Question 1

What is the expected appearance of the oral mucosa in a light-skinned adult?

Accepted Answer

A)  Pinkish red, smooth, and moist 
B)  Light pink, rough, and dry 
C)  Cyanotic, with rough nodules 
D)  Deep red, with rough edges 
A)  Pinkish red, smooth, and moist 
B)  Light pink, rough, and dry 
C)  Cyanotic, with rough nodules 
D)  Deep red, with rough edges

Question 2

The nurse instructs the male patient that which one of the following is the protocol for testicular self-examination?

Accepted Answer

A)  Perform the examination annually after age 35 years. 
B)  Using both hands, roll the testicles and feel the consistency. 
C)  Perform the examination before bathing or showering. 
D)  Contact the physician if a cordlike structure is felt on the top and back of the testicle. 
A)  Perform the examination annually after age 35 years. 
B)  Using both hands, roll the testicles and feel the consistency. 
C)  Perform the examination before bathing or showering. 
D)  Contact the physician if a cordlike structure is felt on the top and back of the testicle.

Question 3

In which of the following locations could the nurse best auscultate the point of maximum impulse (PMI)in an adult patient?

Accepted Answer

A)  Fourth intercostal space, left of the midclavicular line 
B)  Fifth intercostal space, medial to the left midclavicular line 
C)  Second intercostal space, right of the midclavicular line 
D)  Third intercostal space, right of the midclavicular line 
A)  Fourth intercostal space, left of the midclavicular line 
B)  Fifth intercostal space, medial to the left midclavicular line 
C)  Second intercostal space, right of the midclavicular line 
D)  Third intercostal space, right of the midclavicular line

Question 4

The student nurse is working with a patient who has asthma.The primary nurse tells the student that wheezes can be heard on auscultation.Which of the following should the student expect to hear?

Accepted Answer

A)  Coarse crackles and bubbling 
B)  High-pitched musical sounds 
C)  Dry, grating noises 
D)  Loud, low-pitched rumbling 
A)  Coarse crackles and bubbling 
B)  High-pitched musical sounds 
C)  Dry, grating noises 
D)  Loud, low-pitched rumbling

Question 5

In preparing to examine a patient's abdomen,which of the following actions does the nurse plan to take?

Accepted Answer

A)  Leave painful areas for the end of the examination. 
B)  Place a pillow under the patient's head, and extend his legs. 
C)  Keep the TV or radio on to distract the patient throughout the examination. 
D)  Assess only the side of the body where the pain occurs. 
A)  Leave painful areas for the end of the examination. 
B)  Place a pillow under the patient's head, and extend his legs. 
C)  Keep the TV or radio on to distract the patient throughout the examination. 
D)  Assess only the side of the body where the pain occurs.

Question 6

An inspection of the lower extremities is being performed.The observation of which of the following causes the nurse to suspect the presence of arterial insufficiency?

Accepted Answer

A)  Increased hair growth 
B)  Cooler skin temperatures 
C)  Marked edema 
D)  Brown pigmentation 
A)  Increased hair growth 
B)  Cooler skin temperatures 
C)  Marked edema 
D)  Brown pigmentation

Question 7

The nurse uses a goniometer to assess which of the following?

Accepted Answer

A)  Abdominal tone 
B)  Muscle strength 
C)  The degree of motion in a joint 
D)  The angle of wrist flexion and hyperextension 
A)  Abdominal tone 
B)  Muscle strength 
C)  The degree of motion in a joint 
D)  The angle of wrist flexion and hyperextension

Question 8

Assessment of the patient's skin reveals a serous fluid-filled circumscribed elevation of 0.4 cm.The nurse documents this as which one of the following?

Accepted Answer

A)  Nodule 
B)  Macule 
C)  Vesicle 
D)  Wheal 
A)  Nodule 
B)  Macule 
C)  Vesicle 
D)  Wheal

Question 9

The nurse uses olfaction during a patient assessment.If a sweet,fruity smell is noticed in the patient's oral cavity,which of the following should the nurse suspect?

Accepted Answer

A)  Diabetic acidosis 
B)  Gum disease 
C)  Urinary tract infection 
D)  Malabsorption syndrome 
A)  Diabetic acidosis 
B)  Gum disease 
C)  Urinary tract infection 
D)  Malabsorption syndrome

Question 10

The nurse is examining a patient with dark skin.In assessing for pallor,at which of the following will it be best for the nurse to specifically look?

Accepted Answer

A)  Lips and tongue 
B)  Skin creases and folds 
C)  Hard palate 
D)  Sclera 
A)  Lips and tongue 
B)  Skin creases and folds 
C)  Hard palate 
D)  Sclera

Question 11

The nurse will be assessing position sense with cerebellar tests.Which of the following tests relates to testing cerebellar function?

Accepted Answer

A)  Weber test 
B)  Allen test 
C)  Romberg test 
D)  Rinne test 
A)  Weber test 
B)  Allen test 
C)  Romberg test 
D)  Rinne test

Question 12

A school-age child is brought to the clinic after experiencing a nosebleed during a soccer practice.During the health history,which of the following is the most appropriate question for the nurse to ask the patient?

Accepted Answer

A)  "Do you use nasal sprays?" 
B)  "Do you snore or experience breathing difficulties during sleep?" 
C)  "Have you ever experienced nosebleeds before?" 
D)  "Are you allergic to anything?" 
A)  "Do you use nasal sprays?" 
B)  "Do you snore or experience breathing difficulties during sleep?" 
C)  "Have you ever experienced nosebleeds before?" 
D)  "Are you allergic to anything?"

Exam 31: Health Assessment and Physical Examination

What is the expected appearance of the oral mucosa in a light-skinned adult?

The nurse instructs the male patient that which one of the following is the protocol for testicular self-examination?

In which of the following locations could the nurse best auscultate the point of maximum impulse (PMI)in an adult patient?

The student nurse is working with a patient who has asthma.The primary nurse tells the student that wheezes can be heard on auscultation.Which of the following should the student expect to hear?

In preparing to examine a patient's abdomen,which of the following actions does the nurse plan to take?

An inspection of the lower extremities is being performed.The observation of which of the following causes the nurse to suspect the presence of arterial insufficiency?

The nurse uses a goniometer to assess which of the following?

Assessment of the patient's skin reveals a serous fluid-filled circumscribed elevation of 0.4 cm.The nurse documents this as which one of the following?

The nurse uses olfaction during a patient assessment.If a sweet,fruity smell is noticed in the patient's oral cavity,which of the following should the nurse suspect?

The nurse is examining a patient with dark skin.In assessing for pallor,at which of the following will it be best for the nurse to specifically look?

The nurse will be assessing position sense with cerebellar tests.Which of the following tests relates to testing cerebellar function?

A school-age child is brought to the clinic after experiencing a nosebleed during a soccer practice.During the health history,which of the following is the most appropriate question for the nurse to ask the patient?

Health and Wellness

The Canadian Health Care Delivery System

The Development of Nursing in Canada

Community Health Nursing Practice

Theoretical Foundations of Nursing Practice

Research As a Basis for Practice

Nursing Values and Ethics

Legal Implications in Nursing Practice

Global Health, culture, and Diversity

Nursing Leadership, management, and Collaborative Practice

Critical Thinking in Nursing Practice

Nursing Assessment and Diagnosis

Planning and Implementing Nursing Care

Evaluation of Nursing Care

Documenting and Reporting

Nursing Informatics and Canadian Nursing Practice

Communication

Caring in Nursing Practice

Family Nursing

Patient Education

Developmental Theories

Conception Through Adolescence

Young to Middle Adulthood

Older Adulthood

Self-Concept

Sexuality

Spiritual Health

The Experience of Loss, death, and Grief

Stress and Adaptation

Vital Signs

Infection Control

Medication Administration

Complementary and Alternative Therapies

Activity and Exercise

Safety

Hygiene

Cardiopulmonary Functioning and Oxygenation

Fluid, electrolyte, and Acid-base Balances

Sleep

Pain Assessment and Management

Nutrition

Urinary Elimination

Bowel Elimination

Mobility and Immobility

Skin Integrity and Wound Care

Sensory Alterations

Care of Surgical Patients

the Health Care Delivery System

Community-Based Nursing Practice

Theoretical Foundations of Nursing Practice

Evidence-Based Practice

Health and Wellness

Caring in Nursing Practice

Caring for the Cancer Survivor

Culture and Ethnicity

Caring for Families

Developmental Theories

Conception Through Adolescence

Young and Middle Adults

Older Adults

Critical Thinking in Nursing Practice

Nursing Assessment

Nursing Diagnosis

Planning Nursing Care

Implementing Nursing Care

Evaluation

Managing Patient Care