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N1J02 1st Review 2023

Total questions: 15

Worksheet time: 8mins

Name
Class
Date
1.

1. What are the three neurological functions assessed by the Glasgow coma scale?

a)

Eye response, muscle strength, sensation

b)

eye response, best motor response and best verbal response

c)

pupil size and reaction to light and level of consciousness

d)

orientation, muscle strength and pupil reaction to light

2.

A person's mental status has been documented as orientated X 3. This means…

a)

The individual can correctly identify taste, odors, and texture.

b)

The individual can clearly articulate and appropriately communicate

c)

The individual can correctly identify time, place and person.

d)

The individual is awake, alert, and aware of environment.

3.

Palpation at the upper surface of the foot reveals the status of which peripheral pulse?

a)

Femoral

b)

Dorsalis pedis

c)

Posterior tibial

d)

Dorsal plantar

4.

During a cardiac examination the nurse can best hear the S1 heart sound by placing the stethoscope at the client’s

a)

Base of the heart

b)

Pulmonic valve area

c)

Apex of the heart

d)

Second left intercostal space

5.

The nurse is preparing to assess the abdomen of a hospitalized client 2 days after abdominal surgery. The nurse should first:

a)

Palpate the incision site

b)

Auscultate for bowel sounds

c)

Percuss for tympany

d)

Inspect the abdominal area

6.

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:

a)

Palpate the abdomen before auscultation

b)

Listen in each quadrant for 15 seconds

c)

Use the diaphragm of the stethoscope

d)

Begin auscultation in the left upper quadrant

7.

An abnormal sensation of burning or tingling is best described as:

a)

paraesthesia

b)

paralysis

c)

paresis

d)

paraphasia

8.

You notice Heberden’s and Bouchard’s on your patient's fingers. These nodes are hard and nontender, and are associated with

a)

Osteoarthritis

b)

Dupuytren’s contracture.

c)

Rheumatoid arthritis

d)

meta-carpophalageal bursitis

9.

When testing for muscle strength, the examiner should:

a)

observe muscles for the degree of contraction when the individual lifts a heavy object

b)

apply an opposing force when the individual puts a joint in flexion or extension

c)

measure the degree of force that it takes to overcome joint flexion or extension

d)

estimate the degree of flexion and extension in each joint

10.

The first heart sound is produced by the:

a)

closure of the semilunar valves

b)

closure of the atrioventricular (AV) valves

c)

S1 heart sound

d)

S2 heart sound

11.

The patient has severe bilateral lower extremity edema. The most likely cause is:

a)

an infection of the right great toe

b)

Raynaud’s phenomenon

c)

heart failure

d)

an aortic aneurysm

12.

Methods to enhance abdominal wall relaxation during examination include

a)

a cool environment.

b)

having the patient place the arms above the head

c)

examining painful areas first.

d)

positioning the patient with the knees bent

13.

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?

a)

Daily inspection of his feet

b)

Soaking his feet in warm water for 15-30 min per day

c)

Application of lotion daily to feet and between toes

d)

Cutting toenails in a curved shape

14.

Before providing oral care to an unconscious patient, which of the following should be considered first?

a)

Resources available

b)

Patient preferences

c)

Presence of pain

d)

Presence of a gag reflex

15.

If a nurse suspects that their client did not give informed consent for a medical prodedure, what is their responsibility?

a)

Repeat the information to the client

b)

Contact a substiture decision maker to obtain consent for a medical procedure

c)

Contact the physician in charge of care to discuss the information with the client again

d)

Contact the family of the client to express concern and to determine client wishes