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

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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

    Correct Answer
    B. Signs are seen, symptoms are felt
    Explanation
    page 93

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  • 2. 

    Select everything that are considered SIGNS

    • A.

      Itchiness

    • B.

      Blisters

    • C.

      Headache

    • D.

      Blood pressure of 130/90

    Correct Answer(s)
    B. Blisters
    D. Blood pressure of 130/90
    Explanation
    page 93

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  • 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

    Correct Answer
    A. Drainage
    Explanation
    page 93

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  • 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

    Correct Answer
    B. Exudate
    Explanation
    Exudate refers to fluids, cells, or other substances that are slowly discharged from cells or blood vessels through small pores or breaks in the cell membrane. This typically occurs as a result of inflammation or injury.

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  • 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

    Correct Answer
    C. Erythema is a sign and pruritus is a symptom
    Explanation
    page 94

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  • 6. 

    What are the four major categories of risk factors

    • A.

      Age

    • B.

      Genetic and physiologic

    • C.

      Hobbies and vices

    • D.

      Environment

    • E.

      Lifestyle

    Correct Answer(s)
    A. Age
    B. Genetic and physiologic
    D. Environment
    E. Lifestyle
    Explanation
    page 95

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  • 7. 

    Early, late or terminal refers to what kind of disease?  

    • A.

      Chronic

    • B.

      Organic

    • C.

      Functional

    • D.

      Acute

    Correct Answer
    A. Chronic
    Explanation
    page 95

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  • 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

    Correct Answer
    A. Infection
    Explanation
    page 95

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  • 9. 

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

    • A.

      Infection

    • B.

      Inflammation

    • C.

      Pathologic

    • D.

      Virulent

    Correct Answer
    B. Inflammation
    Explanation
    page 95

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  • 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

    Correct Answer(s)
    A. Erythema (redness)
    B. Edema (swelling)
    C. Heat
    D. Pain
    E. Purulent drainage
    F. Loss of function
    Explanation
    The cardinal signs of infection and inflammation include erythema (redness), edema (swelling), heat, pain, purulent drainage, and loss of function. These signs indicate the body's immune response to an infection or injury. Erythema and edema occur due to increased blood flow and fluid accumulation in the affected area. Heat is a result of increased metabolic activity and blood flow. Pain is caused by the release of inflammatory mediators and stimulation of nerve endings. Purulent drainage is a sign of infection, indicating the presence of pus. Loss of function occurs due to tissue damage and inflammation affecting normal bodily functions.

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  • 11. 

    _________  ___________ (two words) seep from the earth into the basement which increases risks for cancer development

    Correct Answer(s)
    Radon gas
    Explanation
    page 95, Box 5-1

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  • 12. 

    Smoking, overeating and sunbathing are examples of what kind of risk factor for disease?

    • A.

      Lifestyle

    • B.

      Environment

    • C.

      Hereditary

    • D.

      Congenital

    Correct Answer
    A. Lifestyle
    Explanation
    page 95, Box 5-1

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  • 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

    Correct Answer
    B. White blood cells and plasma move from the blood to affected area
    Explanation
    page 97

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  • 14. 

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

    Correct Answer
    neutrophils
    Explanation
    page 97

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  • 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

    Correct Answer
    A. Edema
    Explanation
    page 97

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  • 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

    Correct Answer
    A. Purulent
    Explanation
    page 97

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  • 17. 

    An evaluation or appraisal of a patient's condition

    • A.

      Inspection

    • B.

      Diagnosis

    • C.

      Assessment

    • D.

      Check-up

    Correct Answer
    C. Assessment
    Explanation
    page 97

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  • 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

    Correct Answer
    C. Nursing assessment
    Explanation
    page 98

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  • 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

    Correct Answer
    B. Individualized plan of nursing care
    Explanation
    page 98

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  • 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

    Correct Answer(s)
    A. Nursing health history
    C. Physical examination findings
    D. Results of laboratory and diagnostic tests
    E. Information from health care team members
    G. Information from family members and significant others
    Explanation
    page 98

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  • 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

    Correct Answer
    A. Physical assessment
    Explanation
    page 99

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  • 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

    Correct Answer
    C. Laboratory and diagnostic tests
    Explanation
    page 99

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  • 23. 

    Physical Assessment Techniques. Select all that apply

    • A.

      Auscultation

    • B.

      Percussion

    • C.

      Interview

    • D.

      Palpation

    • E.

      Inspection

    Correct Answer(s)
    A. Auscultation
    B. Percussion
    D. Palpation
    E. Inspection
    Explanation
    page 100

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  • 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

    Correct Answer
    B. Introduce yourself, stating your name, your position and the purpose of the interview
    Explanation
    page 100

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  • 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

    Correct Answer(s)
    A. Communicate your trustworthiness and discretion to patient
    D. Convey an attitude of professionalism and competence
    Explanation
    page 101

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  • 26. 

    Initial step in the assessment process 

    • A.

      Personal interview

    • B.

      Nursing health history

    • C.

      Head to toe assessment

    • D.

      Gather biographic data

    Correct Answer
    B. Nursing health history
    Explanation
    page 101

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  • 27. 

    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

    Correct Answer
    B. Admitting department
    Explanation
    page 102

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  • 28. 

    Components of Biographic Data: Select all that apply

    • 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

    Correct Answer(s)
    A. Name and gender
    B. Date of birth
    D. Address and marital status
    E. Source of health care and insurance payments
    Explanation
    page 102: Orientation and vital statistics are not part of biographic data. They are part of the physical assessment.

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  • 29. 

    Reasons for seeking health care

    • A.

      Medical diagnosis

    • B.

      Chief complaint

    • C.

      Nursing diagnosis

    • D.

      Illness

    Correct Answer
    B. Chief complaint
    Explanation
    page 102

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  • 30. 

    When a patient discusses that his stomach ache starts when the weather becomes becomes cold and when he laughs too much, what is he discussing?

    • A.

      Etiology

    • B.

      History

    • C.

      Onset

    • D.

      Biographic data

    Correct Answer
    C. Onset
    Explanation
    page 102

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  • 31. 

    O, P, Q, R, S, T, U, V are mnemonics of what?

    • A.

      History of present illness

    • B.

      Nursing health history

    • C.

      Medical history

    • D.

      Biographical history

    Correct Answer
    A. History of present illness
    Explanation
    page 102

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  • 32. 

    When doing a thorough nursing health history, what other interventions should be considered?  

    • A.

      Assessment of Maslow's needs

    • B.

      Review of Systems

    • C.

      Vital Signs

    • D.

      History of Present Illness

    Correct Answer
    B. Review of Systems
    Explanation
    page 103, Box 5-7

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  • Current Version
  • Mar 22, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Feb 21, 2013
    Quiz Created by
    Arnoldjr2
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