(Chapters 9, 10 & 11) | Latest 2025/2026 Exam
Prep
The nurse is performing a general survey. Which action is a component of the general
survey?
A) Observing the patient's body stature and nutritional status
B) Interpreting the subjective information the patient has reported
C) Measuring the patient's temperature, pulse, respirations, and blood pressure
D) Observing specific body systems while performing the physical assessment - correct
answerObserving the patient's body stature and nutritional status
When measuring a patient's weight, the nurse keeps in mind which of these guidelines?
A) Always weigh the patient with only his or her undergarments on.
B) It does not matter what type of scale is used, as long as the weights are similar from
day to day.
C) The patient may leave on his or her jacket and shoes as long as this is documented
next to the weight.
D) Attempt to weigh the patient at approximately the same time of day, if a sequence of
weights is necessary. - correct answerAttempt to weigh the patient at approximately the
same time of day, if a sequence of weights is necessary.
During an examination of a child, the nurse considers that physical growth is the best
index of a child's:
A) general health.
B) genetic makeup.
C) nutritional status.
D) activity and exercise patterns. - correct answergeneral health.
The nurse should measure rectal temperatures in which of these patients?
A) School-age child
B) Elderly adult
C) Comatose adult
D) Patient receiving oxygen by nasal cannula - correct answerCComatose adult
The nurse is preparing to measure the length, weight, chest, and head circumference of
a 6-month-old infant. Which measurement technique is correct?
, A) Measure the infant's length by using a tape measure.
B) Weigh the infant by placing him on an electronic standing scale.
C) Measure chest circumference at the nipple line with a tape measure.
D) Measure the head circumference by wrapping the tape measure over the nose and
cheekbones. - correct answerC
The nurse knows that one advantage of the tympanic thermometer is that:
A) its rapid measurement is useful for uncooperative younger children.
B) it is the most accurate method for measuring temperature in newborn infants.
C) it is an inexpensive means of measuring temperature.
D) studies strongly support use of the tympanic route in children under age 6 years. -
correct answerA
When assessing an older adult, the nurse keeps in mind that which vital sign changes
occur with aging?
A) Increase in pulse rate
B) Widened pulse pressure
C) Increase in body temperature
D) Decrease in diastolic blood pressure - correct answerB
The nurse is examining a patient who is complaining of "feeling cold." Which is a
mechanism of heat loss in the body?
A) Exercise
B) Radiation
C) Metabolism
D) Food digestion - correct answerB
When measuring a patient's body temperature, the nurse keeps in mind that body
temperature is influenced by:
A) constipation.
B) patient's emotional state.
C) the diurnal cycle.
D) the nocturnal cycle. - correct answerC
When evaluating the temperature of older adults, the nurse remembers which aspect
about an older adult's body temperature?
A) It is lower than that of younger adults.
B) It is about the same as that of a young child.
C) It depends on the type of thermometer used.
D) It varies widely because of less effective heat control mechanisms. - correct answerA
When assessing a 75-year-old patient who has asthma, the nurse notes that he
assumes a tripod position, leaning forward with arms braced on the chair. On the basis
of this observation, the nurse should:
A) assume that the patient is eager and interested in participating in the interview.