Primary Care Assessment Test Bank
Course Introduction
Primary Care Assessment focuses on the foundational principles and systematic approaches used to evaluate patients in a primary care setting. The course covers key components of patient history-taking, physical examination techniques, risk assessment, and preventive health strategies. Emphasis is placed on the development of clinical reasoning and diagnostic skills needed to identify acute and chronic conditions, as well as strategies for effective communication and patient-centered care. Through case studies and practical exercises, students gain competency in comprehensive assessment and management plans tailored to diverse populations commonly encountered in primary care practice.
Recommended Textbook
Physical Examination and Health Assessment 7th Edition by Jarvis
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31 Chapters
1092 Verified Questions
1092 Flashcards
Source URL: https://quizplus.com/study-set/1000
Page 2
Chapter 1: Evidence-Based Assessment
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/19726
Sample Questions
Q1) A patient is at the clinic to have her blood pressure checked.She has been coming to the clinic weekly since she changed medications 2 months ago.The nurse should:
A)Collect a follow-up data base and then check her blood pressure.
B)Ask her to read her health record and indicate any changes since her last visit.
C)Check only her blood pressure because her complete health history was documented 2 months ago.
D)Obtain a complete health history before checking her blood pressure because much of her history information may have changed.
Answer: A
Q2) The nurse is conducting a class on priority setting for a group of new graduate nurses.Which is an example of a first-level priority problem?
A)Patient with postoperative pain
B)Newly diagnosed patient with diabetes who needs diabetic teaching
C)Individual with a small laceration on the sole of the foot
D)Individual with shortness of breath and respiratory distress
Answer: D
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3
Chapter 2: Cultural Competence
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/19727
Sample Questions
Q1) When discussing the use of the term subculture,the nurse recognizes that it is best described as:
A)Fitting as many people into the majority culture as possible.
B)Defining small groups of people who do not want to be identified with the larger culture.
C)Singling out groups of people who suffer differential and unequal treatment as a result of cultural variations.
D)Identifying fairly large groups of people with shared characteristics that are not common to all members of a culture.
Answer: D
Q2) Illness is considered part of life's rhythmic course and is an outward sign of disharmony within.This statement most accurately reflects the views about illness from which theory?
A)Naturalistic
B)Biomedical
C)Reductionist
D)Magicoreligious
Answer: A
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Chapter 3: The Interview
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/19728
Sample Questions
Q1) A 16-year-old boy has just been admitted to the unit for overnight observation after being in an automobile accident.What is the nurse's best approach to communicating with him?
A)Use periods of silence to communicate respect for him.
B)Be totally honest with him, even if the information is unpleasant.
C)Tell him that everything that is discussed will be kept totally confidential.
D)Use slang language when possible to help him open up.
Answer: B
Q2) A female nurse is interviewing a male patient who is near the same age as the nurse.During the interview,the patient makes an overtly sexual comment.The nurse's best reaction would be:
A)"Stop that immediately!"
B)"Oh, you are too funny. Let's keep going with the interview."
C)"Do you really think I would be interested?"
D)"It makes me uncomfortable when you talk that way. Please stop."
Answer: D
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Chapter 4: The Complete Health History
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/19729
Sample Questions
Q1) The mother of a 16-month-old toddler tells the nurse that her daughter has an earache.What would be an appropriate response?
A)"Maybe she is just teething."
B)"I will check her ear for an ear infection."
C)"Are you sure she is really having pain?"
D)"Describe what she is doing to indicate she is having pain."
Q2) In obtaining a review of systems on a "healthy" 7-year-old girl,the health care provider knows that it would be important to include the:
A)Last glaucoma examination.
B)Frequency of breast self-examinations.
C)Date of her last electrocardiogram.
D)Limitations related to her involvement in sports activities.
Q3) When the nurse asks for a description of who lives with a child,the method of discipline,and the support system of the child,what part of the assessment is being performed?
A)Family history
B)Review of systems
C)Functional assessment
D)Reason for seeking care
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Page 6
Chapter 5: Mental Status Assessment
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/19730
Sample Questions
Q1) During reporting,the nurse hears that a patient is experiencing hallucinations.Which is an example of a hallucination?
A)Man believes that his dead wife is talking to him.
B)Woman hears the doorbell ring and goes to answer it, but no one is there.
C)Child sees a man standing in his closet. When the lights are turned on, it is only a dry cleaning bag.
D)Man believes that the dog has curled up on the bed, but when he gets closer he sees that it is a blanket.
Q2) A patient has been in the intensive care unit for 10 days.He has just been moved to the medical-surgical unit,and the admitting nurse is planning to perform a mental status examination.During the tests of cognitive function,the nurse would expect that he:
A)May display some disruption in thought content.
B)Will state, "I am so relieved to be out of intensive care."
C)Will be oriented to place and person, but the patient may not be certain of the date.
D)May show evidence of some clouding of his level of consciousness.
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Chapter 6: Substance Use Assessment
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/19731
Sample Questions
Q1) During an assessment,the nurse asks a female patient,"How many alcoholic drinks do you have a week?" Which answer by the patient would indicate at-risk drinking?
A)"I may have one or two drinks a week."
B)"I usually have three or four drinks a week."
C)"I'll have a glass or two of wine every now and then."
D)"I have seven or eight drinks a week, but I never get drunk."
Q2) A patient visits the clinic to ask about smoking cessation.He has smoked heavily for 30 years and wants to stop "cold turkey." He asks the nurse,"What symptoms can I expect if I do this?" Which of these symptoms should the nurse share with the patient as possible symptoms of nicotine withdrawal? Select all that apply.
A)Headaches
B)Hunger
C)Sleepiness
D)Restlessness
E)Nervousness
F)Sweating
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Chapter 7: Domestic and Family Violence Assessments
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/19732
Sample Questions
Q1) The nurse is aware that intimate partner violence (IPV)screening should occur with which situation?
A)When IPV is suspected
B)When a woman has an unexplained injury
C)As a routine part of each health care encounter
D)When a history of abuse in the family is known
Q2) As a mandatory reporter of elder abuse,which must be present before a nurse should notify the authorities?
A)Statements from the victim
B)Statements from witnesses
C)Proof of abuse and/or neglect
D)Suspicion of elder abuse and/or neglect
Q3) 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 Safety in the Clinical Setting
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/19733
Sample Questions
Q1) The nurse is teaching a class on basic assessment skills.Which of these statements is true regarding the stethoscope and its use?
A)Slope of the earpieces should point posteriorly (toward the occiput).
B)Although the stethoscope does not magnify sound, it does block out extraneous room noise.
C)Fit and quality of the stethoscope are not as important as its ability to magnify sound.
D)Ideal tubing length should be 22 inches to dampen the distortion of sound.
Q2) When examining a 16-year-old male teenager,the nurse should:
A)Discuss health teaching with the parent because the teen is unlikely to be interested in promoting wellness.
B)Ask his parent to stay in the room during the history and physical examination to answer any questions and to alleviate his anxiety.
C)Talk to him the same manner as one would talk to a younger child because a teen's level of understanding may not match his or her speech.
D)Provide feedback that his body is developing normally, and discuss the wide variation among teenagers on the rate of growth and development.
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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/19734
Sample Questions
Q1) While measuring a patient's blood pressure,the nurse recalls that certain factors,such as __________,help determine blood pressure.
A)Pulse rate
B)Pulse pressure
C)Vascular output
D)Peripheral vascular resistance
Q2) The nurse is taking temperatures in a clinic with a TMT.Which statement is true regarding use of the TMT?
A)A tympanic temperature is more time consuming than a rectal temperature.
B)The tympanic method is more invasive and uncomfortable than the oral method.
C)The risk of cross-contamination is reduced, compared with the rectal route.
D)The tympanic membrane most accurately reflects the temperature in the ophthalmic artery.
Q3) The nurse is performing a general survey.Which action is a component of the general survey?
A)Observing the patient's body stature and nutritional status
B)Interpreting the subjective information the patient has reported
C)Measuring the patient's temperature, pulse, respirations, and blood pressure
D)Observing specific body systems while performing the physical assessment
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Page 11
Chapter 10: Pain Assessment: The Fifth Vital Sign
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/19735
Sample Questions
Q1) Which statement indicates that the nurse understands the pain experienced by an older adult?
A)"Older adults must learn to tolerate pain."
B)"Pain is a normal process of aging and is to be expected."
C)"Pain indicates a pathologic condition or an injury and is not a normal process of aging."
D)"Older individuals perceive pain to a lesser degree than do younger individuals."
Q2) A 60-year-old woman has developed reflexive sympathetic dystrophy after arthroscopic repair of her shoulder.A key feature of this condition is that the:
A)Affected extremity will eventually regain its function.
B)Pain is felt at one site but originates from another location.
C)Patient's pain will be associated with nausea, pallor, and diaphoresis.
D)Slightest touch, such as a sleeve brushing against her arm, causes severe and intense pain.
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Chapter 11: Nutritional Assessment
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/19736
Sample Questions
Q1) Which of these conditions is due to an inadequate intake of both protein and calories?
A)Obesity
B)Bulimia
C)Marasmus
D)Kwashiorkor
Q2) For the first time,the nurse is seeing a patient who has no history of nutrition-related problems.The initial nutritional screening should include which activity?
A)Calorie count of nutrients
B)Anthropometric measures
C)Complete physical examination
D)Measurement of weight and weight history
Q3) The nurse is assessing a 30-year-old unemployed immigrant from an underdeveloped country who has been in the United States for 1 month.Which of these problems related to his nutritional status might the nurse expect to find?
A)Obesity
B)Hypotension
C)Osteomalacia (softening of the bones)
D)Coronary artery disease
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Page 13
Chapter 12: Skin, Hair, and Nails
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/19737
Sample Questions
Q1) The nurse notices that a patient has a solid,elevated,circumscribed lesion that is less than 1 cm in diameter.When documenting this finding,the nurse reports this as a:
A)Bulla.
B)Wheal.
C)Nodule.
D)Papule.
Q2) A few days after a summer hiking trip,a 25-year-old man comes to the clinic with a rash.On examination,the nurse notes that the rash is red,macular,with a bull's eye pattern across his midriff and behind his knees.The nurse suspects:
A)Rubeola.
B)Lyme disease.
C)Allergy to mosquito bites.
D)Rocky Mountain spotted fever.
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Chapter 13: Head, Face, and Neck, Including Regional Lymphatics
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/19738
Sample Questions
Q1) The nurse needs to palpate the temporomandibular joint for crepitation.This joint is located just below the temporal artery and anterior to the:
A)Hyoid bone.
B)Vagus nerve.
C)Tragus.
D)Mandible.
Q2) A patient,an 85-year-old woman,is complaining about the fact that the bones in her face have become more noticeable.What explanation should the nurse give her?
A)Diets low in protein and high in carbohydrates may cause enhanced facial bones.
B)Bones can become more noticeable if the person does not use a dermatologically approved moisturizer.
C)More noticeable facial bones are probably due to a combination of factors related to aging, such as decreased elasticity, subcutaneous fat, and moisture in her skin.
D)Facial skin becomes more elastic with age. This increased elasticity causes the skin to be more taught, drawing attention to the facial bones.
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Page 15
Chapter 14: Eyes
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/19739
Sample Questions
Q1) In using the ophthalmoscope to assess a patient's eyes,the nurse notices a red glow in the patient's pupils.On the basis of this finding,the nurse would:
A)Suspect that an opacity is present in the lens or cornea.
B)Check the light source of the ophthalmoscope to verify that it is functioning.
C)Consider the red glow a normal reflection of the ophthalmoscope light off the inner retina.
D)Continue with the ophthalmoscopic examination, and refer the patient for further evaluation.
Q2) 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.
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16
Chapter 15: Ears
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/19740
Sample
Questions
Q1) The nurse is assessing a patient who may have hearing loss.Which of these statements is true concerning air conduction?
A)Air conduction is the normal pathway for hearing.
B)Vibrations of the bones in the skull cause air conduction.
C)Amplitude of sound determines the pitch that is heard.
D)Loss of air conduction is called a conductive hearing loss.
Q2) An assessment of a 23-year-old patient reveals the following: an auricle that is tender and reddish-blue in color with small vesicles.The nurse would need to know additional information that includes which of these?
A)Any change in the ability to hear
B)Any recent drainage from the ear
C)Recent history of trauma to the ear
D)Any prolonged exposure to extreme cold
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.
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Page 17
Chapter 16: Nose, Mouth, and Throat
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/19741
Sample Questions
Q1) The tissue that connects the tongue to the floor of the mouth is the:
A)Uvula.
B)Palate.
C)Papillae.
D)Frenulum.
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?" For which possible causes of changes in the sense of smell will the nurse assess? 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 virus I
Q3) 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 the movement of air through the nares.
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Page 18
Chapter 17: Breasts and Regional Lymphatics
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/19742
Sample Questions
Q1) In examining a 70-year-old male patient,the nurse notices that he has bilateral gynecomastia.Which of the following describes the nurse's best course of action?
A)Recommend that he make an appointment with his physician for a mammogram.
B)Ignore it. Benign breast enlargement in men is not unusual.
C)Explain that this condition may be the result of hormonal changes, and recommend that he see his physician.
D)Explain that gynecomastia in men is usually associated with prostate enlargement and recommend that he be thoroughly screened.
Q2) During a breast examination on a female patient,the nurse notices that the nipple is flat,broad,and fixed.The patient states it "started doing that a few months ago." This finding suggests:
A)Dimpling.
B)Retracted nipple.
C)Nipple inversion.
D)Deviation in nipple pointing.
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19
Chapter 18: Thorax and Lungs
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/19743
Sample Questions
Q1) When performing a respiratory assessment on a patient,the nurse notices a costal angle of approximately 90 degrees.This characteristic is:
A)Observed 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.
Q2) A patient comes to the clinic complaining of a cough that is worse at night but not as bad during the day.The nurse recognizes that this cough may indicate:
A)Pneumonia.
B)Postnasal drip or sinusitis.
C)Exposure to irritants at work.
D)Chronic bronchial irritation from smoking.
Q3) 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 (MCL).
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Chapter 19: Heart and Neck Vessels
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/19744
Sample Questions
Q1) During an assessment of a healthy adult,where would the nurse expect to palpate the apical impulse?
A)Third left intercostal space at the midclavicular line
B)Fourth left intercostal space at the sternal border
C)Fourth left intercostal space at the anterior axillary line
D)Fifth left intercostal space at the midclavicular line
Q2) During a cardiovascular assessment,the nurse knows that a thrill is:
A)Vibration that is palpable.
B)Palpated in the right epigastric area.
C)Associated with ventricular hypertrophy.
D)Murmur auscultated at the third intercostal space.
Q3) During an assessment of a 68-year-old man with a recent onset of right-sided weakness,the nurse hears a blowing,swishing sound with the bell of the stethoscope over the left carotid artery.This finding would indicate:
A)Valvular disorder.
B)Blood flow turbulence.
C)Fluid volume overload.
D)Ventricular hypertrophy.
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21
Chapter 20: Peripheral Vascular System and Lymphatic System
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/19745
Sample Questions
Q1) The nurse is preparing to assess the ankle-brachial index (ABI)of a patient.Which statement about the ABI is true?
A)Normal ABI indices are from 0.5 to 1.0.
B)Normal ankle pressure is slightly lower than the brachial pressure.
C)The ABI is a reliable measurement of peripheral vascular disease in individuals with diabetes.
D)An ABI of 0.9 to 0.7 indicates the presence of peripheral vascular disease and mild claudication.
Q2) During a visit to the clinic,a woman in her seventh month of pregnancy complains that her legs feel "heavy in the calf" and that she often has foot cramps at night.The nurse notices that the patient has dilated,tortuous veins apparent in her lower legs.Which condition is reflected by these findings?
A)Deep-vein thrombophlebitis
B)Varicose veins
C)Lymphedema
D)Raynaud phenomenon
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22
Chapter 21: Abdomen
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/19746
Sample Questions
Q1) While examining a patient,the nurse observes abdominal pulsations between the xiphoid process and umbilicus.The nurse would suspect that these are:
A)Pulsations of the renal arteries.
B)Pulsations of the inferior vena cava.
C)Normal abdominal aortic pulsations.
D)Increased peristalsis from a bowel obstruction.
Q2) The nurse is watching a new graduate nurse perform auscultation of a patient's abdomen.Which statement by the new graduate shows a correct understanding of the reason auscultation precedes percussion and palpation of the abdomen?
A)"We need to determine the areas of tenderness before using percussion and palpation."
B)"Auscultation prevents distortion of bowel sounds that might occur after percussion and palpation."
C)"Auscultation allows the patient more time to relax and therefore be more comfortable with the physical examination."
D)"Auscultation prevents distortion of vascular sounds, such as bruits and hums, that might occur after percussion and palpation."
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Page 23
Chapter 22: Musculoskeletal System
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/19747
Sample Questions
Q1) A patient is being assessed for range-of-joint movement.The nurse asks him to move his arm in toward the center of his body.This movement is called:
A)Flexion.
B)Abduction.
C)Adduction.
D)Extension.
Q2) The nurse is teaching a class on preventing osteoporosis to a group of perimenopausal women.Which of these actions is the best way to prevent or delay bone loss in this group?
A)Taking calcium and vitamin D supplements
B)Taking medications to prevent osteoporosis
C)Performing physical activity, such as fast walking
D)Assessing bone density annually
Q3) A patient tells the nurse that,"All my life I've been called 'knock knees'." The nurse knows that another term for knock knees is:
A)Genu varum.
B)Genu valgum.
C)Pes planus.
D)Metatarsus adductus.
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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/19748
Sample Questions
Q1) During the taking of the health history of a 78-year-old man,his wife states that he occasionally has problems with short-term memory loss and confusion: "He can't even remember how to button his shirt." When assessing his sensory system,which action by the nurse is most appropriate?
A)The nurse would not test the sensory system as part of the examination because the results would not be valid.
B)The nurse would perform the tests, knowing that mental status does not affect sensory ability.
C)The nurse would proceed with an explanation of each test, making certain that the wife understands.
D)Before testing, the nurse would assess the patient's mental status and ability to follow directions.
Q2) A 50-year-old woman is in the clinic for weakness in her left arm and leg that she has noticed for the past week.The nurse should perform which type of neurologic examination?
A)Glasgow Coma Scale
B)Neurologic recheck examination
C)Screening neurologic examination
D)Complete neurologic examination
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Page 25
Chapter 24: Male Genitourinary System
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/19749
Sample Questions
Q1) An older man is concerned about his sexual performance.The nurse knows that in the absence of disease,a withdrawal from sexual activity later in life may be attributable to:
A)Side effects of medications.
B)Decreased libido with aging.
C)Decreased sperm production.
D)Decreased pleasure from sexual intercourse.
Q2) A 62-year-old man states that his physician 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.
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Chapter 25: Anus,Rectum,and Prostate
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/19750
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)DREs every 2 years.
Q2) During a health history of a patient who complains of chronic constipation,the patient asks the nurse about high-fiber foods.The nurse relates that an example of a high-fiber food would be:
A)Broccoli.
B)Hamburger.
C)Iceberg lettuce.
D)Yogurt.
Q3) Which statement concerning the anal canal is true? The anal canal:
A)Is approximately 2 cm long in the adult.
B)Slants backward toward the sacrum.
C)Contains hair and sebaceous glands.
D)Is the outlet for the gastrointestinal tract.
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Page 27
Chapter 26: Female Genitourinary System
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/19751
Sample Questions
Q1) A patient calls the clinic for instructions before having a Papanicolaou (Pap)smear.The most appropriate instructions from the nurse are:
A)"If you are menstruating, please use pads to avoid placing anything into the vagina."
B)"Avoid intercourse, inserting anything into the vagina, or douching within 24 hours of your appointment."
C)"If you suspect that you have a vaginal infection, please gather a sample of the discharge to bring with you."
D)"We would like you to use a mild saline douche before your examination. You may pick this up in our office."
Q2) When the nurse is interviewing a preadolescent girl,which opening question would be least threatening?
A)"Do you have any questions about growing up?"
B)"What has your mother told you about growing up?"
C)"When did you notice that your body was changing?"
D)"I remember being very scared when I got my period. How do you think you'll feel?"
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28
Chapter 27: The Complete Health Assessment: Adult
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/19752
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) The nurse will measure a patient's near vision with which tool?
A)Snellen eye chart with letters
B)Snellen "E" chart
C)Jaeger card
D)Ophthalmoscope
Q3) The nurse has just recorded a positive iliopsoas test on a patient who has abdominal pain.This test is used to confirm a(n):
A)Inflamed liver.
B)Perforated spleen.
C)Perforated appendix.
D)Enlarged gallbladder.
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Chapter 28: The Complete Physical Assessment: Infant,
Child, and Adolescent
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Sample Questions
Q1) Which of these actions is most appropriate to perform on a 9-month-old infant at a well-child checkup?
A)Testing for Ortolani sign
B)Assessment for stereognosis
C)Blood pressure measurement
D)Assessment for the presence of the startle reflex
Q2) A female patient tells the nurse that she has four children and has had three pregnancies.How should the nurse document this?
A)Gravida 3, para 4
B)Gravida 4, para 3
C)This information cannot be documented using the terms gravida and para.
D)"The patient seems to be confused about how many times she has been pregnant."
Q3) When assessing the neonate,the nurse should test for hip stability with which method?
A)Eliciting the Moro reflex
B)Performing the Romberg test
C)Checking for the Ortolani sign
D)Assessing the stepping reflex
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Chapter 29: Bedside Assessment of the Hospitalized Patient
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Sample Questions
Q1) When assessing a patient's general appearance,the nurse should include which question?
A)Is the patient's muscle strength equal in both arms?
B)Is ptosis or facial droop present?
C)Does the patient appropriately respond to questions?
D)Are the pupils equal in reaction and size?
Q2) During an assessment,the nurse is unable to palpate pulses in the left lower leg.What should the nurse do next?
A)Document that the pulses are nonpalpable.
B)Reassess the pulses in 1 hour.
C)Ask the patient turn to the side, and then palpate for the pulses again.
D)Use a Doppler device to assess the pulses.
Q3) At the beginning of rounds when entering the room,what should the nurse do first?
A)Check the intravenous (IV) infusion site for swelling or redness.
B)Check the infusion pump settings for accuracy.
C)Make eye contact with the patient, and introduce him or herself as the patient's nurse.
D)Offer the patient something to drink.
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Chapter 30: The Pregnant Woman
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Sample Questions
Q1) The nurse knows that the best time to assess a woman's blood pressure during an initial prenatal visit is:
A)At the end of the examination when she will be the most relaxed.
B)At the beginning of the interview as a nonthreatening method of gaining rapport.
C)During the middle of the physical examination when she is the most comfortable.
D)Before beginning the pelvic examination because her blood pressure will be higher after the pelvic examination.
Q2) A female patient has nausea,breast tenderness,fatigue,and amenorrhea.Her last menstrual period was 6 weeks ago.The nurse interprets that this patient is experiencing __________ signs of pregnancy.
A)Positive
B)Possible
C)Probable
D)Presumptive
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Chapter 31: Functional Assessment of the Older Adult
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Sample Questions
Q1) The nurse is assessing the abilities of an older adult.Which activities are considered IADLs? Select all that apply.
A)Feeding oneself
B)Preparing a meal
C)Balancing a checkbook
D)Walking
E)Toileting
F)Grocery shopping
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.
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