The nurse is planning health teaching for a 65-year-old woman who has had a
cerebrovascular accident (stroke) and has aphasia. Which of these questions is most
important to use when assessing mental status in this patient?
a. "Please count backward from 100 by seven."
b. "I will name three items and ask you to repeat them in a few minutes."
c. "Please point to articles in the room and parts of the body as I name them."
d. "What would you do if you found a stamped, addressed envelope on the
sidewalk?"
Give this one a try later!
"Please point to articles in the room and parts of the body as I name them."
When reviewing the concepts of health, the nurse recalls that the components of
holistic health include which of these?
,a. Disease originates from the external environment.
b. The individual human is a closed system.
c. Nurses are responsible for a patients health state.
d. Holistic health views the mind, body, and spirit as interdependent.
Give this one a try later!
Holistic health views the mind, body, and spirit as interdependent.
The nurse keeps in mind that the most important reason to share information and to
offer brief teaching while performing the physical examination is to help the:
a. Examiner feel more comfortable and to gain control of the situation.
b. Examiner to build rapport and to increase the patients confidence in him or her.
c. Patient understand his or her disease process and treatment modalities.
d. Patient identify questions about his or her disease and the potential areas of patient
education.
Give this one a try later!
Examiner to build rapport and to increase the patients confidence in him or
her.
While inspecting a patients breasts, the nurse finds that the left breast is slightly larger
than the right with the bilateral presence of Montgomery glands. The nurse should:
a. Palpate over the Montgomery glands, checking for drainage.
b. Consider these findings as normal, and proceed with the examination.
c. Ask extensive health history questions regarding the woman's breast asymmetry.
d. Continue with the examination, and then refer the patient for further evaluation of
the Montgomery glands.
Give this one a try later!
, Consider these findings as normal, and proceed with the examination.
A patient is at the clinic to have her blood pressure checked. She has been coming to
the clinic weekly since she changed medications 2 months ago. The nurse should:
a. Collect a follow-up data base and then check her blood pressure.
b. Ask her to read her health record and indicate any changes since her last visit.
c. Check only her blood pressure because her complete health history was
documented 2 months ago.
d. Obtain a complete health history before checking her blood pressure because
much of her history information may have changed.
Give this one a try later!
Collect a follow-up data base and then check her blood pressure.
During an assessment of an older adult, the nurse should expect to notice which
finding as a normal physiologic change associated with the aging process?
a. Hormonal changes causing vasodilation and a resulting drop in blood pressure
b. Progressive atrophy of the intramuscular calf veins, causing venous insufficiency
c. Peripheral blood vessels growing more rigid with age, producing a rise in systolic
blood pressure
d. Narrowing of the inferior vena cava, causing low blood flow and increases in
venous pressure resulting in varicosities
Give this one a try later!
Peripheral blood vessels growing more rigid with age, producing a rise in
systolic blood pressure
, The nurse is preparing to assess the dorsalis pedis artery. Where is the correct
location for palpation?
a. Behind the knee
b. Over the lateral malleolus
c. In the groove behind the medial malleolus
d. Lateral to the extensor tendon of the great toe
Give this one a try later!
Lateral to the extensor tendon of the great toe
When evaluating the temperature of older adults, the nurse should remember which
aspect about an older adults body temperature?
a. The body temperature of the older adult is lower than that of a younger adult.
b. An older adults body temperature is approximately the same as that of a young
child.
c. Body temperature depends on the type of thermometer used.
d. In the older adult, the body temperature varies widely because of less effective
heat control mechanisms.
Give this one a try later!
The body temperature of the older adult is lower than that of a younger
adult.
Barriers to incorporating EBP include:
a. Nurses lack of research skills in evaluating the quality of research studies.
b. Lack of significant research studies.
cerebrovascular accident (stroke) and has aphasia. Which of these questions is most
important to use when assessing mental status in this patient?
a. "Please count backward from 100 by seven."
b. "I will name three items and ask you to repeat them in a few minutes."
c. "Please point to articles in the room and parts of the body as I name them."
d. "What would you do if you found a stamped, addressed envelope on the
sidewalk?"
Give this one a try later!
"Please point to articles in the room and parts of the body as I name them."
When reviewing the concepts of health, the nurse recalls that the components of
holistic health include which of these?
,a. Disease originates from the external environment.
b. The individual human is a closed system.
c. Nurses are responsible for a patients health state.
d. Holistic health views the mind, body, and spirit as interdependent.
Give this one a try later!
Holistic health views the mind, body, and spirit as interdependent.
The nurse keeps in mind that the most important reason to share information and to
offer brief teaching while performing the physical examination is to help the:
a. Examiner feel more comfortable and to gain control of the situation.
b. Examiner to build rapport and to increase the patients confidence in him or her.
c. Patient understand his or her disease process and treatment modalities.
d. Patient identify questions about his or her disease and the potential areas of patient
education.
Give this one a try later!
Examiner to build rapport and to increase the patients confidence in him or
her.
While inspecting a patients breasts, the nurse finds that the left breast is slightly larger
than the right with the bilateral presence of Montgomery glands. The nurse should:
a. Palpate over the Montgomery glands, checking for drainage.
b. Consider these findings as normal, and proceed with the examination.
c. Ask extensive health history questions regarding the woman's breast asymmetry.
d. Continue with the examination, and then refer the patient for further evaluation of
the Montgomery glands.
Give this one a try later!
, Consider these findings as normal, and proceed with the examination.
A patient is at the clinic to have her blood pressure checked. She has been coming to
the clinic weekly since she changed medications 2 months ago. The nurse should:
a. Collect a follow-up data base and then check her blood pressure.
b. Ask her to read her health record and indicate any changes since her last visit.
c. Check only her blood pressure because her complete health history was
documented 2 months ago.
d. Obtain a complete health history before checking her blood pressure because
much of her history information may have changed.
Give this one a try later!
Collect a follow-up data base and then check her blood pressure.
During an assessment of an older adult, the nurse should expect to notice which
finding as a normal physiologic change associated with the aging process?
a. Hormonal changes causing vasodilation and a resulting drop in blood pressure
b. Progressive atrophy of the intramuscular calf veins, causing venous insufficiency
c. Peripheral blood vessels growing more rigid with age, producing a rise in systolic
blood pressure
d. Narrowing of the inferior vena cava, causing low blood flow and increases in
venous pressure resulting in varicosities
Give this one a try later!
Peripheral blood vessels growing more rigid with age, producing a rise in
systolic blood pressure
, The nurse is preparing to assess the dorsalis pedis artery. Where is the correct
location for palpation?
a. Behind the knee
b. Over the lateral malleolus
c. In the groove behind the medial malleolus
d. Lateral to the extensor tendon of the great toe
Give this one a try later!
Lateral to the extensor tendon of the great toe
When evaluating the temperature of older adults, the nurse should remember which
aspect about an older adults body temperature?
a. The body temperature of the older adult is lower than that of a younger adult.
b. An older adults body temperature is approximately the same as that of a young
child.
c. Body temperature depends on the type of thermometer used.
d. In the older adult, the body temperature varies widely because of less effective
heat control mechanisms.
Give this one a try later!
The body temperature of the older adult is lower than that of a younger
adult.
Barriers to incorporating EBP include:
a. Nurses lack of research skills in evaluating the quality of research studies.
b. Lack of significant research studies.
