Nursing Practice I Study Guide Questions
Course Introduction
Nursing Practice I provides students with a foundational introduction to the principles and skills essential for professional nursing care. Emphasizing patient-centered, evidence-based practice, this course covers assessment techniques, basic clinical procedures, documentation, and the role of the nurse in multidisciplinary healthcare teams. Through a combination of classroom learning and hands-on clinical experiences, students begin to develop critical thinking, communication, and psychomotor skills while fostering compassion, ethical understanding, and cultural sensitivity in the provision of care for diverse patient populations.
Recommended Textbook Health Assessment for Nursing Practice 6th Edition by Wilson
Available Study Resources on Quizplus
24 Chapters
634 Verified Questions
634 Flashcards
Source URL: https://quizplus.com/study-set/177
Page 2
Chapter 1: Introduction to Health Assessment
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/2458
Sample Questions
Q1) Which is an example of data a nurse collects during a physical examination?
A) The patient's lack of hair and shiny skin over both shins
B) The patient's stated concern about lack of money for prescriptions
C) The patient's complaints of tingling sensations in the feet
D) The patient's mother's statements that the patient is very nervous lately
Answer: A
Q2) For which person is a shift assessment indicated?
A) The person who had abdominal surgery yesterday
B) The person who is unaware of his high serum glucose levels
C) The person who is being admitted to a long-term care facility
D) The person who is beginning rehabilitation after a knee replacement
Answer: A
Q3) Which patient information does the nurse document in the patient's physical assessment?
A) Slurred speech
B) Immunizations
C) Smoking habit
D) Allergies
Answer: A
To view all questions and flashcards with answers, click on the resource link above.
Page 3
Chapter 2: Obtaining a Health History
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/2459
Sample Questions
Q1) Which technique used by the nurse encourages a patient to continue talking during an interview?
A) Laughing and smiling during conversation
B) Using phrases such as "Go on," and "Then?"
C) Repeating what the patient said, but using different words
D) Asking the patient to clarify a point
Answer: B
Q2) Which data do nurses document under the heading of Personal and Psychosocial History? (Select all that apply.)
A) Walks for 45 minutes each day
B) Eats meats, vegetables, and fruit at two meals daily
C) Is allergic to milk and milk products
D) Is married and has two daughters whom he is close to
E) Smokes marijuana once a week
F) Grandfather died from prostate cancer
Answer: A, B, D, E
To view all questions and flashcards with answers, click on the resource link above.
4
Chapter 3: Techniques and Equipment for Physical Assessment
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/2460
Sample Questions
Q1) What tool does the nurse use to assess the patient's near vision?
A) A Snellen eye chart placed about 12 inches from the patient's face
B) An ophthalmoscope with the diopter set at 0 (zero)
C) A Jaeger or Rosenbaum chart placed about 2 feet from the patient's face
D) A newspaper held about 14 inches from the patient's face
Answer: D
Q2) How does a nurse assess for fluid in a patient's abdomen?
A) Placing the nondominant hand (pleximeter) over the area to be percussed, and striking the index finger of the pleximeter with the pad of the middle finger of the dominant hand
B) Applying indirect percussion by tapping one finger lightly on the abdominal wall with the plexor
C) Placing the middle finger of the nondominant hand (pleximeter) over the area to be percussed, and striking that finger with the tip of the middle finger of the dominant hand
D) Using direct percussion by placing one hand over the abdomen and striking lightly with the other hand
Answer: C
To view all questions and flashcards with answers, click on the resource link above.
Page 5
Chapter 4: General Inspection and Measurement of Vital Signs
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/2461
Sample Questions
Q1) A female patient admitted with fluid retention has been in diuretic therapy to remove fluid. She weighed 187 lb on admission. Today she weighs 179 lb. Since admission, this patient has lost _____ L from fluid loss.
Q2) Which action by the nurse results in the patient's blood pressure measurement being falsely high? (Select all that apply.)
A) Using a blood pressure cuff that is too narrow for the patient's upper arm
B) Deflating the blood pressure cuff too rapidly
C) Wrapping the blood pressure cuff too loosely
D) Reinflating the blood pressure cuff before it completely deflates
E) Positioning the patients arm above the level of the heart
Q3) Which statement is correct regarding taking or interpreting axillary temperatures?
A) Axillary temperatures should not be used in patients less than 2 years of age.
B) Readings may be less accurate.
C) The thermometer is left in place for no more than 3 minutes.
D) The thermometer is placed in the axilla with the shoulder abducted.
To view all questions and flashcards with answers, click on the resource link above. Page 6
Chapter 5: Cultural Assessment
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/2462
Sample Questions
Q1) During the first prenatal visit for a 20-year-old Hispanic woman, the nurse assesses the patient's health beliefs and practices. Which questions are appropriate as part of this assessment? (Select all that apply.)
A) You are Hispanic, do you need me to find an interpreter?
B) What is the language that is usually spoken in your home?
C) How do you define health and illness?
D) Which Catholic church do you attend?
E) Do you have specific beliefs or preferences concerning food or food preparation?
F) Do you or the members of your family have certain beliefs and practices surrounding pregnancy and childbirth?
Q2) A nurse is conducting an assessment of an American Indian woman who has come to the clinic complaining of persistent headaches. The patient tells the nurse that the medicines prescribed by the tribal healer have done "some good." What is the appropriate response of the nurse at this time?
A) "I advise you to stop taking those medicines from the tribal healer."
B) "Perhaps you should increase the frequency of the healer's medicines."
C) "Tell me about these medicines and how often you are using them."
D) "Could your headaches be caused by the healer's medicines?"
To view all questions and flashcards with answers, click on the resource link above.
7
Chapter 6: Pain Assessment
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/2463
Sample Questions
Q1) A nurse is assessing a patient who complains of awful abdominal pain and rates it as a 9 on a scale of 0 to 10. Which of the following physiologic signs may accompany acute pain? (Select all that apply.)
A) Tachycardia
B) Irritability
C) Increased blood pressure
D) Depression
E) Insomnia
F) Sweating
Q2) Which patient would be expected to experience acute pain?
A) A patient who had abdominal surgery 8 hours ago
B) A patient who has cancer and has been receiving treatment for 4 months
C) A patient who states that he or she has lived with severe pain for many years
D) A patient who has been treated unsuccessfully over the past year for back pain
To view all questions and flashcards with answers, click on the resource link above.
8
Chapter 7: Mental Health Assessment
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/2464
Sample Questions
Q1) A female patient states that she has had problems with depression in the past and thinks she is depressed again. Which response by the nurse is most appropriate?
A) "What do you think is causing your depression this time?"
B) "What therapies have worked for you in the past?"
C) "Did you stop taking your medication?"
D) "Do you think this is a situational depression?"
Q2) A 24-year-old male patient tells the nurse he has had no energy for 2 weeks. He has no trouble falling asleep; in fact, he sleeps deeply about 12 hours every night. He states that he has gained 10 lb in the past 2 months and has no friends. The nurse associates these manifestations with which mental health disorder?
A) Depression
B) Schizophrenia
C) Bipolar disorder
D) Anxiety disorder
Q3) What function do neurotransmitters have in mental health disorders?
A) Dopamine levels are increased in schizophrenia.
B) Increased levels of gamma aminobutyric acid (GABA) contribute to anxiety.
C) Serotonin is decreased in a state of anxiety.
D) Norepinephrine is increased in depression.
To view all questions and flashcards with answers, click on the resource link above.
Page 9
Chapter 8: Nutritional Assessment
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2465
Sample Questions
Q1) A nurse is assessing an 80-year-old patient who is cared for at home by his 79-year-old wife. Which data indicate this patient has malnutrition? (Select all that apply.)
A) Body mass index (BMI) of 17
B) Waist-to-hip ratio of 1.0
C) Weight loss of 6% since last month's visit
D) Prealbumin level of 16 mg/dl
E) Hematocrit level of 50%
F) Hemoglobin level of 20 g/dl
Q2) A patient who keeps his fat consumption at 10% of his total caloric intake is at risk for deficiency of which nutrient(s)?
A) Iron
B) Vitamins A, D, and K
C) Zinc
D) B and C vitamins
Q3) A man who is 6 feet 9 inches tall is told by his provider to lose weight so that he is closer to his desired body weight. He asks the nurse, How can I find out what my desired body weight should be? The nurse responds, Let me show you how to calculate it. Your desired body weight (DBW) should be ______ lb.
To view all questions and flashcards with answers, click on the resource link above.
Page 10
Chapter 9: Skin, Hair, and Nails
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2466
Sample Questions
Q1) A nurse is inspecting the nails of a patient with chronic hypoxemia and notices enlargements of the ends of the fingers and angles of the nail base greater than a straight line (exceeding 180 degrees). How does the nurse document these findings?
A) An expected finding
B) Koilonychia (spoon nail)
C) Clubbing
D) Leukonychia
Q2) When performing a skin assessment of an adult patient, the nurse expects what finding?
A) Reddened area does not blanch when gentle pressure is applied.
B) Indentation of the finger remains in the skin after palpation.
C) Flaking or scaling of the skin
D) Return of skin to its original position when pinched up slightly
Q3) When the patient's chart includes a notation that petechiae are present, what finding does a nurse expect during inspection?
A) Purplish-red pinpoint lesions
B) Deep purplish or red patches of skin
C) Small raised fluid-filled pinkish nodules
D) Generalized reddish discoloration of an area of skin
To view all questions and flashcards with answers, click on the resource link above.
Page 11
Chapter 10: Head, Eyes, Ears, Nose, and Throat
Available Study Resources on Quizplus for this Chatper
75 Verified Questions
75 Flashcards
Source URL: https://quizplus.com/quiz/2467
Sample Questions
Q1) Which cranial nerve is assessed by using the Snellen visual acuity chart?
A) Optic cranial nerve (CN II)
B) Oculomotor cranial nerve (CN III)
C) Abducens cranial nerve (CN IV)
D) Trochlear cranial nerve (CN VI)
Q2) A patient complains of sore throat, pain with swallowing, fever, and chills. The nurse suspects tonsillitis and plans to palpate the anterior cervical lymph nodes. Where does the nurse place his fingers to palpate these nodes?
A) In front of the ears
B) Under the mandibles
C) Along the angle of the mandibles
D) Adjacent to the sternocleidomastoid muscles
Q3) A patient reports having migraine headaches on one side of the head that often start with an aura and last 1 to 3 days. As a part of the symptom analysis, the patient reports which associated symptoms of migraine headaches?
A) Nausea, vomiting, or visual disturbances
B) Nasal stuffiness or discharge
C) Ringing in the ears or dizziness
D) Red, watery eyes or drooping eyelids
To view all questions and flashcards with answers, click on the resource link above.
Page 12
Chapter 11: Lungs and Respiratory System
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/2468
Sample Questions
Q1) A patient tells the nurse that he has smoked 1 \(\frac{1}{2}\) packs of cigarettes a day for 14 years. The number of packs the nurse should record in the medical record is ___ pack-years.
Q2) A patient complains of shortness of breath and having to sleep on three pillows to breathe comfortably at night. During the nurse's examination, what findings will suggest that the cause of this patient's dyspnea is due to heart disease rather than respiratory disease?
A) Increased anteroposterior diameter
B) Clubbing of the fingers
C) Bilateral peripheral edema
D) Increased tactile fremitus
Q3) During a history, a nurse notices a patient is short of breath, is using pursed-lip breathing, and maintains a tripod position. Based on these data, what abnormal finding should the nurse expect to find during the examination?
A) Increased tactile fremitus
B) Inspiratory and expiratory wheezing
C) Tracheal deviation
D) An increased anteroposterior diameter
To view all questions and flashcards with answers, click on the resource link above. Page 13
Chapter 12: Heart and Peripheral Vascular System
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/2469
Sample Questions
Q1) A nurse informs a patient that her blood pressure is 128/78. The patient asks what the number 128 means. What is the nurse's appropriate response? The 128 represents the pressure in your blood vessels when:
A) "The ventricles relax and the aortic and pulmonic valves open."
B) "The ventricles contract and the mitral and tricuspid valves close."
C) "The ventricles contract and the mitral and tricuspid valves open."
D) "The ventricles relax and the aortic and pulmonic valves close."
Q2) A patient's blood pressure using the posterior tibial pulse is 104/72 while blood pressure using the brachial pulse is 112/84. This patient's ankle-brachial index is ____.
Q3) A nurse learns from a report that a patient has aortic stenosis. Where does the nurse place the stethoscope to hear this stenotic valve?
A) Second intercostal space, right sternal border
B) Second intercostal space, left sternal border
C) Fourth intercostal space, left sternal border
D) Fifth intercostal space, left midclavicular line
To view all questions and flashcards with answers, click on the resource link above. Page 14
Chapter 13: Abdomen and Gastrointestinal System
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/2470
Sample Questions
Q1) The nurse recognizes which clinical finding as expected on palpation of the abdomen?
A) Inability to palpate the spleen
B) Left kidney rounded at 2 cm below the costal margin
C) Slight tenderness of the gallbladder on light palpation
D) Bounding pulsation of the aorta over the umbilicus
Q2) When assessing an adult's liver, the nurse percusses the lower border and finds it to be 5 cm below the costal margin. What is the nurse's appropriate action at this time?
A) Document this as an expected finding for this adult.
B) Palpate the gallbladder for tenderness.
C) Percuss downward beginning in the right midclavicular line.
D) Use the hooking technique to palpate the lower border of the liver.
Q3) When palpating the abdomen to determine a floating mass, a nurse presses on the abdomen at a 90-degree angle with the fingertips. Which finding indicates a mass?
A) An increase in abdominal girth.
B) A complaint from the patient of a dull pain in the flank area.
C) A freely movable mass will float upward and touch the fingertips.
D) Fluid in the abdomen will shift upward and touch the fingertips.
To view all questions and flashcards with answers, click on the resource link above.
15
Chapter 14: Musculoskeletal System
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/2471
Sample Questions
Q1) A patient asks, "Why is touching my toes necessary? This is a sports physical examination, not exercise class." What is the most appropriate response by the nurse?
A) "This is the best way to check for symmetry of your arms."
B) "I am looking at the stretch of your hamstrings."
C) "This allows me to see how straight your spinal column is."
D) "I am assessing the flexion of your spine."
Q2) What movement from the patient does a nurse request to assess for hyperextension of the hip?
A) Raise one leg at a time while lying prone.
B) Raise one leg at a time while lying supine.
C) Move one leg at a time laterally, away from midline, while lying prone.
D) Move one leg at a time medially, toward midline, while lying supine.
Q3) On inspection of a patient's hands, the nurse notices ulnar deviation and swan-neck deformities bilaterally and correlates this finding with which disorder?
A) Osteoarthritis
B) Osteoporosis
C) Rheumatoid arthritis
D) Gout
To view all questions and flashcards with answers, click on the resource link above.
16
Chapter 15: Neurologic System
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/2472
Sample Questions
Q1) What is the earliest and most sensitive indication of altered cerebral function?
A) Unequal pupils
B) Loss of deep tendon reflexes
C) Paralysis on one side of the body
D) Change in level of consciousness
Q2) How does a nurse test the brachioradial deep tendon reflex?
A) Uses the end of the handle on the reflex hammer to stroke the lateral aspect of the sole of the patient's foot from heel to ball.
B) Asks the patient to slightly pronate the relaxed forearm into the nurse's hand and strikes the appropriate tendon with the reflex hammer.
C) Holds the patient's relaxed arm with the elbow flexed at a 90-degree angle in one hand, and palpates and strikes the appropriate tendon just above the elbow with the flat end of the reflex hammer.
D) Holds the patient's relaxed arm with the elbow flexed at a 90-degree angle, places a thumb over the appropriate tendon in the antecubital fossa, and strikes the thumb with the pointed end of the reflex hammer.
To view all questions and flashcards with answers, click on the resource link above. Page 17
Chapter 16: Breasts and Axillae
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/2473
Sample Questions
Q1) A patient had a left radical mastectomy last year. The nurse assesses for painless and nonpitting swelling of the arm on that side. Which complication of a mastectomy is the nurse assessing for?
A) Infection
B) Lymphedema
C) Inflammation
D) Lymphoma
Q2) In a presentation on breast cancer risk factors, a nurse would be accurate in making which statement?
A) "Women who breastfeed their children are at increased risk of breast cancer."
B) "Women who are more than 30% overweight are at increased risk of breast cancer."
C) "African-American women have the highest risk of breast cancer."
D) "Women who have children before age 30 are at increased risk of breast cancer."
To view all questions and flashcards with answers, click on the resource link above.
18
Chapter 17: Reproductive System and the Perineum
Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/2474
Sample Questions
Q1) The nurse recognizes which patient has the highest risk of endometrial cancer?
A) A 24-year-old woman with menarche at age 9
B) A 30-year-old woman who started menstruating at age 19
C) A 42-year-old woman who reached menopause at age 40
D) A 64-year-old woman who had irregular, heavy menstrual cycles
Q2) The patient is unable to tolerate a bimanual pelvic examination due to pain in ovaries and fallopian tubes. Which disorder does the nurse suspect?
A) Tertiary syphilis
B) Genital herpes
C) Human papillomavirus (HPV) infection
D) Pelvic inflammatory disease
Q3) During a history, a patient reports rectal bleeding, a warning sign of colorectal cancer. The nurse correlates which clinical finding with colorectal cancer?
A) Thick, blood-tinged mucus within the rectum
B) A pus-filled cavity in the anorectal area
C) An irregular mass with raised edges on the rectal wall
D) A small, smooth nodule protruding from the rectum
To view all questions and flashcards with answers, click on the resource link above. Page 19
Chapter 18: Developmental Assessment Throughout the Life Span
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/2475
Sample Questions
Q1) The parents of a 14-year-old boy express concern that their son's behavior ranges from clean-cut and personable to "grungy" and sullen. They have tried talking with him about this and have tried disciplining him, but he continues to show different sides, and they are confused. What is the nurse's assessment for the behavior of this teenager?
A) The teenager is dangerously labile.
B) This behavior is normal experimentation.
C) This boy is being rebelliously hostile.
D) This behavior may require hospitalization.
Q2) Which statement reflects a 21-year-old woman's achievement of an expected developmental task?
A) "I am planning to get married next year."
B) "I don't plan anything without asking my boyfriend first."
C) "I don't know which direction I'll take after college."
D) "I am living with my parents and may stay for a while."
Q3) Which behavior illustrates a developmental task for a "young-old" older adult?
A) Adapting to living alone
B) Adjusting to loss of physical strength, illness, and emotional stress
C) Managing leisure time
D) Accepting possible institutional living arrangements
Page 20
To view all questions and flashcards with answers, click on the resource link above.
Chapter 19: Assessment of the Infant, Child, and Adolescent
Available Study Resources on Quizplus for this Chatper
45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/2476
Sample Questions
Q1) Which finding during inspection of the mouth of a 1-month-old infant requires further investigation?
A) A small loose tooth in the lower jaw
B) Tongue overlapping the floor of the mouth
C) Whitish epithelial cells on the roof of the mouth
D) White patches on the tongue that scrape off easily
Q2) What does the nurse teach to parents to prevent sudden infant death syndrome (SIDS)?
A) Place the baby on back to sleep.
B) Place the baby on side to sleep.
C) Not to feed the baby for 3 hours before sleep.
D) Place the baby on her stomach to sleep.
Q3) In performing a respiratory assessment of a 1-month-old infant, the nurse recognizes which finding as abnormal?
A) Sneezing
B) Coughing
C) Abdominal breathing
D) Predominantly nose breathing
To view all questions and flashcards with answers, click on the resource link above.
Chapter 20: Assessment of the Pregnant Patient
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2477
Sample Questions
Q1) If a patient's last menstrual period was May 13, her estimated date of birth is
Q2) What is the meaning of "G5, T1, P0, A3, L1" found in a patient's history?
A) One birth at term
B) Three living children
C) Five grown children
D) One delivery not at term
Q3) In reviewing the results of physical examination of a 25-year-old pregnant patient, a nurse recognizes which finding as expected?
A) Small, round, oval cervix
B) Pale, symmetrical cervix
C) Smooth, bluish-colored cervix
D) Slit-shaped, pink cervix
Q4) A patient's prepregnant weight was 131 lb, within the desirable range for her height. What is the expected weight for this pregnant patient?
A) 131 lb at 1 week postpartum
B) 140 lb at the end of the first trimester
C) 145 lb at the end of the second trimester
D) 176 lb at the beginning of the third trimester
To view all questions and flashcards with answers, click on the resource link above. Page 22
Chapter 21: Assessment of the Older Adult
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2478
Sample Questions
Q1) Which approach does a nurse use to assess neck range of motion of an older adult patient?
A) Have the patient perform each neck movement separately.
B) Defer range of motion examination if the patient has kyphosis.
C) Ask the patient to turn the head against the resistance of the nurse's hand.
D) Ask the patient to rotate the head starting with forward flexion and moving clockwise.
Q2) During an office visit, a 78-year-old woman is upset because her height is "2 inches less than it was when I was 40!" How does the nurse explain this change to the patient?
A) "Reduced height may occur as you age due to shortening of the vertebrae."
B) "You may be experiencing this height change due to arthritis."
C) "You need to improve your posture by performing stretching exercises."
D) "This is a rare occurrence and warrants having a bone density test."
Q3) In assessing the external eyes of an older adult, a nurse documents which finding as abnormal?
A) Gray-white circle where the cornea and the sclera merge
B) Brown spots near the limbus in both eyes
C) Lack of luster of the eye and dry bulbar conjunctiva
D) Lower lid drops away from the globe
To view all questions and flashcards with answers, click on the resource link above.
23
Chapter 22: Conducting a Head-to-Toe Examination
Available Study Resources on Quizplus for this Chatper
7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2479
Sample Questions
Q1) Which techniques does a nurse use routinely to collect data when assessing the abdomen of a patient? (Select all that apply.)
A) Testing for presence of abdominal reflexes
B) Inspecting skin for contour, scars, lesions, vascularity, and bulges
C) Percussing in all quadrants for tone
D) Lightly palpating for tenderness, guarding, and masses
E) Auscultating for bowel sounds, bruits, and venous hums
F) Deeply palpating for tenderness, guarding, and masses
Q2) Which techniques does a nurse use routinely to collect data when assessing a patient's posterior thorax? (Select all that apply.)
A) Inspection of the thorax for symmetry of shoulders
B) Percussion of the costovertebral angle bilaterally
C) Inspection of respiratory movement for symmetry, depth, and rhythm of respiration
D) Percussion of the posterior and lateral thorax for resonance
E) Palpation of vertebrae for alignment and tenderness
F) Inspection of thorax for muscular development and scapular alignment
To view all questions and flashcards with answers, click on the resource link above. Page 24
Chapter 23: Documenting the Comprehensive Health Assessment
Available Study Resources on Quizplus for this Chatper
6 Verified Questions
6 Flashcards
Source URL: https://quizplus.com/quiz/2480
Sample Questions
Q1) A patient reports she has shortness of breath and peripheral edema. Under which category does the nurse document these data?
A) Review of systems
B) Present health status
C) Past health history
D) Functional ability
Q2) Which documentation by a nurse is most descriptive?
A) Heart sounds normal.
B) Few ectopic beats heard during auscultation.
C) S1 murmur is heard at second right sternal border.
D) Pulse within normal limits.
Q3) Which data do nurses document under the category of personal and psychosocial health history? (Select all that apply.)
A) Allergies to medications or food
B) Diet and foods eaten on a regular basis
C) Type of employment
D) Address and date of birth
E) Activities that promote health
F) Use of tobacco and alcohol
25
To view all questions and flashcards with answers, click on the resource link above.
Chapter 24: Adapting Health Assessment to the Hospitalized Patient
Available Study Resources on Quizplus for this Chatper
9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/2481
Sample Questions
Q1) What data do nurses collect when assessing a patient's wound? (Select all that apply.)
A) Skin turgor
B) Width, length, and depth
C) Presence of pulsations
D) Wound color
E) Presence of edema
F) Drainage color
Q2) During the assessment, the nurse determines that the patient's Glasgow Coma Scale score is 15. What is the meaning of this number for this patient?
A) This patient is fully conscious.
B) This patient has movement but does not open the eyes or speak.
C) This patient is unable to respond to any stimuli.
D) This patient opens the eyes but does not speak or move.
Q3) Development of which complication is considered a never event?
A) Fever
B) Atelectasis
C) Pressure ulcer
D) Thrombophlebitis
26
To view all questions and flashcards with answers, click on the resource link above.