Cumulative Exam: Physical Assessment || A+ Verified.
The temperature of a patient is measured every 6 hours at 6 AM, 12 PM, 6 PM, and 12 AM.
Which temperature reading is expected to be low due to a normal variation?
a. The measurement at 6 AM
b. The measurement at 12 PM
c. The measurement at 6 PM
d. The measurement at 12 AM correct answers a. The measurement at 6 AM
A nurse is conducting an assessment of an American Indian woman who has come to the
clinic complaining of persistent headaches. The patient tells the nurse that the medicines
prescribed by the tribal healer have done "some good." What is the appropriate response of
the nurse at this time?
A) Advise the client to stop taking any non-prescription medicines.
B)Tell the physician that the client probably has headaches caused by the healer's medicines.
C)Tell the client to increase the frequency of the healer's medicines.
D)Ask the client about these medicines and how often the client uses them. correct answers
D)Ask the client about these medicines and how often the client uses them.
Which method of temperature measurement does a nurse choose when assessing school-aged
children in a wellness clinic? Select all that apply.
A. Tympanic
B. Oral
C. Axillary
D. Rectal
E. Temporal correct answers Tympanic, temporal, axillary
The nurse is unable to hear the patient's breath sounds. What checks does the nurse make of
the stethoscope to determine the cause of this problem?
a. Ensure the stethoscope tubing is at least 20 inches long.
b. Ensure the valve is open to the diaphragm on the head of the stethoscope.
c. Ensure the earpieces are pointed toward the back of the ears.
d. Ensure the bell is placed firmly against the patient's skin. correct answers b. Ensure the
valve is open to the diaphragm on the head of the stethoscope.
The nurse suspects an irregularity in the rhythm of the patient's radial pulse. What is the most
appropriate action for this nurse to take at this time?
a. Document this rhythm as normal for the patient.
b. Use a Doppler to check the brachial pulse.
c. Count the patient's apical pulse for a full minute.
d. Count the radial pulse again for 15 seconds and multiply by 4. correct answers c. Count the
patient's apical pulse for a full minute.
During the history, the patient states that she does not use many drugs. What is the nurse's
appropriate response to this statement?
,a. "Tell me about the drugs you are using currently."
b. "To some people six or seven is not many."
c. "Do you mean prescription drugs or illicit drugs?"
d. "How often are you using these drugs?" correct answers a. "Tell me about the drugs you
are using currently."
A nurse is taking vital signs of an adult patient whose oxygen saturation is 96%. The patient's
temperature is 102° F, blood pressure is 130/86, pulse is 100 beats/min, and respiratory rate is
26 breaths/min. Which factor may be contributing to the elevated respiratory rate?
a. The patient's temperature
b. The patient's oxygen saturation
c. The patient's pulse rate
d. The patient's blood pressure correct answers a. The patient's temperature
A patient admitted with pneumonia reports that she takes insulin for diabetes mellitus. In
which section of the history does the nurse document the insulin and diabetes?
a. Past health history
b. Present health status
c. Reason for seeking care (chief complaint)
d. History of present illness correct answers b. Present Health Status
A female Korean patient accompanied by her husband and son comes to the emergency
department (ED) complaining of abdominal pain. The patient speaks and understands Korean
only. Which person is the appropriate choice for the nurse to use to get a history from this
patient?
a. The patient's husband who speaks Korean and English
b. The patient's son who speaks Korean and English
c. A male technician who works in the ED who speaks Korean and English
d. A female interpreter who speaks Korean and English and is available by phone correct
answers d. A female interpreter who speaks Korean and English and is available by phone
During the first prenatal visit for a 20-year-old Hispanic woman, the nurse assesses the
patient's health beliefs and practices. Which questions are appropriate as part of this
assessment?
a. You are Hispanic, do you need me to find an interpreter?
b. What is the language that is usually spoken in your home?
c. How do you define health and illness?
d. Which Catholic church do you attend?
e. Do you have specific beliefs or preferences concerning food or food preparation?
f. Do you or the members of your family have certain beliefs and practices surrounding
pregnancy and childbirth? correct answers b. What is the language that is usually spoken in
your home?
c. How do you define health and illness?
e. Do you have specific beliefs or preferences concerning food or food preparation?
, f. Do you or the members of your family have certain beliefs and practices surrounding
pregnancy and childbirth?
Where does the nurse attach the sensor probe of the pulse oximeter to measure an adult
patient's oxygen saturation? correct answers finger
As a nurse conducts a health assessment, he or she includes the health history, physical
examination and documentation.
True or False correct answers True
What does the nurse say to obtain more data about a patient's vague statement about diet such
as, "My diet's okay"?
a. "Eating a variety of meats, fruits, and vegetables each day is important."
b. "Give me an example of the foods you eat in a typical day."
c. "Go on."
d. "Does your diet meet your needs or does it need improvement?" correct answers b. "Give
me an example of the foods you eat in a typical day."
A clinical manifestation is a term used to describe both the signs and symptoms experienced
by a patient.
True or False correct answers True
How does the nurse detect a pulse when using a Doppler? correct answers The pulsation is
heard
The nurse will document which information for a patient's health history? correct answers
vaccinations
surgeries
past hospitalizations
everything
Which statement is appropriate to use when beginning an interview with a new patient?
a. "Have you ever been a patient in this clinic before?"
b. "What is your purpose for coming to the clinic today?"
c. "Tell me a little about yourself and your family."
d. "Did you have any difficulty finding the clinic?" correct answers b. "What is your purpose
for coming to the clinic today?"
Which is an example of data a nurse collects during a physical examination?
a. The patient's lack of hair and shiny skin over both shins
b. The patient's stated concern about lack of money for prescriptions
c. The patient's complaints of tingling sensations in the feet
d. The patient's mother's statements that the patient is very nervous lately correct answers the
patient's lack of hair and shiny skin over both shins
The temperature of a patient is measured every 6 hours at 6 AM, 12 PM, 6 PM, and 12 AM.
Which temperature reading is expected to be low due to a normal variation?
a. The measurement at 6 AM
b. The measurement at 12 PM
c. The measurement at 6 PM
d. The measurement at 12 AM correct answers a. The measurement at 6 AM
A nurse is conducting an assessment of an American Indian woman who has come to the
clinic complaining of persistent headaches. The patient tells the nurse that the medicines
prescribed by the tribal healer have done "some good." What is the appropriate response of
the nurse at this time?
A) Advise the client to stop taking any non-prescription medicines.
B)Tell the physician that the client probably has headaches caused by the healer's medicines.
C)Tell the client to increase the frequency of the healer's medicines.
D)Ask the client about these medicines and how often the client uses them. correct answers
D)Ask the client about these medicines and how often the client uses them.
Which method of temperature measurement does a nurse choose when assessing school-aged
children in a wellness clinic? Select all that apply.
A. Tympanic
B. Oral
C. Axillary
D. Rectal
E. Temporal correct answers Tympanic, temporal, axillary
The nurse is unable to hear the patient's breath sounds. What checks does the nurse make of
the stethoscope to determine the cause of this problem?
a. Ensure the stethoscope tubing is at least 20 inches long.
b. Ensure the valve is open to the diaphragm on the head of the stethoscope.
c. Ensure the earpieces are pointed toward the back of the ears.
d. Ensure the bell is placed firmly against the patient's skin. correct answers b. Ensure the
valve is open to the diaphragm on the head of the stethoscope.
The nurse suspects an irregularity in the rhythm of the patient's radial pulse. What is the most
appropriate action for this nurse to take at this time?
a. Document this rhythm as normal for the patient.
b. Use a Doppler to check the brachial pulse.
c. Count the patient's apical pulse for a full minute.
d. Count the radial pulse again for 15 seconds and multiply by 4. correct answers c. Count the
patient's apical pulse for a full minute.
During the history, the patient states that she does not use many drugs. What is the nurse's
appropriate response to this statement?
,a. "Tell me about the drugs you are using currently."
b. "To some people six or seven is not many."
c. "Do you mean prescription drugs or illicit drugs?"
d. "How often are you using these drugs?" correct answers a. "Tell me about the drugs you
are using currently."
A nurse is taking vital signs of an adult patient whose oxygen saturation is 96%. The patient's
temperature is 102° F, blood pressure is 130/86, pulse is 100 beats/min, and respiratory rate is
26 breaths/min. Which factor may be contributing to the elevated respiratory rate?
a. The patient's temperature
b. The patient's oxygen saturation
c. The patient's pulse rate
d. The patient's blood pressure correct answers a. The patient's temperature
A patient admitted with pneumonia reports that she takes insulin for diabetes mellitus. In
which section of the history does the nurse document the insulin and diabetes?
a. Past health history
b. Present health status
c. Reason for seeking care (chief complaint)
d. History of present illness correct answers b. Present Health Status
A female Korean patient accompanied by her husband and son comes to the emergency
department (ED) complaining of abdominal pain. The patient speaks and understands Korean
only. Which person is the appropriate choice for the nurse to use to get a history from this
patient?
a. The patient's husband who speaks Korean and English
b. The patient's son who speaks Korean and English
c. A male technician who works in the ED who speaks Korean and English
d. A female interpreter who speaks Korean and English and is available by phone correct
answers d. A female interpreter who speaks Korean and English and is available by phone
During the first prenatal visit for a 20-year-old Hispanic woman, the nurse assesses the
patient's health beliefs and practices. Which questions are appropriate as part of this
assessment?
a. You are Hispanic, do you need me to find an interpreter?
b. What is the language that is usually spoken in your home?
c. How do you define health and illness?
d. Which Catholic church do you attend?
e. Do you have specific beliefs or preferences concerning food or food preparation?
f. Do you or the members of your family have certain beliefs and practices surrounding
pregnancy and childbirth? correct answers b. What is the language that is usually spoken in
your home?
c. How do you define health and illness?
e. Do you have specific beliefs or preferences concerning food or food preparation?
, f. Do you or the members of your family have certain beliefs and practices surrounding
pregnancy and childbirth?
Where does the nurse attach the sensor probe of the pulse oximeter to measure an adult
patient's oxygen saturation? correct answers finger
As a nurse conducts a health assessment, he or she includes the health history, physical
examination and documentation.
True or False correct answers True
What does the nurse say to obtain more data about a patient's vague statement about diet such
as, "My diet's okay"?
a. "Eating a variety of meats, fruits, and vegetables each day is important."
b. "Give me an example of the foods you eat in a typical day."
c. "Go on."
d. "Does your diet meet your needs or does it need improvement?" correct answers b. "Give
me an example of the foods you eat in a typical day."
A clinical manifestation is a term used to describe both the signs and symptoms experienced
by a patient.
True or False correct answers True
How does the nurse detect a pulse when using a Doppler? correct answers The pulsation is
heard
The nurse will document which information for a patient's health history? correct answers
vaccinations
surgeries
past hospitalizations
everything
Which statement is appropriate to use when beginning an interview with a new patient?
a. "Have you ever been a patient in this clinic before?"
b. "What is your purpose for coming to the clinic today?"
c. "Tell me a little about yourself and your family."
d. "Did you have any difficulty finding the clinic?" correct answers b. "What is your purpose
for coming to the clinic today?"
Which is an example of data a nurse collects during a physical examination?
a. The patient's lack of hair and shiny skin over both shins
b. The patient's stated concern about lack of money for prescriptions
c. The patient's complaints of tingling sensations in the feet
d. The patient's mother's statements that the patient is very nervous lately correct answers the
patient's lack of hair and shiny skin over both shins
