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WorksheetsN1J02 1st Review 2023
Total questions: 15
Worksheet time: 8mins
1. What are the three neurological functions assessed by the Glasgow coma scale?
Eye response, muscle strength, sensation
eye response, best motor response and best verbal response
pupil size and reaction to light and level of consciousness
orientation, muscle strength and pupil reaction to light
A person's mental status has been documented as orientated X 3. This means…
The individual can correctly identify taste, odors, and texture.
The individual can clearly articulate and appropriately communicate
The individual can correctly identify time, place and person.
The individual is awake, alert, and aware of environment.
Palpation at the upper surface of the foot reveals the status of which peripheral pulse?
Femoral
Dorsalis pedis
Posterior tibial
Dorsal plantar
During a cardiac examination the nurse can best hear the S1 heart sound by placing the stethoscope at the client’s
Base of the heart
Pulmonic valve area
Apex of the heart
Second left intercostal space
The nurse is preparing to assess the abdomen of a hospitalized client 2 days after abdominal surgery. The nurse should first:
Palpate the incision site
Auscultate for bowel sounds
Percuss for tympany
Inspect the abdominal area
During a physical examination of an adult client, the nurse is preparing to auscultate the client’s abdomen to listen for bowel sounds. The nurse should:
Palpate the abdomen before auscultation
Listen in each quadrant for 15 seconds
Use the diaphragm of the stethoscope
Begin auscultation in the left upper quadrant
An abnormal sensation of burning or tingling is best described as:
paraesthesia
paralysis
paresis
paraphasia
You notice Heberden’s and Bouchard’s on your patient's fingers. These nodes are hard and nontender, and are associated with
Osteoarthritis
Dupuytren’s contracture.
Rheumatoid arthritis
meta-carpophalageal bursitis
When testing for muscle strength, the examiner should:
observe muscles for the degree of contraction when the individual lifts a heavy object
apply an opposing force when the individual puts a joint in flexion or extension
measure the degree of force that it takes to overcome joint flexion or extension
estimate the degree of flexion and extension in each joint
The first heart sound is produced by the:
closure of the semilunar valves
closure of the atrioventricular (AV) valves
S1 heart sound
S2 heart sound
The patient has severe bilateral lower extremity edema. The most likely cause is:
an infection of the right great toe
Raynaud’s phenomenon
heart failure
an aortic aneurysm
Methods to enhance abdominal wall relaxation during examination include
a cool environment.
having the patient place the arms above the head
examining painful areas first.
positioning the patient with the knees bent
Mr. Dennis, who has Type 2 Diabetes, presents with an ulcer on his left foot. In providing teaching on foot care, which of the following is most important to include?
Daily inspection of his feet
Soaking his feet in warm water for 15-30 min per day
Application of lotion daily to feet and between toes
Cutting toenails in a curved shape
Before providing oral care to an unconscious patient, which of the following should be considered first?
Resources available
Patient preferences
Presence of pain
Presence of a gag reflex
If a nurse suspects that their client did not give informed consent for a medical prodedure, what is their responsibility?
Repeat the information to the client
Contact a substiture decision maker to obtain consent for a medical procedure
Contact the physician in charge of care to discuss the information with the client again
Contact the family of the client to express concern and to determine client wishes
