Pa Exam Mc
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Physical assessment with multiple choice questions
- 1.The nurse is assessing a postoperative patient for signs of hemorrhage. Which adaptation is most indicative of shock?
- A.
Hyperemia
- B.
Hypotension
- C.
Irregular pulse
- D.
Slow respirations
- 2.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:
- A.
12 am- 2 am
- B.
6am-8am
- C.
4pm-6pm
- D.
8pm-10pm
- 3.The nurse plans to take a pt's pulse. Which method of examination should be used by the nurse?
- A.
Palpation
- B.
Inspection
- C.
Percussion
- D.
Auscultation
- 4.The nurse concludes that a pt is experiencing hyperthermia. Which assessment precipitated this conclusion?
- A.
Metal confusion
- B.
Increased appetite
- C.
Decreased heart rate
- D.
Rectal temperature of 101 F
- 5.The nurse is obtaining a pt's BP. Which information is most important for the nurse to document?
- A.
Staff member who too the blood pressure
- B.
Pt's tolerance to having the blood pressure taken
- C.
Position of the pt if the pt is not in a sitting position
- D.
Difference between the palpated and auscultated systolic readings
- 6.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?
- A.
Radial
- B.
Carotid
- C.
Femoral
- D.
Brachial
- 7.The nurse identifies that a pt with a fever has warm skin. An additional adaptation that confirms the deferescence phase of a fever is
- A.
Profuse diaphoresis
- B.
Shivering
- C.
Cyanotic nail beds
- D.
Contraction of the arrector pili muscles
- 8.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.
- A.
Radial
- B.
Carotid
- C.
Femoral
- D.
Popliteal
- 9.The nurse obtains the BP of several adults. What BP result causes the most concern?
- A.
102/70
- B.
140/90
- C.
125/85
- D.
118/75
- 10.The nurse must take a pts rectal temp. The nurse should
- A.
Take the temperature for 5 min
- B.
Wear gloves throughout the procedure
- C.
Place the pt in the right lateral position
- D.
Insert the thermometer 2 in into the rectum
- 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?
- A.
Paraphrasing
- B.
Confrontation
- C.
Reflective technique
- D.
Open-ended question
- 12.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?
- A.
You sound scared
- B.
You think you will die
- C.
Surgery can be frightening
- D.
Everything will be all right
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