Practice Questions Test 1

The nurse is interviewing a 17 year old boy. He openly reports that he is sexually active. What priority question should the nurse ask this patient next? A. "Are you practicing safe sex?" B. "Do you have sex with males, females or both?" C. "What do you know about sexually transmitted diseases?" D. "Do you smoke or take recreational drugs?"

A. "Are you practicing safe sex?"

A 70 year old female patient has suffered a stroke with no paralysis. She cannot talk and is hard of hearing. She follows you with her eyes and understands you. What is the best way to communicate with the patient? A. Write down questions on a whiteboard B. Ask for an interpreter to help you C. Speak slowly and loudly directly in front of the patient D. Have the patient blink her eyes to questions she understands

A. Write down questions on a whiteboard

A patient was recently diagnosed with type 1 diabetes and needs teaching about the importance of skin and foot care. This is an example of what level of health prevention? A. Primary B. Secondary C. Tertiary D. None of the above

C. Tertiary

Your patient is an 88 year old man. He states that he has been "hearing whistling" in both his ears. He states that it almost sounds like a song. You need to identify whether he is reliable. What question will you ask? A. "What is the name of the song?" B. "Can you tell me where you live and your date of birth?" C. "What do you mean by whistling?" D. "Have you seen an ear, nose, and throat doctor?"

B. "Can you tell me where you live and your date of birth?"

You are working in a health clinic and are starting a patient interview. You have completed entering the demographic data. What will be your next question? A. "How are you doing today?" B. "What brings you to the doctor today?" C. "Do you feel sick?" D. "What is your name and address?"

B. "What brings you to the doctor today?"

What is the federal initiative that is a science-based framework updated every ten years by the US Department of Health and Human Services, which has goals and objectives for health promotion? A. World Health Organization B. Healthy People 2030 C. US Preventative Services Task Force D. Robert Wood Johnson Foundation Initiative

B. Healthy People 2030

A patient presents at the ambulatory care clinic for complaints of an upper respiratory infection. While assessing this patient, the nurse needs to identify: A. Physical assessment findings only B. Normal from abnormal assessment findings C. Basic anatomy and physiology D. Diagnostic values

B. Normal from abnormal assessment findings

A patient with Alzheimer's Dementia is wandering in and out of other residents' rooms. You redirect the patient to the common area where there are other patients watching television and staff supervision. The patient has a wander guard on her ankle, and she is using a walker because she has an unsteady gait. What QSEN competency is being integrated in this case scenario? A. Patient-Centered Care B. Safety C. Teamwork and Collaboration D. Quality Improvement

B. Safety

You are interviewing a 63 year old male, who says he is going to have to buy all new clothes because they are too big. The patient denies that he is dieting or has decreased appetite. This is an example of: A. Intentional weight loss B. Unintentional weight loss C. Overnutrition D. Malnutrition

B. Unintentional weight loss

Mary Jane is unemployed and has been coming to the medical practice frequently with chronic complaints of fatigue and "just not feeling like doing anything." All diagnostic tests have been negative. What is the best question to ask Mary Jane today? A. "What are you going to do about finding a job?" B. "Have you has any thoughts of killing yourself?" C. "Over the past two weeks have you felt little interest or pleasure in doing things?" D. "Why are you really here again to see the doctor?"

C. "Over the past two weeks have you felt little interest or pleasure in doing things?"

Ronald G. is an army veteran who is now a civilian. He is getting a pre-employment physical exam for a new job. You start the interview. What is an appropriate question to ask this patient? A. "Why are you here today?" B. "Tell me about your new job." C. "Would it be okay to talk to you about your military experience?" D. "What is going on in your life?"

C. "Would it be okay to talk to you about your military experience?"

Your patient reports a poor appetite for the past month. He states that "food has no taste anymore." What medical term would you document in your note? A. Anorexia B. Aphasia C. Ageusia D. Dysphagia

C. Ageusia

A 34 year old patient is about to deliver her first baby. Her husband appears to be supportive but appears worried and nervous. The patient has come to the hospital since her contractions are 8 minutes apart. She has been in labor for 8 hours and has a past history of high blood pressure. She states, "I never took prenatal classes and don't know what to do." What cognitive skill should you begin to implement? A. Nursing Process B. Nursing Assessment C. Critical Thinking D. Intuitive Thinking

C. Critical Thinking

While interviewing a patient, you observe that your patient is fidgety, makes little eye contact, and has several red marks on her face and arms. She states that she is currently going through a divorce. What assessment screening tool should be used? A. CAGE-AID questionnaire B. BATHE technique C. HITS tool D. Functional Assessment questionnaire

C. HITS tool

You are interviewing a patient in a community health clinic. He shares with you that he has made some bad choices in life. You completely support and accept the patient no matter what he says or does. This is known as: A. Empathy B. Genuineness C. Unconditional regard D. Caring

C. Unconditional regard

A patient comes to the emergency room with stomach discomfort. He states that he has not been feeling well for a couple of days. What should be your first question or statement? A. is the discomfort acute or chronic? B. is it localized or generalized? C. describe your stomach discomfort D. when did the pain start?

C. describe your stomach discomfort

A male patient is having a focused interview for complications of a red rash in his groin area. You are using the OLDCARTS Mnemonic to assess the rash. What question would you ask to evaluate "D" in this mnemonic? A. "What does the rash feel like?" B. "Do you have any other symptoms?" C. "What have you taken to alleviate the rash?" D. "How long have you had this rash?"

D. "How long have you has this rash?"