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

45 Questions | Total Attempts: 1370

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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. 
    Select everything that are considered SIGNS
    • 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. 
    For a nurse, what is the clinical correlation between erythema (redness) and pruritus (itching)?
    • 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. 
    What are the four major categories of risk factors
    • A. 

      Age

    • B. 

      Genetic and physiologic

    • C. 

      Hobbies and vices

    • D. 

      Environment

    • E. 

      Lifestyle

  • 7. 
    Early, late or terminal refers to what kind of disease?  
    • A. 

      Chronic

    • B. 

      Organic

    • C. 

      Functional

    • D. 

      Acute

  • 8. 
    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

  • 9. 
    A protective response of body tissues to irritation, injury, or invasion by disease-producing organisms
    • A. 

      Infection

    • B. 

      Inflammation

    • C. 

      Pathologic

    • D. 

      Virulent

  • 10. 
    Cardinal signs of infection and inflammation. Select all that apply:
    • A. 

      Erythema (redness)

    • B. 

      Edema (swelling)

    • C. 

      Heat

    • D. 

      Pain

    • E. 

      Purulent drainage

    • F. 

      Loss of function

  • 11. 
    _________  ___________ (two words) seep from the earth into the basement which increases risks for cancer development
  • 12. 
    Smoking, overeating and sunbathing are examples of what kind of risk factor for disease?
    • A. 

      Lifestyle

    • B. 

      Environment

    • C. 

      Hereditary

    • D. 

      Congenital

  • 13. 
    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

  • 14. 
    In an inflammatory process, white blood cells or ____________ digest microorganisms and cellular debris.  
  • 15. 
    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

  • 16. 
    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

  • 17. 
    An evaluation or appraisal of a patient's condition
    • A. 

      Inspection

    • B. 

      Diagnosis

    • C. 

      Assessment

    • D. 

      Check-up

  • 18. 
    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

  • 19. 
    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

  • 20. 
    What does the data collected during the nursing assessment include? Select all that apply 
    • 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

  • 21. 
    Once you have completed the interview, the next step would be? 
    • A. 

      Physical assessment

    • B. 

      Nursing intervention

    • C. 

      Check the vital signs

    • D. 

      Administer medication

  • 22. 
    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

  • 23. 
    Physical Assessment Techniques. Select all that apply
    • A. 

      Auscultation

    • B. 

      Percussion

    • C. 

      Interview

    • D. 

      Palpation

    • E. 

      Inspection

  • 24. 
    The first step in initiating the nurse-patient relationship
    • 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

  • 25. 
    After initiating the nurse-patient relationship, what are the next steps to initiate and establish a nurse-patient relationship. Select all that apply:
    • 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

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