HA Final Review

Which of the following is appropriate to delegate to a nursing assistant?

A pt presents with cold intolerance, weight gain, brittle hair, and constipation. The nurse further assesses for:

A patient is crying after discovering they have cancer, which response/action is inappropriate?

After cleaning the uncircumcised penis the nurse:

When assessing a patient to provide education the nurse does all of the following (select all that apply)

What is most important to ask a patient about an allergy?

Which of the following is a goal of the working phase of the interview?

Which of the following is not part of the general survey?

The pt has the following GCS 2-2-4, the nurse knows: Select all that apply

When assessing cranial nerve 1 the nurse:

Which of the following situations are gloves unneccessary?

How would the patient internally rotate their shoulder?

When comparing illnesses in the older adult vs the younger adult the nurse knows:

A patient is disoriented, opens eyes to voice, and can follow commands, the nurse records a GCS of:

When percussing over the liver the nurse expects to hear?

The nurse is assessing the elbow for pronation, the nurse asks the patient to:

Which of the following are objective (Select all that apply)

What is the term for age related visual loss?

Which of the following is the most accurate route for temperature?

Which of the following should be taught to prevent melanoma? Select all that apply

To assess for drug dependency, the nurses uses which questionaire?

A patient has 2mm pitting edema, the student nurse charts the edema as:

The Whisper test, tests for:

A patient's pupils are non-responsive the nurse:

A nurse walks in on a patient masturbating, the appropriate response by the nurse is:

Which of the following is an ADL?

Which of the following are true of COPD? Select all that apply

Damage to the cerebellum could result in:

A pt complains of a severe headache and has pytosis in the left eye, what type of headache could this be?

Which of the following does arterial fibrillation not contribute to?

A patient is having severe liver pain the nurse recognizes

A pt present with an exaggerated inward curve of the spine in the lower back, the nurse recognizes:

A nurse palpates firm, fixed, nonpainful maxillary lymph nodes, the finding is concerning for:

A young female presents with severe pubic pain, the nurse's priority question should be:

When assessing culture, which would be the most important to establish first?

How should nurses communicate when calling about a patient concern?

Where should the nurse take an apical pulse?

A pt is switching health care providers and goes to their first appointment, the nurse performs which assessment?

Who is at highest risk for osteoporosis?

Which of the following are common during menses? Select all that apply

A patient has a pressure injury with the bone exposed, the nurse documents:

A pt's BP is 116/80, looking back in the chart the pts Bp was 182/100 and 176/98 the nurse recognizes the pt is now?

A mean arterial pressure needs to be at least ____ to prevent organ damage?

What is holistic care?

The nurse hears crackles in the lungs, which of the following can cause crackles?

A patient only has trace movement in their legs, the nurse documents:

A pt works as a construction worker, to protect hearing the nurse teaches:

What is a normal pulse rate?

A pt works as a construction worker has a stroke and says, "how am I going to work and provide for my family?" this is

Which of the following are a part of Cushing's triad? Select all that apply

When reassessing pain, the nurse knows they must reassess and document within

To have the patient plantar flex the foot, the nurse:

When testing the patellar reflex the the knee extends dramatically and rhythmically contracts, the nurse documents:

A patient has diabetes and the nurse teaches the importance of controling blood glucose this is what type of prevention?

A pregnant woman with a significant family history of breast cancer is worried about her nipples darkening the nurse:

A nurse draws the number 3 on a patient's hand and asks them to identify the number this is:

Which part of the hand would the nurse use to assess for vibrations?

Which of the following are correct when using a condom? Select all that apply

Which score puts the patient at highest risk for a pressure injury on the Braden scale?

How would you find the pulse pressue on a patient?

How would the nurse test cranial nerve VII?

The nurse tells the patient to put the palm down and point fingers toward the floor, this is

Which of the following are appropriate when intervewing an older adult? Select all that apply

Which of the following is true of handsanitizer vs soap and water for hand hygiene