Primary Care Nursing Exam Bank
Course Introduction
Primary Care Nursing focuses on equipping students with the knowledge and skills necessary to deliver comprehensive, patient-centered care within a community or primary healthcare setting. The course emphasizes the promotion of health, prevention of illness, and management of common acute and chronic conditions across the lifespan. Through evidence-based practice, students learn to perform assessments, develop care plans, provide health education, coordinate multidisciplinary care, and advocate for patients and families. Special attention is given to culturally competent care, interprofessional collaboration, and ethical considerations in primary healthcare environments.
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) When reviewing concepts of health,the nurse recalls that components of holistic health include which of these?
A) Disease originates from the external environment.
B) The individual human is a closed system.
C) Nurses are responsible for a patient's health state.
D) Holistic health views the mind, body, and spirit as interdependent.
Answer: D
Q2) The nurse is reviewing information about evidence-based practice (EBP).Which statement best reflects evidence-based practice?
A) EBP relies on tradition for support of best practices.
B) EBP is simply the use of best practice techniques for treatment of patients.
C) EBP emphasizes the use of best evidence with the clinician's experience.
D) The patient's own preferences are not important with EBP.
Answer: C
Q3) Barriers to incorporating evidence-based practice (EBP)include:
A) nurses' lack of research skills in evaluating quality of research studies.
B) lack of significant research studies.
C) insufficient clinical skills of nurses.
D) inadequate physical assessment skills.
Answer: A
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Chapter 2: Cultural Competence: Cultural Care
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20682
Sample Questions
Q1) The nurse is conducting a heritage assessment.Which question is most appropriate for this assessment?
A) "What is your religion?"
B) "Do you mostly participate in the religious traditions of your family?"
C) "Do you smoke?"
D) "Do you have a history of heart disease?"
Answer: B
Q2) 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
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Chapter 3: The Interview
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20683
Sample Questions
Q1) As the nurse enters a patient's room,the nurse finds her crying.The patient states that she has just found out that the lump in her breast is cancer and says,"I'm so afraid of,um,you know." The nurse's most therapeutic response would be to say,in a gentle manner:
A) "You're afraid you might lose your breast?"
B) "No, I'm not sure what you are talking about."
C) "I'll wait here until you get yourself under control and then we can talk."
D) "I can see that you are very upset. Perhaps we should discuss this later."
Answer: A
Q2) The nurse is conducting an interview in an outpatient clinic and is using a computer to record data.Which is the best use of the computer in this situation? Select all that apply.
A) Collect the patient's data in a direct, face-to-face manner.
B) Enter all the data as the patient states it.
C) Ask the patient to wait as the nurse enters data.
D) Type the data into the computer after the narrative is fully explored.
E) Allow the patient to see the monitor during typing.
Answer: A,D,E
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Chapter 4: The Complete Health History
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/20684
Sample Questions
Q1) The nurse is obtaining a history from a 30-year-old male patient and is concerned about health promotion activities.Which of these questions would be appropriate to use to assess health promotion activities for this patient?
A) "Do you perform testicular self-examinations?"
B) "Have you ever noticed any pain in your testicles?"
C) "Have you had any problems with passing urine?"
D) "Do you have any history of sexually transmitted disease?"
Q2) The nurse is incorporating a person's spiritual values into the health history.Which of these 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?"
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Chapter 5: Mental Status Assessment
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/20685
Sample Questions
Q1) A patient has had a cerebrovascular accident,or stroke.He is trying very hard to communicate.He seems driven to speak and says,"I buy obie get spirding and take my train." What is the best description of this patient's problem?
A) Global aphasia
B) Broca's aphasia
C) Echolalia
D) Wernicke's aphasia
Q2) A 20-year-old construction worker has been brought into the emergency department with heat stroke.He has delirium as a result of the fluid and electrolyte imbalance.For the mental status examination,the nurse should first assess the patient's:
A) affect and mood.
B) memory and affect.
C) language abilities.
D) level of consciousness and cognitive abilities.
Q3) During an examination,the nurse can assess mental status by which activity?
A) Examining the patient's electroencephalogram
B) Observing the patient as he or she performs an IQ test
C) Observing the patient and inferring health or dysfunction
D) Examining the patient's response to a specific set of questions
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Page 7
Chapter 6: Substance Use Assessment
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/20686
Sample Questions
Q1) A patient is brought to the emergency department.He is restless,has dilated pupils,is sweating,has a runny nose and tearing eyes,and complains of muscle and joint pains.His girlfriend thinks he has the flu,but she became concerned when his temperature went up to 103° F (39.4 °C)) She admits that he has been a heavy drug user, but he has been trying to stop on his own. The nurse suspects that the patient is experiencing withdrawal symptoms from which substance?
A) Alcohol
B) Heroin
C) Crack cocaine
D) Sedatives
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) As a mandatory reporter of elder abuse,which of these must be present before a nurse notifies 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
Q2) The nurse is using the danger assessment (DA)tool to evaluate the risk of homicide.Which of these statements best describes its use?
A) The DA tool is to be administered by law enforcement personnel.
B) The DA tool should be used in every assessment of suspected abuse.
C) The number of yes answers indicates the woman's understanding of her situation.
D) The higher the number of yes answers, the more serious the danger of the woman's situation.
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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) When performing a physical assessment,the technique the nurse will always use first is:
A) palpation.
B) inspection.
C) percussion.
D) auscultation.
Q2) The nurse is examining a 2-year-old child and asks,"May I listen to your heart now?" Which critique of the nurse's technique is most accurate?
A) Asking questions enhances the child's autonomy.
B) Asking the child for permission helps to develop a sense of trust.
C) This is an appropriate statement because children at this age like to have choices.
D) Children at this age like to say "No." The examiner should not offer a choice when there is none.
Q3) When examining an aging adult,the nurse should use which technique?
A) Avoid touching the patient too much.
B) Attempt to perform the entire physical examination during one visit.
C) Speak loudly and slowly because most aging adults have hearing deficits.
D) Arrange the sequence to allow as few position changes as possible.
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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 assessing an 80-year-old male patient.Which assessment findings would be considered normal?
A) An increase in body weight from younger years
B) Additional deposits of fat on the thighs and lower legs
C) The presence of kyphosis and flexion in the knees and hips
D) A change in overall body proportion, a longer trunk, and shorter extremities
Q2) The nurse is assessing the vital signs of a 3-year-old patient who appears to have an irregular respiratory pattern.How should the nurse assess this child's respirations?
A) Count the respirations for 1 full minute, noticing rate and rhythm.
B) Check the child's pulse and respirations simultaneously for 30 seconds.
C) Check the child's respirations for a minimum of 5 minutes to identify any variations in respiratory pattern.
D) Count the patient's respirations for 15 seconds and multiply by four to obtain the number of respirations per minute.
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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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) 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.
Q2) The nurse is reviewing principles of pain.Which type of pain is due to an abnormal processing of the pain impulse through the peripheral or central nervous system?
A) Visceral
B) Referred
C) Cutaneous
D) Neuropathic
Q3) 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 these assessment findings indicates an acute pain response to poorly controlled pain?
A) Confusion
B) Hyperventilation
C) Increased blood pressure and pulse
D) Depression
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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) When the mid-upper arm circumference and triceps skinfold of an 82-year-old man are evaluated,which is important for the nurse to remember?
A) These measurements are no longer necessary for the elderly.
B) Derived weight measures may be difficult to interpret because of wide ranges of normal.
C) These measurements may not be accurate because of changes in skin and fat distribution.
D) Measurements may be difficult to obtain if the patient is unable to flex his elbow to at least 90 degrees.
Q2) A pregnant woman who is HIV positive is asking the nurse about breastfeeding her infant.Which of these statements is true?
A) There is not enough information to know whether it would be safe for her to breastfeed.
B) It is safe for women who are HIV positive to breastfeed.
C) Women who are HIV positive should not breastfeed because HIV can be transmitted through breast milk.
D) She can breastfeed as long as she uses pumped breast milk.
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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) A 22-year-old woman comes to the clinic because of a severe sunburn and states,"I was just out in the sun for a couple of minutes." The nurse begins a medication review with her,paying special attention to which medication class?
A) Nonsteroidal anti-inflammatory drugs for pain
B) Tetracyclines for acne
C) Proton pump inhibitors for heartburn
D) Thyroid replacement hormone for hypothyroidism
Q2) The nurse is discussing epidermal appendages with a newly graduated nurse.Which of these would be included in the discussion?
A) Skin
B) Arms
C) Sweat glands
D) Parotid glands
Q3) The nurse is caring for a black child who has been diagnosed with marasmus.The nurse would expect to find the:
A) hair to be less kinky and to be a copper-red color.
B) head to be larger than normal, with wide-set eyes.
C) skin on the hands and feet to be scaly and tender.
D) lymph nodes in the groin to be enlarged and tender.
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Page 14
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) During an examination,the nurse finds that a patient's left temporal artery is tortuous and feels hardened and tender compared with the right temporal artery.The nurse suspects which condition?
A) Crepitation
B) Mastoiditis
C) Temporal arteritis
D) Bell palsy
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.
Q3) When examining a patient's cranial nerve (CN)function,the nurse remembers that the muscles in the neck that are innervated by CN XI are the:
A) sternomastoid and trapezius.
B) spinal accessory and omohyoid.
C) trapezius and sternomandibular.
D) sternomandibular and spinal accessory.
Page 15
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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) The nurse is reviewing causes of increased intraocular pressure.Which of these factors determines intraocular pressure?
A) Thickness or bulging of the lens
B) Posterior chamber as it accommodates an increase in fluid
C) Contraction of the ciliary body in response to the aqueous within the eye
D) Amount of aqueous produced and resistance to its outflow at the angle of the anterior chamber
Q2) The nurse is performing an eye-screening clinic at a daycare center.When examining a 2-year-old child,the nurse suspects that the child has "lazy eye" and should:
A) examine the external structures of the eye.
B) assess visual acuity with the Snellen eye chart.
C) assess the child's visual fields with the confrontation test.
D) test for strabismus by performing the corneal light reflex test.
Q3) An ophthalmic examination reveals papilledema.The nurse is aware that this finding indicates:
A) retinal detachment.
B) diabetic retinopathy.
C) acute-angle glaucoma.
D) increased intracranial pressure.
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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 is assessing a 16-year-old patient who has suffered head injuries from a recent motor vehicle accident.Which of these statements indicates the most important reason for assessing for any drainage from the ear canal?
A) If the drum has ruptured, then there will be purulent drainage.
B) Bloody or clear watery drainage can indicate a basal skull fracture.
C) The auditory canal many be occluded from increased cerumen.
D) There may be occlusion of the canal caused by foreign bodies from the accident.
Q2) The nurse is reviewing the structures of the ear.Which of these statements concerning the eustachian tube is true?
A) It is responsible for the production of cerumen.
B) It remains open except when swallowing or yawning.
C) It allows passage of air between the middle and outer ear.
D) It helps equalize air pressure on both sides of the tympanic membrane.
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17
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) The nurse is assessing a patient with a history of intravenous drug abuse.In assessing his mouth,the nurse notices a dark red confluent macule on the hard palate.This could be an early sign of:
A) AIDS.
B) measles.
C) leukemia.
D) carcinoma.
Q2) The nurse is teaching a health class to high-school-age boys.When discussing the topic of the use of smokeless tobacco (SLT),which of these statements are accurate?
Select all that apply.
A) One pinch of SLT in the mouth for 30 minutes delivers the equivalent of one cigarette.
B) The use of SLT has been associated with a greater risk of oral cancer than smoking has.
C) Pain is an early sign of oral cancer.
D) Pain is rarely an early sign of oral cancer.
E) Tooth decay is another risk of SLT because of the use of sugar as a sweetener.
F) SLT is considered a healthy alternative to smoking.
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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/20697
Sample Questions
Q1) During a history interview,a female patient states that she has noticed a few drops of clear discharge from her right nipple.What should the nurse do next?
A) Contact the physician immediately to report the discharge.
B) Ask her if she is possibly pregnant.
C) Ask her some additional questions about the medications she is taking.
D) Immediately obtain a sample for culture and sensitivity testing.
Q2) A new mother calls the clinic to report that part of her left breast is red,swollen,tender,very hot,and hard.She has a fever of 101° F.She has also had symptoms of the flu,such as chills,sweating,and feeling tired.The nurse notices that she has been breastfeeding for 1 month.From her description,what condition does the nurse suspect?
A) Mastitis
B) Paget's disease
C) Plugged milk duct
D) Mammary duct ectasia
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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) When assessing the respiratory system of a 4-year-old child,which of these findings would the nurse expect?
A) Crepitus palpated at the costochondral junctions
B) No diaphragmatic excursion as a result of a child's decreased inspiratory volume
C) The presence of bronchovesicular breath sounds in the peripheral lung fields
D) An irregular respiratory pattern and a respiratory rate of 40 breaths per minute at rest
Q2) The nurse is reviewing the characteristics of breath sounds.Which statement about bronchovesicular breath sounds is true? They are:
A) musical in quality.
B) usually pathological.
C) expected near the major airways.
D) similar to bronchial sounds except that they are shorter in duration.
Q3) The primary muscles of respiration include the:
A) diaphragm and intercostals.
B) sternomastoids and scaleni.
C) trapezius and rectus abdominis.
D) external obliques and pectoralis major.
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Page 20
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) The nurse is preparing to auscultate for heart sounds.Which technique is correct?
A) Listen to the sounds at the aortic, tricuspid, pulmonic, and mitral areas.
B) Listen by inching the stethoscope in a rough Z pattern, from the base of the heart across and down, then over to the apex.
C) Listen to the sounds only at the site where the apical pulse is felt to be the strongest.
D) Listen for all possible sounds at a time at each specified area.
Q2) The nurse is presenting a class on risk factors for cardiovascular disease.Which of these are considered modifiable risk factors for myocardial infarction (MI)? Select all that apply.
A) Ethnicity
B) Abnormal lipids
C) Smoking
D) Gender
E) Hypertension
F) Diabetes
G) Family history
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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) The nurse is reviewing an assessment of a patient's peripheral pulses and notices that the documentation states that the radial pulses are "2+." The nurse recognizes that this reading indicates what type of pulse?
A) Bounding
B) Normal
C) Weak
D) Absent
Q2) The nurse is preparing to perform a manual compression test on a patient.Which of these statements is true about this procedure?
A) Rapid filling of the veins indicates incompetent veins.
B) Competent valves in the veins will transmit a wave to the distal fingers.
C) A palpable wave transmission occurs when the valves are incompetent.
D) The test assesses whether the valves of varicosity are competent when the person is in the supine position.
Q3) Which of these veins are responsible for most of the venous return in the arm?
A) Deep
B) Ulnar
C) Subclavian
D) Superficial
Page 22
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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) Which of these percussion findings would the nurse expect to find in a patient with a large amount of ascites?
A) Dullness across the abdomen
B) Flatness in the right upper quadrant
C) Hyperresonance in the left upper quadrant
D) Tympany in the right and left lower quadrants
Q2) The nurse is assessing the abdomen of a pregnant woman who is complaining of having "acid indigestion" all the time.The nurse knows that esophageal reflux during pregnancy can cause:
A) diarrhea.
B) pyrosis.
C) dysphagia.
D) constipation.
Q3) The nurse knows that during an abdominal assessment,deep palpation is used to determine:
A) bowel motility.
B) enlarged organs.
C) superficial tenderness.
D) overall impression of skin surface and superficial musculature.
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Page 23
Chapter 22: Musculoskeletal System
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53 Verified Questions
53 Flashcards
Source URL: https://quizplus.com/quiz/20702
Sample Questions
Q1) The nurse is examining a 6-month-old infant and places the infant's feet flat on the table and flexes his knees up.The nurse notes that the right knee is significantly lower than the left.Which of these statements is true of this finding?
A) This is a positive Allis sign and suggests hip dislocation.
B) The infant probably has a dislocated patella on the right.
C) This is a normal finding for the Allis test for an infant of this age.
D) The infant should return to the clinic in 2 weeks to see if this has changed.
Q2) When assessing muscle strength,the nurse observes that a patient has complete range of motion against gravity with full resistance.What Grade should the nurse record using a 0 to 5 point scale?
A) 2
B) 3
C) 4
D) 5
Q3) Of the 33 vertebrae in the spinal column,there are:
A) 5 lumbar.
B) 5 thoracic.
C) 7 sacral.
D) 12 cervical.
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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) In obtaining a history on a 74-year-old patient the nurse notes that he drinks alcohol daily and that 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) 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
Q3) The nurse knows that testing kinesthesia is a test of a person's:
A) fine touch.
B) position sense.
C) motor coordination.
D) perception of vibration.
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Page 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) During an examination of an aging male,the nurse recognizes that normal changes to expect would be:
A) enlarged scrotal sac.
B) increased pubic hair.
C) decreased penis size.
D) increased rugae over the scrotum.
Q2) The nurse is performing a genital examination on a male patient and notices urethral drainage.When collecting urethral discharge for microscopic examination and culture,the nurse should:
A) ask the patient to urinate into a sterile cup.
B) ask the patient to obtain a specimen of semen.
C) insert a cotton-tipped applicator into the urethra.
D) compress the glans between the examiner's thumb and forefinger and collect any discharge.
Q3) During an examination of an aging male,the nurse recognizes that normal changes to expect would be:
A) a change in scrotal color.
B) a decrease in the size of the penis.
C) enlargement of the testes and scrotum.
D) an increase in the number of rugae over the scrotal sac.
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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) After completing an assessment of a 60-year-old man with a family history of colon cancer,the nurse discusses with him early detection measures for colon cancer.The nurse should mention the need for a(n):
A) annual proctoscopy.
B) colonoscopy every 10 years.
C) fecal test for blood every 6 months.
D) digital rectal examinations every 2 years.
Q2) While assessing a hospitalized,bedridden patient,the nurse notices that the patient has been incontinent of stool.The stool is loose and gray-tan in color.The nurse recognizes that this finding indicates which of the following?
A) Occult blood
B) Inflammation
C) Absent bile pigment
D) Ingestion of iron preparations
Q3) Which of these statements about the anal canal is true? The anal canal:
A) is about 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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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/20706
Sample Questions
Q1) A 52-year-old patient states that when she sneezes or coughs she "wets herself a little." She is very concerned that something may be wrong with her.The nurse suspects that the problem is:
A) dysuria.
B) stress incontinence.
C) hematuria.
D) urge incontinence.
Q2) A patient has had three pregnancies and two live births.The nurse would record this information as gravida _____,para _____,AB _____.
A) 2; 2; 1
B) 3; 2; 0
C) 3; 2; 1
D) 3; 3; 1
Q3) A 22-year-old woman has been considering using oral contraceptives.As a part of her history,the nurse should ask:
A) "Do you have a history of heart murmurs?"
B) "Will you be in a monogamous relationship?"
C) "Have you thought this choice through carefully?"
D) "If you smoke, how many cigarettes do you smoke per day?"
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Page 28
Chapter
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Sample Questions
Q1) Which of these statements is true regarding the recording of data from the history and physical examination?
A) Use long, descriptive sentences to document findings.
B) Record the data as soon as possible after the interview and physical examination.
C) If the information is not documented, then it can be assumed that it was done as a standard of care.
D) The examiner should avoid taking any notes during the history and examination because of the possibility of decreasing rapport with the patient.
Q2) The nurse is documenting the assessment of an infant.During the abdominal assessment,the nurse noticed 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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Chapter 28: Bedside Assessment of the Hospitalized Adult
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Sample Questions
Q1) The nurse is assessing the intravenous (IV)infusion at the beginning of the shift.Which of these should be included in the assessment of the infusion? Select all that apply.
A) Proper IV solution is infusing according to physician's orders.
B) IV solution is infusing at the proper rate according to physician's orders.
C) The infusion is proper according to the nurse's assessment of the patient's needs.
D) Capillary refill in the fingers
E) IV site date
F) Whether the patient is voiding sufficiently
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
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Chapter 29: The Pregnant Woman
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Sample Questions
Q1) The nurse is palpating the abdomen of a woman who is 35 weeks pregnant and notices that the fetal head is facing downward toward the pelvis.The nurse would document this as fetal:
A) lie.
B) variety.
C) attitude.
D) presentation.
Q2) During a woman's 34th week of pregnancy,she is told that she has preeclampsia.The nurse knows that which of these statements about preeclampsia is true?
A) Preeclampsia has little effect on the fetus.
B) Edema is one of the main indications of preeclampsia.
C) Eclampsia only occurs before delivery of the baby.
D) Untreated preeclampsia may contribute to restriction of fetal growth.
Q3) During an internal examination of a woman during her first prenatal visit,the nurse finds that the cervix is soft.This is known as _____ sign.
A) Hegar's
B) Chadwick's
C) Homans'
D) Goodell's
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Page 31
Chapter 30: Functional Assessment of the Older Adult
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Sample Questions
Q1) The nurse is preparing to use the Lawton IADL instrument as part of an assessment.Which statement about the Lawton IADL instrument is true?
A) The nurse uses direct observation to implement this tool.
B) It is designed as a self-report measure of performance rather than ability.
C) It is not useful in the acute hospital setting.
D) It is best used for those residing in an institutional setting.
Q2) The nurse is administering a test that is timed over 15 minutes and assesses a patient's upper body fine motor and coarse motor activities,balance,mobility,coordination,and endurance.During this test,activities such as dressing and stair climbing are timed.Which test is described by these activities?
A) The Get Up and Go Test
B) The Performance Activities of Daily Living
C) The Physical Performance Test
D) Tinetti Gait and Balance Evaluation
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