HA Quiz #1, #2, and #3

Question 1

Asking the client to repeat four unrelated words that you had asked them to remember a few minutes prior is one method of assessing:

a. ) new learning.
b. ) orientation.
c. ) recent memory.
d. ) remote memory

Answer 1

a.) new learning.

Question 2

To inspect the lateral borders of the tongue, you should:

a. ) Use a clamp to pull the tongue to each side.
b. ) Use a piece of gauze in your gloved fingers to pull the tongue to each side.
c. ) Ask the patient to extend the tongue from side to side.
d. ) Insert a tongue blade obliquely against the tongue.

Answer 2

b.) Use a piece of gauze in your gloved fingers to pull the tongue to each side.

Question 3

A person who appears drowsy and drifts off to sleep when not stimulated but who is easily aroused when their name is called can be described as:

a. ) Alert
b. ) Lethargic
c. ) Obtunded
d. ) Semi-comatose

Answer 3

b.) Lethargic

Question 4

When performing an assessment of the client’s skin, there are several characteristics of moles that should be taken into consideration. What are they?

a. ) Asymmetry, area, color, size, exudate or elevation.
b. ) Asymmetry, border, color, diameter, elevation or enlargement.
c. ) Color, pattern, size, location, exudate or elevation.
d. ) Shape, contour, color, location, elevation or enlargement.

Answer 4

b.) Asymmetry, border, color, diameter, elevation, or enlargement.

Question 5

Which method is most effective for establishing rapport with the client during the interview process?

a. ) Leave the TV on so as to make the client feel more at home and allow other providers easy access to the client.
b. ) Pay close attention to your own nonverbal communication and avoid inappropriate facial expressions.
c. ) Seat yourself on the opposite side of the room from the client while conducting the interview.
d. ) Take detailed notes during the interview process so that you can refer to the information later.

Answer 5

b.) Pay close attention to your own nonverbal communication and avoid inappropriate facial expressions.

Question 6

The sternomastoid muscles are prominent muscles of the neck. Which of the following is a correct description of their location?

a. ) They extend from the upper sternum and the clavicle to the mastoid process.
b. ) They extend from the occipital bone to the outer third of the clavicles.
c. ) They extend from the clavicles to the ocular area.
d. ) They extend from the frontal bone to the manubrium.

Answer 6

a.) They extend from the upper sternum and the clavicle to the mastoid process.

Question 7

When assessing Ms. Smith’s head, you note that the skull is round, symmetrical and in proportion to her body size. You would document this finding as:

a. ) Hydrocephalic.
b. ) Macrocephalic
c. ) Microcephalic
d. ) Normocephalic

Answer 7

d.) Normocephalic

Question 8

Someone who is easily distracted and who provides irrelevant replies to questions may be experiencing:

a. ) aphasia.
b. ) decreased attention span.
c. ) impaired judgment.
d. ) recent memory loss.

Answer 8

b.) decreased attention span.

Question 9

Which of the following would be considered a communication “trap”?

a. ) Asking the client, “Why don’t you take your medication?”
b. ) Telling the client that, “The lab results suggest diabetes.”
c. ) Telling the client that they have hypercholesterolemia.
d. ) All of the above

Answer 9

d.) All of the above

Question 10

When the nurse assesses the client’s grooming and hygiene, body movements, and posture, he/she is evaluating the client’s:

a. ) Appearance.
b. ) Behavior.
c. ) Cognitive functions.
d. ) Thought processes.

Answer 10

a.) Appearance.

Question 11

Which is the correct technique when assessing the pupillary light reflex?

a. ) Shine a light from directly in front of the client and inspect for pupillary constriction.
b. ) Ask the client to follow your penlight to about 7 cm from the nose.
c. ) Shine a light directly into one eye and observe for direct and concensual pupillary constriction.
d. ) Ask the client to follow your penlight in eight directions and observe for bilateral pupil constriction.

Answer 11

c.) Shine a light directly into one eye and observe for direct and concensual pupillary constriction.

Question 12

The assessment technique characterized by tapping the skin in order to elicit sounds to depict the location, size, and density of underlying organs is called:

a. ) Auscultation.
b. ) Inspection
c. ) Palpation
d. ) Percussion

Answer 12

d.) Percussion

Question 13

Upon inspection of the buccal mucosa, a small dimple is noted opposite the second upper molar. The nurse knows this is a normal finding, indicating a:

a. ) Torus palatinus.
b. ) Fordyce granule.
c. ) Stensen’s duct.
d. ) Leukoplakia.

Answer 13

c.) Stensen’s duct.

Question 14

During an ear exam, a normal tympanic membrane (TM) is observed. Your recording of these findings indicate the presence of:

a. ) A cone of light.
b. ) An amber-colored TM.
c. ) A pink TM with blood vessels clearly visible.
d. ) Fluid behind the TM.

Answer 14

a.) A cone of light.

Question 15

A wart would be an example of which type of skin lesion?

a. ) Cyst
b. ) Nodule
c. ) Papule
d. ) Scale

Answer 15

c.) Papule

Question 16

Your client, Mr. Paulson, is experiencing edema in his right lower leg. His leg looks very swollen and when you press the skin with your finger it leaves an indentation that remains for a short period of time. How would you grade his edema on the four-point scale?

a. ) 1+ Mild.
b. ) 2+ Moderate.
c. ) 3+ Deep.
d. ) 4+ Very Deep.

Answer 16

c.) 3+ Deep.

Question 17

Learning that the client wears amulets or bangles would be an example of which type of illness belief or practice?

a. ) Health maintenance.
b. ) Health protection.
c. ) Health restoration.
d. ) Illness causation.

Answer 17

b.) Health protection.

Question 18

Ms. Jones, RN would like to assess the skin temperature of one of her clients. Which of the following methods would be most appropriate?

a. ) Assess temperature bilaterally using the dorsal surface of both hands.
b. ) Assess temperature bilaterally using the palms of both hands.
c. ) Place the dorsal surface of one hand on the client’s forehead.
d. ) Place the palm of one hand gently on the client’s forehead.

Answer 18

a.) Assess temperature bilaterally using the dorsal surface of both hands.

Question 19

The general sequence for the four assessment techniques is:

a. ) Inspection, palpation, percussion, auscultation.
b. ) Inspection, percussion, palpation, auscultation.
c. ) Palpation, auscultation, percussion, inspection.
d. ) Palpation, inspection, percussion, auscultation.

Answer 19

a.) Inspection, palpation, percussion, auscultation.

Question 20

The Mini-Mental State Examination (MMSE) is used to detect:

a. ) acute confusional state.
b. ) dementia and delirium.
c. ) recent memory loss.
d. ) risk of suicide.

Answer 20

b.) dementia and delirium.

Question 21

Mrs. Parker has a series of painful lesions that run in a linear fashion along a nerve route. How would you describe the shape or configuration of her lesions?

a. ) Confluent.
b. ) Gyrate.
c. ) Target.
d. ) Zosteriform.

Answer 21

d.) Zosteriform.

Question 22

FICA questions may be used to assess the client’s spiritual values. What does FICA stand for?

a. ) Faith, influence, church, actions
b. ) Faith, influence, community, address
c. ) Fellowship, ideals, church, actions
d. ) Fellowship, influence, community, address

Answer 22

b.) Faith, influence, community, address

Question 23

When palpating the thyroid gland using the posterior approach, you would:

a. ) Palpate the posterior portion of the neck.
b. ) Depress the cricoid process.
c. ) Manipulate the thyroid gland between your thumb and forefinger.
d. ) Displace the trachea to the right when palpating the right lobe.

Answer 23

d.) Displace the trachea to the right when palpating the right lobe.

Question 24

When performing an otoscopic examination on an adult client, which of the following is the correct technique?

a. ) You pull the pinna up and back prior to inserting the otoscope.
b. ) Use the smallest speculum in order to decrease the amount of discomfort.
c. ) Once the speculum is in the ear canal, you may release the traction.
d. ) Tilt the client’s head forward as you do the exam.

Answer 24

a.) You pull the pinna up and back prior to inserting the otoscope.

Question 25

When screening the client for depression, the nurse might ask the client:

a. ) “Do you ever feel like something awful is going to happen?”
b. ) “Do you ever have trouble relaxing?”
c. ) “Have you ever felt so sad that you felt like hurting yourself?”
d. ) “Over the past two weeks, have you felt little interest in doing things?”

Answer 25

“Over the past two weeks, have you felt little interest in doing things?”

Question 26

Correct preparation of the client for a physical exam would include all of the following except:

a. ) Avoiding washing hands in the presence of the client.
b. ) Cleaning equipment before and after every patient contact.
c. ) Having all necessary equipment organized ahead of time.
d. ) Provision of warmth and appropriate lighting.

Answer 26

a.) Avoiding washing hands in the presence of the client.

Question 27

All of the following would be appropriate FICA questions, except:

a. ) “Do you consider yourself to be a religious or spiritual person?”
b. ) “How does your religious faith influence the way you think about health?”
c. ) “When was the last time you attended church?”
d. ) “Would you like me to address any spiritual issues or concerns with you?”

Answer 27

c.) “When was the last time you attended church?”

Question 28

Which of the following would be an appropriate question to ask during the cultural assessment?

a. ) “How often do you have medical examinations?”
b. ) “What do you believe causes illness?”
c. ) “What are your age, race, and educational level?”
d. ) “What medications have you taken?”

Answer 28

b.) “What do you believe causes illness?”

Question 29

As an examiner presses up and under the eyebrows and below the cheekbones, the client states that he feels firm pressure but denies any pain. The examiner is assessing the client’s _________ and _________, respectively.

a. ) Superior and inferior turbinates.
b. ) Maxillary and frontal sinuses.
c. ) Inferior and superior turbinates.
d. ) Frontal and maxillary sinuses.

Answer 29

d.) Frontal and maxillary sinuses.

Question 30

A client states that she has a sore throat and has been having difficulty swallowing. Inspection of the throat reveals bright red, swollen tonsils with exudate present. The tonsils are also noted to touch each other. The observation of tonsil size would be recorded as:

a. ) 1+
b. ) 2+
c. ) 3+
d. ) 4+

Answer 30

d.) 4+

Question 31

A nurse working in an outpatient clinic is about to assess a client’s visual acuity with a Snellen chart. The nurse positions the client at which distance from the chart in order to obtain accurate results?

a. ) 10 feet
b. ) 20 feet
c. ) 30 feet
d. ) 40 feet

Answer 31

b.) 20 feet

Question 32

While assessing your client’s pupils, you note that they are unequal in size. You next assess pupillary responses to light, which elicit normal responses. You would record your findings as:

a. ) Adie’s pupil.
b. ) Nystagmus.
c. ) Arcus senilis.
d. ) Aniscoria.

Answer 32

d.) Aniscoria.

Question 33

On inspection of the nasal cavity, the nurse observes that the nasal mucosa is bright red and swollen. Copious, watery discharge is also noted. These findings indicate:

a. ) normal findings.
b. ) rhinitis.
c. ) nasal polyps.
d. ) epistaxis,

Answer 33

b.) rhinitis.