NURS 398 Quizzes
Which pt statement alerts the nurse to perform a thorough GI hx and focused assessment? - "I experience occasional constipation." - "I don't like the taste of spicy foods." - "I got dentures four years ago." - "I take ibuprofen three times daily for arthritis."
"I take ibuprofen three times daily for arthritis."
Knowing the intended ROM for joints, which of the following would the nurse anticipate the pt being able to perform using their elbow? Select all that apply. - Abduction - Extension - Elevation - Flexion - Circumduction
- Extension - Flexion
Match each of the following findings with whether they are subjective or objective. - Health history - Pain - Stiffness when ambulating - High blood pressure
- Health history: Subjective - Pain: Subjective - Stiffness when ambulating: Objective - High blood pressure: Objective
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.) - Increased BP - Increased RR - Increased HR - Increased temperature - Increased Hct
- Increased BP - Increased RR - Increased HR
Match the disease/condition with the definition or common findings. These include: kidney infection, gallstones, incomplete bladder emptying, urethra on the underside of the penis, narrowing of urethra, kidney stones. - Renal calculi - Cholecystitis - Urinary retention - Urethral stricture - Hypospadias - Pyelonephritis
- Renal calculi: kidney stones - Cholecystitis: gallstones - Urinary retention: incomplete bladder emptying - Urethral stricture: narrowing of urethra - Hypospadias: urethra on the underside of penis - Pyelonephritis: kidney infection
When checking a client's capillary refill, the nurse finds that the color returns in 10 seconds. The nurse should understand that this finding indicated which of the following? - Arterial insufficiency - Within the expected range - Thrombus formation in the vein - Venous insufficiency
Arterial insufficiency
A nurse is assessing a client's radial pulse and determines that the pulse is irregular. Which of the following actions should the nurse take? - Assess the apical pulse for a full minute - Assess the apical pulse with a Doppler device - Assess the pedal pulse with a Doppler device - Assess the pedal pulse for a full minute
Assess the apical pulse for a full minute
A student nurse is documenting their lymphatic assessment of a pt admitted for fever of unknown origin. Which of the following actions by the nurse would cause the instructor to intervene? - Using the pads of their fingers in a circular motion to assess the lower lymph nodes - Documenting lymph nodes as enlarged/swollen - Assessing the inguinal lymph nodes first, then moving to the upper lymphatics (pre-auricular, post-auricular, etc.) - Palpating the epitrochlear lymph nodes on the medial side by the bend of the arm
Assessing the inguinal lymph nodes first, then moving to the upper lymphatics (pre-auricular, post-auricular, etc.)
What is the abbreviation for the right eye when documenting its score on the Snellen chart? - OS - OU - OD
OD
Falls can lead to complications including fractures and soft tissue injury. Which of the following pt populations are most at risk for these types of complications? - Toddlers - Older adults - Adolescents - Middle-aged adults
Older adults
Which of the following pt's would you prioritize first? - Pt with +2 on the right, 0 on the left - Pt with bilaterally cool feet - Pt with SBP of 130 - Pt with a pedal pulse of +1 bilaterally
Pt with +2 on the right, 0 on the left
When assessing a pt with an indwelling catheter the nurse notes the color as brown. Which of the following is most likely the cause of this finding? - Old urinary tract bleed - Severe dehydration - Congestive heart failure - 10-year hx of diabetes mellitus
Severe dehydration
When the nurse performs the corneal light reflex, the light reflects on different parts of each eye and not directly in the center of each pupil. The finding is documented as: - anisocoria - ocular deviation - hyperopia - ocular misalignment
ocular misalignment
When obtaining a health hx from a 22-year-old female client who has new-onset urinary incontinence, which finding or factors does the nurse consider significant? Select all that apply. - A foul odor from the urine - Urinating 10 times daily although fluid intake remains unchanged - A recent change in the client's oral contraceptive prescription - Chemical exposure in the workplace - A burning sensation occurring on urination - A new inability to hold urine
- A foul odor from the urine - Urinating 10 times daily although fluid intake remains unchanged - A burning sensation occurring on urination - A new inability to hold urine
A nurse is caring for four female patients. Which pt is identified as being at greatest risk for low bone density? - 44 year old Native American - 22 year old Asian American - 50 year old African American - 39 year old Caucasian American
39 year old Caucasian American
A pt with kidney failure reports dyspnea. The pt's pulse ox reading is 95% on room air, but is visibly distressed with a RR of 32 breaths/min. What is the priority intervention? - Administer oxygen by nasal cannula. - Notify the respiratory therapist - Administer lorazepam as the pt's tachypnea is related to anxiety. - Administer a respiratory nebulizing tx.
Administer oxygen by nasal cannula.
When assessing your pt you notice their right lower leg is smaller than the left and slightly boggy when palpating. Which of the following would best describe your findings? - Inflammation - Effusion - Hypertrophy - Atrophy
Atrophy
A pt has a right total knee replacement this morning. They are groggy from anesthesia and confused. You are getting ready to complete an assessment on them. Which of the following assessments is most appropriate? - System based - Comprehensive - Basic - Focused
Basic
You are starting your shift and begin to see one of your patients. One of which has been on the unit for 2 days with Covid. Which of the following assessments would be the most appropriate? - Basic - Comprehensive - System based - Focused
Basic
When administering a new GI medication to an older pt, the nurse anticipates what? - Older adults always require a lower-than-normal dose than younger pt's. - A higher-than-normal dose is needed. - Close monitoring is needed because toxic or subtherapeutic levels may develop. - Nausea and vomiting may develop rapidly and are common side effects in older adults.
Close monitoring is needed because toxic or subtherapeutic levels may develop.
You are caring for a newly admitted pt with diabetic ketoacidosis. Which of the following assessments would you complete? - System based - Comprehensive - Focused - Basic
Comprehensive
A pt comes to the ER with a suspected fracture of their lower leg. Which of the following assessments would the nurse complete? - System based - Basic - Comprehensive - Focused
Focused
A pt with a hx of kidney disease is admitted with acute shoulder pain. Which order should the nurse question? - Metoprolol 50 mg by mouth twice daily. - Digoxin 0.125 mg PO daily - Pan cultures for a temp >38.5 C - Ibuprofen 800 mg PO Q4H PRN for pain
Ibuprofen 800 mg PO Q4H PRN for pain
The nurse is assessing a pt's AV fistula and notes there isn't a thrill present. What is the priority action? - Reassess in 1 hour. - Notify the physician. - Administer dialysis via the AV fistula. - Reschedule dialysis for tomorrow.
Notify the physician.
A pt has made an appt for a physical exam. This is an example of which of the following types of disease prevention? - Primary - Tertiary - Secondary
Secondary
When assessing a pt's mouth, the nurse notes many red spots on the roof of their mouth. The cause of this is most likely ___. - tonsillitis - fungal infection - post nasal drip - strep throat
strep throat
You are caring for a pt with congestive heart failure. After performing a basic assessment, you notice a murmur. What is the most appropriate assessment type for you to complete? - Basic is sufficient - Comprehensive - Focused - System based
System based
A pt with diabetes is admitted with uncontrolled diabetes. The nurse administers additional insulin at meals and bedtime per a sliding scale as directed by the physician. This is an example of what type of disease prevention? - Secondary - Tertiary - Primary
Tertiary
A postoperative pt is having difficulty emptying their bladder completely. You note that they have a distended abdomen. These findings are indicative of which of the following? - Renal calculi - Urinary retention - Gastrointestinal obstruction - Hypospadias
Urinary retention
The nurse asks the pt to close their eyes tightly. By doing so, the pt is demonstrating that which of their cranial nerves is intact? - III - IV - VI - VII
VII
You are educating a pt w/osteoporosis. They are interested in learning more about weigh-bearing activities. Which of the following would you suggest? - Biking - Walking - Using resistance bands while seated - Swimming
Walking
When assessing the pediatric pt's ears with an otoscope the nurse notes an excess of wax. Another way to document is excess _____. - cerumen - furuncle - drainage - sanguineous
cerumen