Question 1

Recommendations for obtaining and maintaining the patient's cooperation include all of the following,EXCEPT

Accepted Answer

A)  answering questions in terms the patient will understand. 
B)  discussing and validating findings with the patient. 
C)  reassuring the patient that all is fine. 
D)  putting the patient at ease. 
A)  answering questions in terms the patient will understand. 
B)  discussing and validating findings with the patient. 
C)  reassuring the patient that all is fine. 
D)  putting the patient at ease. C

Question 2

You would assess for costovertebral angle tenderness while assessing the

Accepted Answer

A)  anterior thorax. 
B)  back, and posterior and lateral thorax. 
C)  neck. 
D)  upper extremities. 
A)  anterior thorax. 
B)  back, and posterior and lateral thorax. 
C)  neck. 
D)  upper extremities. B

Question 3

How much time should you schedule for a typical complete health and physical assessment?

Accepted Answer

A)  15-30 minutes 
B)  30-90 minutes 
C)  1-2 hours 
D)  2-3 hours 
A)  15-30 minutes 
B)  30-90 minutes 
C)  1-2 hours 
D)  2-3 hours B

Question 4

Which is the best guideline for avoiding legal problems in your nursing practice?

Accepted Answer

A)  Use the same work practices as your peers. 
B)  Let the patient establish the limits. 
C)  Use your common sense. 
D)  Follow your institution's policies. 
A)  Use the same work practices as your peers. 
B)  Let the patient establish the limits. 
C)  Use your common sense. 
D)  Follow your institution's policies.

Question 5

You would ask the bedridden patient to run the heel of each foot down the shin of the opposite leg and to draw a figure eight in the air with each foot to assess the

Accepted Answer

A)  ability to follow directions. 
B)  cerebellar function. 
C)  lower extremity flexibility and mobility. 
D)  lower extremity muscle strength. 
A)  ability to follow directions. 
B)  cerebellar function. 
C)  lower extremity flexibility and mobility. 
D)  lower extremity muscle strength.

Question 6

Personal digital assistants (PDAs)are coming into use by nurses mainly for

Accepted Answer

A)  interacting with patients. 
B)  data storage and retrieval. 
C)  formulating nursing diagnoses. 
D)  contacting physician specialists. 
A)  interacting with patients. 
B)  data storage and retrieval. 
C)  formulating nursing diagnoses. 
D)  contacting physician specialists.

Question 7

Assessment of the spine's range of motion is done during which assessment?

Accepted Answer

A)  neurological system 
B)  back, and posterior and lateral thorax 
C)  musculoskeletal system 
D)  anterior thorax 
A)  neurological system 
B)  back, and posterior and lateral thorax 
C)  musculoskeletal system 
D)  anterior thorax

Question 8

The jugular veins are observed as the patient goes from the sitting to the supine position and again when the patient is

Accepted Answer

A)  sitting. 
B)  standing. 
C)  supine. 
D)  in a lateral decubitus position. 
A)  sitting. 
B)  standing. 
C)  supine. 
D)  in a lateral decubitus position.

Question 9

The ethical principle that involves your duty to be faithful to the patient is known as

Accepted Answer

A)  beneficence. 
B)  fidelity. 
C)  justice. 
D)  veracity. 
A)  beneficence. 
B)  fidelity. 
C)  justice. 
D)  veracity.

Question 10

You would perform hepatojugular reflux during which part of the assessment?

Accepted Answer

A)  abdomen 
B)  jugular veins 
C)  neck 
D)  neurological 
A)  abdomen 
B)  jugular veins 
C)  neck 
D)  neurological

Question 11

At the completion of the physical assessment,you should discuss future plans and answer any questions the patient may have after

Accepted Answer

A)  assisting the patient to a sitting position. 
B)  documenting your findings. 
C)  formulating a nursing care plan. 
D)  providing adequate time for the patient to redress. 
A)  assisting the patient to a sitting position. 
B)  documenting your findings. 
C)  formulating a nursing care plan. 
D)  providing adequate time for the patient to redress.

Question 12

Mrs.L has refused permission for you to assess her breasts and genitalia.Being sensitive to legal considerations,your first response is to

Accepted Answer

A)  ask a family member to convince her of the importance of this assessment. 
B)  document her refusal and conclude the assessment. 
C)  explain the importance of the assessment and repeat your request. 
D)  notify the nursing supervisor to speak with the patient. 
A)  ask a family member to convince her of the importance of this assessment. 
B)  document her refusal and conclude the assessment. 
C)  explain the importance of the assessment and repeat your request. 
D)  notify the nursing supervisor to speak with the patient.

Question 13

General guidelines for conducting a physical assessment include

Accepted Answer

A)  allowing time at the conclusion of the assessment to discuss relevant findings. 
B)  helping patients who are older or disabled focus on identifying their limitations. 
C)  conducting the assessment in the same sequence each time in every situation. 
D)  encouraging the patient to change positions often. 
A)  allowing time at the conclusion of the assessment to discuss relevant findings. 
B)  helping patients who are older or disabled focus on identifying their limitations. 
C)  conducting the assessment in the same sequence each time in every situation. 
D)  encouraging the patient to change positions often.

Question 14

Assessment of cardiac landmarks includes which of the following? Select all that apply.

Accepted Answer

A)  Observing for pulsations. 
B)  Observing the jugular veins. 
C)  Palpating for thrills. 
D)  Percussing the anterior thorax. 
E)  Palpating for heaves.
F) Measuring pulsus paradoxus. 
A)  Observing for pulsations. 
B)  Observing the jugular veins. 
C)  Palpating for thrills. 
D)  Percussing the anterior thorax. 
E)  Palpating for heaves.
F) Measuring pulsus paradoxus.

Question 15

Which of the following is recommended for improving the examination of a bedridden patient?

Accepted Answer

A)  obtaining the help of an assistant 
B)  conducting examinations with less frequency 
C)  obtaining the patient's health history from a family member 
D)  permitting the patient to restore the room to its original condition at the end of the examination 
A)  obtaining the help of an assistant 
B)  conducting examinations with less frequency 
C)  obtaining the patient's health history from a family member 
D)  permitting the patient to restore the room to its original condition at the end of the examination

Question 16

A breast examination normally includes checking all of the following features of the breasts,EXCEPT

Accepted Answer

A)  weight. 
B)  contour. 
C)  discharge. 
D)  symmetry. 
A)  weight. 
B)  contour. 
C)  discharge. 
D)  symmetry.

Question 17

Femoral pulses are palpated and auscultated when you are assessing the ____________________.

Accepted Answer

inguinal area
Explan

Question 18

At what point during a complete health assessment do you ask the patient to undress and don the examination gown?

Accepted Answer

A)  at the beginning before obtaining the health history 
B)  after assessing the neck and upper extremities 
C)  after assessing the patient's mental status 
D)  after obtaining the patient's anthropometric measurements 
A)  at the beginning before obtaining the health history 
B)  after assessing the neck and upper extremities 
C)  after assessing the patient's mental status 
D)  after obtaining the patient's anthropometric measurements

Question 19

The ideal time to perform a comprehensive assessment is

Accepted Answer

A)  at the patient's request. 
B)  on the patient's first visit to the health care facility to establish a baseline database. 
C)  on the patient's second or third visit after rapport has been established. 
D)  when the patient is seen for an acute health problem, to identify accompanying health problems. 
A)  at the patient's request. 
B)  on the patient's first visit to the health care facility to establish a baseline database. 
C)  on the patient's second or third visit after rapport has been established. 
D)  when the patient is seen for an acute health problem, to identify accompanying health problems.

Question 20

One of your measurements yields a reading during physical assessment that seems very doubtful,considering the patient's general condition.If you are still in doubt about the data after rechecking,your best option is to

Accepted Answer

A)  discard the instrument. 
B)  record the initial reading. 
C)  discard the reading and go on to the next assessment. 
D)  seek another qualified nurse to confirm the reading. 
A)  discard the instrument. 
B)  record the initial reading. 
C)  discard the reading and go on to the next assessment. 
D)  seek another qualified nurse to confirm the reading.

Exam 27: The Complete Health History And Physical Examination

Recommendations for obtaining and maintaining the patient's cooperation include all of the following,EXCEPT

You would assess for costovertebral angle tenderness while assessing the

How much time should you schedule for a typical complete health and physical assessment?

Which is the best guideline for avoiding legal problems in your nursing practice?

You would ask the bedridden patient to run the heel of each foot down the shin of the opposite leg and to draw a figure eight in the air with each foot to assess the

Personal digital assistants (PDAs)are coming into use by nurses mainly for

Assessment of the spine's range of motion is done during which assessment?

The jugular veins are observed as the patient goes from the sitting to the supine position and again when the patient is

The ethical principle that involves your duty to be faithful to the patient is known as

You would perform hepatojugular reflux during which part of the assessment?

At the completion of the physical assessment,you should discuss future plans and answer any questions the patient may have after

Mrs.L has refused permission for you to assess her breasts and genitalia.Being sensitive to legal considerations,your first response is to

General guidelines for conducting a physical assessment include

Assessment of cardiac landmarks includes which of the following? Select all that apply.

Which of the following is recommended for improving the examination of a bedridden patient?

A breast examination normally includes checking all of the following features of the breasts,EXCEPT

Femoral pulses are palpated and auscultated when you are assessing the ____________________.

At what point during a complete health assessment do you ask the patient to undress and don the examination gown?

The ideal time to perform a comprehensive assessment is

One of your measurements yields a reading during physical assessment that seems very doubtful,considering the patient's general condition.If you are still in doubt about the data after rechecking,your best option is to

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

General Survey, vital Signs, and Pain

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

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