HA Quiz #1, #2, and #3 Flashcards
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
a.) new learning.
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.
b.) Use a piece of gauze in your gloved fingers to pull the tongue to each side.
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
b.) Lethargic
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.
b.) Asymmetry, border, color, diameter, elevation, or enlargement.
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.
b.) Pay close attention to your own nonverbal communication and avoid inappropriate facial expressions.
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.
a.) They extend from the upper sternum and the clavicle to the mastoid process.
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
d.) Normocephalic
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.
b.) decreased attention span.
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
d.) All of the above
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.
a.) Appearance.
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.
c.) Shine a light directly into one eye and observe for direct and concensual pupillary constriction.
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
d.) Percussion
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.
c.) Stensen’s duct.
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.
a.) A cone of light.
A wart would be an example of which type of skin lesion?
a. ) Cyst
b. ) Nodule
c. ) Papule
d. ) Scale
c.) Papule
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.
c.) 3+ Deep.
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.
b.) Health protection.
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.
a.) Assess temperature bilaterally using the dorsal surface of both hands.
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.
a.) Inspection, palpation, percussion, auscultation.
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.
b.) dementia and delirium.
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.
d.) Zosteriform.
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
b.) Faith, influence, community, address
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.
d.) Displace the trachea to the right when palpating the right lobe.
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.
a.) You pull the pinna up and back prior to inserting the otoscope.
