ha final
1.A patient seeks care for “debilitating headaches that cause excessive absences at work.” On further exploration, the nurse asks, “What makes the headaches worse?” With this question, the nurse is seeking information about
Aggravating factors
2.The “review of systems” in the health history is
an evaluation of past and present health state of each body system
3.PQRSTU is a mnemonic that helps the clinician to remember to address characteristics specific to
pain presentation
4.When recording information for the review of systems, the interviewer must document
objective data that support the history of present illness.
5.A full mental status examination should be completed if the patient
has a change in behavior and the family is concerned
6.Aphasia is best described as
a language disturbance in speaking, writing, or understanding
7.Mental status assessment documents
emotional and cognitive functioning
8.an older adult -has a slower response time
9.The dorsa of the hands are used to determine - temperature
10.Fine tactile discrimination is best achieved with the fingertips
11.To perform an accurate assessment of respirations, the examiner should
count for 30 seconds after completing a pulse assessment and multiply by two
12.Which of the following is a normal range for a patient’s temperature measured using an oral thermometer?35.8° C to 37.3° C
Which of the following is the most reliable indicator for chronic pain?
patients self report
13.Which of the following statements regarding the results obtained from use of the Snellen chart is true?
The larger the numerator, the better the vision.
14.The most common site of breast cancer is in the upper outer quadrant.
Stridor is a high-pitched, inspiratory crowing sound commonly associated with upper airway obstruction
A bruit heard while auscultating the carotid artery of a 65-year-old patient is caused byturbulent blood flow through the carotid artery.
Which of the following actions by the student nurse is indication that he/she does not know the correct method for assessing the carotid artery?He/she is firmly pressing the bell of the stethoscope over the carotid artery.
Which of the following cardiac alterations occurs during pregnancy? An increase in cardiac volume and a decrease in blood pressure
Arteriosclerosis refers to thickening and loss of elasticity of the arterial walls.
The nurse has completed a peripheral vascular assessment. Which of the following findings would he or she document as expected findings? Radial pulses 2+ with regular rate and rhythm bilaterally
ascites is defined as an abnormal accumulation of serous fluid within the peritoneal cavity.
The liver is in the right upper quadrant of the abdomen. The spleen is in the left upper quadrant. The cecum is in the right lower quadrant. The sigmoid colon is in the left lower quadrant.
Heberden and Bouchard nodes are hard and nontender and are associated with osteoarthritis.
Cerebellar function is tested by performance of rapid alternating movements
The _____________ coordinates movement, maintains equilibrium, and helps maintain posture
cerebellum
he Katz Index of Independence in ADL is a functional assessment of a person’s ability to complete activities of daily living (e.g., eating/feeding, bathing, grooming, dressing, toileting, walking, using stairs, and transferring). Cleaning the house and taking out the garbage are instrumental activities of daily living (e.g., abilities necessary for independent community living). Paying bills is an instrumental activity of daily living. Doing the laundry and putting away clothes are instrumental activities of daily living.