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NURS311 practice test

Total questions: 10

Worksheet time: 10mins

Name
Class
Date
1.

The nurse is assessing a child and the mother states that the child just had a measles, mumps, and rubella (MMR) vaccine at age 12. Where would the nurse document this information in the health record?

a)

In health practices section.

b)

In review of systems.

c)

Under chief complaint.

d)

Under past medical history.

2.

The nurse would use bimanual palpation technique when examining the patient abdomen. Which of the following would be assessed using this technique?

a)

Organ size and shape

b)

Pulsations and vibrations

c)

Temperature and skin turgor

d)

The presence of tenderness and pain

3.

A woman was suspected to have a Deep Vein Thrombosis. To confirm this condition, the nurse need to perform Homan’s test. which of the following describe this test?

a)

Dangles both legs down at side of bed and watch for skin color.

b)

Flex the knee and forcefully dorsiflex ankle towards tibia.

c)

Put patient supine and raise both legs 30 degrees above the mattress.

d)

Straighten knee and put ankle plantar flexion.

4.

While assessing the lower limb pitting edema, the nurse depressed the pretibial area & medial malleolus for 5 seconds and she notices deep pitting, indentation remains for a short time, 60 sec. Which of the following degrees of edema the nurse has to document?

a)

+1

b)

+2

c)

+3

d)

+4

5.

A patient came to the clinic complaining of nausea, vomiting, and abdominal pain diarrhea for 5 days. The patient states that her usual weight is 79 kg, but today she weighs 72 kg. What is the interpretation of the changes in the body weight?

a)

Patient has healthy weight.

b)

Patient has mild malnutrition

c)

Patient has moderate malnutrition

d)

Patient has overweight

6.

While a nurse is assessing the breast for a 25-year-old female patient, she notices round, lobular, rubbery mass. The mass well demarcated with clear margin. No skin retraction present with no tenderness.


Which of the following conditions the nurse is expected to document?

a)

Breast cancer

b)

Fibroadenoma

c)

Lymphadenopathy

d)

Benign breast disease

7.

A 70-year-old male presents to emergency room complaining of chest pain. The patient weight is 70 kg and height is 179 cm. He is smoker for one back daily. He used to walk one hour per day. The patient has a family history of diabetes and hypertension.

Which of the following factors put this patient at greater risk to develop a cardiovascular disease? CLO 2.3

a)

Age and smoking.

b)

Obesity and family history

c)

Lack of exercise and diabetes.

d)

Smoking and hypertension

8.

A 49-year-old obese, woman admitted to the hospital with nausea, vomiting, and right upper quadrant pain especially when eat fatty food. The patient is suspected case for cholecystitis.

Which of the following tests the nurse is expected to do for this patient?

a)

Murphy sign

b)

Iliopsoas Sign

c)

Blumberg`s Sign

d)

Shifting Dullness

9.

During an assessment the nurse notices a dull sound while she is percussing over left anterior axillary.

Which of the following the nurse is expected to document for this patient?

a)

Hepatomegaly

b)

Splenomegaly

c)

Normal finding

d)

Umbilical hernia

10.

During auscultation of the patient`s lungs, the nurse found that patient had course crackles on both lower base of patient’s lungs. Which of the following conditions this patient might have?

a)

Asthma

b)

Pleuritis

c)

Pneumonia

d)

Pneumothorax