NUR 210- Final Exam- Practice Questions

Identify each spinal abnormality (from left to right)

Scoliosis- Kyphosis- Lordosis

Your patient has had chronic obstructive pulmonary disease for the past 20 years. What would you expect her anterior-posterior chest ratio to be? a. 1:1 b. 1:2 c. 2:2 d. 2:1

a. 1:1

You are performing the Blanch Test on a 85-year-old patient. Your assessment finding is six seconds. What is a normal finding? a. 2 seconds or less b. Less then 6 seconds c. Greater then 3 seconds d. Greater than 6 seconds

a. 2 seconds or less

During the health history, a 69-year-old patient keeps leaning forward and turning the left side of his face toward you. What question(s) should you ask the patient? (Select all that apply). a. Are you having difficulty hearing me? b. What is wrong with your posture? c. Do you have any ringing or buzzing in your ears? d. What was your occupation?

a. Are you having difficulty hearing me? c. Do you have any ringing or buzzing in your ears? d. What was your occupation?

You are auscultating an apical pulse on a patient. What characteristics should you assess? (Select all that apply.) a. Beats per minute b. Location c. Rhythm d. Amplitude e. Pulsations

a. Beats per minute b. Location c. Rhythm

The brain consists of three parts. Select all that apply: a. Cerebrum b. Frontal lobe c. Cerebellum d. Brain stem

a. Cerebrum c. Cerebellum d. Brain stem

What is the thin membrane covering the front of the eye and eyelids called? a. Conjunctiva b. Tarsal plates c. Lacrimal ducts d. Aqueous humor

a. Conjunctiva

You are assessing a 82-year-old hospice patient who is very weak, thin, and wheelchair bound. You know that patients that are this frail are at risk for (select all that apply): a. Falls b. Disability c. Social isolation d. Hospitalization e. Mortality

a. Falls b. Disability d. Hospitalization e. Mortality

The heart is a double pump. The left atria pumps blood to the ___________; the left ventricle pumps blood to the _____________. a. Left ventricle; aorta b. Left ventricle; lungs c. Right ventricle; lungs d. Aorta; lungs

a. Left ventricle; aorta

You are performing a skin assessment and note an irregular red lesion under a patient's left armpit. What equipment will you need to assess the lesion? (Select all that apply.) a. Personal protective equipment (gloves) b. Paper tape measure c. Penlight d. Magnifying glass e. Sterile cotton tipped applicator

a. Personal protective equipment (gloves) b. Paper tape measure c. Penlight d. Magnifying glass

Which statement about pica is true? a. Pica is a common eating disorder in individuals with developmental disabilities b. Pica is common among healthy children c. Pica is considered abnormal in all cultures d. Pica is a benign eating practice that children eventually outgrow

a. Pica is a common eating disorder in individuals with developmental disabilities

The patient states that during a migraine headache, she experiences nausea and vomiting. Using the OLDCARTS mnemonic, how would you categorize these symptoms? a. Related symptoms b. Aggravating factors c. Characteristics d. Relieving factors

a. Related symptoms

You are assessing a patient's visual acuity. What assessment will you do? a. Snellen Chart b. Amsler Grid c. Ishihara plate d. F-chart

a. Snellen Chart

You are auscultating lungs sounds. Identify the normal lungs sounds in an adult patient. (Select all that apply.) a. Vesicular b. Rhonchi c. Bronchial d. Bronchovesicular e. Stridor

a. Vesicular c. Bronchial d. Bronchovesicular

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 white board and allow patient to write answers 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 white board and allow patient to write answers

You are assessing a waist-to-hip ratio on a patient. After placing the tape measure around the narrowest area of the waist, when do you take the measurement? a. When the patient breathes in b. After a normal breath c. During any time of a normal breath d. Breathing does not influence the measurement

b. After a normal breath

During the health history, the patient states that she has been wearing contact lenses for the past five years. What questions should you ask? (Select all that apply.) a. Do you wear contact lenses? b. Are they soft or hard? c. Do you sleep with them on? d. Do you have any problems with wearing contact lenses? e. Do you experience redness or irritation?

b. Are they soft or hard? c. Do you sleep with them on? d. Do you have any problems with wearing contact lenses? e. Do you experience redness or irritation?

The thinnest and most fragile parts of the arterial system are the: a. Arteries b. Capillaries c. Veins d. Venules

b. Capillaries

You are inspecting a patient's ears. What should you be assessing? (Select all that apply). a. Tympanic Membrane b. Color c. Shape d. Size e. Symmetry

b. Color c. Shape d. Size e. Symmetry

You are assessing a 92 year-old patient with dementia. You note that he has lost 10 lbs. in one month. What lab work would you expect the health care provider to order? (Select all that apply.) a. Fasting blood sugar b. Complete metabolic profile c. Lipid panel d. Albumin and protein e. Vitamin B-12 level

b. Complete metabolic profile d. Albumin and protein

You are inspecting a patient's eyes and noted bilateral everted lower lids. What is the name of this abnormal finding? a. Entropion b. Ectropion c. Blepharitis d. Ptosis

b. Ectropion

The patient states that he has a lump on his right forearm. What part of the hand is best to use to assess the lump? a. Dorsal surface b. Finger pads c. Ulnar surface d. Anterior surface

b. Finger pads

A 72-year-old female patient with Parkinson's disease is embarrassed to wear adult pads. She is having increased tremors, difficulty walking, and getting to the bathroom as needed. Identify the type of incontinence. a. Stress b. Functional c. Urge d. Overflow

b. Functional

The nurse obtains a ten-year-old's vital signs: T (tympanic) 100°F; HR 58; RR 20; BP 107/64. Which finding is abnormal? a. Temperature b. Heart rate c. Respiratory rate d. Blood pressure

b. Heart rate

The patient reports that he has sharp, cramp-like pain in both his legs when he walks. What should your next question be? a. Can you describe the pain? b. How far do you walk when the pain starts? c. Do you experience any shortness of breath? d. Do you notice if your legs swell?

b. How far do you walk when the pain starts?

The patient is complaining that he has been constipated for the past 6 days but has very small bouts of diarrhea. You auscultate for bowel sounds and do not hear any sounds. What should you do? a. Call the doctor immediately b. Listen for at least 5 minutes c. Palpate the abdomen to stimulate peristalsis d. Document hypoactive bowel sounds

b. Listen for at least 5 minutes

Health assessment requires the nurse 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 75-year-old female client states "when I eat meals, I feel like food gets stuck in my throat." What is an appropriate nursing action? a. Tell the patient to cut up her food in smaller pieces. b. Notify the physician and anticipate a referral to speech therapy for a swallow evaluation. c. Ask the patient specifically what foods she has difficulty swallowing. d. Encourage the patient to drink more fluids to soften the food she eats.

b. Notify the physician and anticipate a referral to speech therapy for a swallow evaluation.

Which symptom of early pregnancy indicates a need for a careful follow-up and monitoring? a. Nausea b. Shortness of Breath c. Constipation d. Increased Urination

b. Shortness of Breath

The nasolabial folds and the palpebral fissures of the face are measured to assess for: a. Appearance of the face. b. Symmetry of the face. c. Edema of the face. d. Involuntary movements of the face.

b. Symmetry of the face

You are interviewing a 63-year-old male, who says his clothes and wedding band are too big for him. 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

The FIRST step just prior to performing an assessment on a patient is to: a. Look at the patient b. Wash your hands c. Stand on the left side d. Put on gloves

b. Wash your hands

The patient tells you that he is fearful of having the doctor do a rectal examination. What is your best response? a. "Don't worry, I will tell the doctor to be gentle." b. "You will be fine, just take some deep breaths." c. "Let the doctor know if you are experiencing any discomfort." d. "All patients must have a rectal exam to check for cancer."

c. "Let the doctor know if you are experiencing any discomfort."

Mary Jane is unemployed and has been coming to the medical practice with chronic complaints of fatigue and "just does not feel 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 had any thoughts of killing yourself?" c. "Over the past two weeks have you felt little interest or pleasure in doing things?" d. "Why are 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 the most important question to ask this patient? a. "When was your last visit?" b. "Tell me about your family and friends." 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?"

The patient reports that he has been smoking a half of a pack of cigarettes daily for 23 years. What is his pack-year history? a. 23 pack-years b. 16.5 pack-years c. 11.5 pack-years d. 10.5 pack-years

c. 11.5 pack-years

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

You are working in a physician's office. You are assessing a 93-year-old woman who lives alone. She is wearing two different shoes, no socks, and her shirt is on backwards. What assessment should you perform to determine her functional status? a. Mini Nutritional assessment b. Driving assessment c. Barthel Index assessment d. Alcohol assessment

c. Barthel Index assessment

The most common cause of hearing loss in older adults is: a. Tympanic membrane becomes more flexible. b. The malleus, incus, and stapes does not vibrate. c. Cells within the Organ of Corti are not replaced. d. Increased production of ear cerumen

c. Cells within the Organ of Corti are not replaced.

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

What part of the ear connects the middle ear to the pharynx? a. Auricle b. Labyrinth c. Eustachian tube d. Semilunar canals

c. Eustachian tube

The patient states that he has pain in his RUQ after eating a fatty meal for the past month. He denies nausea and vomiting. What organ do you suspect is the source of this pain? a. Liver b. Stomach c. Gallbladder d. Pancreas

c. Gallbladder

During a health assessment, you observe that your patient is very fidgety and has several red marks on her face and arms. She states that she is upset because she is currently going through a divorce. What assessment screening tool should be used? a. CAGE questionnaire b. BATHE questionnaire c. HITS questionnaire d. Functional Assessment questionnaire

c. HITS questionnaire

You are inspecting the anus and note protruding, swollen, dilated veins. What do you see? a. Anal fistula b. Prolapsed rectum c. Hemorrhoids d. Polyps

c. Hemorrhoids

What types of joints are found in the knees and toes? a. Fused b. Ball and socket c. Hinge d. Gliding

c. Hinge

Using the four-quadrant abdominal mapping, in what quadrant is the Spleen located? a. RUQ b. RLQ c. LUQ d. LLQ

c. LUQ

Which diagnostic tool is contraindicated for someone with an implanted insulin pump? a. CT Scan b. DEXA Scan c. MRI d. CPK

c. MRI

The patient complains of muscle weakness after spending a week in the hospital. What is this called? a. Arthritis b. Myalgia c. Myopathy d. Muscular dystrophy

c. Myopathy

The patient reports chest pain with exertion. He states the pain feels like "someone is sitting on my chest." What is the etiology for this chest pain? a. Compression of the rib cage b. Lack of blood supply to the extremities c. Oxygen supply to the heart is insufficient d. Muscle contractions to the thoracic area

c. Oxygen supply to the heart is insufficient

You are going to perform a mouth assessment. Collect your supplies. (Select all that apply.) a. Sterile gloves b. Stethoscope c. Penlight d. Tongue blade e. Paper tape measure

c. Penlight d. Tongue blade

You are assessing a patient in the intensive care unit. You take her respiratory rate and count 14 bpm in 30 seconds. You inspect her chest and note shallow respirations with accessory muscle use. What should you do next? a. Call the physician b. Document as an abnormal finding c. Retake the respiratory rate for 60 seconds d. Assist the patient to sit up

c. Retake the respiratory rate for 60 seconds

You are assessing a newborn's skin. What is a true statement about a newborn's skin? a. All newborn's have thin transparent skin. b. Preterm newborns have dry, flaky skin. c. Skin varies dependent on length of pregnancy. d. A newborn's skin is thick and moist.

c. Skin varies dependent on length of pregnancy

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

You are going to evaluate your patient who is complaining of elbow pain. The correct order of assessment is: a. Inspection, ROM, palpation, strength b. Inspection, strength, ROM, palpation c. ROM, inspection, palpation, strength d. Inspection, palpation, ROM, strength

d. Inspection, palpation, ROM, strength

A patient presents to the emergency room with the following assessment: awake, alert but confused, obeys commands by moving extremities. Calculate the GCS. a.15 b.10 c.14 d. 12

c.14

A patient is getting his annual physical exam. He is 6 feet 2 inches and weighs 200 lbs. What is his BMI? (You can use the BMI chart in the canvas module) a. 23 b. 24 c. 25 d. 26

d. 26

You are preparing to apply a blood pressure cuff to an overweight male patient. Prior to putting on the cuff, what should you do? (Select all that apply) a. Ask if he has smoked in the last 45 minutes. b. Have the patient take a deep breath. c. Ask the patient how much he weighs. d. Assess/measure for a proper fitting cuff.

d. Assess/measure for a proper fitting cuff

The patient has a chronic cough and is spitting up blood. What diagnostic test do you anticipate the doctor will order to visualize the bronchial tree? a. Thoracentesis b. Arterial blood gases c. Lung biopsy d. Bronchoscopy

d. Bronchoscopy

You are palpating a newborn's head for the first time. You palpate overriding sutures. What is your next step? a. Call the health care provider immediately b. Stop and document sutures are over riding in the electronic health record c. Notify the mother of this abnormal finding d. Continue the assessment and palpate the posterior fontanels

d. Continue the assessment and palpate the posterior fontanels

Inspection requires the use of the three senses except the sense of: a. Hearing b. Seeing c. Smelling d. Feeling

d. Feeling

You start to lightly palpate a patient's abdomen and she starts giggling and says she is very ticklish. What should you do? a. Stop light palpation and start deep palpation. b. Skip this assessment technique and move to percussion. c. Warm both hands and use the bimanual technique. d. Have her rest her hand on top of your hand while you palpate.

d. Have her rest her hand on top of your hand while you palpate.

You are going to assess a BP on a patient who has a renal shunt in her left arm and an intravenous line in her right arm. She weighs 120 lbs. and is 5 feet 4 inches. Where would you take her BP? (Select all that apply.) a. Left arm, brachial artery b. Left arm, radial artery c. Right arm, radial artery d. Left thigh, popliteal artery e. Right thigh, popliteal artery

d. Left thigh, popliteal artery e. Right thigh, popliteal artery

During the health history, the patient reports bright red blood in his stool. What part of the colon do you suspect this blood is coming from? a. Duodenum b. Small bowel c. Transverse colon d. Lower colon or rectum

d. Lower colon or rectum

You are taking a health history. What is the first history that you should document? a. Medication b. Family c. Psychosocial d. Prenatal

d. Prenatal

The patient is complaining of pain in his right upper quadrant that extends to his right thoracic back. This is called _______ pain. a. Acute b. Constant c. Referred d. Radiating

d. Radiating

The patient reports that he has clear nasal drainage especially during the spring months. What is this nasal drainage called? a. Epistaxis b. Xerostomia c. Sinusitis d. Rhinorrhea

d. Rhinorrhea

You are doing a lymph node assessment. What lymph nodes are located between the back of the neck and head? a. Preauricular b. Postauricular c. Superficial cervical d. Suboccipital

d. Suboccipital

A chief executive officer for a large manufacturing company reports that she has noticed that her hair is falling out and breaking when she brushes her hair. What should you ask or do next? a. Is there a family history of hair falling out? b. Are you under a lot of stress? c. Do you have an endocrine disorder? d. Use the OPQRST mnemonic to gather more information.

d. Use the OPQRST mnemonic to gather more information.

You are preparing to weigh a newborn infant for the first time. The infant has not had a bath. Put in order the sequence of the assessment. a._____ Take off the diaper b._____ Put a receiving blanket on scale c._____ Calibrate the scale d._____ Put on gloves e._____ Gently place the infant on the scale

d. _1_ Put on gloves b. _2_ Put a receiving blanket on scale c. _3_ Calibrate the scale a. _4_ Take off the diaper e. _5_ Gently place the infant on the scale