Practice Quiz 2 and Unit 1 Vital Signs & Physical Assessment Davis Edge Quiz PDF

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Practice Quiz 2 and Unit 1 Vital Signs & Physical Assessment Davis Edge Quiz...

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Practice Quiz 2 01-11-2021 and Unit 1 Vital Signs & Physical Assessment Davis Edge Quiz

Question 1. Which action by the LPN/LVN indicates a correct understanding of the LPN’s/LVN’s role in the nursing process? 1. Formulates a nursing diagnosis 2. Develops expected outcomes 3. Performs an admission assessment 4. Carries out interventions

Question 2. Which patient finding would cause the nurse to suspect a decreased respiratory rate? 1. The patient just finished ambulating down the hall. 2. The patient is in pain. 3. The patient is sleeping. 4. The patient is anxious about surgery.

Question 3. A patient with emphysema (a lung disease) wants to know how to do household chores without becoming short of breath. Which program does the licensed practical nurse/licensed vocational nurse (LPN/LVN) expect the registered nurse (RN) or health-care provider will suggest? 1.

Residential care 2. Cardiac rehabilitation 3. Pulmonary rehabilitation 4. Hospice care

Question 4. The nurse is in court as a defendant in a case regarding negligence. The nurse knows that the deciding factor will be based on standards of care that will be presented by the testimony of another nurse. Which factor will assure the defendant of fair consideration? 1. The testifying nurse will have witnessed the defendant’s actions. 2. The testifying nurse will outline performance in the same situation. 3. The testifying nurse will be from the same country as the defendant. 4. The testifying nurse will be at an equal or higher level of education.

Question 5. One nurse is taking the apical pulse and another nurse is taking the radial pulse. The apical pulse is 92 and the radial pulse is 85. The nurse takes a patient’s blood pressure and it is 112/65. What is the pulse deficit? Record the answer as a whole number. 7

Unit 1 Vital Signs & Physical Assessment Davis Edge Quiz

Question 1. The nurse is reassessing a patient’s abdomen. Which reason is correct as to why the nurse alters the normal order of physical assessment techniques? 1. Percussion of the abdomen is last because it is the most painful assessment. 2. Inspection of the abdomen can occur at the beginning or end of the assessment. 3. Palpation of the abdomen before auscultation will alter bowel sounds. 4. Olfaction is used because of the passage of flatus after palpation.

Question 2. When assessing a patient’s eyes, the nurse can shine a light into one of the patient’s eyes and both pupils should have a rapid constriction that is simultaneous and equal. This action is known as which of the following? 1. Consensual reflex 2. Accommodation response 3. PERRLA 4. Ptosis

Question 3. The nurse is preparing to interview an older adult patient. Which assessment is most important for the nurse to perform prior to the interview? 1. Vital sign readings. 2. Visual acuity.

3. Level of consciousness. 4. Ability to hear.

Question 4. The nurse is performing an abdominal reassessment on a patient who had abdominal surgery under general anesthesia. Which is the correct conclusion if the nurse counts 22 clicks and gurgles after auscultating the patient’s abdomen for 1 min? 1. Bowel sounds support a clear liquid diet. 2. The bowel is exhibiting normal activity. 3. Bowel sounds are indicative of a blockage. 4. The bowel is still affected by the anesthesia.

Question 5. The nurse is preparing to reassess a patient’s neurological status. Which reason is why the nurse verbally explains the assessment process to a patient who is comatose? 1. It helps the nurse to remain organized. 2. Family members will repeat the behavior. 3. The sense of hearing may still be present. 4. It demonstrates respect for the patient.

Question 6. When a nurse uses the assessment skill of olfaction, which condition can be revealed by the odor of a patient’s breath? Select all that apply. 1. Gum disease or sinus infection from halitosis. 2. Kidney disease by the odor of ammonia. 3. Imbalanced diet by an earthy smell. 4. Stomach irritation from a citrus smell. 5. High stress levels causing a sour odor.

Question 7. The nurse is reassessing a patient and acquires the scale pictured below. Which assessment can be obtained with the use of this scale?

1. Skin lesion size. 2. Dressing drainage size. 3. Pupil size. 4. Kidney stone size.

Question 8. Which patient’s vital signs would cause the nurse to notify the registered nurse (RN)? Select all that apply. 1. Newborn patient: P – 140, R – 55 2. Adult patient: P – 64, R – 18 3. Adolescent: P – 88, R – 24 4. Newborn patient: P – 100, R – 22 5. Adult patient: P – 120, R – 24

Question 9. The nurse chooses to take a patient’s blood pressure using the brachial artery. The nurse pumped the cuff to 80 and last felt the pulse at 112 and deflates cuff. Which action should the nurse take next? 1. Chart the systolic pressure as 112 2. Pump the cuff to 132 to 142 mm Hg 3. Slowly deflate the cuff at 2 to 3 mm Hg per second 4. Wait 2 minutes

Question 10. The nurse is taking a patient’s pulse and discovers an irregular pulse. Which action should the nurse take? 1. Count for 15 seconds and multiply by 4

2. Count for 30 seconds and multiply by 2 3. Count for 1 full minute 4. Count for 20 seconds and multiply by 3

Question 11. The nurse is taking routine vital signs on assigned patients. Which nursing action indicates a correct understanding of taking a blood pressure? 1. Takes the blood pressure in the left arm of a woman who had a left breast mastectomy 2. Takes the blood pressure in the right arm of a patient who has a hemodialysis shunt in the right arm 3. Takes the blood pressure using a cuff that covers two-thirds of the arm circumference 4. Takes the blood pressure with the patient’s palm facing downward

Question 12. A coworker applies the blood pressure cuff too loosely when taking a patient’s blood pressure. Which finding does the nurse expect? 1. An accurate blood pressure 2. A falsely high elevated blood pressure 3. A falsely low blood pressure 4. An inability to hear Korotkoff sounds

Question 13. A patient’s oxygen saturation readings are not consistent. The nurse begins to collect data to determine the problem. Which patient findings are possible causes for the inconsistent readings? Select all that apply. 1. Is wearing artificial nails 2. Has dark painted fingernails 3. Is experiencing diaphoresis 4. Is restless 5. Has warm, pink fingers

Question 14. One nurse is taking the apical pulse and another nurse is taking the radial pulse. The apical pulse is 92 and the radial pulse is 85. The nurse takes a patient’s blood pressure and it is 112/65. What is the pulse deficit? Record the answer as a whole number. 7

Question 15. The nurse in the emergency department is assessing an older adult patient. Which assessment technique used by the nurse will prompt a suspicion of physical abuse? 1. The patient is reluctant to talk to the nurse. 2. The nurse acquires a set of vital signs. 3. The patient appears fearful of family members. 4.

The nurse detects odors of urine and feces

Question 16. During the reassessment of a patient’s chest, the patient states, “I have been coughing up stuff that is kind of foamy and pink in color.” Which patient diagnosis does the nurse relate to the character of the patient’s sputum? 1. Bacterial pneumonia. 2. Tuberculosis. 3. Chronic pulmonary disease. 4. Congestive heart failure.

Question 17. The licensed practical nurse/licensed vocational nurse (LPN/LVN) reviews the registered nurse’s (RN’s) assessment notes on a newly admitted patient. For which assessment finding will the LPN/LVN need in order to acquire clarification from the RN? 1. The temperature, texture, and moisture of the patient’s skin. 2. The presence of muscle tenderness or rigidity. 3. The level of pain voiced by the patient during abdominal palpation. 4. The quality of the femoral and popliteal pulses.

Question 18. The nurse is performing a focused assessment at the beginning of the shift on a patient diagnosed with pneumonia. Which patient assessment is least informative for the nurse?

1. Oxygen saturation level. 2. Level of consciousness. 3. Bilateral breath sounds. 4. Skin color and warmth

Question 19. Which olfaction assessment is most common among medical health-care providers? 1. The odor of acetone on the breath of a patient with diabetes mellitus. 2. Cerumen with a mousey odor related to an infection from Proteus. 3. The differentiation between the smell of strep and other infections. 4. The odor of normal menstrual flow in a non-medical setting.

Question 20. The nurse is preparing to interview a patient admitted to the hospital. Which is the nurse’s most important objective during the interviewing process? 1. To foster rapport and communication with the patient 2. To obtain personal and medical history from the patient 3. To learn about the symptoms that caused the patient to seek medical help

4. To become aware of the patient’s expectations for hospitalization

Question 21. A patient has a slightly elevated temperature. Which questions would the nurse ask to determine if there are factors that may have contributed to the elevated temperature? Select all that apply. 1. Had the patient drunk a cold beverage? 2. Had the patient ambulated before the temperature? 3. Had the patient eaten a meal earlier? 4. Was the patient shivering? 5. Was the patient diaphoretic?

Question 22. The nurse is caring for a patient who had surgery on the left leg. Which findings would indicate the patient is experiencing impaired circulation? Select all that apply. 1. Light bluish skin 2. Warm skin 3. Capillary refill 6 seconds 4. Thready pulse 5. 2+ radial pulse

Question 23. The nurse hears in report that a patient has tachycardia. What will the nurse expect to find when collecting data from the patient? 1. Patient’s heart rate is above 100 beats per minute. 2. Patient’s respiratory rate is above 20 respirations per minute. 3. Patient is hypothermic. 4. Patient has increased intracranial pressure.

Question 24. The nurse is checking a patient’s dorsalis pedis pulse. Which site would the nurse use?

1

2

3

4

Question 25. Where would the nurse place the fingertips to palpate the point of maximum impulse on an adult patient?

Correct...