Final Exam Review Health Assessment

A family member says the patient has become much more confused over night. Which of the terms below does this describe?

If a nurse is assessing a patient wearing TED stackings should they should be removed prior to the assessment.

The nurse has provided a patient with education on how to use crutches. Which of the following would suggest a problem?

What is being described when the patient flexes the ankle and points the toes toward the plantar surface of the foot?

A nurse is assessing a patient while ambulating, the nurse notices that the patient has activity intolerance if?

A patient has an exaggerated thorasic curvature called a Kyphosis.

Which of the following is an expected is an elderly patient?

When a nurse is preparing to transfer a patient from the bed to a chair they keep their knees and hip flexed.

What coping mechanism focuses on alternating tightening and relaxing muscles from the toes upward?

A finding of an elderly patient having their collar bones stick out is normal.

During an assessment a patient states that they've had abdominal pain for 1 week. What should the nurse ask the patient?

An assessment of an extra heart sound that is low-pitched and heard in early diastole is the 3rd heart sound S3.

What is the term when a patient's pupils are not the same size?

"I'm not that familar with injection procedure, but I really good with every other skill"? Is this an example of Denial?

Which coping method is a patient using that describes deep breathing a picture a peaceful setting?

If you convert 0.85mg to mcg, what would the answer be?

If a patient has had a stroke what complication of immobilty is of most concern?

A patient has had a traumatic event, they state they are "just numb" they are using displacement as a defense mechanism.

Normal heart beat range is 80-120

A new mother is teary, tired and having a hard time since the baby. She is having a developmental Crisis.

Which of the following would be of the greatest importance when assessing a 77 year-old?

Which below is described as a low-pitched, bubbling sound during inhalation in both lower lungs?

Which of the following would indicate the greatest risk for immobilty?

Which of the follwing would help to prevent contractures of the foot?

A patient states that their pain is 8/10, the nurse gives the pain medication even though they are eating+watching TV.

Which of the following best demonstrates the technique of flexion of the knee?

Which of the following is normal for an elderly patient?

Which of the following would indicate that a student would need to review how to perform a respiratory assessment?

Which of the following is a good decription of dementia?

If a patient states that "I just want to stay in bed" which of the following might this indicate?

When providing oral care on a patient would a finding of ill-fitting dentures cause concern for poor nutritional status.

Which of the following is an expected cognitive change in an older adult?

A patient asks the nurse why when they are stressed do they always seem to get sick?

After a hip replacement, which nursing action will help to prevent contractures?

Which of the following is a symptom of prolonged stress on the body?

Which heart valve is heard best from the second intercostal space to teh left of the sternum?

What is a rule of thumb that we as nurse should use with older adults due to polypharmcy?

What is an uncoordinated, staggering gait with slight swaying?

Does a client admitted wearing a diaper with dried feces show that the patient is experiencing caregiver neglect?

The SA node is the natural pacemaker of the heart.

A patient reports pain that is a dull ache that increases with movement. This indicates Torticollis.

What is meant when a patient states that their feet feel like "pins and needles"?

Which heart valve is heard best at the left line of the fifth intercostal space?

Which of the following shows that the patient understands the nurses instructions on how to use a cane?

Which of the following is a concern from an analysis of aspirated knee fluid?