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PA Test 2 Review

Total questions: 23

Worksheet time: 13mins

Name
Class
Date
1.

Acute pain lasts less than____________

a)

1 month

b)

3 months

c)

4 months

d)

6 months

2.

Neuropathic pain is best described as: (Select ALL that apply)

a)

Dull

b)

Intense

c)

Burning

d)

Achy

e)

"Pins and needles"

3.

The Wong-Baker "faces" pain scale primarily used for _______.

a)

adults

b)

children

c)

People who have difficulty using numbers to express their level of pain.

d)

all of the above

4.

Is the statement "Patient has a pulse rate of 104" subjective or objective data?

a)

Subjective

b)

Objective

5.

Subjective data is any information given by the patient.

a)

True

b)

False

6.

Pruritus is the medical term for (a)  

7.
a)

cyanosis

b)

clubbing

c)

iron deficiency

d)

low micronutrients

8.

How would the nurse describe a stage 4 pressure ulcer?

a)

The wound reaches the dermis

b)

This stage is visible by redness

c)

This stage is very severe and you can see the patient's bone

d)

This stage is deep and you can see fat tissue

9.

The patient describes her headache as concentrated in one spot around her right eye. The RN understands this to be

a)

Migraine

b)

Sinus

c)

Tension

d)

Cluster

10.

The nurse suspects hearing loss in her client and wants to perform a Rinne test. What is the correct technique for this exam?

a)
Strike a tuning fork and place it directly in the ear canal.
b)
Hold the tuning fork in front of the client's mouth and ask them to listen.
c)
Tap the tuning fork on a hard surface and place it on the forehead.
d)
Strike a tuning fork, place it on the mastoid process, then move it to the front of the ear canal.
11.

Expected findings of a nail assessment

a)

smooth texture, consistent color, no discoloration or separation.

b)
Frequent nail separation and peeling
c)
Visible ridges and grooves
d)
Rough texture with multiple colors
12.

While assessing the 6 cardinal fields of gaze, the nurse notices a persistent and involuntary rhythmical, shaking movement of the client's eyes. Which of the following is the most appropriate for the nurse to document?

a)

Vertigo

b)
Strabismus
c)
Nystagmus
d)
Diplopia
13.

Glaucoma can result in blindness

a)

True

b)

False

14.

The nurse is performing an otoscopic examination on an adult client and is unable to visualize the tympanic membrane. Which of the following actions by the nurse is appropriate in this situation?

a)

einsert the otoscope quickly and press against both sides of the inner auditory canal.

b)

Pull the pinna up and back and then reinsert the otoscope.

c)

Pull the pinna down and back and then reinsert the otoscope.

15.

Left and right tonsils should meet at the midline.

a)

True

b)

False

16.

The nurse documents an abnormal finding bruit heard on auscultation during her abdominal exam. which side of the stethoscope did they use?

a)

Bell

b)

Diaphragm

17.

A nurse suspects the client has an infection of the maxillary sinuses. How can this suspicion be confirmed?

a)

Using a flashlight to illuminate the floor of the mouth

b)

Pressing gently with both thumbs into the eyebrow ridges

c)

Applying firm pressure with the thumbs below the cheekbones

d)

Standing behind the client and asking him or her to slowly rotate the head

18.

A goiter found on the neck is associated with...

a)

Hypothyroidism

b)

Hyperthyroidism

c)

Obesity

d)

Allergies

19.

The nurse assesses a client who just experienced a motor vehicle accident. What symptoms does the nurse note that suggest the sympathetic nervous system is activated? SELECT ALL THAT APPLY

a)

Hypertension

b)

Tachycardia

c)

Hypotension

d)

Bradypnea

e)

Decreased bowel sounds

20.

In your assessment of a 62-year-old man you note the following: resting tremor; slow movements; stooped posture; walks with shuffling, short steps; very rigid; flat facial expression; fingers move as if rolling a pill with them. These findings would be consistent with which of the following neurological conditions?

a)

Cerebral palsy

b)

Myasthenia Gravis

c)

Cerebellar ataxia

d)

Parkinson's Disease

21.

The nurse hears in a report that a patient has expressive aphasia. What communication abilities does the nurse anticipate from this patient?

a)

The patient understands speech but is unable to translate ideas into meaningful speech.

b)

The patient can understand speech but has difficulty forming words creating muffled speech.

c)

The patient is unable to comprehend speech and thus does not respond verbally

d)

The patient is emotionally liable and cries easily, which interferes with the ability to communicate.

22.

A client tells the nurse that they are frustrated because their BMI places them in an overweight category. Which of the following responses is the most appropriate to provide the client?

a)

"The BMI can help you set new goals to modify your nutritional intake."

b)


"The BMI should be used with a height and weight-table to establish your category of weight.

c)

"The BMI used alone does not indicate that you are overweight."

23.

An elderly patient is admitted with pneumonia and a fever of 104.5° F. At the time of admission they are confused, disoriented, restless, and tried to slap the nurse who started an intravenous line. His daughter stated, “ Yesterday he was perfectly fine, except for a cold. I can't believe he is acting this way now.” Within a few days, the erratic behavior subsided and his daughter states he is “back to normal.” The nurse recognizes this patient was possibly exhibiting signs of which disorder?

a)

Dementia

b)

Delirium

c)

Anxiety

d)

Frontal lobe injury