Question 1

The nurse assesses a patient for capillary refill after the fingernail is compressed for 5 seconds.What should the nurse expect the refill time to be?

Accepted Answer

A)   1 second
B)   2 seconds
C)   3 seconds
D)   4 secondsE) B) and C)
F) B) and D)

Question 2

When performing a physical examination of a patient,the nurse uses a technique that is particularly useful in identifying areas of tenderness or masses of the abdomen.What is this technique?

Accepted Answer

A)   Auscultation
B)   Deep palpation
C)   Light palpation
D)   PercussionE) A) and D)
F) A) and C)

Question 3

What is the term used to describe a disease where there has been a partial or complete disappearance of clinical and subjective characteristics of the disease?

Accepted Answer

A)   Acute
B)   Functional
C)   Chronic
D)   RemissionE) All of the above
F) None of the above

Question 4

During a physical assessment,the nurse notes a patient has profuse secretions of sweat.What should the nurse document that the patient is experiencing?

Accepted Answer

A)   Dyspnea
B)   Cyanosis
C)   Diaphoresis
D)   EcchymosisE) A) and D)
F) C) and D)

Question 5

A nurse is caring for a patient with congestive heart failure.During the physical assessment,the nurse notes the patient is experiencing difficulty breathing.What should the nurse document that the patient is experiencing?

Accepted Answer

A)   Dyspnea
B)   Cyanosis
C)   Diaphoresis
D)   EcchymosisE) All of the above
F) B) and C)

Question 6

A nurse is gathering objective data when admitting a patient.Which assessment finding reported by the patient is considered objective?

Accepted Answer

A)   Complains of nausea
B)   States,"I hurt all over."
C)   Complains of feeling anxious
D)   Appears to be anxiousE) A) and B)
F) None of the above

Question 7

A condition in which a patient experiences bluish discoloration of the skin and mucous membranes caused by an increase of deoxygenated hemoglobin in the blood is known as _________________.

Accepted Answer

The answer of A condition in which a patient experiences...

Question 8

When assessing a female for risk factors associated with coronary artery disease,what information should the nurse include? (Select all that apply. )

Accepted Answer

A)   Family history of illness
B)   Diet
C)   Smoking
D)   Exercise
E)   Number of pregnanciesF) A) and E)
G) A) and B)

Question 9

An abnormal condition in which a person must sit or stand to breathe deeply or comfortably is known as ___________________.

Accepted Answer

The answer of An abnormal condition in which a person...

Question 10

What should a patient interview being conducted by the nurse convey to the patient?

Accepted Answer

A)   The nurse has feelings of concern.
B)   The nurse has limited time.
C)   The nurse is very intelligent.
D)   The nurse has answers to problems.E) A) and B)
F) A) and C)

Question 11

A nurse needs to auscultate a patient's lung sounds.In what position should the nurse place the patient?

Accepted Answer

A)   Sims
B)   Prone
C)   Sitting
D)   LithotomyE) A) and C)
F) C) and D)

Question 12

During a physical assessment,the nurse notes that a patient has bright red blood in the feces.What does the nurse recognize as the most likely cause of this bleeding?

Accepted Answer

A)   Bleeding in the upper intestinal tract
B)   Bleeding in the lower intestinal tract
C)   Bleeding in the entire intestinal tract
D)   Consumption of cranberry juiceE) A) and B)
F) B) and C)

Question 13

The nurse uses a systematic method for collecting data on all body systems,including normal functioning and any noted changes.What is this method?

Accepted Answer

A)   Nursing interview
B)   Review of systems
C)   Nursing assessment
D)   Health historyE) A) and B)
F) B) and C)

Question 14

Cultural beliefs and personal characteristics determine __________ behavior in individuals and families.More than half of all health problems are the result of behavior and lifestyle.

Accepted Answer

The answer of Cultural beliefs and personal characteristics determine __________...

Question 15

During a physical assessment,the nurse observes a patient experiencing a sudden audible expulsion of air from the lungs.What should the nurse document that the patient is experiencing?

Accepted Answer

A)   Dyspnea
B)   Cyanosis
C)   Coughing
D)   EcchymosisE) C) and D)
F) All of the above

Question 16

A yellow tinge to the skin that may indicate obstruction in the flow of bile from the liver is known as ___________________.

Accepted Answer

The answer of A yellow tinge to the skin that...

Question 17

The nurse is performing auscultation of breath sounds on a respiratory patient.The sounds heard on inspiration and expiration are low-pitched,coarse,gurgling,and have a snoring sound.What best identifies these sounds?

Accepted Answer

A)   Crackles
B)   Plural friction rub
C)   Rhonchi
D)   Sonorous wheezesE) None of the above
F) All of the above

Question 18

An abnormal condition in which the heart contracts regularly but at a rate greater than 100 beats/min is known as ___________________.

Accepted Answer

The answer of An abnormal condition in which the heart...

Question 19

The nurse is preparing to perform a physical assessment.What essential supplies should this nurse gather? (Select all that apply. )

Accepted Answer

A)   Flashlight
B)   Gloves
C)   Red pen
D)   Thermometer
E)   ScissorsF) A) and D)
G) A) and C)

Question 20

Any disturbance of a structure or function of the body is a pathologic condition.What is the term for this condition?

Accepted Answer

A)   Injury
B)   Condition
C)   Disease
D)   PathologyE) None of the above
F) All of the above

Exam 13: Physical Assessment

Any disturbance of a structure or function of the body is a pathologic condition.What is the term for this condition?

Correct AnswerverifiedShow Answer

During a physical assessment,the nurse notes that a patient has bright red blood in the feces.What does the nurse recognize as the most likely cause of this bleeding?

Correct AnswerverifiedShow Answer

Cultural beliefs and personal characteristics determine __________ behavior in individuals and families.More than half of all health problems are the result of behavior and lifestyle.

Correct AnswerverifiedShow Answer

The nurse is performing auscultation of breath sounds on a respiratory patient.The sounds heard on inspiration and expiration are low-pitched,coarse,gurgling,and have a snoring sound.What best identifies these sounds?

Correct AnswerverifiedShow Answer

An abnormal condition in which a person must sit or stand to breathe deeply or comfortably is known as ___________________.

Correct AnswerverifiedShow Answer

During a physical assessment,the nurse observes a patient experiencing a sudden audible expulsion of air from the lungs.What should the nurse document that the patient is experiencing?

Correct AnswerverifiedShow Answer

When assessing a female for risk factors associated with coronary artery disease,what information should the nurse include? (Select all that apply. )

Correct AnswerverifiedShow Answer

The nurse assesses a patient for capillary refill after the fingernail is compressed for 5 seconds.What should the nurse expect the refill time to be?

Correct AnswerverifiedShow Answer

A nurse needs to auscultate a patient's lung sounds.In what position should the nurse place the patient?

Correct AnswerverifiedShow Answer

What should a patient interview being conducted by the nurse convey to the patient?

Correct AnswerverifiedShow Answer

A nurse is gathering objective data when admitting a patient.Which assessment finding reported by the patient is considered objective?

Correct AnswerverifiedShow Answer

A condition in which a patient experiences bluish discoloration of the skin and mucous membranes caused by an increase of deoxygenated hemoglobin in the blood is known as _________________.

Correct AnswerverifiedShow Answer

A yellow tinge to the skin that may indicate obstruction in the flow of bile from the liver is known as ___________________.

Correct AnswerverifiedShow Answer

During a physical assessment,the nurse notes a patient has profuse secretions of sweat.What should the nurse document that the patient is experiencing?

Correct AnswerverifiedShow Answer

The nurse uses a systematic method for collecting data on all body systems,including normal functioning and any noted changes.What is this method?

Correct AnswerverifiedShow Answer

The nurse is preparing to perform a physical assessment.What essential supplies should this nurse gather? (Select all that apply. )

Correct AnswerverifiedShow Answer

An abnormal condition in which the heart contracts regularly but at a rate greater than 100 beats/min is known as ___________________.

Correct AnswerverifiedShow Answer

A nurse is caring for a patient with congestive heart failure.During the physical assessment,the nurse notes the patient is experiencing difficulty breathing.What should the nurse document that the patient is experiencing?

Correct AnswerverifiedShow Answer

When performing a physical examination of a patient,the nurse uses a technique that is particularly useful in identifying areas of tenderness or masses of the abdomen.What is this technique?

Correct AnswerverifiedShow Answer

What is the term used to describe a disease where there has been a partial or complete disappearance of clinical and subjective characteristics of the disease?

Correct AnswerverifiedShow Answer

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