Question 1

An abnormal condition in which a person must sit or stand to breathe deeply or comfortably is known as ___________________.

Accepted Answer

orthopnea
Orthopnea is an abno...

Question 2

During a physical assessment, the nurse notes a patient passes frequent loose liquid stools. What should the nurse document that the patient is experiencing?

Accepted Answer

A)   Dyspnea
B)   Cyanosis
C)   Diaphoresis
D)   DiarrheaE) A) and B)
F) B) and D)

Question 3

An abnormally rapid rate of breathing that is seen in many disease conditions is known as ___________________.

Accepted Answer

tachypnea
Tachypnea is an abno...

Question 4

During a physical assessment, the nurse notes a patient has a bluish discoloration of the skin and mucous membranes. How should the nurse document this finding?

Accepted Answer

A)   Dyspnea
B)   Cyanosis
C)   Diaphoresis
D)   EcchymosisE) C) and D)
F) A) and B)

Question 5

Listening for bowel sounds should be done over all four quadrants of the abdomen using the diaphragm of the stethoscope. What is the normal rate of bowel sounds per min-ute?

Accepted Answer

A)   2-10
B)   3-20
C)   4-32
D)   5-40E) B) and C)
F) All of the above

Question 6

The nurse assesses a patient for capillary refill after the fingernail is compressed for 5 seconds. What should the nurse expect the refill time to be?

Accepted Answer

A)   1 second
B)   2 seconds
C)   3 seconds
D)   4 secondsE) A) and B)
F) A) and C)

Question 7

A circulatory condition in which the myocardium contracts steadily but at a rate of less than 60 contractions per minute is known as _________________.

Accepted Answer

bradycardia
Bradycardia is a c...

Question 8

A physician needs to assess a patient for a heart murmur. In what position should the nurse place the patient?

Accepted Answer

A)   Sims
B)   Prone
C)   Lithotomy
D)   Lateral recumbentE) A) and B)
F) A) and C)

Question 9

During a physical assessment, the nurse listens for adventitious lung sounds. Crackles are classified as fine, medium, or coarse. When are these sounds most often auscultated?

Accepted Answer

A)   During expiration
B)   Following expiration
C)   During inspiration
D)   Following inspirationE) A) and B)
F) A) and D)

Question 10

When collecting data related to the present illness, the nurse must obtain detailed and comprehensive data. What does this data help to establish?

Accepted Answer

A)   A nursing diagnosis
B)   A nursing care plan
C)   Appropriate interventions
D)   Nursing ordersE) B) and D)
F) A) and B)

Question 11

When assessing a patient, the nurse notes a yellow tinge to the patient's skin. How should the nurse document this finding?

Accepted Answer

A)   Dyspnea
B)   Cyanosis
C)   Jaundice
D)   EcchymosisE) All of the above
F) C) and D)

Question 12

When performing a nursing physical assessment, the nurse uses a head-to-toe approach. Where will the nurse begin when using this method?

Accepted Answer

A)   Skin assessment
B)   Neurologic assessment
C)   Circulatory assessment
D)   Respiratory assessmentE) None of the above
F) C) and D)

Question 13

A symptom of itching and an uncomfortable sensation leading to an urge to scratch is known as _____________.

Accepted Answer

pruritus
Pruritus is a symptom...

Question 14

The signs and symptoms of both infection and inflammation include erythema, edema, and pain. What is considered the major difference between infection and inflammation?

Accepted Answer

A)   Inflammation is a result of bacteria.
B)   Inflammation is a protective response.
C)   Inflammation is a disease process.
D)   Inflammation produces tissue damage.E) A) and B)
F) A) and C)

Question 15

A physician needs to assess a patient's rectal area. In what position should the nurse place the patient?

Accepted Answer

A)   Sims
B)   Prone
C)   Lithotomy
D)   Knee-chestE) B) and D)
F) All of the above

Question 16

A nurse is gathering subjective data when admitting a patient. Which assessment finding reported by the patient is considered subjective data?

Accepted Answer

A)   Complains of chest pain
B)   Is experiencing dyspnea
C)   Appears to be anxious
D)   Expectorates red-tinged sputumE) None of the above
F) C) and D)

Question 17

Discoloration of an area of the skin or mucous membrane that is caused by the extravasation of blood into the subcutaneous tissues as a result of trauma to the underlying blood vessels or by fragility of the vessel walls is known as _________________.

Accepted Answer

ecchymosis
Ecchymosis is discoloration o...

Question 18

During a physical assessment, the nurse notes that a patient's heart rate is 56 beats per minute. What should the nurse document that the patient is experiencing?

Accepted Answer

A)   Dyspnea
B)   Cyanosis
C)   Diaphoresis
D)   BradycardiaE) B) and D)
F) B) and C)

Question 19

A nurse is caring for a patient with congestive heart failure. During the physical assessment, the nurse notes the patient is experiencing difficulty breathing. What should the nurse document that the patient is experiencing?

Accepted Answer

A)   Dyspnea
B)   Cyanosis
C)   Diaphoresis
D)   EcchymosisE) B) and D)
F) B) and C)

Question 20

During a physical assessment, the nurse notes that a patient has bright red blood in the feces. What does the nurse recognize as the most likely cause of this bleeding?

Accepted Answer

A)   Bleeding in the upper intestinal tract
B)   Bleeding in the lower intestinal tract
C)   Bleeding in the entire intestinal tract
D)   Consumption of cranberry juiceE) A) and B)
F) A) and C)

Exam 12: Physical Assessment

During a physical assessment, the nurse notes that a patient has bright red blood in the feces. What does the nurse recognize as the most likely cause of this bleeding?

Correct AnswerverifiedShow Answer

During a physical assessment, the nurse notes a patient has a bluish discoloration of the skin and mucous membranes. How should the nurse document this finding?

Correct AnswerverifiedShow Answer

The signs and symptoms of both infection and inflammation include erythema, edema, and pain. What is considered the major difference between infection and inflammation?

Correct AnswerverifiedShow Answer

The nurse assesses a patient for capillary refill after the fingernail is compressed for 5 seconds. What should the nurse expect the refill time to be?

Correct AnswerverifiedShow Answer

A circulatory condition in which the myocardium contracts steadily but at a rate of less than 60 contractions per minute is known as _________________.

Correct AnswerverifiedbradycardiaBradycardia is a c...View AnswerShow Answer

A nurse is gathering subjective data when admitting a patient. Which assessment finding reported by the patient is considered subjective data?

Correct AnswerverifiedShow Answer

An abnormal condition in which a person must sit or stand to breathe deeply or comfortably is known as ___________________.

Correct AnswerverifiedorthopneaOrthopnea is an abno...View AnswerShow Answer

A nurse is caring for a patient with congestive heart failure. During the physical assessment, the nurse notes the patient is experiencing difficulty breathing. What should the nurse document that the patient is experiencing?

Correct AnswerverifiedShow Answer

During a physical assessment, the nurse notes that a patient's heart rate is 56 beats per minute. What should the nurse document that the patient is experiencing?

Correct AnswerverifiedShow Answer

A physician needs to assess a patient for a heart murmur. In what position should the nurse place the patient?

Correct AnswerverifiedShow Answer

During a physical assessment, the nurse listens for adventitious lung sounds. Crackles are classified as fine, medium, or coarse. When are these sounds most often auscultated?

Correct AnswerverifiedShow Answer

A physician needs to assess a patient's rectal area. In what position should the nurse place the patient?

Correct AnswerverifiedShow Answer

A symptom of itching and an uncomfortable sensation leading to an urge to scratch is known as _____________.

Correct AnswerverifiedpruritusPruritus is a symptom...View AnswerShow Answer

During a physical assessment, the nurse notes a patient passes frequent loose liquid stools. What should the nurse document that the patient is experiencing?

Correct AnswerverifiedShow Answer

Listening for bowel sounds should be done over all four quadrants of the abdomen using the diaphragm of the stethoscope. What is the normal rate of bowel sounds per min-ute?

Correct AnswerverifiedShow Answer

An abnormally rapid rate of breathing that is seen in many disease conditions is known as ___________________.

Correct AnswerverifiedtachypneaTachypnea is an abno...View AnswerShow Answer

When performing a nursing physical assessment, the nurse uses a head-to-toe approach. Where will the nurse begin when using this method?

Correct AnswerverifiedShow Answer

When collecting data related to the present illness, the nurse must obtain detailed and comprehensive data. What does this data help to establish?

Correct AnswerverifiedShow Answer

When assessing a patient, the nurse notes a yellow tinge to the patient's skin. How should the nurse document this finding?

Correct AnswerverifiedShow Answer

Discoloration of an area of the skin or mucous membrane that is caused by the extravasation of blood into the subcutaneous tissues as a result of trauma to the underlying blood vessels or by fragility of the vessel walls is known as _________________.

Correct AnswerverifiedecchymosisEcchymosis is discoloration o...View AnswerShow Answer

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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bradycardia
Bradycardia is a c...
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Correct Answer
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Correct Answer
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orthopnea
Orthopnea is an abno...
View Answer

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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pruritus
Pruritus is a symptom...
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Correct Answer
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Correct Answer
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tachypnea
Tachypnea is an abno...
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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ecchymosis
Ecchymosis is discoloration o...
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