GNRS 578 Health Assessment - Quiz #1-9 Quizzes from
weeks 1-4 (what will be covered on Exam 1) Questions With
Complete Solutions
A 65-year-old patient remarks that she just can't
believe that her breasts sag so much. She states it
must be from lack of exercise. What explanation
should the nurse offer her?
a. only women with large breasts experience
sagging
b. a diet that is high in protein will prevent muscle
mass loss, which keeps the breasts from sagging
c. with age, the glandular and fat tissue atrophies,
causing breast size and elasticity to diminish,
resulting in breasts that sag
d. sagging is usually due to decreased muscle
mass within the breast, and can be reversed with
exercise Correct Answers c. with age, the
glandular and fat tissue atrophies, causing breast
size and elasticity to diminish, resulting in breasts
that sag
A client arrives at the emergency department
complaining of chest pain. Which of the following
assessment findings should the nurse anticipate if
the chest pain is from myocardial ischemia? Select
all that apply.
a. Dyspnea
,b. Pain is worse with deep breaths
c. client describes the pain as "squeezing"
d. stridor is hear upon auscultation Correct
Answers a. Dyspnea
c. client describes the pain as "squeezing"
A client tells the nurse that he has been waking up
in the middle of the night with shortness of breath,
which is relieved once sitting upright. The nurse
knows that this should be documented as:
a. paroxysmal nocturnal dyspnea
b. 4-pillow orthopnea
c. cardiac dyspnea
d. hemoptysis dyspnea Correct Answers a.
paroxysmal nocturnal dyspnea
A client with a diagnosis of heart failure is admitted
to the hospital. Which type of adventitious lung
sound should the nurse expect to hear when
performing a respiratory assessment on this client?
a. bronchovesicular sounds
b. pleural friction rub
c. crackles
d. stridor Correct Answers c. crackles
A costal angle of 110 degrees may indicate:
a. chronic lung disease and air trapping
,b. surfactant deficiency
c. normal finding
d. acute pneumonia Correct Answers a. chronic
lung disease and air trapping
A nurse is taking complete health histories on all of
your patients attending a wellness workshop. On
the history form, one of the written questions asks,
"You don't smoke, drink, or take drugs, do you?"
This question is an example of:
a. Using a leading question
b. Interrupting
c. Talking too much
d. An open-ended question Correct Answers a.
Using a leading question
A nursing assistant will be obtaining vital signs on a
client who had a left-sided mastectomy two days
prior. What specific instructions would the nurse
provide to the nursing assistant in delegating this
task?
a. Take blood pressure on the right arm
b. Take blood pressure on both arms for a baseline
c. Take blood pressure on the left arm
d. No specific considerations are necessary
Correct Answers a. Take blood pressure on the
right arm
, A patient states to the nurse, "I've been feeling
very short of breath, especially at night when I'm
sleeping." Which question should the nurse ask the
patient next?
a. "How many pillows do you use to sleep?"
b. "How many cigarettes do you smoke per day?"
c. "Have you been sleeping earlier than usual?"
d. "Do you have a family history of hypertension?"
Correct Answers a. "How many pillows do you use
to sleep?"
An adolescent female client tells the nurse that she
experiences mild cyclic Mastalgia which seems to
coincide with her menstrual periods. The nurse
should that this is:
a. a normal finding for many women
b. due to a benign breast disease
c. a sign of breast cancer
d. a probably sign of pregnancy Correct Answers
a. a normal finding for many women
An area of significant hair loss is described by the
term:
a. alopecia
b. lanugo
c. hirsutism
d. diaphoresis Correct Answers a. alopecia
weeks 1-4 (what will be covered on Exam 1) Questions With
Complete Solutions
A 65-year-old patient remarks that she just can't
believe that her breasts sag so much. She states it
must be from lack of exercise. What explanation
should the nurse offer her?
a. only women with large breasts experience
sagging
b. a diet that is high in protein will prevent muscle
mass loss, which keeps the breasts from sagging
c. with age, the glandular and fat tissue atrophies,
causing breast size and elasticity to diminish,
resulting in breasts that sag
d. sagging is usually due to decreased muscle
mass within the breast, and can be reversed with
exercise Correct Answers c. with age, the
glandular and fat tissue atrophies, causing breast
size and elasticity to diminish, resulting in breasts
that sag
A client arrives at the emergency department
complaining of chest pain. Which of the following
assessment findings should the nurse anticipate if
the chest pain is from myocardial ischemia? Select
all that apply.
a. Dyspnea
,b. Pain is worse with deep breaths
c. client describes the pain as "squeezing"
d. stridor is hear upon auscultation Correct
Answers a. Dyspnea
c. client describes the pain as "squeezing"
A client tells the nurse that he has been waking up
in the middle of the night with shortness of breath,
which is relieved once sitting upright. The nurse
knows that this should be documented as:
a. paroxysmal nocturnal dyspnea
b. 4-pillow orthopnea
c. cardiac dyspnea
d. hemoptysis dyspnea Correct Answers a.
paroxysmal nocturnal dyspnea
A client with a diagnosis of heart failure is admitted
to the hospital. Which type of adventitious lung
sound should the nurse expect to hear when
performing a respiratory assessment on this client?
a. bronchovesicular sounds
b. pleural friction rub
c. crackles
d. stridor Correct Answers c. crackles
A costal angle of 110 degrees may indicate:
a. chronic lung disease and air trapping
,b. surfactant deficiency
c. normal finding
d. acute pneumonia Correct Answers a. chronic
lung disease and air trapping
A nurse is taking complete health histories on all of
your patients attending a wellness workshop. On
the history form, one of the written questions asks,
"You don't smoke, drink, or take drugs, do you?"
This question is an example of:
a. Using a leading question
b. Interrupting
c. Talking too much
d. An open-ended question Correct Answers a.
Using a leading question
A nursing assistant will be obtaining vital signs on a
client who had a left-sided mastectomy two days
prior. What specific instructions would the nurse
provide to the nursing assistant in delegating this
task?
a. Take blood pressure on the right arm
b. Take blood pressure on both arms for a baseline
c. Take blood pressure on the left arm
d. No specific considerations are necessary
Correct Answers a. Take blood pressure on the
right arm
, A patient states to the nurse, "I've been feeling
very short of breath, especially at night when I'm
sleeping." Which question should the nurse ask the
patient next?
a. "How many pillows do you use to sleep?"
b. "How many cigarettes do you smoke per day?"
c. "Have you been sleeping earlier than usual?"
d. "Do you have a family history of hypertension?"
Correct Answers a. "How many pillows do you use
to sleep?"
An adolescent female client tells the nurse that she
experiences mild cyclic Mastalgia which seems to
coincide with her menstrual periods. The nurse
should that this is:
a. a normal finding for many women
b. due to a benign breast disease
c. a sign of breast cancer
d. a probably sign of pregnancy Correct Answers
a. a normal finding for many women
An area of significant hair loss is described by the
term:
a. alopecia
b. lanugo
c. hirsutism
d. diaphoresis Correct Answers a. alopecia