Chapter 9

Question 1

The general survey consists of four distinct areas. These areas include:

Answer 1

physical appearance, body structure, mobility, and behavior.

Question 2

A common error in blood pressure measurement is:

Answer 2

waiting less than 1 to 2 minutes before repeating the blood pressure reading on the same arm.

Question 3

Data collection for the general survey begins:

Answer 3

at the first encounter.

Question 4

The Doppler technique:

Answer 4

augments Korotkoff sounds during blood pressure measurement.

Question 5

The tympanic membrane thermometer (TMT):

Answer 5

provides an accurate measurement of core body temperature.

Question 6

Endogenous obesity is:

Answer 6

caused by excess adrenocorticotropin production by the pituitary gland.

Question 7

To perform an accurate assessment of respirations, the examiner should:

Answer 7

count for 30 seconds after completing a pulse assessment and multiply by two.

Question 8

Physical appearance includes statements that compare appearance with:

Answer 8

stated age

Question 9

An adult patient’s pulse is 46 beats per minute. The term used to describe this rate is:

Answer 9

bradycardia

Question 10

The nurse records that the patient’s pulse is 3+ or full and bounding. Which of the following could be the cause?

Answer 10

Anxiety

Question 11

Types of clinical questions

Intervention:

Answer 11

relates to identifying or selecting treatment/s that are effective and worthwhile

Question 12

Types of clinical questions

Aetiology

Answer 12

relates to the cause of a disease, or the relationship between a risk factor and the development of a disease/condition

Question 13

Types of clinical questions

Diagnosis

Answer 13

seeks to find evidence that will determine the accuracy (e.g. precision, safety, etc.) of diagnostic tests or procedures in determining the presence or absence of a disease/condition

Question 14

Types of clinical questions

Prognosis

Answer 14

relates to the likely clinical course or potential complications of a disease/condition

Question 15

Types of clinical questions

Exploration

Answer 15

seeks to answer the question ‘why’; concerned with the issue that often impact the disease, treatment or health service, and is grounded in variations of human attitudes, opinions, feelings, thoughts or behaviours.

Question 16

Auscultatory gap

Answer 16

a brief period when Korotkoff sounds disappear during auscultation of blood pressure; common with hypertension

Question 17

Bradycardia

Answer 17

heart rate fewer than 50 or 60 beats per mini the adult depending on agency

Question 18

Sphygmomanometer

Answer 18

instrument for measuring arterial blood pressure

Question 19

stroke volume

Answer 19

amount of blood pumped out of the heart with each heartbeat

Question 20

Tachycardia

Answer 20

heart rate greater than 95 beats per min in the adult

Question 21

You are assessing a patients gait. What do you expect to find

Answer 21

Gait is wide as the shoulder width

Question 22

An 18 month old child is brought into the clinic for a health screening visit. To assess the height of the child

Answer 22

use a horizontal measuring board

Question 23

Which changes in head circumference measurements in relation to chest measurements will occur from infancy through early childhood

Answer 23

The newborns head will be 2 cm lager than the chest circumference, but between 6months to 2years they will be about the same

Question 24

Which changes regarding height and weight occur during the 80s and 90s

Answer 24

Both increase

Question 25

During the initial home visit, the patients temp is noted to be 97.4 F. How would you interpret this?

Answer 25

It cannot be evaluated without knowledge of the persons age

Question 26

Select the best description of an accurate assessment of a patients pulse

Answer 26

Begin counting with zero; count for 30 seconds

Question 27

After assessing the patients pulse the practitioner determines it to be normal. This would be recorded as

Answer 27

2+

Question 28

Select the best description of an accurate assessment of a patients respirations

Answer 28

Count for 30 seconds after pulse assessment

Question 29

Pulse pressure is described as

Answer 29

The difference between the systolic and diastolic pressure

Question 30

The examiner suspects a patient has coarctation of the aorta. Which assessment finding supports this suspicion

Answer 30

the pressure is lower than in the arm

Question 31

Mean arterial pressure is

Answer 31

Diastolic pressure plus one third of the pulse pressure

Question 32

Why is it important to match the appropriate size of blood pressure cuff to the persons arm and shape and not to the persons age

Answer 32

Using a cuff that is too narrow will give a false reading

Question 33

A patient is being seen in the clinic for complaints of fainting episodes that started last week. How should you proceed with the exam?

Answer 33

Record the blood pressure in the lying, sitting, and standing position

Question 34

The nurse is conducting a health fair for older adults. What is true regarding vital signs

Answer 34

An increased respiratory rate and a shallower inspiratory phase are possible findings