PCHA Final Exam Questions and Answers.
A patient tells the nurse that he is very nervous, nauseated and that he "feels
hot". This type of data would be considered: - ANSWER>>subjective
Because the physical environment in which an interview takes place is an
important consideration for the success of an interview, the interviewer should: -
ANSWER>>reduce noise by turning off televisions and cell phones
A nurse is taking complete health histories on all the patients attending a wellness
workshop. While conducting an interview with a patient, the nurse asks, "Can you
tell me a little about yourself?" This question is an example of: - ANSWER>>an
open-ended question
Which of the following is NOT true regarding assessment of the respiratory
system? - ANSWER>>Orthopnea refers to a subjective feeling of not being able to
get enough oxygen while standing.
The patient is a 85-years-old and has come to your clinic with complaints of
fatigue, cough and decreased appetite for 3 days. When taking vital signs on this
client, you note the oral temperature to be 99.3o F. You should: -
ANSWER>>consider this a concerning finding which needs attention
According to the article by Kiekkas, et al., 'Physical Antipyresis in Critically Ill
Adults', what is the benefit of temperature elevation? - ANSWER>>inhibits
bacterial growth
In the article by Cretikos, et al., 'Respiratory rate: The neglected vital sign', a
patient with a respiratory rate of over 24 breaths/minute should be monitored
more closely, even if other vital signs are normal. - ANSWER>>true
,Which of the following is true with regard to using the temporal artery
thermometer? - ANSWER>>Measure only the 'up' or exposed side for the most
accurate reading.
The patient is admitted to the hospital after a three day history of severe vomiting
and diarrhea secondary to a bacterial infection of the colon. The patient is
otherwise in good health with no chronic illnesses. The baseline blood pressure is
130/84, pulse 78. During the admission assessment, what might the nurse expect
the patient's vital signs to be based on the illness? (All blood pressures taken in
the supine (lying) position). - ANSWER>>Pulse: 130, Blood Pressure: 90/50, Resp:
24, Temp: 102°F
The nurse is observing a student who is listening to a patient's lungs. Which action
by the student indicates a need to review respiratory assessment skills? -
ANSWER>>The student auscultates over the scapulae.
Mrs. M. is admitted for pneumonia in her right middle lobe. Where would the
practitioner expect to auscultate decreased or adventitious breath sounds? -
ANSWER>>On the anterior and lateral chest, between the 4th and 6th ribs
approximately, starting from the midaxillary line to the right sternal border.
Your client has a long history of chronic obstructive pulmonary disease. Which of
the following are you most likely to observe? - ANSWER>>all of the above
- an anterior-posterior (AP) : transverse diameter ratio of 1:1.
- pursed lip breathing
- tripod position when sitting
A 25-year-old female college student comes to the Emergency Department after
she has fallen down the stairs. She has sudden, sharp pain on the right side of her
chest with shortness of breath. Thoracic expansion is asymmetrical, with little
movement of her right side. Her trachea is deviated toward the left side. She has
hyperresonant percussion sounds on the right chest and resonant sounds on the
, left chest. There are no breath sounds heard on the right. This description is most
consistent with: - ANSWER>>pneumothorax
Expected assessment findings in the normal adult lung include the presence of: -
ANSWER>>resonant percussion tones over lung tissue and symmetrical thoracic
expansion.
When auscultating the posterior lower lung lobes of the adult client, the
practitioner notes low pitched, soft breath sounds with inspiration being longer
than expiration. The practitioner knows that these are: - ANSWER>>vesicular
breath sounds and are normal in that location
Which of the following techniques is appropriate during auscultation of breath
sounds? - ANSWER>>Listen to at least one full respiration (inspiration and
expiration) in each location.
The angle of Louis: - ANSWER>>is a landmark used to mark tracheal bifurcation
anteriorly.
During an interview, a parent of a hospitalized child is sitting in an open position.
As the interviewer begins to discuss the child's treatment, however, the parent
suddenly crosses the arms against the chest and crosses the legs. Based on the
understanding that nonverbal modes of communication provide clues to
understanding feelings, the sudden change in body position would suggest that
the parent is: - ANSWER>>uncomfortable talking about his child's treatment
A 59-year-old patient is returning to the outpatient clinic for a follow up visit. The
patient has a history of ulcerative colitis. The patient states he has been having
"black stools" for the last 24 hours. Which of the following would be the most
complete way for the nurse to document the patient's reason for seeking care? -
ANSWER>>J.M. is a 59-year-old patient here for having "black stools" for the past
24 hours.
A patient tells the nurse that he is very nervous, nauseated and that he "feels
hot". This type of data would be considered: - ANSWER>>subjective
Because the physical environment in which an interview takes place is an
important consideration for the success of an interview, the interviewer should: -
ANSWER>>reduce noise by turning off televisions and cell phones
A nurse is taking complete health histories on all the patients attending a wellness
workshop. While conducting an interview with a patient, the nurse asks, "Can you
tell me a little about yourself?" This question is an example of: - ANSWER>>an
open-ended question
Which of the following is NOT true regarding assessment of the respiratory
system? - ANSWER>>Orthopnea refers to a subjective feeling of not being able to
get enough oxygen while standing.
The patient is a 85-years-old and has come to your clinic with complaints of
fatigue, cough and decreased appetite for 3 days. When taking vital signs on this
client, you note the oral temperature to be 99.3o F. You should: -
ANSWER>>consider this a concerning finding which needs attention
According to the article by Kiekkas, et al., 'Physical Antipyresis in Critically Ill
Adults', what is the benefit of temperature elevation? - ANSWER>>inhibits
bacterial growth
In the article by Cretikos, et al., 'Respiratory rate: The neglected vital sign', a
patient with a respiratory rate of over 24 breaths/minute should be monitored
more closely, even if other vital signs are normal. - ANSWER>>true
,Which of the following is true with regard to using the temporal artery
thermometer? - ANSWER>>Measure only the 'up' or exposed side for the most
accurate reading.
The patient is admitted to the hospital after a three day history of severe vomiting
and diarrhea secondary to a bacterial infection of the colon. The patient is
otherwise in good health with no chronic illnesses. The baseline blood pressure is
130/84, pulse 78. During the admission assessment, what might the nurse expect
the patient's vital signs to be based on the illness? (All blood pressures taken in
the supine (lying) position). - ANSWER>>Pulse: 130, Blood Pressure: 90/50, Resp:
24, Temp: 102°F
The nurse is observing a student who is listening to a patient's lungs. Which action
by the student indicates a need to review respiratory assessment skills? -
ANSWER>>The student auscultates over the scapulae.
Mrs. M. is admitted for pneumonia in her right middle lobe. Where would the
practitioner expect to auscultate decreased or adventitious breath sounds? -
ANSWER>>On the anterior and lateral chest, between the 4th and 6th ribs
approximately, starting from the midaxillary line to the right sternal border.
Your client has a long history of chronic obstructive pulmonary disease. Which of
the following are you most likely to observe? - ANSWER>>all of the above
- an anterior-posterior (AP) : transverse diameter ratio of 1:1.
- pursed lip breathing
- tripod position when sitting
A 25-year-old female college student comes to the Emergency Department after
she has fallen down the stairs. She has sudden, sharp pain on the right side of her
chest with shortness of breath. Thoracic expansion is asymmetrical, with little
movement of her right side. Her trachea is deviated toward the left side. She has
hyperresonant percussion sounds on the right chest and resonant sounds on the
, left chest. There are no breath sounds heard on the right. This description is most
consistent with: - ANSWER>>pneumothorax
Expected assessment findings in the normal adult lung include the presence of: -
ANSWER>>resonant percussion tones over lung tissue and symmetrical thoracic
expansion.
When auscultating the posterior lower lung lobes of the adult client, the
practitioner notes low pitched, soft breath sounds with inspiration being longer
than expiration. The practitioner knows that these are: - ANSWER>>vesicular
breath sounds and are normal in that location
Which of the following techniques is appropriate during auscultation of breath
sounds? - ANSWER>>Listen to at least one full respiration (inspiration and
expiration) in each location.
The angle of Louis: - ANSWER>>is a landmark used to mark tracheal bifurcation
anteriorly.
During an interview, a parent of a hospitalized child is sitting in an open position.
As the interviewer begins to discuss the child's treatment, however, the parent
suddenly crosses the arms against the chest and crosses the legs. Based on the
understanding that nonverbal modes of communication provide clues to
understanding feelings, the sudden change in body position would suggest that
the parent is: - ANSWER>>uncomfortable talking about his child's treatment
A 59-year-old patient is returning to the outpatient clinic for a follow up visit. The
patient has a history of ulcerative colitis. The patient states he has been having
"black stools" for the last 24 hours. Which of the following would be the most
complete way for the nurse to document the patient's reason for seeking care? -
ANSWER>>J.M. is a 59-year-old patient here for having "black stools" for the past
24 hours.
