Clinical Skills for Nurses Pre-Test Questions
Course Introduction
This course equips nursing students with essential clinical skills required for effective patient care in diverse healthcare settings. Through a combination of theoretical instruction and hands-on practice in simulation labs and clinical environments, students learn foundational competencies such as vital sign measurement, medication administration, infection control, wound care, basic assessment techniques, and documentation. The course emphasizes patient safety, ethical practice, and effective communication with patients and multidisciplinary teams, preparing students for real-world clinical challenges and fostering confidence in delivering high-quality nursing care.
Recommended Textbook
Physical Examination and Health Assessment Canadian 2nd Edition by Carolyn Jarvis
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31 Chapters
1148 Verified Questions
1148 Flashcards
Source URL: https://quizplus.com/study-set/1250
Page 2
Chapter 1: Critical Thinking and Evidence-Informed Assessment
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/24663
Sample Questions
Q1) Which of the following would be included in a total health database for a well person?
A)Nursing goals for the patient
B)Anticipated growth and development patterns
C)A patient's perception of his or her health status
D)The nurse's perception of disease as related to this patient
Answer: C
Q2) Which of the following best describes a proficient nurse?
A)A nurse who has little experience with a specified population and uses rules to guide performance
B)A nurse who has an intuitive grasp of a clinical situation and quickly identifies the accurate solution
C)A nurse who sees actions in the context of daily plans for patients
D)A nurse who sees a patient's situation as a whole,with long-term goals for the patient,rather than as a list of tasks to be performed
Answer: D
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Chapter 2: Health Promotion in the Context of Health Assessment
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) According to the Ottawa Charter for Health Promotion,which of the following is the definition of health promotion?
A)The inclusion of primary,secondary,and tertiary prevention strategies
B)The process of enabling people to increase control over,and improve their health
C)A positive view of all environmental and biological influences on health
D)Maximizing all of the social determinants of health for families
Answer: B
Q2) Which of the following is true in relation to the current conceptualization of the meaning of health?
A)It is a two-dimensional concept.
B)It is the absence of disease.
C)It accounts for the importance of the physical and social environment.
D)The conceptualization is individual,and health is what the person indicates that it means to that person.
Answer: C
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Chapter 3: Cultural Competence: Cultural Care and Social
Considerations in Health Assessment
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/24665
Sample Questions
Q1) While working in the surgical unit,the nurse notices that a patient speaks a language that she cannot understand.The nurse is aware that the hospital has a number of postoperative instructions,translated videos,and brochures in this patient's language,in addition to having a translator on staff.These are all examples of:
A)language services that are available to all admitted patients.
B)the standards for cultural and linguistically appropriate services.
C)ways of addressing diversity within the hospital.
D)ways in which the hospital is not ready to communicate with diverse patients.
Answer: B
Q2) A family who is new to Canada has come to the family practice unit seeking a primary care practitioner.The mother begins crying and says that she misses her family back home but has come to Canada because her husband cannot find work in their country.This is an example of:
A)racialization.
B)immigration.
C)refugee status.
D)a push-pull factor.
Answer: D
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Chapter 4: The Interview
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) The interview portion of data collection obtains:
A)physical data.
B)historical data.
C)objective data.
D)subjective data.
Q2) Receiving is a vital part of the communication process.Which one of the receivers listed below is most likely to misinterpret a message sent by a health care provider?
A)A well-adjusted adolescent in for a sports-related physical examination
B)A recovering alcoholic in for a basic physical examination
C)A man whose wife has just been diagnosed with lung cancer
D)A hearing-impaired man who uses sign language to communicate and has an interpreter with him
Q3) A 16-year-old boy has just been admitted 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.
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6
Chapter 5: The Complete Health History
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) Which of the following best describes the purpose of a functional assessment?
A)It assesses how the individual is coping with life at home.
B)It determines how children are meeting developmental milestones.
C)It can identify any memory problems an individual may be experiencing.
D)In the case of the older adult,it helps determine how that person is managing day-to-day activities.
Q2) In response to a question about stress,a 39-year-old woman tells the nurse that her husband and mother both died in the past year.Which of the following responses by the nurse is most appropriate?
A)"This has been a difficult year for you."
B)"I don't know how anyone could handle that much stress in one year!"
C)"What did you do to cope with the loss of your husband and your mother?"
D)"That is a lot of stress;now let's go on to the next section of your history."
Q3) The mother of a 16-month-old toddler tells the nurse that her daughter has an earache.Which of the following would be an appropriate response?
A)"Maybe she is just teething."
B)"I will check her ear for any ear infection."
C)"Are you sure she is really having pain?"
D)"Please describe what she is doing to indicate she is having pain."
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Page 7
Chapter 6: Mental Health Assessment
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/24668
Sample Questions
Q1) To assess affect,the nurse should ask the patient:
A)"How do you feel today?"
B)"Would you please repeat the following words?"
C)"Have these medications had any effect on your pain?"
D)"Has this pain affected your ability to dress yourself?"
Q2) A 23-year-old patient is in the clinic and appears anxious.Her speech is rapid.She is fidgety and in constant motion.Which of the following questions or statements would be most appropriate for the nurse to use in this situation to assess attention span?
A)"How do you usually feel? Is this normal behaviour for you?"
B)"I am going to say four words.In a few minutes,I will ask you to recall them."
C)"Please describe the meaning of the phrase,'looking through rose-coloured glasses'."
D)"Please pick up the pencil in your left hand,move it to your right hand,and place it on the table."
Q3) A score of 6 on the MoCA tool indicates:
A)no cognitive impairment.
B)mild cognitive impairment.
C)moderate cognitive impairment.
D)severe cognitive impairment.
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Chapter 7: Substance Use in the Context of Health Assessment
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which is one of the most influential determinants of substance use patterns?
A)Parental patterns of use
B)Peer group substance usage
C)Social acceptability
D)Gender
Q2) A pregnant woman has just told you that she is smokes marijuana daily and snorts cocaine regularly.Which should the nurse do in relation to this information?
A)Complete a referral to Child Protection Services.
B)Ask the woman to stop substance use while she is pregnant.
C)Phone the doctor to obtain an order for methadone for the woman.
D)Maintain confidentiality,and use discretion when charting this information.
Q3) According to the Canadian Nurses Association,which of the following is a principle of harm reduction?
A)Harm reduction focuses on reducing harm associated with a narrow range of substances.
B)Harm reduction requires abstinence and discontinuation of substance use.
C)Harm reduction is the opposite of prevention and treatment approaches.
D)Harm reduction requires substance users to participate in policy making and program development.
Page 9
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Chapter 8: Interpersonal Violence Assessment
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/24670
Sample Questions
Q1) The nurse is assessing an older woman and suspects elder abuse.Which of the following 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 who enters your home?
E)Has anyone ever failed to take care of you when you needed help?
Q2) The nurse suspects abuse when a 10-year-old child is brought to the urgent care centre for a leg injury.The best way to document the history and physical findings is to:
A)write what the child's caregiver tells the nurse.
B)use the words the child used to describe how the injury occurred.
C)write what the nurse observes during the conversation.
D)rely on photographs of the injuries.
Q3) When documenting IPV and elder abuse,the nurse should include:
A)photographic documentation of injuries.
B)a summary of the abused person's statements.
C)verbatim documentation of every statement made by the abused person.
D)a general description of injuries in the progress notes.
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Page 10
Chapter 9: Assessment Techniques and the Clinical Setting
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/24671
Sample Questions
Q1) A 6-month-old infant has been brought to the well-child clinic for a checkup.She is currently sleeping.What should the examiner do first?
A)Auscultate the lungs and heart while the infant is still sleeping.
B)Examine the infant's hips when the infant is still asleep because this procedure usually causes discomfort.
C)Begin with the assessment of the eye and continue with the remainder of the examination in a head-to-toe approach.
D)Wake the infant before beginning any part of the examination to obtain the most accurate assessment of body systems.
Q2) During the examination of a patient's abdomen,the nurse notes that the abdomen is rounded and firm to the touch.Percussion produces a drumlike sound across the quadrants.This type of sound indicates:
A)constipation.
B)air-filled areas.
C)the presence of a tumour.
D)the presence of dense organs.
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Chapter 10: General Survey, measurement, and Vital Signs
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/24672
Sample Questions
Q1) A nurse is helping at a health fair at a local mall.When measuring BPs in a variety of people,the nurse keeps in mind that:
A)after menopause,BP in women is usually lower than in men.
B)an adult of African descent often has a higher BP than an adult of European descent who is the same age.
C)BP measurements in overweight people should be the same as in those of normal weight.
D)a teen's BP reading will be lower than that of an adult.
Q2) Which of the following statements about taking an axillary temperature is true?
A)A stable axillary temperature will register after 3 minutes.
B)The accuracy and reliability of this method are well established.
C)Its results are closer to the core temperature than the inguinal method.
D)The axillary method is safer and more accessible than the rectal method.
Q3) In a patient with acromegaly,the nurse will expect to observe:
A)heavy,flattened facial features.
B)growth retardation and a delayed onset of puberty.
C)overgrowth of bone in the face,head,hands,and feet.
D)increased height and weight,and delayed sexual development.
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Chapter 11: Pain Assessment
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/24673
Sample Questions
Q1) When assessing a patient's pain,the nurse knows that an example of visceral pain would be pain due to:
A)hip fracture.
B)cholecystitis.
C)second-degree burns.
D)a leg amputation.
Q2) Nociception is the term used to describe noxious stimuli that are typically perceived as pain.During which phase of nociception does the conscious awareness of a painful sensation occur?
A)Perception
B)Modulation
C)Transduction
D)Transmission
Q3) Which type of pain occurs as a result of abnormal processing of the pain impulse through the peripheral or central nervous system?
A)Visceral pain
B)Referred pain
C)Cutaneous pain
D)Neuropathic pain
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Chapter 12: Nutritional Assessment and Nursing Practice
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/24674
Sample Questions
Q1) The nurse is assessing a 30-year-old unemployed immigrant from a developing country who has been in Canada for 1 month.Which of the following problems related to his nutritional status might the nurse expect to find?
A)Obesity
B)Hypotension
C)Osteomalacia
D)Coronary artery disease
Q2) A 40-year-old man has recently lost 9 kg (20 lb)because of a quick-loss diet and stress.He tells the nurse that he keeps getting "colds and the flu." In addition to assessing his nutritional status,which laboratory report would the nurse want to obtain?
A)Serum albumin
B)Cholesterol level
C)Serum transferrin
D)Total lymphocyte count
Q3) Which of the following statements about nutritional assessment is true?
A)It is only useful in patients who are overweight.
B)It identifies patients who are at risk of malnutrition.
C)Nutritional assessment can only be thoroughly done by a dietitian.
D)It provides the nurse with physical findings related to all the systems.
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Page 14
Chapter 13: Skin, hair, and Nails
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56 Verified Questions
56 Flashcards
Source URL: https://quizplus.com/quiz/24675
Sample Questions
Q1) A large patch showing capillary bleeding into tissues
A) Bulla
B) Petechiae
C) Nodule
D) Keloid
E) Vesicle
F) Ecchymosis (bruise)
Q2) A 45-year-old farmer comes in for skin evaluation and complains of hair loss. He has noticed that the hair on his head seems to be breaking off in patches and that there is some scaling on his scalp. The nurse would begin the examination suspecting:
A)tinea capitis.
B)tinea corporis.
C)toxic alopecia.
D)seborrheic dermatitis.
Q3) When assessing inflammation in a dark-skinned person,the nurse may need to:
A)assess the skin for cyanosis and swelling.
B)assess the oral mucosa for generalized erythema.
C)palpate the skin for edema and increased warmth.
D)palpate for tenderness and local areas of ecchymosis.
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Page 15
Chapter 14: Head and Neck, including Regional Lymphatic System
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/24676
Sample Questions
Q1) Newborn infant
A)Head circumference equal to chest circumference
B)Head circumference greater than chest circumference
C)Head circumference less than chest circumference
Q2) When examining the face,the nurse is aware that the two pairs of salivary glands that are accessible to examination are the _____ glands.
A)occipital and submental
B)parotid and jugulodigastric
C)parotid and submandibular
D)submandibular and occipital
Q3) A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her head.The nurse suspects damage to CN _____ and starts the examination by:
A)XI;palpating the anterior and posterior triangles.
B)XI;asking the patient to shrug her shoulders against resistance.
C)XII;percussing the sternomastoid and submandibular neck muscles.
D)XII;assessing for a positive Romberg's sign.
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Page 16
Chapter 15: Eyes
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/24677
Sample Questions
Q1) During an ophthalmoscopic examination of a patient,the examiner notes areas of exudate that look like "cotton wool" or fluffy grey-white cumulus clouds.Which of the possible problems below does this finding indicate?
A)Diabetes
B)Hyperthyroidism
C)Glaucoma
D)Hypotension
Q2) The nurse is conducting an eye clinic at the day care centre.When examining a 2-year-old child,if "lazy eye" is suspected,the nurse would:
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) A patient has a normal pupillary light reflex.The nurse recognizes this to indicate that:
A)vision in both eyes converges to focus on the light.
B)light is reflected at the same spot in both eyes.
C)the eye focuses the image at the centre of the pupil.
D)constriction of both pupils occurs in response to bright light.
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Page 17
Chapter 16: Ears
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/24678
Sample Questions
Q1) The nurse is taking history from a patient who may have a perforated eardrum.What would be an important question in this situation?
A)"Do you ever notice ringing or crackling in your ears?"
B)"When was the last time you had your hearing checked?"
C)"Have you ever been told you have any type of hearing loss?"
D)"Was there any relationship between the ear pain and the discharge you mentioned?"
Q2) During an assessment of a 20-year-old Aboriginal patient,the nurse notices that he has dry,flaky cerumen in his ear canal.What is the significance of this finding?
A)This is probably the result of eczema lesions in his ear.
B)This indicates poor hygiene.
C)This is a normal finding,and no further follow-up is necessary.
D)This could be indicative of change in cilia;the nurse should assess for conductive hearing loss.
Q3) Which of the following is a risk factor for ear infections in young children?
A)Family history
B)Air conditioning
C)Excessive cerumen
D)Second-hand cigarette smoke
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Page 18
Chapter 17: Nose, mouth, and Throat
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/24679
Sample Questions
Q1) While obtaining history for a 1-year-old from the mother,the nurse notices that the baby has had a bottle in his mouth the entire time.The mother states that "it makes a great pacifier." The best response by the nurse would be:
A)"You're right,bottles make very good pacifiers."
B)"Use of a bottle is better for the teeth than thumb-sucking."
C)"It's okay to do this as long as the bottle contains milk and not juice."
D)"Prolonged use of a bottle can increase the risk for tooth decay and ear infections."
Q2) A 40-year-old patient who has just finished chemotherapy for breast cancer tells the nurse that she is concerned about her mouth.During assessment,the nurse finds the following: areas of buccal mucosa that are raw and red with some bleeding,as well as other areas that have a white,cheesy coating.The nurse recognizes that this abnormality is:
A)carcinoma.
B)candidiasis.
C)leukoplakia.
D)Koplik's spots.
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Chapter 18: Breasts and Regional Lymphatic System
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/24680
Sample Questions
Q1) A patient contacts the clinic and tells the nurse that she is worried that her 10-year-old daughter may have breast cancer.She describes a unilateral enlargement of the right breast with associated tenderness.Which of the following would be the nurse's best response?
A)Tell the mother that breast development is usually fairly symmetrical,so the daughter should be examined right away.
B)Tell the mother that she should bring her daughter in right away because breast cancer is fairly common in preadolescent girls.
C)Tell the mother that a clinical examination of her daughter would help rule out her suspicions,but it is most likely that the condition is due to normal breast development.
D)Tell the mother that it is unusual for newly developing breasts to feel tender because at this stage they would not have developed much fibrous tissue.
Q2) During assessment of a woman's axillary lymph system,the nurse will assess the:
A)central,axillary,lateral,and sternal nodes.
B)pectoral,lateral,anterior,and sternal nodes.
C)central,lateral,pectoral,and subscapular nodes.
D)lateral,pectoral,axillary,and suprascapular nodes.
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Page 20
Chapter 19: Thorax and Lungs
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/24681
Sample Questions
Q1) During examination of the anterior thorax,the nurse is aware that the trachea bifurcates anteriorly at the:
A)costal angle.
B)sternal angle.
C)xiphoid process.
D)suprasternal notch.
Q2) A normal finding when assessing the respiratory system of an older adult is:
A)increased thoracic expansion.
B)decreased mobility of the thorax.
C)a decreased anteroposterior diameter.
D)bronchovesicular breath sounds throughout the lungs.
Q3) The nurse knows that expected assessment findings in the normal adult lung include:
A)adventitious sounds and limited chest expansion.
B)increased tactile fremitus and dull percussion tones.
C)muffled voice sounds and symmetrical tactile fremitus.
D)absent voice sounds and hyperresonant percussion tones.
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Chapter 20: Heart and Neck Vessels
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) Which of the following would the nurse expect to find during cardiac assessment of a 4-year-old child?
A)S when sitting up
B)Persistent tachycardia above 150 bpm
C)Murmur at second left intercostal space when supine
D)Palpable apical impulse in fifth left intercostal space lateral to the midclavicular line
Q2) During cardiac auscultation,the nurse hears a sound occurring immediately after S at the second left intercostal space.What would the nurse do to further assess this sound?
A)Have the patient turn to the left side,and listen with the bell.
B)Ask the patient to hold the breath,and listen again.
C)No further assessment is needed because it is definitely an S .
D)Watch the patient's respirations while listening for effect on the sound.
Q3) Which sequence does the electrical stimulus of the cardiac cycle follow?
A)AV node -> SA node -> bundle of His
B)Bundle of His -> AV node -> SA node
C)SA node -> AV node -> bundle of His -> bundle branches
D)AV node -> SA node -> bundle of His -> bundle branches
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22
Chapter 21: Peripheral Vascular System and Lymphatic System
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) Why would the nurse perform a modified Allen test?
A)To measure the rate of lymphatic drainage
B)To evaluate the adequacy of capillary patency before drawing venous blood
C)To evaluate the adequacy of collateral circulation before cannulating the radial artery
D)To evaluate the venous refill rate that occurs after the ulnar and radial arteries are temporarily occluded
Q2) To assess the dorsalis pedis artery,the nurse would palpate:
A)behind the knee.
B)over the lateral malleolus.
C)in the groove behind the medial malleolus.
D)lateral to the extensor tendon of the great toe.
Q3) A 35-year-old man is at the clinic for an "infection in my left foot." Which of the following would the nurse expect to find during assessment of this patient?
A)Hard and fixed cervical nodes
B)Enlarged and tender inguinal nodes
C)Bilateral enlargement of the popliteal nodes
D)"Pellet-like" nodes in the supraclavicular region
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Page 23
Chapter 22: Abdomen
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40 Flashcards
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Sample Questions
Q1) While participating in patient assessment,the student nurse hears that a patient has "hepatomegaly" and recognizes that this term refers to:
A)an enlarged liver.
B)an enlarged spleen.
C)distended bowels.
D)excessive diarrhea.
Q2) During an assessment,the nurse notes that a patient's umbilicus is enlarged and everted.It is midline,and there is no change in skin colour.The nurse recognizes that the patient may have which condition?
A)Intra-abdominal bleeding
B)Constipation
C)Umbilical hernia
D)An abdominal tumour
Q3) Tenderness on light palpation in the RLQ could indicate a disorder of which of the following structures?
A)Spleen
B)Sigmoid
C)Appendix
D)Gallbladder
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Page 24
Chapter 23: Anus,rectum and Prostate
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) Which of the following techniques is correct for palpation of the rectum?
A)Flex the finger,and insert it slowly toward the umbilicus.
B)First instruct the patient 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.
Q2) The nurse is caring for a newborn infant.Thirty hours after birth,the infant passes a dark green meconium stool.The nurse recognizes that this is important because:
A)this stool would indicate anal patency.
B)the dark green colour could indicate occult blood in the stool.
C)meconium stool can be reflective of distress in the newborn.
D)the newborn should have passed the first stool within 12 hours after birth.
Q3) During an assessment of a 20-year-old man,the nurse finds a small,palpable lesion containing a tuft of hair and located directly over the coccyx.The nurse knows that this lesion would most likely be a:
A)polyp.
B)pruritus ani.
C)benign tumour.
D)pilonidal cyst.
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25
Chapter 24: Musculoskeletal System
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52 Verified Questions
52 Flashcards
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Sample Questions
Q1) The nurse is checking the range of motion in a patient's knee and knows that the knee is capable of the following movements:
A)Flexion and extension
B)Supination and pronation
C)Circumduction
D)Inversion and eversion
Q2) A patient is being assessed for his range of joint movement.The nurse asks him to move his arm in toward the centre of his body.This movement is called: A)flexion.
B)abduction.
C)adduction.
D)extension.
Q3) Of the 33 vertebrae in the spinal column,there are:
A)5 lumbar vertebrae.
B)5 thoracic vertebrae.
C)7 sacral vertebrae.
D)12 cervical vertebrae.
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Chapter 25: Neurological System
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54 Verified Questions
54 Flashcards
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Sample Questions
Q1) 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.
Q2) Which of the following would the nurse use to test the motor coordination of an 11-month-old infant?
A)Nipissing District Developmental Screen
B)Denver II
C)Deep tendon reflexes
D)Rapid alternating movements
Q3) The nurse knows that which of the following scores would indicate that a patient is in a coma based on the Glasgow Coma Scale criteria?
A)6
B)12
C)15
D)24
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Page 27
Chapter 26: Male Genitourinary System
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) A 59-year-old patient has been diagnosed with prostatitis and is being seen at the clinic for complaints of burning and pain during urination.He is experiencing: A)dysuria.
B)nocturia.
C)polyuria.
D)hematuria.
Q2) A male patient with possible fertility problems asks the nurse where sperm are produced.The nurse knows that sperm production occurs in the: A)testes.
B)prostate.
C)epididymis.
D)vas deferens.
Q3) When performing a genitourinary assessment,the nurse notes that the urethral meatus is positioned ventrally.This finding is:
A)called hypospadias.
B)the result of phimosis.
C)probably due to a stricture.
D)often associated with aging.
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Chapter 27: Female Genitourinary System
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) When the nurse is discussing sexuality and sexual issues with adolescents,a permission statement helps to convey that it is normal to think or feel a certain way.Which of the following is the best example of a permission statement?
A)"It's okay that you have become sexually active."
B)"Often girls your age have questions about sexual activity.Do you?"
C)"If it's okay with you,I'd like to ask you some questions about your sexual history."
D)"Often girls your age engage in sexual activity.It's okay to tell me if you have had intercourse."
Q2) The nurse has just completed an inspection of a woman's external genitalia.Which of the following describes a finding within normal limits?
A)Redness of the labia majora
B)Multiple nontender sebaceous cysts
C)Discharge that is sticky and yellow-green
D)Swelling of the perineum before onset of menses
Q3) Third degree prolapse is:
A)Cervix bulges outside the introitus with straining.
B)The whole uterus protrudes,even without straining.
C)Cervix appears at introitus with straining.
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Sample Questions
Q1) Gloves should be worn for which of the following examinations?
A)Measurement of vital signs
B)Palpation of the sinuses
C)Palpation of the mouth and tongue
D)Inspection of the eye with an ophthalmoscope
Q2) Which of the following is included in assessment of general appearance?
A)Height
B)Weight
C)Skin colour
D)Vital signs
Q3) During an examination,the patient tells the nurse that she sometimes feels as if objects are spinning around her.The nurse would note that she occasionally experiences: (This question reflects the results an examiner may find during a complete physical examination.Content in this question is not necessarily addressed directly in Jarvis' Physical Examination & Health Assessment. )
A)vertigo.
B)tinnitus.
C)syncope.
D)dizziness.
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Chapter 29: Bedside Assessment of the Hospitalized Patient
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Sample Questions
Q1) During a morning assessment,the nurse notes that a patient's urine output is below the expected amount.What should be done next?
A)An order for a Foley catheter should be obtained.
B)An order for a straight catheter should be obtained.
C)Perform a bladder scan test.
D)Refer the patient to a urologist.
Q2) The nurse is assessing the IV infusion at the beginning of the shift.Which of the following should be included in the assessment of the infusion? (Select all that apply. )
A)The proper IV solution is infusing,according to physician's orders.
B)Infusion is occurring at the proper rate,according to physician's orders.
C)The infusion solution and rate are proper,according to the nurse's own assessment of the patient's needs.
Q3) During an assessment,the nurse is unable to palpate pulses in the left lower leg.The nurse should:
A)document that the pulses are not palpable.
B)reassess the pulses in 1 hour.
C)have the patient turn to the side,and then palpate for the pulses again.
D)use a Doppler device to assess the pulses.
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31
Chapter 30: Pregnancy
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Sample Questions
Q1) When performing the examination of a woman who is 8 weeks pregnant,the nurse notes that her cervix is a bluish colour.The nurse would document this finding as:
A)Hegar's sign.
B)Homan's sign.
C)Chadwick's sign.
D)Goodell's sign.
Q2) A woman who is in week 25 of her pregnancy comes to the clinic for her prenatal visit.The nurse notes that her face is swollen and that her blood pressure is 144/94 mm Hg.She states that she has had headaches and blurry vision,but thought she was just tired.What should the nurse suspect?
A)Eclampsia
B)Pre-eclampsia
C)Diabetes type 1
D)Premature labour
Q3) The nurse knows that classic symptoms associated with pre-eclampsia include:
A)proteinuria,headaches,and seizures.
B)elevated blood pressure and proteinuria.
C)elevated liver enzymes and high platelet count.
D)neurological signs,elevated blood pressure,and edema.
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Chapter 31: Functional Assessment of the Older Adult
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Sample Questions
Q1) Which of the following statements regarding common environmental hazards is most appropriate for the nurse to make during a functional assessment of an older person's home environment?
A)"These low toilet seats are safe because they are nearer to the ground in case of falls."
B)"Ask a relative or friend to help you to install grab bars in your shower."
C)"These small rugs are ideal for preventing you from slipping on the hard floor."
D)"It would be safer to keep the lighting low in this room to avoid glare in your eyes."
Q2) The nurse is assessing the forms of support an older patient has before she is discharged.Which of the following illustrates an informal source of support?
A)The local senior centre
B)Her cleaning lady
C)Her Meals on Wheels meal delivery service
D)Her neighbour,who visits with her daily
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