Chapter 3: Techniques and Equipment for Physical Assessment
1. What is the most important nursing action to reduce transmission of microorganisms during a
Clean the bell and diaphragm of the stethoscope betwe
Chapter 10: Head, Eyes, Ears, Nose, and Throat
1. A patient is admitted with edema of the occipital lobe following a head injury. The nurse
correlates which finding with damage to this area?
Chapter 2: Interviewing Patients to Obtain a Health History
1. Which statement or question does the nurse use during the introduction phase of the
Im here to learn more about the pain youre experiencing.
Can you descri
Chapter 13: Abdomen and Gastrointestinal System
1. A patient tells the nurse, Ive been having pain in my belly for several days that gets worse
after eating. Which datum from the symptom analysis is consistent with the nurses sus
Chapter 9: Skin, Hair, and Nails
1. A patient asks the nurse if it is possible to grow new skin. What is the nurses most
a. Even if new skin growth is required, the melanocytes do not regenerate.
b. The avas
Chapter 19: Assessment of the Infant, Child, and Adolescent
1. An adolescent patient appears reluctant to discuss sensitive issues with her parents present.
What is the nurses most appropriate intervention?
Tell the patient that
Chapter 17: Reproductive System and the Perineum
1. During the initial inspection of the female genitalia, the nurse recognizes which finding as
a. The labia minora are hair-covered and lying within the labia majora.
Chapter 11: Lungs and Respiratory System
1. A patient tells the nurse that she has smoked two packs of cigarettes a day for 20 years. The
nurse records this as how many pack-years?
Chapter 15: Neurologic System
1. A nurse assesses a patient with a head injury who has slowing intellectual functioning,
personality changes, and emotional lability. The nurse correlates these findings with which
area of the brai
Chapter 14: Musculoskeletal System
1. Which description of pain from the patient makes a nurse suspect the patients pain is
originating from a muscle?
Dull and deep
Boring and intense
Sharp upon movement
Chapter 1: Importance of Health Assessment
1. A patient comes to the emergency department and tells the triage nurse that he is having a
heart attack. What is the nurses top priority at this time?
Determine the patients personal
Chapter 12: Heart and Peripheral Vascular System
1. A nurse informs a patient that her blood pressure is 128/78. The patient asks what the number
128 means. What is the nurses appropriate response? The 128 represents the pressure
Chapter 20: Assessment of the Pregnant Patient
1. A patient who is 30 weeks pregnant tells the nurse, I have had low blood pressure all my life,
and now it is 136/74. Whats wrong with me? What is the most appropriate response by
Chapter 21: Assessment of the Older Adult
1. A 75-year old patient tells the nurse, I just do not enjoy eating as much as I used to because
the food does not have much taste or smell. Which statement by the nurse is most
Chapter 6: Pain Assessment
1. How do nurses assess a patients pain?
a. By assessing physiologic changes of the patient
b. By understanding the sensory experience related to the amount of tissue damage
c. By the patients medical d
Chapter 16: Breasts and Axillae
1. In teaching a patient about breast self-examination, why does the nurse emphasize palpation
of the axillary areas?
Because deep muscles in that area can mask changes
Because some patients avoid
Chapter 8: Nutritional Assessment
1. A patient with mild renal disease has been put on a 2200-calorie per day diet plan with the
lowest recommended amount of protein. During discharge teaching, the nurse explains to this
Chapter 5: Ethnic, Cultural, and Spiritual Considerations
1. What are the characteristics of ones culture?
a. Color of skin and hair
b. System of beliefs and practices
c. Food preferences
d. Language and religion
Chapter 7: Mental Health and Abusive Behavior Assessment
1. What function do neurotransmitters have in mental health disorders?
a. Dopamine levels are increased in schizophrenia.
b. Increased levels of gamma aminobutyric acid (GA
Chapter 4: General Inspection and Measurement of Vital Signs
1. Which body system does the nurse assess primarily by inspection?
Chapter 22: Conducting a Head-to-Toe Examination
1. When does the health assessment begin?
a. When the nurse first meets the patient
b. When the patient tells the nurse his name and age
c. When the nurse asks the patient the firs
Chapter 23: Documenting the Head-to-Toe Health Assessment
1. Which documentation by a nurse is most descriptive?
a. Heart sounds normal.
b. Few ectopic beats heard during auscultation.
c. S1 murmur is heard at second right sterna
Chapter 24: Adapting Health Assessment to the Hospitalized Patient
1. Development of which complication is considered a never event?
c. Pressure ulcer
Fever is a
Chapter 18: Developmental Assessment Throughout the Life Span
1. Which statement best illustrates Eriksons theory of development?
a. The main goal is to establish equilibrium between self and environment.
b. One progresses throug
The nurse is prioritizing client care for multiple clients in a long term care facility. What
prioritization principles would the nurse incorporate? Provide an example of each of the
principles. (NOTE: Please review your Leadership and Management Review M
NCLEX study guide
Urine specific gravity
Sedimentation rate (ESR)
3.5 5.1cardiac arrhythmias: possible met.
Spinal cord injuries:
Usually due to trauma
Young adults and adolescents most commonly affected
Injury affects motor and sensory function at the level of injury and below
12,000 20,000 people/year- usually males bet 16-30, 9% over 60, >50% cervical (most
Med Surg Focused Review
Define the following types of urinary incontinence: Stress, urge, overflow, reflex, functional, total.
Stress Incontinence: urine leaks due to weakened pelvic floor muscles and tissues. It can happen
when pressure on y