NUR 098 RLE SAS 1-10

What are steps in clinical reasoning?

1) Identify abnormal findings 2) Localize these findings anatomically 3) Interpret the findings in terms of the probable process 4) Make hypotheses about the nature of the pt's problem 5) Test your hypotheses 6) Establish a working diagnosis 7) Develop a plan agreeable to the patient

You are nurse working in an OB clinic and you are assessing a 30-year-old client who is pregnant for the first time. You are knowledgeable that this refers to? a. Primigravida b. Nulligravida c. Multigravida d. Primiparity

a. Primigravida

A student asks the school nurse what the recommended daily allowance for sodium is. What should the school nurse reply? a. 2400 mg/day b. 1800 mg/day c. 1200 mg/day d. 600 mg/day

a. 2400 mg/day

A review of systems (ROS) provides which of the following information? a. An evaluation of the past and present health state of each body system b. A documentation of the objective findings of the nurse. c. A documentation of the current health problems of the patient. d. A statement that describes the overall health state of the patient.

a. An evaluation of the past and present health state of each body system

While interviewing a new patient, you notice that he is mirroring your position. What can this signify? a. An increasing sense of connectedness b. A desire to be on an equal power level c. A desire for increased rapport d. The patient does not take you seriously

a. An increasing sense of connectedness

During one of your clinicals you encounter a patient who becomes silent during the nursing interview. What would be appropriate for you to do? (Mark all that apply.) a. Appear attentive b. Reassure the patient c. Change the subject you are asking about d. Ask your question again e. Watch the patient closely for nonverbal cues

a. Appear attentive b. Reassure the patient e. Watch the patient closely for nonverbal cues

A client's last menstrual period (LMP) began July 5, 2020. Her estimated or expected date of delivery (EDD) should be which of the following? a. April 12, 2021 b. July 2, 2021 c. March 28, 2021 d. October 12, 2021

a. April 12, 2021

What techniques encourage patient disclosures while minimizing the risk for distorting the patient's ideas or missing significant details? (Mark all that apply.) a. Asking a series of questions, one at a time b. Using reflection c. Asking only open-ended questions d. Encouraging with repetition e. Offering multiple choices for answers

a. Asking a series of questions, one at a time b. Using reflection e. Offering multiple choices for answers

A cardinal techniques of examination that involves the use of the diaphragm and bell of the stethoscope a. Auscultation b. Inspection c. Palpation d. Percussion

a. Auscultation

Which of the following hormones decreases body temperature? a. Estrogen b. Progesterone c. Epinephrine d. Norepinephrine

a. Estrogen

During a prenatal visit a patient tells you her last menstrual period was May 21, 2020. Based on the Naegele's Rule, when is the estimated due date of her baby? a. February 28, 2021 b. March 19, 2021 c. February 27, 2021 d. April 16, 2016

a. February 28, 2021

Functional assessment measures how a person manages day-to-day activities. Instrumental activities of daily living include which of the following activities? Select all that apply. a. Housekeeping b. Bathing c. Shopping d. Cooking e. Toileting f. Doing laundry g. Managing finances

a. Housekeeping b. Bathing c. Shopping d. Cooking f. Doing laundry g. Managing finances

As a nursing student you learn that obesity- related risk factors include what? (Mark all that apply.) a. Infertility b. Hypermenorrhea c. Polycystic ovarian syndrome d. Type 1 diabetes e. Androgenicity

a. Infertility c. Polycystic ovarian syndrome e. Androgenicity

You are a nurse in the surgical ward and taking care of an elderly client who had left knee replacement and will be discharge directly to an Aged care facility today. It is a protocol in the hospital that nurses must assess patients holistically before a discharge or transfer to any health care facility. What type of assessment is the nurse employing? a. Initial Comprehensive assessment b. Ongoing assessment c. Focused assessment d. Emergency assessment

a. Initial Comprehensive assessment

The general sequence for performing the techniques of physical examination is as follows: a. Inspection, Palpation, Percussion, Auscultation b. Inspection, Percussion, Palpation, Auscultation c. Inspection, Auscultation, Palpation, Percussion d. Inspection, Palpation, Auscultation, Percussion

a. Inspection, Palpation, Percussion, Auscultation

The Barthel Index indicates an adult's ability to perform ADL and mobility. Which of the following statements is true about the index? a. It is a record of what a patient doe, not what a person could do. b. Use of aids for mobility indicates in ability to be independent. c. The higher the score, the more "dependent" the person is. d. Direct testing of the functions like bathing, feeding, transfers is necessary to have an accurate assessment.

a. It is a record of what a patient doe, not what a person could do.

Which of the following statements are correct about APGAR score? Select all that apply. a. It is done at 1 minute and 5 minutes after birth. b. A score of 7 -10 indicates that the newborn is generally well. c. Reflex irritability is elicited by suctioning the newborn d. A heart rate of 120 beats per minute is given a score of 2. e. Acrocyanosis is given a score of 0. f. A good cry of the newborn indicates normal breathing.

a. It is done at 1 minute and 5 minutes after birth. b. A score of 7 -10 indicates that the newborn is generally well. c. Reflex irritability is elicited by suctioning the newborn d. A heart rate of 120 beats per minute is given a score of 2. f. A good cry of the newborn indicates normal breathing.

The sounds heard during BP-taking are called a. Korotkoff sounds b. Borborigmi c. Wheezing d. Pectoriloquy

a. Korotkoff sounds

You are collecting data for a comprehensive health history on a patient new to your clinic. Under what component of the health history would you place data on a chronic childhood illness? a. Past history b. Health maintenance c. General information d. Risk factors

a. Past history

You note that your patient has developed mental status changes and paresthesia. What would you know to assess as a possible cause for these changes? a. Patient's hydration status b. Patient's intake of protein c. Patient's fat intake d. Patient's BMI

a. Patient's hydration status

What occurs during the termination phase of an interview? a. Plan for follow-up care b. Address topics that have not yet been addressed c. Assess the patient's mental status d. Let the patient know you understood all he or she has told you

a. Plan for follow-up care

A newborn's one minute APGAR score is 8. Which of the following nursing interventions will you provide to this newborn? a. Routine post-delivery care b. Full resuscitation assistance is needed and reassess APGAR score c. Continue to monitor and reassess the APGAR score in 10 minute d. Some resuscitation assistance such as oxygen

a. Routine post-delivery care

While gathering data for the family history portion of the health history, what would you ask about? a. Suicide b. Number of siblings c. Family ethnicity d. Religion

a. Suicide

As the nurse caring for a patient you have completed the collection of the subjective data. On what do you base your decision to do an entire head-to-toe physical assessment or a systems-specific assessment? a. The patient's answers b. Observable signs and symptoms c. Your knowledge base and expertise d. The patient's chief complaint

a. The patient's answers

When constructing a nursing care plan, what should you reference? (Mark all that apply.) a. Therapy b. Social support c. Patient education d. Personal history e. Diagnosis

a. Therapy c. Patient education e. Diagnosis

When documenting clinical data, what might you write in the physical assessment? a. Thyroid isthmus barely palpable, lobes not felt b. Apical impulse indiscrete and tapping c. Thorax symmetric without equal excursion d. Extraocular movements full and equal on exam

a. Thyroid isthmus barely palpable, lobes not felt

To assess the SITE of pain, which of the following questions should be asked by the nurse? a. Where is your pain? b. When did your pain start? c. How much pain do you have now? d. What makes your pain better?

a. Where is your pain?

What is pivotal to determining how to move from each patient problem to its goals? a. Your clinical reasoning process b. Your positive interpretation of the patient's history c. Your process in collecting physical data d. Your evaluation as an accurate historian of the patient

a. Your clinical reasoning process

Which of the following functions are assessed; using Katz Index of Independence in Activities of Daily Living? Select all that apply. a. bathing b. feeding c. dressing d. housework e. toileting f. Managing finances g. transferring

a. bathing b. feeding c. dressing d. housework e. toileting g. transferring

You are a nurse working in an ambulatory clinic and conducting medication reconciliation to a client. Which statement would be best when conducting this kind of health history? a. "Medications prescribed by other providers do not need to be included on the record." b. "Natural products may interact with other drugs." c. "Over-the-counter products and herbal supplements are not considered medications." d. "Holistic products do not need to be included on the record."

b. "Natural products may interact with other drugs."

You're assessing the five minute APGAR score of a newborn baby. On assessment, you note the following about your newborn patient: pink body and hand with cyanotic feet, heart rate 109, grimace to stimulation, flaccid, and irregular cry. What is your patient's APGAR score? a. APGAR 2 b. APGAR 5 c. APGAR 4 d. APGAR 8

b. APGAR 5

You are nurse working in an OB clinic and assessing a pregnant woman, she discloses that she had lost her first baby on her 19 weeks of gestation. You are knowledgeable that this is what? a. Parity b. Abortion c. Nulliparity d. Nulligravity

b. Abortion

During an interview for health history, the student nurse asks, "Mrs Cassandra O'Connor, what do you do when you experience chest pain?" the student nurse is seeking which of the following information? a. The client's perception of the problem. b. Aggravating or relieving factors c. The frequency of the problem d. The severity of the problem

b. Aggravating or relieving factors

The principle of confidentiality is of paramount importance in the nurse-patient relationship. When should you inform the patient of with whom his or her information will be shared? a. When the patient asks b. At the beginning of the interview c. At the end of the interview d. Whenever it seems appropriate

b. At the beginning of the interview

You are a nurse in an ambulatory clinic and a mother of 2 year child came-in. During history taking, she mentioned that her child "has had on and off fever in the last two days accompanied by dry cough." Where should you document this data? a. Signs and symptoms b. Chief complaint c. Medication reconciliation d. Developmental history

b. Chief complaint

You are in the Emergency room and a victim of a trauma came-in with multiple injuries from a car crash. What type of an assessment should you most likely to utilize at this point of time? a. Focused assessment b. Emergency assessment c. Ongoing assessment d. Comprehensive assessment

b. Emergency assessment

How would the nursing instructor explain the goal of guided questioning to his or her students? a. Obtaining complete data from the patient b. Facilitating the patient's fullest communication c. Developing a basis for accurate nursing diagnoses d. Creating an opportunity for the early generation of a plan

b. Facilitating the patient's fullest communication

The diaphragm of the stethoscope is used for which of the following sounds? a. Low-pitched sounds b. High-pitched sounds c. Loud sounds d. Soft sounds

b. High-pitched sounds

What are nurses able to detect through the health assessment? a. Areas in need of health adjustments b. Areas that need continuous care c. Areas that need in-hospital care d. Areas that need referral to a specialist

b. Identify in what areas the patient needs the most care

When doing an overall assessment of a patient, the nurse is able to utilize findings and do what? a. Identify what level of prevention the patient is at b. Identify in what areas the patient needs the most care c. Identify in what areas the patient can educate his or her family d. Identify the patient's diagnosis

b. Identify in what areas the patient needs the most care

You are caring for a 16-year-old female patient diagnosed with anorexia nervosa. What biologic complication would you know to assess for? a. Severe cognitive disorder b. Increased corticotrophin-releasing factor c. Tachycardia d. Decreased BUN

b. Increased corticotrophin-releasing factor

Which of the following statement is true about general survey? a. It is done after physical examination. b. It is a study of the whole person. c. It involves use of instrument d. It focuses on a particular body system.

b. It is a study of the whole person.

Which of the following statements are true about Denver II developmental screening test? Select all that apply. a. It is a test of child's intelligence. b. It may determine relative advancement and delays in the child development. c. It may assess self-care ability of the child. d. It shows what a child can do at a particular age. e. Refusal of a child to perform a task during the test is interpreted as a sign of mental retardation.

b. It may determine relative advancement and delays in the child development. c. It may assess self-care ability of the child. d. It shows what a child can do at a particular age.

You are a nurse in the ambulatory clinic and taking the apical pulse of a 32-year-old client. Where you will place the stethoscope? a. Dorsum of the foot b. Left - mid - clavicular, fifth intercostal space c. Lateral aspect of the neck d. Medial aspect of the ankle

b. Left - mid - clavicular, fifth intercostal space

You are a nurse in a medical floor and taking care of a 34-year-old man who had an allergic reaction to seafood. What the objective data expected for this client? Select all that apply. a. "I cannot breath!" b. Oxygen Saturation of 92% c. Heart rate: 92 cycles per minute d. BP: 110/70 mmHg

b. Oxygen Saturation of 92% c. Heart rate: 92 cycles per minute d. BP: 110/70 mmHg

Which of the following measurement is incorrect about pain? a. Pain exists whenever the patient says it does. b. Pain is always accompanied by changes in the vital signs. c. Pain is whatever the patient says it is. d. Pain protects a patient from injury.

b. Pain is always accompanied by changes in the vital signs.

10. You are a nurse working in a surgical ward and caring for a 53-year-old man who had an above the knee amputation in his right leg. He complained of severe pain from his right lower leg. You are knowledgeable that this is: a. Intractable pain b. Phantom pain c. Psychogenic pain d. Radiating pain

b. Phantom pain

Equipment used for measuring the oxygen saturation a. Sphygmomanometer b. Pule oximeter c. Doppler d. Stadiometer

b. Pule oximeter

You are teaching a middle-school health class. What would you tell the students is necessary when they are exposed to heat stress or when they perform sustained vigorous physical activity? a. Free water consumption b. Purposeful drinking c. 8-10 glasses of water daily d. 64 oz of non-sweetened fluid

b. Purposeful drinking

You are a nurse in a medical emergency room and caring a 23-year-old female. As you are assessing, she complained that she had "burning sensation during urination". This is an example of: a. Provocative / Palliative b. Quality / Quantity c. Region / Radiation d. Timing

b. Quality / Quantity

Which of the following actions is most appropriate to verify the reliability of the information provided by the patient during the interview? a. Provide the patient with a printed history to complete and then compare the data provided b. Rephrase the same questions later in the interview c. Review the patient's previous medical records. d. Call the nearest relative to verify the data provided.

b. Rephrase the same questions later in the interview

In what area do nurses use assessment tools? a. Mobility b. Skin breakdown c. Mentation d. Strength

b. Skin breakdown

You are a nurse working in an OB ward and one of your patient complained having shortness of breath. This data is categorized as: a. Objective data b. Subjective data c. Affirmative data d. Informative data

b. Subjective data

A student nurse is conducting her first patient interview. The student suddenly draws a blank on what to ask the patient next. What is a useful interview technique for the student to use at this point? a. Transition b. Summarization c. Reassurance d. Termination

b. Summarization

When inspecting structures such as the jugular venous pulse, what would be the best lighting to use? a. Direct lighting b. Tangential lighting c. Diffuse lighting d. Back lighting

b. Tangential lighting

While examining a broken arm of a 4 -year- old boy, which of the following is the appropriate assessment tool to evaluate his pain status? a. 0-10 numeric rating scale b. The Wong - Baker Scale c. 0 - 5 Numeric rating Scale d. Simple descriptor scale

b. The Wong - Baker Scale

You are a Neuro-ICU nurse and caring for an 18-year old female patient who had a bad car crash and was admitted from the trauma bay. What type of assessment should the nurse most likely to apply? a. Admission assessment b. Time-lapsed assessment c. Mini-assessment d. Problem-oriented assessment

b. Time-lapsed assessment

During the examination of the abdomen, the sequences of examining the quadrant of the abdomen is as follows: a. left lower quadrant, left upper quadrant, right upper quadrant, right lower quadrant. b. right lower quadrant, right upper quadrant, left upper quadrant, left lower quadrant c. right lower quadrant, left lower quadrant, right upper quadrant, left upper quadrant d. right upper quadrant, left upper quadrant, right lower quadrant, left lower quadrant

b. right lower quadrant, right upper quadrant, left upper quadrant, left lower quadrant

A nurse is evaluating a young adult patient who has presented to the emergency department with the chief complaint of abdominal pain. If the nurse is using the PQRSTU method of pain assessment, which of the following questions should be asked for the "S" portion of the assessment? a. "How did your pain start?" and "Is there anything that you can do that stops your pain?" b. "Have you ever had these same symptoms previously?" and "Do you have a history of a previous abdominal surgery?" c. "How severe is your pain on scale of 1 to 10, where 1 is minimal pain and 10 is the most intense pain?" and "Are you experiencing any other symptoms in addition to your pain?" d. "Tell me more about your pain: is it sharp, stabbing, superficial, or does it start and stop?"

c. "How severe is your pain on scale of 1 to 10, where 1 is minimal pain and 10 is the most intense pain?" and

Which of the following statements is an appropriate documentation of the client's reason for seeking health care or the chief complaint? a. Acute episode of Meniere's disease, duration 2 hours b. Dizziness with nausea and vomiting, 2-hour duration c. "Spinning" sensation of the body for 2 hours d. Abnormal hearing test results.

c. "Spinning" sensation of the body for 2 hours

"How many steps can you climb before you get short of breath?" is an example of what kind of question? a. A question that offers multiple choices for answers b. A question that is narrow in focus c. A question that elicits a graded response d. A question that demands an exact response

c. A question that elicits a graded response

The CAGE test is used to identify which of the following conditions? a. Use of illicit drugs b. Tobacco / cigarette smoking c. Alcoholism d. Domestic violence

c. Alcoholism

Which of the following factors may increase the pulse rate? Select all that applies. a. Rest and sleep b. Supine position c. Anxiety d. Fever e. Old age f. Exercise

c. Anxiety d. Fever f. Exercise

Which of the following are causes of weight loss? (Mark all that apply.) a. Hypothyroidism b. Chronic liver failure c. Chronic renal failure d. Chronic infections e. Adrenal insufficiency

c. Chronic renal failure d. Chronic infections e. Adrenal insufficiency

Which of the following is a contraindication to rectal temperature - taking? a. Dyspnea b. Nausea and vomiting c. Diarrhea d. Nasal packing

c. Diarrhea

You are caring for a patient with hypertension. What dietary change would be appropriate to recommend? a. Eat fewer plantains b. Drink less orange juice c. Eat more spinach d. Drink more apple juice

c. Eat more spinach

You are a nurse working in a Pediatric Emergency department and assessing a 3-year-old patient with fever, weakness and persistent cough. You are asking the mother regarding the patient's possible exposure to any respiratory disease from the members of the household. Then suddenly, the mother said that child's grandfather had a pulmonary tuberculosis but on current medication. Where should the nurse note this information? a. Risk factor b. Biographical data c. Family history d. Medication reconciliation

c. Family history

Referred pain is described as: a. Originating from internal organs such as the gallbladder or stomach b. Originating from skin or subcutaneous structures. c. Felt at a particular site, but originates from another location. d. Felt at the site of injury and the surrounding areas.

c. Felt at a particular site, but originates from another location.

For each patient problem you identify you develop and record a plan. What must your plan do? (Mark all that apply.) a. Begin discharge planning b. Include referral to dietician c. Flow logically from identified diagnoses d. Specify which steps are needed next e. Identify timing of family involvement

c. Flow logically from identified diagnoses d. Specify which steps are needed next

You are the office nurse admitting a new patient to the clinic. You have gained your patient's trust, gathered a detailed history, and finished your portion of the physical examination. What is your next step in caring for this patient? a. Formulate nursing diagnoses b. Order the appropriate laboratory tests c. Identify the patient's problems d. Notify the physician of your findings

c. Identify the patient's problems

When teaching a nutrition class, what would you recommend for adults older than the age of 50? a. Increase foods rich in vitamin B6 and iron b. Increase foods rich in vitamin B12 and folic acid c. Increase foods rich in vitamin B12 and calcium d. Increase foods rich in vitamin B6 and vitamin D

c. Increase foods rich in vitamin B12 and calcium

Which of the following statements is true about pain in infants? a. Infants do not remember pain. b. Infants can report pain c. Infants do feel pain d. Infant's pain may be assessed by using the Wong - Baker's Face Pain Rating Scale.

c. Infants do feel pain

The sequence of physical examination technique of the abdomen is as follows: a. Inspection, Palpation, Percussion, Auscultation b. Inspection, Auscultation, Palpation, Percussion c. Inspection, Auscultation, Percussion, Palpation d. Inspection, Palpation, Auscultation, Percussion

c. Inspection, Auscultation, Percussion, Palpation

It describes the maximum amount and the duration of pain that an individual is willing to endure. It varies amongst people a. Pain receptor b. Pain threshold c. Pain tolerance d. Pain sensation

c. Pain tolerance

You are the nurse in the Pediatric Emergency room caring for 3-month-old client, his father reported regarding his child's vaccines. Where should you input this data? a. Family history b. History of present illness c. Past health history d. Obstetrical history

c. Past health history

You are a nurse in the Geriatric floor and caring for an 82-year-old male patient who was admitted due to nutritional deficit. What type of assessment should the nurse utilize to keep check on the patient's improvement on a daily basis? a. Initial comprehensive assessment b. Focused assessment c. Problem- oriented assessment d. Emergency assessment

c. Problem- oriented assessment

The difference between the systolic pressure and the diastolic pressure is a. Apical rate b. Pulse deficit c. Pulse pressure d. Auscultatory gap

c. Pulse pressure

Your patient complained about her painful right knee and rated as 8/10 using the Pain Scale. A pain scale which is rated as 8/10 is what type of data? a. Informative data b. Objective data c. Subjective data d. Confidential data

c. Subjective data

Your new patient becomes visibly anxious during the nursing interview. You respond by telling her, "Don't worry, everything will be okay." What might this premature reassurance cause? a. A feeling of closeness between the patient and the nurse b. The nurse to shorten the interview process c. The blockage of further disclosures by the patient d. A noticeable lessening of the patient's anxiety

c. The blockage of further disclosures by the patient

Which of the following factors is most reliable indicator of pain in an adult patient? a. Changes in physical functioning. b. Nonverbal behaviours. c. The patient's self-report. d. Changes in the vital signs

c. The patient's self-report.

You are counselling a 44-year-old woman about ways to maintain her weight, which is within normal range for her height. What should you suggest for her? a. 15 minutes per day of physical activity at a moderate intensity b. 30 minutes per day of physical activity at a moderate intensity c. 45 minutes per day of physical activity at a moderate intensity d. 60 minutes per day of physical activity at a moderate intensity

d. 60 minutes per day of physical activity at a moderate intensity

When reading a medical record, you notice the following documentation: Patient states, "I have had low back pain and burning sensation every time that I urinate in the past days and is worsening, and now I am having fever and chills." This is an example of: a. Past history b. A Review of systems c. A functional assessment d. A reason for seeking care / chief complaint

d. A reason for seeking care / chief complaint

You're assessing the five minute APGAR score of a newborn baby. On assessment, you note the following about your newborn patient: heart rate 97, no response to stimulation, flaccid, absent respirations, cyanotic throughout. What is your patient's APGAR score? a. APGAR 2 b. APGAR 3 c. APGAR 0 d. APGAR 1

d. APGAR 1

You're assessing the one minute APGAR score of a newborn baby. On assessment, you note the following about your newborn patient: weak cry, some flexion of the arm and legs, active movement and cries to stimulation, heart rate 145, and pallor all over the body and extremities. What is your patient's APGAR score? a. APGAR 5 b. APGAR 9 c. APGAR 12 d. APGAR 6

d. APGAR 6

Using both verbal and nonverbal clues given by the patient, what is the nurse constantly doing? a. Diagnosing b. Intervening where necessary c. Formulating a discharge plan d. Assessing

d. Assessing

A patient comes into the clinic for a routine annual physical. Where would you document this information? a. Initial information b. History of present illness c. Health maintenance d. Chief complaint

d. Chief complaint

A process of heat loss that involves transfer of heat form one surface to another is: a. Radiation b. Convection c. Evaporation d. Conduction

d. Conduction

How does an experienced nurse improve his or her efficiency and enhance the relevance and value of the data he or she collects? a. Initiating a problem list b. Obtaining an accurate history c. Developing accurate nursing diagnoses d. Generating diagnoses early

d. Generating diagnoses early

Learning about the effects of the illness does what for the nurse and the patient? a. Gives them the basis to establish a trusting relationship b. Gives them each a better understanding of the other c. Gives them the ability to communicate better d. Gives them the opportunity to create a complete and congruent picture of the problem

d. Gives them the opportunity to create a complete and congruent picture of the problem

Your patient tells you that his chief complaint is "fatigue." When obtaining the patient history, what additional information might you want to elicit to try and pinpoint the patient's "real problem"? a. More information regarding family history b. More information regarding secondary complaints c. More information regarding laboratory data d. More information regarding psychosocial issues

d. More information regarding psychosocial issues

A patient tells you they got their finger cut with a razor about 20 minutes ago and then shows you the cut on their finger, the cut is one inch long located on the left pinky finger about 1 centimetre deep. The patient states, "My finger is bleeding, can you get me gauze for the blood?" What type of data is 1 inch cut on left the patient's pinky finger, 1 cm deep? a. Focused data b. Ongoing data c. Subjective data d. Objective data

d. Objective data

What can cause edema in a patient with a weak heart? a. Hyponatremia b. Dehydration c. Hyperproteinemia d. Overhydration

d. Overhydration

Equipment used to view the pharynx and cervix or to determine the reactions of the pupils of the eye. a. Ophthalmoscope b. Otoscope c. Nasal speculum d. Penlight or flashlight

d. Penlight or flashlight

To assess for deep tendon reflexes, which physical examination technique is used: a. Inspection b. Palpation c. Auscultation d. Percussion

d. Percussion

The pain that originate from muscle, bones, joints, tendons or blood vessels is known as: a. Cutaneous pain b. Referred pain c. Visceral pain d. Somatic pain

d. Somatic pain

Which adventitious breath sound is characterized as high pitch musical sounds that occur with partial obstructions in the smaller bronchi and bronchioles during expiration? a. Rales b. Rhonchi c. Stridor d. wheeze

d. wheeze

You are a nurse in an OB clinic and you are taking a history of 20-year-old client who is on her 10 weeks age of gestation and you ask her about her gravidity. What is the gravidity? a. woman who has been pregnant more than once. b. woman who is pregnant for the first time c. woman who is not now and never has been pregnant d. woman who is or has been pregnant, regardless of pregnancy outcome; regardless of the number of the fetus

d. woman who is or has been pregnant, regardless of pregnancy outcome; regardless of the number of the fetus