Examsrevision

MULTIPLE CHOICE 1. What should the nurse do when offering a cup of hot coffee to a frail, older adult patient? a. Give the patient a straw. b. Dilute the coffee with cold water. c. Fill the cup half full. d. Offer a bib or an apron. ANS: C Filling the cup half full promotes safety and does not change the flavor of the beverage, nor does it demean the patient as would making him or her wear a bib or apron. DIF: Cognitive Level: Application REF: p. 236 | p. 237 | p. 241 OBJ: 2 ...

MULTIPLE CHOICE 1. What assists the nurse in the identification of patient problems? a. Objective data b. Subjective data c. Data clustering d. Validated data ANS: C Data clustering assists the nurse in determining patient problems. DIF: Cognitive Level: Comprehension REF: p. 82 OBJ: 4 TOP: Patient problem KEY: Nursing Process Step: Assessment MSC: NCLEX: N/A 2. What organized approach might the nurse use when performing a complete physical examination? a. Maslow’s h...

MULTIPLE CHOICE 1. How should the nurse assist the patient with moving when pain is anticipated? a. Be supportive. b. Apply heat before moving them. c. Administer medication before ambulation. d. Obtain assistance if the patient is heavy. ANS: C The nurse may want to administer medication before an activity that may be painful. DIF: Cognitive Level: Application REF: p. 180 OBJ: 6 TOP: Body mechanics KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Inte...

MULTIPLE CHOICE 1. A major threat to health care workers is blood-contaminated sharps. What should the nurse use to discard the used syringe? a. Wastebasket b. Sink c. Puncture-proof container d. Disinfecting soap ANS: C All patient care areas where sharps are used require puncture-proof containers. DIF: Cognitive Level: Comprehension REF: p. 122 | p. 136 OBJ: 8 TOP: Sharps KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment 2. The nur...

MULTIPLE CHOICE 1. A nurse is caring for an Orthodox Jewish patient. What is the most appropriate dietary requirement for the nurse to implement? a. Mixing of milk and meat at a meal b. Use of separate cooking utensils for meat and milk products c. Use of one set of cooking utensils for meat and milk products d. Consumption of food not slaughtered in accordance with Jewish law ANS: B For observant Jews, Kosher dietary laws include the following: no mixing of milk and meat at a meal;...

MULTIPLE CHOICE 1. The new LPN/LVN is concerned regarding what should or should not be done for patients. What resource will best provide this information? a. Nurse practice act b. Standards of care c. Scope of nursing practice d. Professional organizations ANS: B Standards of care define what should or should not be done for patients. The nurse practice act, scope of nursing practice, and professional organizations do not provide the best information as to what should or should not...

MULTIPLE CHOICE 1. What is the purpose of licensing laws for LPN/LVNs? a. To limit the number of LPN/LVNs b. Prevention of malpractice c. Protection of the public from unqualified people d. To increase revenue for the state board of nursing ANS: C The purpose of licensing laws for LPN/LVNs is to protect the public from unqualified health care providers. Licensing laws’ purpose is not to limit the number of LPNs/LVNs, prevent malpractice, or increase revenue for the state board of ...

MULTIPLE CHOICE 1. A nurse tells a patient, “This PM you are going for an abdominal A&P, an H&H, as well as an IV pyelogram. Please sign these consent forms.” What may this use of medical jargon cause? a. Understanding b. Speed in communication c. Misinterpretation d. Clarity in the message ANS: C Jargon is terminology unique to people in a special type of work and is not understood by everyone. Although jargon does speed communication and is clear to those who know it, it may ...

MULTIPLE CHOICE 1. What is the process used to appraise the practice of an individual nurse known as? a. Quality assurance b. Incident reporting c. OBRA d. Peer review ANS: D Peer review is an in-house department study that may appraise the nursing practice of individual nurses. DIF: Cognitive Level: Knowledge REF: p. 41 OBJ: 4 TOP: Peer review KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 2. What is the documentation format that uses the acronym SOAPE? a. Problem-o...

Chapter 16 The Musculoskeletal System Chapter 17: The Nervous System Chapter 18: Assessing Children: Infancy Through Adolescence Chapter 19: The Pregnant Woman Chapter 20: The Older Adult

Chapter 11: The Abdomen Chapter 12: The Peripheral Vascular System Chapter 13: Male Genitalia and Hernias Chapter 14: Female Genitalia Chapter 15: The Anus, Rectum, and Prostate

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. When taking the health history on a patient with a seizure disorder, the nurse assesses whether the patient has an aura. Which of these would be the best question for obtaining this information? a. Does your muscle tone seem tense or limp? b. After the seizure, do you spend a lot of time sleeping? c. Do you have any warning sign before your seizure starts? d. Do you experience any colo...

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. The nurse is checking the range of motion in a patients knee and knows that the knee is capable of which movement(s)? a. Flexion and extension b. Supination and pronation c. Circumduction d. Inversion and eversion ANS: A The knee is a hinge joint, permitting flexion and extension of the lower leg on a single plane. The knee is not capable of the other movements listed. DIF: Co...

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. The nurse is assessing the forms of support an older patient has before she is discharged. Which of these examples is an informal source of support? a. Local senior center b. Patients Medicare check c. Meals on Wheels meal delivery service d. Patients neighbor, who visits with her daily ANS: D Informal support includes family and close, long-time friends and is usually provided f...

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. Which finding is considered normal and expected when the nurse is performing a physical examination on a pregnant woman? a. Palpable, full thyroid b. Edema in one lower leg c. Significant diffuse enlargement of the thyroid d. Pale mucous membranes of the mouth ANS: A The thyroid may be palpable during pregnancy. It should feel full, but smooth. Significant diffuse enlargement oc...

MULTIPLE CHOICE 1. A female patient tells the nurse that she has four children and has had three pregnancies. How should the nurse document this? a. Gravida 3, para 4 b. Gravida 4, para 3 c. This information cannot be documented using the terms gravida and para. d. The patient seems to be confused about how many times she has been pregnant. ANS: A Gravida refers to the number of pregnancies, and para refers to the number of children. One pregnancy was with twins. DIF: Cogniti...

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. The nurse is performing an assessment on an adult. The adults vital signs are normal, and capillary refill time is 5 seconds. What should the nurse do next? a. Ask the patient about a history of frostbite. b. Suspect that the patient has venous insufficiency. c. Consider this a delayed capillary refill time, and investigate further. d. Consider this a normal capillary refill time that ...

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. The physician comments that a patient has abdominal borborygmi. The nurse knows that this term refers to: a. Loud continual hum. b. Peritoneal friction rub. c. Hypoactive bowel sounds. d. Hyperactive bowel sounds. ANS: D Borborygmi is the term used for hyperperistalsis when the person actually feels his or her stomach growling. DIF: Cognitive Level: Understanding (Comprehensio...

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. The nurse is examining only the rectal area of a woman and should place the woman in what position? a. Lithotomy b. Prone c. Left lateral decubitus d. Bending over the table while standing ANS: C The nurse should place the female patient in the lithotomy position if the genitalia are being examined as well. The left lateral decubitus position is used for the rectal area alone. ...

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. During the interview, a patient reveals that she has some vaginal discharge. She is worried that it may be a sexually transmitted infection. The nurses most appropriate response to this would be: a. Oh, dont worry. Some cyclic vaginal discharge is normal. b. Have you been engaging in unprotected sexual intercourse? c. Id like some information about the discharge. What color is it? d. H...