9. The nurse is teaching a patient about the importance of disease prevention. Why is disease prevention necessary in health promotion?
A) Prevention is emphasized in the link between personal behavior and health.
B) The majority of deaths of Americans under age 60 are not related to preventable causes.
C) Health maintenance organizations now emphasize prevention as the main criterion of health care.
D) The external environment affects the outcome of most disease processes.
10. How might the nurse best collect the data when performing an admission assessment on a 72-year-old female patient who speaks Spanish and broken English?
A) Have a family member provide the data.
B) Obtain the data from the old chart and physician's assessment.
C) Obtain the data from the patient.
D) Collect the data from the patient and have the family provide any missing details.
11. A patient with chronic pain informs the nurse that he will not take codeine because it makes him constipated. What teaching should be done with this patient?
A) Discuss another form of pain control.
B) Constipation will lessen with regular use of codeine.
C) Use a stool softener with the codeine to prevent constipation.
D) Stool regularity should not replace adequate pain control.
12. The nurse assessing an 18-year-old woman notes bruising to the patient's upper arm that appears as fingerprints and yellow bruising to the lower eye. The patient makes minimal eye contact during the assessment. How might the nurse best inquire about the bruising?
A) "Is anyone physically hurting you?"
B) "Tell me about your relationships."
C) "Do you want to see a social worker?"
D) "Is there something you want to tell me?"
13. The nurse is taking a detailed assessment of a male patient who states, "The doctor has already asked me all these questions. Why are you repeating them?" What is the nurse's best response?
A) "Taking this history allows us to determine what your needs may be for nursing care."
B) "You are right; this may seem redundant."
C) "I want to make sure your doctor has covered everything."
D) "I am a member of your health care team."
14. During the health history, the patient informs the nurse that her mother has diabetes. What is the significance of this information?
A) The patient may be at risk for developing diabetes.
B) The patient may need teaching on preventing diabetes.
C) The patient may need to attend a support group for diabetes.
D) This may affect the patient's diet during hospitalization.
15. While performing a nursing assessment, the nurse asks the patient questions related to his spirituality. Assessing a patient's spiritual environment is important because it can affect which of the following areas:
A) Physical activity
B) Ability to communicate
C) Quality of sexual relationships
D) Responses to illness
16. During the spiritual assessment, the patient indicates that he or she does not eat meat. This would be considered a:
A) Personal choice
B) Religious practice
C) Risk for malnutrition
D) Lifestyle choice
17. The most effective assessment technique for the nurse assessing the lymph nodes of a patient's neck is:
A) Inspection
B) Auscultation
C) Palpation
D) Percussion
18. The assessment data collected by the nurse reveals that a 23-year-old female patient weighs 175 lb and is 5 ft 3 in. Her body mass index is 31. She would be considered:
A) Average weight
B) Obese
C) Overweight
D) Underweight
19. During the health assessment, the nurse notes that the patient has dry, dull, brittle hair and dry, flaky skin with poor turgor. What might this indicate?
A) Excessive physical activity
B) Poor personal hygiene
C) Poor nutritional status
D) Damage from an environmental cause
20. A home care nurse is assisting a patient's daughter in meal planning for her mother who is recovering from a hip fracture and surgery. Which of the following meals indicates that the daughter understands the concept of a nutritionally complete choice based upon the Food Guide Pyramid?
A) Cheeseburger, carrot sticks, and mushroom soup with crackers
B) Spaghetti and meat sauce with a salad
C) Chicken and pepper stir fry and basmati rice
D) Ham sandwich with tomato on rye bread with peaches and yogurt
21. While assessing the patient the nurse learns that the patient has ill-fitting dentures and a limited intake of high-fiber foods. In planning the patient's care, the nurse is aware that the patient is at risk for which of the following problems?
A) Constipation
B) Dehydration
C) Malabsorption of nutrients
D) Inadequate caloric intake
22. During a nutrition education class held for a group of older adults at a senior center, the nurse teaches the group that older adults have an increased need for nutrients and:
A) Decreased need for calcium
B) Increased need for glucose
C) Increased need for sodium
D) Decreased need for calories
23. The nurse is obtaining a health history from a patient who has come to the local health clinic and is having abdominal pain. The best question to elicit the probable reason for the visit and identify the chief complaint is:
A) "Why do you think your abdomen is painful?"
B) "Where is your abdominal pain and when did it start?"
C) "What brings you to the clinic today?"
D) "What is the problem today?"
24. A Native American patient arrives at the clinic for treatment related to type 2 diabetes. Which of the following would best provide the nurse with information about the role food plays in the patient's cultural practice and identify how the patient's food preferences could be related to the patient's problem?
A) "Do you feel any of your cultural practices have a negative impact on your disease process?"
B) "What types of foods are served as a part of your cultural practices and how they are prepared?"
C) "As a non-native, I am unaware of your cultural practices. Could you teach me a few practices that may affect your care?"
D) "Tell me about foods that are important to your cultural practices and how you feel they relate to your diabetes."
25. An 89-year-old male patient returns to the local primary care clinic from a nursing home by wheelchair for follow-up hypertension treatment. The nurse would modify his health history to include which of the following questions?
A) Tell me about your medications: how they are administered and do you take them on a regular basis?
B) Tell me about where you live: do you feel your needs are being met and do you feel safe?
C) Your wheelchair would seem to limit your ability to move around. How do you deal with that?
D) What limitations are you dealing with related to your hypertension and being in a wheelchair?
26. A 30-year-old man is in the clinic for a physical and states that all his "uncles had heart attacks when they were young," which alerts the nurse to complete a genetic specific assessment. The nurse is aware that it is important to include which of the following as a part of a genetic specific assessment:
A) A complete health history including genogram along with any history of cholesterol testing or screening and a complete physical exam.
B) A limited health history along with a complete physical assessment with an emphasis on genetic abnormalities.
C) A limited health history, focused physical exam, and safety-related education.
D) A family history focused on the paternal family with focused physical exam and genetic profile.
27. Your patient is interested in listening to his newly diagnosed heart murmur. You tell the patient that:
A) Listening is called auscultation, is done with the diaphragm, and requires a trained ear to hear a murmur.
B) Listening is called palpation and you would be glad to help him palpate the murmur.
C) Heart murmurs are pathologic and may require surgery; if you would like to listen to your murmur, I can provide you with instruction.
D) Listening is called auscultation and should be done with both the bell and diaphragm. If you would like to listen to your murmur, I would be glad to help you.
28. You are assessing a healthy adolescent girl as a part of a sports physical. When it comes time to listen to her heart and lungs, you decide to:
A) Perform auscultation with the stethoscope placed firmly over her clothing to protect her privacy.
B) Perform auscultation by holding the diaphragm lightly on her clothing to eliminate the "scratchy noise."
C) Perform auscultation with the diaphragm placed firmly on her skin to minimize extra noise.
D) Defer the exam, because she is healthy and it may agitate the girl.
29. The nurse is providing education to a patient who wishes to lose weight; she is told that she has a body mass index (BMI) of 45, which indicates she is:
A) A normal weight
B) Extremely obese
C) Overweight
D) Mildly obese
30. During a health assessment the patient asks the nurse, "Why do you need all this health information and who is going to see it?" The nurse's best reply is:
A) Please do not worry. It is safe and will be used only to help us with your care; it allows access to a wide variety of people who need to know your health information.
B) It is good you asked and you have a right to know; your information helps us to provide you with the best possible care and your records are in a secure place.
C) Your health information is placed on websites to provide easy access to anyone wishing to see your medical records, which is a great way to offer other people your information.
D) Health information becomes the property of the hospital and we will make sure that no one sees it; in two years, we destroy all records and the process starts over.
31. The nurse teaching a normal-weight adolescent girl some of the key factors related to good nutrition would be correct to focus on:
A) Decreasing her calories and encouraging her to maintain her weight to avoid obesity.
B) Increasing BMI to at least 35, taking a multivitamin, and discussing body image.
C) Increasing milk intake, eating a balanced diet, and discussing eating disorders.
D) Obtaining a food diary along with providing close monitoring for anorexia.
32. A nurse conducting a home visit as part of the community health assessment of a patient will focus special attention on:
A) Availability of home health care, current Medicare rules, and family support
B) The community and home environment, support systems or family care, and the availability of needed resources
C) The future health status of the individual, and community and hospital resources
D) Special assessment is not required; the community and acute-care health assessments are very similar
33. What does APIE stand for?
34. In what order to you assess your patient?(ieinspect,ausculate,etc)
35. How do you calculate BMI?