:
A) parkinsonism.
B) cerebral palsy.
C) cerebellar ataxia.
D) muscular dystrophy.
Q2) During an assessment of a 32-year-old patient with a recent head injury,the nurse notices that the patient responds to pain by extending,adducting,and internally rotating his arms.His palms pronate and his lower extremities extend with plantar flexion.Which of these statements about these findings is accurate?
A) This indicates a lesion of the cerebral cortex.
B) This indicates a completely nonfunctional brainstem.
C) This is a normal response that will go away in 24 to 48 hours.
D) This is a very ominous sign and may indicate brainstem injury.
Q3) During the assessment of deep tendon reflexes,the nurse finds that a patient's responses are normal bilaterally.What number is used to indicate "normal" deep tendon reflexes when the documenting this finding._____+
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25
Chapter 24: Male Genitourinary System
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/20704
Sample Questions
Q1) 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
Q2) The mother of a 10-year-old boy asks the nurse to discuss the recognition of puberty.The nurse should reply by saying:
A) "Puberty usually begins about age fifteen."
B) "The first sign of puberty is enlargement of the testes."
C) "Penis size does not increase until about the age of sixteen."
D) "The development of pubic hair precedes testicular or penis enlargement."
Q3) An accessory glandular structure for the male genital organs is the:
A) testis.
B) penis.
C) prostate.
D) vas deferens.
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Page 26
Chapter 25: Anus, Rectum, and Prostate
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/20705
Sample Questions
Q1) During an assessment of the newborn,the nurse expects to see which finding when the anal area is slightly stroked?
A) A jerking of the legs
B) Flexion of the knees
C) A quick contraction of the sphincter
D) Relaxation of the external sphincter
Q2) The nurse is performing an examination of the anus and rectum.Which of these statements is correct and important to remember during this examination?
A) The rectum is about 8 cm long.
B) The anorectal junction cannot be palpated.
C) Above the anal canal, the rectum turns anteriorly.
D) There are no sensory nerves in the anal canal or rectum.
Q3) The nurse is preparing to palpate the rectum and should use which of these techniques?
A) Flex the finger and insert slowly toward the umbilicus.
B) Instruct the patient first that this will be a painful procedure.
C) Insert an extended index finger at a right angle to the anus.
D) Place the finger directly into the anus to overcome the tight sphincter.
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27
Chapter 26: Female Genitourinary System
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/20706
Sample Questions
Q1) A woman states that 2 weeks ago she had a urinary tract infection that was treated with an antibiotic.As a part of the interview,the nurse should ask,"Have you noticed:
A) a change in your urination patterns?"
B) any excessive vaginal bleeding?"
C) any unusual vaginal discharge or itching?"
D) any changes in your desire for intercourse?"
Q2) During a bimanual examination,the nurse detects a solid tumor on the ovary that is heavy and fixed,with a poorly defined mass.This finding is suggestive of:
A) an ovarian cyst.
B) endometriosis.
C) ovarian cancer.
D) an ectopic pregnancy.
Q3) The nurse is preparing to examine the external genitalia of a school-age girl.Which of these positions would be most appropriate in this situation?
A) In the parent's lap
B) In a frog-leg position on the examining table
C) In the lithotomy position with the feet in stirrups
D) Lying flat on the examining table with legs extended
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) During an examination,a patient has just successfully completed the finger-to-nose and the rapid-alternating-movements tests and is able to run each heel down the opposite shin.The nurse will conclude that the patient's ____ function is intact.
A) occipital
B) cerebral
C) temporal
D) cerebellar
Q2) When assessing the neonate,the nurse should test for hip stability with which method?
A) Eliciting the Moro reflex
B) Performing the Romberg's test
C) Checking for the Ortolani's sign
D) Assessing the stepping reflex
Q3) During a complete health assessment,how would the nurse test the patient's hearing?
A) By observing how the patient participates in normal conversation
B) Using the whispered voice test
C) Using the Weber and Rinne tests
D) Testing with an audiometer
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Chapter 28: Bedside Assessment of the Hospitalized Adult
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12 Flashcards
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Sample Questions
Q1) The nurse is completing an assessment on a patient who was just admitted from the emergency department.Which assessment findings would require immediate attention? Select all that apply.
A) Temperature is 101.4° F.
B) Systolic blood pressure is 150 mm Hg.
C) Respiratory rate is 22 breaths per minute.
D) Heart rate is 130 beats per minute.
E) Oxygen saturation is 95%.
F) Patient exhibits sudden restlessness.
Q2) The nurse has administered a pain medication to a patient by an intravenous infusion.The nurse should reassess the patient's response to the pain medication within _____ minutes.
A) 5
B) 15
C) 30
D) 60
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Chapter 29: The Pregnant Woman
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/20709
Sample Questions
Q1) A woman in her second trimester of pregnancy complains of heartburn and indigestion.When discussing this with the woman,the nurse considers which explanation for these problems?
A) Tone and motility of the gastrointestinal tract increase during the second trimester.
B) Sluggish emptying of the gallbladder, resulting from the effects of progesterone, often causes heartburn.
C) Lower blood pressure at this time decreases blood flow to the stomach and gastrointestinal tract.
D) The enlarging uterus and altered esophageal sphincter tone predispose the woman to have heartburn.
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.
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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 needs to assess a patient's ability to perform activities of daily living and should choose which tool for this assessment?
A) Direct Assessment of Functional Abilities (DAFA)
B) Lawton IADL
C) Barthel Index
D) Older Americans Resources and Services Multidimensional Functional Assessment Questionnaire-IADL (OARS-IADL)
Q2) 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.
Q3) The nurse is assessing an older adult's advanced activities of daily living,which would include:
A) recreational activities.
B) meal preparation.
C) balancing the checkbook.
D) self-grooming activities.
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