Question 1

To assess a patient's apical pulse,the nurse would locate the apical pulse site and

Accepted Answer

A)  gently palpate with the first three fingers for the pulsations. 
B)  press firmly with all five fingers, because the pulsations are difficult to locate at this site. 
C)  place the diaphragm of the stethoscope over the pulse site and listen for the heartbeat. 
D)  palpate the radial pulse while listening to the apical rate with the stethoscope. 
A)  gently palpate with the first three fingers for the pulsations. 
B)  press firmly with all five fingers, because the pulsations are difficult to locate at this site. 
C)  place the diaphragm of the stethoscope over the pulse site and listen for the heartbeat. 
D)  palpate the radial pulse while listening to the apical rate with the stethoscope.

Question 2

Which of the following is most likely to result in a lower body temperature?

Accepted Answer

A)  ovulation 
B)  sleep 
C)  stress 
D)  exercise 
A)  ovulation 
B)  sleep 
C)  stress 
D)  exercise

Question 3

To take the temperature of a 5-year-old child using the tympanic thermometer,you would pull the pinna up and back and gently insert the probe

Accepted Answer

A)  toward the opposite eye. 
B)  upward toward the eye. 
C)  toward the opposite ear. 
D)  until it reaches the tympanic membrane. 
A)  toward the opposite eye. 
B)  upward toward the eye. 
C)  toward the opposite ear. 
D)  until it reaches the tympanic membrane.

Question 4

While examining a patient admitted for acute appendicitis,the patient complains of pain in the abdominal region.You recognize that the patient is experiencing which type of pain?

Accepted Answer

A)  somatic pain 
B)  cutaneous pain 
C)  chronic pain 
D)  visceral pain 
A)  somatic pain 
B)  cutaneous pain 
C)  chronic pain 
D)  visceral pain

Question 5

You are about to take the patient's temperature using a temporal artery thermometer.This procedure would require which of the following steps? Select all that apply.

Accepted Answer

A)  Remove the protective cap from the probe head. 
B)  Position the probe head on the center of the forehead, midway between the eyebrow and hairline, and depress the scan button. 
C)  Rapidly, while applying pressure, move the thermometer across the forehead (in either direction) maintaining contact between the probe head and the patient's forehead until the hairline is reached. 
D)  Observe for a blinking light and/or beeping indicating that a measurement is being calculated. 
E)  Release the scan button and remove the thermometer from the patient's forehead.Read the temperature on the display screen.
F) Discard the protective cap and the probe. 
A)  Remove the protective cap from the probe head. 
B)  Position the probe head on the center of the forehead, midway between the eyebrow and hairline, and depress the scan button. 
C)  Rapidly, while applying pressure, move the thermometer across the forehead (in either direction) maintaining contact between the probe head and the patient's forehead until the hairline is reached. 
D)  Observe for a blinking light and/or beeping indicating that a measurement is being calculated. 
E)  Release the scan button and remove the thermometer from the patient's forehead.Read the temperature on the display screen.
F) Discard the protective cap and the probe.

Question 6

Which factor tends to increase the pulse rate?

Accepted Answer

A)  increased blood pressure 
B)  increased vagal stimulation of the autonomic nervous system 
C)  pain 
D)  aging 
A)  increased blood pressure 
B)  increased vagal stimulation of the autonomic nervous system 
C)  pain 
D)  aging

Question 7

A weak,thready pulse can be caused by ____________________ shock.

Accepted Answer

hypovolemic
Explanation:Small, weak puls

Question 8

An adult patient's blood pressure was obtained using an adult cuff at 2 PM and 3 PM,and the readings were 124/80 and 128/82.A pediatric blood pressure cuff was used to obtain the patient's blood pressure at 4 PM because the adult cuff was not available.The patient's blood pressure reading at 4 PM is most likely to be

Accepted Answer

A)  within the same range. 
B)  slightly, but not significantly, lower. 
C)  erroneously high. 
D)  erroneously low. 
A)  within the same range. 
B)  slightly, but not significantly, lower. 
C)  erroneously high. 
D)  erroneously low.

Question 9

Listening carefully to the Korotkoff sounds as you deflate the blood pressure cuff,you detect the first sound at 146.It continues until 94,when the sounds are muffled,and eventually the sounds disappear at 40.Using the recommended method,you record this blood pressure as

Accepted Answer

A)  146/94. 
B)  146/40. 
C)  146/94/40. 
D)  94/40/0. 
A)  146/94. 
B)  146/40. 
C)  146/94/40. 
D)  94/40/0.

Question 10

Your 6-year-old patient's respiratory rate is 36 breaths per minute,which you record as

Accepted Answer

A)  within normal limits for his age. 
B)  tachypnea. 
C)  hyperpnea. 
D)  hyperventilation. 
A)  within normal limits for his age. 
B)  tachypnea. 
C)  hyperpnea. 
D)  hyperventilation.

Question 11

Which example indicates confirmed hypertension?

Accepted Answer

A)  patient whose blood pressure is 150/96 after 20 minutes of aerobic exercise 
B)  patient whose blood pressure is 162/104 before dental surgery 
C)  patient whose blood pressure is 165/98 and 146/92 taken at the beginning and end of a routine physical assessment 
D)  patient whose blood pressure is 152/96 and 154/98 taken on two consecutive visits with his family physician after an initial screening 
A)  patient whose blood pressure is 150/96 after 20 minutes of aerobic exercise 
B)  patient whose blood pressure is 162/104 before dental surgery 
C)  patient whose blood pressure is 165/98 and 146/92 taken at the beginning and end of a routine physical assessment 
D)  patient whose blood pressure is 152/96 and 154/98 taken on two consecutive visits with his family physician after an initial screening

Question 12

A variation between a patient's standing blood pressure reading of 104/64 and a supine reading of 138/88 is most likely because the patient has ______________________________.

Accepted Answer

orthostatic hypotension
Explanation:If t

Question 13

The nurse knows that when hospitalized adolescents underrate their pain and hide it,they are most likely denying pain for which of the following reasons?

Accepted Answer

A)  They are concerned that taking pain medication will lead to addiction. 
B)  They hope to get discharged from the hospital quicker. 
C)  They are afraid that an injection to relieve pain will hurt more than the pain they have. 
D)  They want to show their strength and maturity by coping with significant pain. 
A)  They are concerned that taking pain medication will lead to addiction. 
B)  They hope to get discharged from the hospital quicker. 
C)  They are afraid that an injection to relieve pain will hurt more than the pain they have. 
D)  They want to show their strength and maturity by coping with significant pain.

Question 14

A general survey of a patient's physical presence would include which observation?

Accepted Answer

A)  mood and manner 
B)  dress, grooming, and personal hygiene 
C)  facial expressions and speech 
D)  age, stature, and motor activity 
A)  mood and manner 
B)  dress, grooming, and personal hygiene 
C)  facial expressions and speech 
D)  age, stature, and motor activity

Question 15

A newly admitted 30-year-old patient has a resting pulse rate of 56.Which question,if answered affirmatively,is most likely to assist in determining the cause of the patient's bradycardia?

Accepted Answer

A)  "Have you exercised in the past hour or so?" 
B)  "Are you taking digoxin?" 
C)  "Are you having pain?" 
D)  "Are you feeling stressed?" 
A)  "Have you exercised in the past hour or so?" 
B)  "Are you taking digoxin?" 
C)  "Are you having pain?" 
D)  "Are you feeling stressed?"

Question 16

You are conducting an examination of a patient admitted with pancreatitis.The patient complains of pain in the left shoulder.You hypothesize that the patient is experiencing which type of pain?

Accepted Answer

A)  somatic pain 
B)  referred pain 
C)  visceral pain 
D)  cutaneous pain 
A)  somatic pain 
B)  referred pain 
C)  visceral pain 
D)  cutaneous pain

Question 17

Which of the following conditions may cause bradycardia? Select all that apply.

Accepted Answer

A)  Diarrhea 
B)  Eye surgery 
C)  Hyperthyroidism 
D)  Prolonged vomiting 
E)  Myocardial infarction
F) Increased intracranial pressure 
A)  Diarrhea 
B)  Eye surgery 
C)  Hyperthyroidism 
D)  Prolonged vomiting 
E)  Myocardial infarction
F) Increased intracranial pressure

Question 18

Halitosis can be caused by which of the following? Select all that apply.

Accepted Answer

A)  Tonsilitis 
B)  Vaginal infection 
C)  Pneumonia 
D)  Allergic rhinitis 
E)  Tooth decay
F) Poor oral hygiene 
A)  Tonsilitis 
B)  Vaginal infection 
C)  Pneumonia 
D)  Allergic rhinitis 
E)  Tooth decay
F) Poor oral hygiene

Question 19

Core body temperature is the temperature of the blood circulating through the

Accepted Answer

A)  heart and major arteries of the trunk. 
B)  abdominal organs. 
C)  hypothalamus. 
D)  mucous membranes. 
A)  heart and major arteries of the trunk. 
B)  abdominal organs. 
C)  hypothalamus. 
D)  mucous membranes.

Exam 9: General Survey, vital Signs, and Pain

To assess a patient's apical pulse,the nurse would locate the apical pulse site and

Which of the following is most likely to result in a lower body temperature?

To take the temperature of a 5-year-old child using the tympanic thermometer,you would pull the pinna up and back and gently insert the probe

While examining a patient admitted for acute appendicitis,the patient complains of pain in the abdominal region.You recognize that the patient is experiencing which type of pain?

You are about to take the patient's temperature using a temporal artery thermometer.This procedure would require which of the following steps? Select all that apply.

Which factor tends to increase the pulse rate?

A weak,thready pulse can be caused by ____________________ shock.

Listening carefully to the Korotkoff sounds as you deflate the blood pressure cuff,you detect the first sound at 146.It continues until 94,when the sounds are muffled,and eventually the sounds disappear at 40.Using the recommended method,you record this blood pressure as

Your 6-year-old patient's respiratory rate is 36 breaths per minute,which you record as

Which example indicates confirmed hypertension?

A variation between a patient's standing blood pressure reading of 104/64 and a supine reading of 138/88 is most likely because the patient has ______________________________.

The nurse knows that when hospitalized adolescents underrate their pain and hide it,they are most likely denying pain for which of the following reasons?

A general survey of a patient's physical presence would include which observation?

A newly admitted 30-year-old patient has a resting pulse rate of 56.Which question,if answered affirmatively,is most likely to assist in determining the cause of the patient's bradycardia?

You are conducting an examination of a patient admitted with pancreatitis.The patient complains of pain in the left shoulder.You hypothesize that the patient is experiencing which type of pain?

Which of the following conditions may cause bradycardia? Select all that apply.

Halitosis can be caused by which of the following? Select all that apply.

Core body temperature is the temperature of the blood circulating through the

Critical Thinking And The Nursing Process

Communication Techniques And The Patient Interview

The Complete Health History Including Documentation

Developmental Assessment

Cultural Assessment

Spiritual Assessment

Nutritional Assessment

Physical Examination Techniques

Skin, hair, and Nails

Head, neck, and Regional Lymph Nodes

Eyes

Ears, nose, mouth, and Throat

Breasts And Regional Nodes

Thorax And Lungs

Heart

Peripheral Vasculature And Lymphatic System

Abdomen

Musculoskeletal System

Mental Status And Neurological Techniques

Female Genitalia

Male Genitalia

Anus, rectum, and Prostate

The Pregnant Patient

The Pediatric Patient

The Older Adult Patient

The Complete Health History And Physical Examination

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