Fundamentals Of Nursing Iv: Nursing Process, Physical And Health Assessment And Routine Procedures (practice Mode)

100 Questions  I  By Rnpedia on May 14, 2012
Mark the letter of the letter of choice then click on the next button. No time Limit. Correct answer will be revealed after each question. Good luck! Content Outline 1. The nursing process 2. Physical Assessment 3. Health Assessment 3.a Temperature 3.b Pulse 3.c Respiration 3.d Blood pressure 4. Routine Procedures 4.a Urinalysis specimen collection 4.b Sputum specimen collection 4.c Urine examination 4.d Positioning pre-procedure 4.e Stool specimen collection

  
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1.  When palpating the client’s neck for lymphadenopathy, where should the nurse position himself?
A.
B.
C.
D.
2.  Which of the following is among an ideal way of collecting a urine specimen for culture and sensitivity?
A.
B.
C.
D.
3.  How long should the Rectal Thermometer be inserted to the clients anus?
A.
B.
C.
D.
4.  The primary respiratory center
A.
B.
C.
D.
5.  Rectal examination is done with a client in what position?
A.
B.
C.
D.
6.  Which of the following statement is true regarding temperature?
A.
B.
C.
D.
7.  Hyperpyrexia is a condition in which the temperature is greater than
A.
B.
C.
D.
8.  A characteristic of the nursing process that is essential to promote client satisfaction and progress. The care should also be relevant with the client’s needs.
A.
B.
C.
D.
9.  Marianne is now at the Defervescence stage of the fever, which of the following is expected?
A.
B.
C.
D.
10.  A community health nurse should be resourceful and meet the needs of the client. A villager ask him, Can you test my urine for glucose? Which of the following technique allows the nurse to test a client’s urine for glucose without the need for intricate instruments.
A.
B.
C.
D.
11.  A patient’s chart is what type of data source?
A.
B.
C.
D.
12.  A community health nurse is assessing client’s urine using the Acetic Acid solution. Which of the following, if done by a nurse, indicates lack of correct knowledge with the procedure?
A.
B.
C.
D.
13.  In collecting a urine from a catheterized patient, Which of the following statement indicates an accurate performance of the procedure?
A.
B.
C.
D.
14.  All of the following factors correctly influence respiration except one. Which of the following is incorrect?
A.
B.
C.
D.
15.  She is the first one to coin the term “NURSING PROCESS” She introduced 3 steps of nursing process which are Observation, Ministration and Validation.
A.
B.
C.
D.
16.  The primary factor responsible for body heat production is the 
A.
B.
C.
D.
17.  Nurse Angela diagnosed Mrs. Delgado, who have undergone a BKA. Her diagnosis is SELF ESTEEM DISTURBANCE R/T CHANGE IN BODY IMAGE. Although the client has not yet seen her lost leg, Angela already anticipated the diagnosis. This is what type of Diagnosis?
A.
B.
C.
D.
18.  A framework for health assessment that evaluates the effects of stressors to the mind, body and environment in relation with the ability of the client to perform ADL.
A.
B.
C.
D.
19.  How many minutes are allowed to pass if the client had engaged in strenuous activities, smoked or ingested caffeine before taking his/her BP?
A.
B.
C.
D.
20.  Which of the following is a OBJECTIVE data?
A.
B.
C.
D.
21.  If the client is female, and the doctor is a male and the patient is about to undergo a vaginal and cervical examination, why is it necessary to have a female nurse in attendance?
A.
B.
C.
D.
22.  In assessing the abdomen, Which of the following is the correct sequence of the physical assessment?
A.
B.
C.
D.
23.  A process of heat loss which involves the transfer of heat from one surface to another is
A.
B.
C.
D.
24.  Which of the following is a contraindication in taking RECTAL temperature?
A.
B.
C.
D.
25.  John’s temperature 10 hours ago is a normal 36.5 degrees. 4 hours ago, He has a fever with a temperature of 38.9 Degrees. Right now, his temperature is back to normal. Which of the following best describe the fever john is having?
A.
B.
C.
D.
26.  Nurse Angela knew that Stephen Lee Mu Chin, has just undergone an operation with an incision near the diaphragm. She knew that this will contribute to some complications later on. She then should develop what type of Nursing diagnosis?
A.
B.
C.
D.
27.  The sequence in examining the quadrants of the abdomen is:
A.
B.
C.
D.
28.  Which of the following is incorrect with regards to proper urine testing using Benedict’s Solution?
A.
B.
C.
D.
29.  Considered as Safest and most non invasive method of temperature taking
A.
B.
C.
D.
30.  When is the best time to collect urine specimen for routine urinalysis and C/S?
A.
B.
C.
D.
31.  John has a fever of 39.5 degrees 2 days ago, But yesterday, he has a normal temperature of 36.5 degrees. Today, his temperature surges to 40 degrees. What type of fever is John having?
A.
B.
C.
D.
32.  Which of the following is TRUE about the auscultation of blood pressure?
A.
B.
C.
D.
33.  Which of the following is TRUE about the mechanism of action of the Aortic and Carotid bodies?
A.
B.
C.
D.
34.  Which of the following need is given a higher priority among others?
A.
B.
C.
D.
35.  In palpating the client’s abdomen, Which of the following is the best position for the client to assume?
A.
B.
C.
D.
36.  Too narrow cuff will cause what change in the Client’s BP?
A.
B.
C.
D.
37.  The characteristic fever in Dengue Virus is characterized as:
A.
B.
C.
D.
38.  Which of the following is responsible for the rhythm and quality of breathing?
A.
B.
C.
D.
39.  Nurse Angela is about to make a diagnosis but very unsure because the S/S the client is experiencing is not specific with her diagnosis of POWERLESSNESS R/T DIFFICULTY ACCEPTING LOSS OF LOVED ONE. She then focus on gathering data to refute or prove her diagnosis but her plans and interventions are already ongoing for the diagnosis. Which type of Diagnosis is this?
A.
B.
C.
D.
40.  Rhina, who has Menieres disease, said that her environment is moving. Which of the following is a valid assessment? 1. Rhina is giving an objective data 2. Rhina is giving a subjective data 3. The source of the data is primary 4. The source of the data is secondary
A.
B.
C.
D.
41.  In collecting a routine specimen for fecalysis, Which of the following, if done by a nurse, indicates inadequate knowledge and skills about the procedure?
A.
B.
C.
D.
42.  Which characteristic of nursing process addresses the INDIVIDUALIZED care a client must receive?
A.
B.
C.
D.
43.  Which of the following is more life threatening?
A.
B.
C.
D.
44.  In palpating the client’s breast, Which of the following position is necessary for the patient to assume before the start of the procedure?
A.
B.
C.
D.
45.  Which of the following is TRUE about the blood pressure determinants?
A.
B.
C.
D.
46.  Which of the following is true about the NURSING CARE PLAN?
A.
B.
C.
D.
47.  Contains the pneumotaxic and the apneutic centers
A.
B.
C.
D.
48.  Which of the following statement is TRUE about pulse?
A.
B.
C.
D.
49.   In a routine sputum analysis, Which of the following indicates proper nursing action before sputum collection?
A.
B.
C.
D.
50.  Which of the following is a correct nursing action when collecting urine specimen from a client with an Indwelling catheter?
A.
B.
C.
D.
51.  This specimen is required to assess glucose levels and for the presence of albumin the the urine
A.
B.
C.
D.
52.  Which of the following nursing intervention is important for a client scheduled to have a Guaiac Test?
A.
B.
C.
D.
53.  In inspecting the abdomen, which of the following is NOT DONE?
A.
B.
C.
D.
54.  Nurse Angela, observe Joel who is very apprehensive over the impending operation. The client is experiencing dyspnea, diaphoresis and asks lots of questions. Angela made a diagnosis of ANXIETY R/T INTRUSIVE PROCEDURE. This is what type of Nursing Diagnosis?
A.
B.
C.
D.
55.  The following are correct actions when taking radial pulse except:
A.
B.
C.
D.
56.  Which of the following is TRUE about temperature?
A.
B.
C.
D.
57.  The following are social data about the client except
A.
B.
C.
D.
58.  When should the client test his blood sugar levels for greater accuracy?
A.
B.
C.
D.
59.  Which of the following do not correctly correlates the increase BP of Ms. Aida, a 70 year old diabetic?
A.
B.
C.
D.
60.  Among the following statements, which should be given the HIGHEST priority?
A.
B.
C.
D.
61.  Refers to the pressure when the ventricles are at rest
A.
B.
C.
D.
62.  Dr. Fabian De Las Santas, is about to conduct an ophthalmoscope examination. Which of the following, if done by a nurse, is a Correct preparation before the procedure?
A.
B.
C.
D.
63.  Client has undergone Upper GI and Lower GI series. Which type of health assessment framework is used in this situation?
A.
B.
C.
D.
64.  Which of the following is responsible for deep and prolonged inspiration
A.
B.
C.
D.
65.  In a 24 hour urine specimen started Friday, 9:00 A.M, which of the following if done by a Nurse indicate a NEED for further procedural debriefing?
A.
B.
C.
D.
66.  Which of the following completely describes PULSUS PARADOXICUS?
A.
B.
C.
D.
67.  Which of the following is a NOT a correct statement of an Outcome criteria?
A.
B.
C.
D.
68.  What can you expect from Marianne, who is currently at the ONSET stage of fever?
A.
B.
C.
D.
69.  In cleaning the thermometer after use, The direction of the cleaning to follow Medical Asepsis is :
A.
B.
C.
D.
70.  David, 68 year old male client is scheduled for Serum Lipid analysis. Which of the following health teaching is important to ensure accurate reading?
A.
B.
C.
D.
71.  Which of the following is the best position for the client to assume if the back is to be examined by the nurse?
A.
B.
C.
D.
72.  John has a fever of 38.5 Deg. Celsius. It surges at around 40 Degrees and go back to 38.5 degrees 6 times today in a typical pattern. What kind of fever is John having?
A.
B.
C.
D.
73.  They are the first one to suggest a 4 step nursing process which are : APIE , or assessment, planning, implementation and evaluation. 1. Yura 2. Walsh 3. Roy 4. Knowles
A.
B.
C.
D.
74.  How many minute/s is/are allowed to pass before making a re-reading after the first one?
A.
B.
C.
D.
75.  Which of the following is the correct interpretation of the ERROR OF PARALLAX
A.
B.
C.
D.
76.  Considered as the most accessible and convenient method for temperature taking
A.
B.
C.
D.
77.  The heat regulating center is found in the
A.
B.
C.
D.
78.  +++ Positive result after Benedicts test is depicted by what color?
A.
B.
C.
D.
79.  A type of heat loss that occurs when the heat is dissipated by air current
A.
B.
C.
D.
80.  When does the heart receives blood from the coronary artery?
A.
B.
C.
D.
81.  Measure the leg circumference of a client with bipedal edema is best done in what position?
A.
B.
C.
D.
82.  The American Nurses association formulated an innovation of the Nursing process. Today, how many distinct steps are there in the nursing process?
A.
B.
C.
D.
83.  Which of the following is a primary factor that affects the BP?
A.
B.
C.
D.
84.  Which of the following is TRUE about respiration?
A.
B.
C.
D.
85.  The best position for any procedure that involves vaginal and cervical examination is
A.
B.
C.
D.
86.  How long should the thermometer stay in the Client’s Axilla?
A.
B.
C.
D.
87.  Which of the following is inappropriate in collecting mid stream clean catch urine specimen for urine analysis?
A.
B.
C.
D.
88.  Which characteristic of nursing process is responsible for proper utilization of human resources, time and cost resources?
A.
B.
C.
D.
89.  Which of the following is TRUE with regards to Client Goals?
A.
B.
C.
D.
90.  In assessing the client’s chest, which position best show chest expansion as well as its movements?
A.
B.
C.
D.
91.  When John has been given paracetamol, his fever was brought down dramatically from 40 degrees Celsius to 36.7 degrees in a matter of 10 minutes. The nurse would assess this event as:
A.
B.
C.
D.
92.  Clinitest is used in testing the urine of a client for glucose. Which of the following, If committed by a nurse indicates error?
A.
B.
C.
D.
93.  Which of the following is INCORRECT in assessing client’s BP?
A.
B.
C.
D.
94.  All of the following are characteristic of the Nursing process except
A.
B.
C.
D.
95.  Which is a preferable arm for BP taking?
A.
B.
C.
D.
96.  Who collects Blood specimen?
A.
B.
C.
D.
97.  Which of the following is NOT a contraindication in taking ORAL temperature?
A.
B.
C.
D.
98.  Tympanic temperature is taken from John, A client who was brought recently into the ER due to frequent barking cough. The temperature reads 37.9 Degrees Celsius. As a nurse, you conclude that this temperature is  
A.
B.
C.
D.