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Nur 101 - Test 3 - Chapter 5 - Physical Assessment, Part I, 50 Questions

45 Questions
Study Guide Quizzes & Trivia

Foundations of Nursing by Christensen Kockrow, 6th edition, pages 93-120

Questions and Answers
  • 1. 
    The difference between signs and symptoms: 
    • A. 

      Signs and symptoms are both perceptions

    • B. 

      Signs are seen, symptoms are felt

    • C. 

      Signs are subjective and symptoms are objective

    • D. 

      Signs and symptoms are both subjective and objective

  • 2. 
    • A. 

      Itchiness

    • B. 

      Blisters

    • C. 

      Headache

    • D. 

      Blood pressure of 130/90

  • 3. 
    Passive or active removal of fluids from a body cavity, wound or other source of discharge. 
    • A. 

      Drainage

    • B. 

      Exudate

    • C. 

      Pus

    • D. 

      Mirobes

  • 4. 
    Fluids, cells or other substances that are slowly discharged from cells or blood vessels through small pores or breaks in the cell membrane, usually as a result of inflammation or injury.   
    • A. 

      Drainage

    • B. 

      Exudate

    • C. 

      Turgor

    • D. 

      Edema

  • 5. 
    • A. 

      Erythema is a color and pruritus is a sensation

    • B. 

      Erythema is what we see and pruritus is what we feel

    • C. 

      Erythema is a sign and pruritus is a symptom

    • D. 

      Erythema and pruritus are indications of a disorder

  • 6. 
    Match the origin of the disease on the left with its description or example on the right
    • A. hereditary
    • A.
    • B. congenital
    • B.
    • C. inflammatory
    • C.
    • D. degenerative
    • D.
    • E. infectious
    • E.
  • 7. 
    • A. deficiency
    • A.
    • B. metabolic
    • B.
    • C. neoplastic
    • C.
    • D. traumatic
    • D.
    • E. environmental
    • E.
  • 8. 
    What are the four major categories of risk factors
    • A. 

      Age

    • B. 

      Genetic and physiologic

    • C. 

      Hobbies and vices

    • D. 

      Environment

    • E. 

      Lifestyle

  • 9. 
    Match the terms used to describe diseases on the left with its description on the right
    • A. chronic
    • A.
    • B. remission
    • B.
    • C. acute
    • C.
    • D. organic
    • D.
    • E. functional
    • E.
  • 10. 
    Early, late or terminal refers to what kind of disease?  
    • A. 

      Chronic

    • B. 

      Organic

    • C. 

      Functional

    • D. 

      Acute

  • 11. 
    Caused by an invasion of microorganisms such as bacteria, viruses, fungi or parasites that produces tissue damage. 
    • A. 

      Infection

    • B. 

      Inflammation

    • C. 

      Pathologic

    • D. 

      Virulent

  • 12. 
    A protective response of body tissues to irritation, injury, or invasion by disease-producing organisms
    • A. 

      Infection

    • B. 

      Inflammation

    • C. 

      Pathologic

    • D. 

      Virulent

  • 13. 
    • A. 

      Erythema (redness)

    • B. 

      Edema (swelling)

    • C. 

      Heat

    • D. 

      Pain

    • E. 

      Purulent drainage

    • F. 

      Loss of function

  • 14. 
    _________  ___________ (two words) seep from the earth into the basement which increases risks for cancer development
  • 15. 
    Smoking, overeating and sunbathing are examples of what kind of risk factor for disease?
    • A. 

      Lifestyle

    • B. 

      Environment

    • C. 

      Hereditary

    • D. 

      Congenital

  • 16. 
    Match the sign or symptom on the left with a definition on the right
    • A. Vomit
    • A.
    • B. Tachypnea
    • B.
    • C. Scleral Icterus
    • C.
    • D. Asthenia
    • D.
    • E. Anorexia
    • E.
  • 17. 
    Match the sign or symptom on the left with a definition on the right
    • A. bradycardia
    • A.
    • B. tachycardia
    • B.
    • C. constipation
    • C.
    • D. sallow
    • D.
    • E. coughing
    • E.
  • 18. 
    Match the sign or symptom on the left with a definition on the right
    • A. Cyanosis
    • A.
    • B. Purulent drainage (Pus)
    • B.
    • C. Diaphoresis
    • C.
    • D. Pruritus
    • D.
    • E. Diarrhea
    • E.
  • 19. 
    Match the sign or symptom on the left with a definition on the right
    • A. Dyspnea
    • A.
    • B. Ecchymosis
    • B.
    • C. Edema
    • C.
    • D. Orthopnea
    • D.
    • E. Pallor
    • E.
  • 20. 
    Match the sign or symptom on the left with a definition on the right
    • A. Pain
    • A.
    • B. Nausea
    • B.
    • C. Lethargy
    • C.
    • D. Jaundice
    • D.
    • E. Fetid
    • E.
  • 21. 
    In an inflammatory response, the damaged tissues release chemical substances that cause the capillary walls to become more permeable. What happens next?
    • A. 

      Platelets are produced to stop bleeding

    • B. 

      White blood cells and plasma move from the blood to affected area

    • C. 

      Internal color of the tissue changes

    • D. 

      Exudate is accumulated

  • 22. 
  • 23. 
    In an inflammatory process, the movement of while blood cells and plasma causes an accumulation of fluids in the tissue. This is called?   
    • A. 

      Edema

    • B. 

      Erythema

    • C. 

      Ecchymosis

    • D. 

      Pruritus

  • 24. 
    What kind of exudate is the accumulation of neutrophils, dead cells, bacteria, and other debris from the infectious process
    • A. 

      Purulent

    • B. 

      Necrotic

    • C. 

      Fetid

    • D. 

      Cyanotic

  • 25. 
    An evaluation or appraisal of a patient's condition
    • A. 

      Inspection

    • B. 

      Diagnosis

    • C. 

      Assessment

    • D. 

      Check-up

  • 26. 
    Comprised ot gathering, verifying, and communicating of data about the patient, the purpose of which is to establish a baseline database about the patient's level of wellness, health practices, past illnesses, related experiences and health care goals.  
    • A. 

      Nursing Care Plans

    • B. 

      Nursing diagnosis

    • C. 

      Nursing assessment

    • D. 

      Nursing Intervention

  • 27. 
    Match the position for physical examination on the left with the area assessed on the right 
    • A. sitting
    • A.
    • B. supine
    • B.
    • C. dorsal recumbent
    • C.
    • D. lithotomy
    • D.
  • 28. 
    Match the position for physical examination on the left with the area assessed on the right
    • A. sims
    • A.
    • B. prone
    • B.
    • C. lateral recumbent
    • C.
    • D. knee-chest
    • D.
  • 29. 
    • A. sitting
    • A.
    • B. supine
    • B.
    • C. dorsal recumbent
    • C.
    • D. lithotomy
    • D.
  • 30. 
    • A. sims
    • A.
    • B. prone
    • B.
    • C. lateral recumbent
    • C.
    • D. knee-chest
    • D.
  • 31. 
    During the nursing assessment, the information contained in the database will be used for what? 
    • A. 

      Patient file and medical history

    • B. 

      Individualized plan of nursing care

    • C. 

      Insurance and billing purposes

    • D. 

      Information sold to a gossip magazine

  • 32. 
    • A. 

      Nursing health history

    • B. 

      Police blotter if any

    • C. 

      Physical examination findings

    • D. 

      Results of laboratory and diagnostic tests

    • E. 

      Information from health care team members

    • F. 

      History of employment data

    • G. 

      Information from family members and significant others

  • 33. 
    • A. 

      Physical assessment

    • B. 

      Nursing intervention

    • C. 

      Check the vital signs

    • D. 

      Administer medication

  • 34. 
    Sources of data that validate findings from the history and physical examination of the patient
    • A. 

      Psychosocial screening and evaluation

    • B. 

      Warburg Pincus Test

    • C. 

      Laboratory and diagnostic tests

    • D. 

      Physio-Diamterical analysis

  • 35. 
    Physical Assessment Techniques. Select all that apply
    • A. 

      Auscultation

    • B. 

      Percussion

    • C. 

      Interview

    • D. 

      Palpation

    • E. 

      Inspection

  • 36. 
    • A. tympany
    • A.
    • B. dullness
    • B.
    • C. flatness
    • C.
  • 37. 
    • A. 

      Wash your hands before you enter and talk to the patient

    • B. 

      Introduce yourself, stating your name, your position and the purpose of the interview

    • C. 

      Go to the gift shop and purchase a small gift

    • D. 

      After washing, offer your hands for a hand shake

  • 38. 
    • A. 

      Communicate your trustworthiness and discretion to patient

    • B. 

      Compliment the patient on how he or she looks like

    • C. 

      Spend an extra time to build patient rapport

    • D. 

      Convey an attitude of professionalism and competence

  • 39. 
    • A. 

      Personal interview

    • B. 

      Nursing health history

    • C. 

      Head to toe assessment

    • D. 

      Gather biographic data

  • 40. 
    In most facilities, the gathering of biographical data is usually obtained by who or where?
    • A. 

      The registered nurse during the interview

    • B. 

      Admitting department

    • C. 

      The LPN as delegated by the nurse before the patient goes to room

    • D. 

      The CNA during the first bath

  • 41. 
    • A. 

      Name and gender

    • B. 

      Date of birth

    • C. 

      Orientation and vital statistics

    • D. 

      Address and marital status

    • E. 

      Source of health care and insurance payments

  • 42. 
    • A. 

      Medical diagnosis

    • B. 

      Chief complaint

    • C. 

      Nursing diagnosis

    • D. 

      Illness

  • 43. 
    • A. 

      Etiology

    • B. 

      History

    • C. 

      Onset

    • D. 

      Biographic data

  • 44. 
    • A. 

      History of present illness

    • B. 

      Nursing health history

    • C. 

      Medical history

    • D. 

      Biographical history

  • 45. 
    • A. 

      Assessment of Maslow's needs

    • B. 

      Review of Systems

    • C. 

      Vital Signs

    • D. 

      History of Present Illness