Pa Exam Mc
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The nurse plans to take a pt's pulse. Which method of examination should be used by the nurse?
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Palpation
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Inspection
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Percussion
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Auscultation
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Physical assessment with multiple choice questions
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- 2.
The nurse obtains the BP of several adults. What BP result causes the most concern?
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102/70
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140/90
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125/85
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118/75
Correct Answer
A. 140/90 -
- 3.
The nurse is unable to palpate a pt's brachial pulse. Which pulse should the nurse assess to determine adequate brachial blood flow in this pt.
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Radial
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Carotid
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Femoral
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Popliteal
Correct Answer
A. Radial -
- 4.
The nurse is assessing a pt's bilateral pulses for symmetry. However, the nurse should not assess which pulse sites on both sides of the body at the same time?
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Radial
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Carotid
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Femoral
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Brachial
Correct Answer
A. Carotid -
- 5.
The nurse is obtaining a pt's BP. Which information is most important for the nurse to document?
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Staff member who too the blood pressure
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Pt's tolerance to having the blood pressure taken
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Position of the pt if the pt is not in a sitting position
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Difference between the palpated and auscultated systolic readings
Correct Answer
A. Position of the pt if the pt is not in a sitting position -
- 6.
The nurse is assessing a postoperative patient for signs of hemorrhage. Which adaptation is most indicative of shock?
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Hyperemia
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Hypotension
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Irregular pulse
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Slow respirations
Correct Answer
A. Hypotension -
- 7.
The nurse must take a pts rectal temp. The nurse should
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Take the temperature for 5 min
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Wear gloves throughout the procedure
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Place the pt in the right lateral position
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Insert the thermometer 2 in into the rectum
Correct Answer
A. Wear gloves throughout the procedure -
- 8.
The nurse concludes that a pt is experiencing hyperthermia. Which assessment precipitated this conclusion?
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Metal confusion
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Increased appetite
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Decreased heart rate
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Rectal temperature of 101 F
Correct Answer
A. Rectal temperature of 101 F -
- 9.
A pt says, "I don't know if I'll make it through his surgery." Which response by the nurse may block further communication by the pt?
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You sound scared
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You think you will die
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Surgery can be frightening
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Everything will be all right
Correct Answer
A. Everything will be all right -
- 10.
The nurse identifies that a pt with a fever has warm skin. An additional adaptation that confirms the deferescence phase of a fever is
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Profuse diaphoresis
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Shivering
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Cyanotic nail beds
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Contraction of the arrector pili muscles
Correct Answer
A. Profuse diaphoresis -
- 11.
A pt states, " do you think I could have cancer?" The nurse responds, "What did the doctor tell you?" What interviewing approach did the nurse use?
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Paraphrasing
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Confrontation
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Reflective technique
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Open-ended question
Correct Answer
A. Open-ended question -
- 12.
The nurse is monitoring the vital signs of a group of pts. When reviewing these results, the nurse must remember that body temperature usually is at its highest:
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12 am- 2 am
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6am-8am
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4pm-6pm
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8pm-10pm
Correct Answer
A. 8pm-10pmExplanation
Diurnal variations vary throught the day with the highest body temp usually occurring between 8pm and midnightRate this question:
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Current Version
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Dec 13, 2012Quiz Edited by
ProProfs Editorial Team -
Sep 30, 2008Quiz Created by
Strat2
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