Font size
WorksheetsExam 2 Nurs 1051 and 1000
Total questions: 85
Worksheet time: 1hrs 23mins
Which of the following is a key component of a skin inspection during a physical assessment?
Measuring blood pressure
Checking for skin integrity
Listening to heart sounds
Testing reflexes
What lifestyle factor is important to consider when assessing skin health?
Exposure to sun or chemicals
Prescence of moles
Frequency of moles
hx of skin cancer
In a physical assessment, what is the purpose of palpating the skin?
To assess skin coloration
To evaluate skin texture and thickness
To observe skin lesions
To detect odors
What are some normal variations in the physical findings of the skin?
Uneven coloration and rough texture
Even coloration and smooth texture
Presence of lesions and rashes
Asymmetrical distribution of freckles
What is included in the inspection and palpation of the scalp and hair?
Nail grooming and cleanliness
General color and condition
Capillary refill
Temperature and moisture
What are the normal characteristics of nails?
Clubbing and pitting
Uniform color and shape, slight ridges or small white spots
Discoloration and koilonychia
Increased oiliness or dryness
Which of the following is a risk factor for skin abnormalities?
Hormonal imbalance
Trauma
Sun exposure
Pulmonary disease
Identify a risk factor associated with hair abnormalities.
Smoking
Nutritional deficiencies
Trauma
Pulmonary disease
What is a common abnormality found in nails?
Alopecia
Cyanosis
Clubbing
Tenderness
Which of the following is a recommended practice for promoting skin health?
Use sunscreen, wear protective clothing, do regular skin checks
Get regular eye exams, wear sunglasses, report vision changes
Practice good oral hygiene, avoid tobacco, see dentist regularly
Protect ears from loud noise, keep ears dry, seek care for pain/discharge
What is a suggested method for maintaining healthy hair and nails?
Keep scalp clean, nails dry and healthy
Avoid irritants, treat allergies early
Use sunscreen, wear protective clothing
Protect ears from loud noise, keep ears dry
How can one protect their ears according to the health promotion guidelines?
Use sunscreen, wear protective clothing
Keep scalp clean, nails dry and healthy
Protect ears from loud noise, keep ears dry, seek care for pain/discharge
Get regular eye exams, wear sunglasses
What are some abnormalities associated with the nose?
Lesions, ulcers, swelling, bleeding
Deviation, polyps, crusting, discharge
Redness, jaundice, visual changes
Discharge, deformities, swelling
Identify the common assessment findings in older adults.
Acne and oily skin
Larger heads and soft fontanels
Thin, fragile skin and cataracts
Wrinkles and graying hair
What is a typical assessment finding in adults?
Transient strabismus
Decreased skin elasticity
Soft fontanels
Growth spurts
What is the primary purpose of nurse practice acts in each state?
To provide financial support to nurses
To define the scope of nursing practice, licensure requirements, and disciplinary actions
To establish international nursing standards
To promote nursing education programs
How do state boards of nursing contribute to professional regulation?
By organizing nursing conferences
By enforcing the NPA, issuing and renewing licenses, and taking disciplinary action when needed
By providing scholarships to nursing students
By developing new medical technologies
What role does the ANA code of ethics play in nursing?
It sets financial guidelines for nurses
It establishes ethical principles guiding nurses' behaviors and decisions
It provides a framework for international nursing collaboration
It outlines the history of nursing
What do standards of practice define in the nursing profession?
The history of nursing
Competent levels of care and performance expected of nurses
The financial compensation for nurses
The global nursing policies
Why are institutional policies important in hospitals and organizations?
They provide entertainment for patients
They ensure safety and legal expectations are met
They offer discounts on medical supplies
They promote international travel for nurses
What is the primary purpose of licensure for nurses?
To provide voluntary credentials for advanced knowledge
To ensure nursing programs meet established standards
To allow nurses to practice, ensuring competency, standards are met and public protection
To hold nurses accountable for their actions
Which of the following best describes certification in the nursing profession?
A legal credential allowing practice
A voluntary credential showing advanced knowledge in a specialty area
A requirement for all nursing programs
A measure to ensure public safety
What does accountability in nursing primarily involve?
Ensuring nursing programs meet standards
Legal and professional responsibility for actions, judgments, and competence
Voluntary credentialing in specialty areas
Protecting the public through minimum competency
Identify the correct sequence of elements in a negligence case.
Breach, Duty, Damages, Causation
Duty, Breach, Causation, Damages
Causation, Duty, Breach, Damages
Damages, Causation, Breach, Duty
How is malpractice different from general negligence in nursing?
It involves voluntary credentialing
It is a type of negligence applied to a professional person
It ensures nursing programs meet standards
It is unrelated to professional conduct
What is one of the appropriate legal safeguards in nursing practice?
Administer medications prepared by others
Document accurately and on time
Ignore infection control measures
Avoid monitoring patient conditions
Which of the following is an example of negligence in nursing?
Providing complete self-care instructions
Lifting a patient with proper equipment
Not giving self-care instructions on discharge
Monitoring patient conditions regularly
Which of the following is a key topic to cover when taking a nursing history of the respiratory system?
Dietary habits
History of breathing problems
Travel history
Sleep patterns
What family history is important to consider in a respiratory system assessment?
Diabetes
Hypertension
Asthma
Arthritis
Which lifestyle factor is crucial to discuss during a respiratory health assessment?
Reading habits
Smoking
Music preferences
Social media usage
Which of the following is a risk factor for pneumonia?
Regular exercise
Being hospitalized
High vitamin C intake
Low altitude living
What condition is characterized by a loss of lung elasticity and lower lung resiliency?
Asthma
Bronchitis
Osteoporosis
COPD
Which of the following is NOT a symptom associated with respiratory issues?
Dyspnea
Kyphosis
Deep breathing is difficult
Increased appetite
What is a common physical change that can affect breathing in older adults?
Increased lung capacity
Kyphosis
Enhanced thoracic expansion
Improved cough effectiveness
Which of the following is a risk factor for lung cancer?
Regular exercise
Exposure to asbestos
High vitamin C intake
Low-fat diet
What is a common risk factor for both lung cancer and COPD?
High altitude living
Smoking (second-hand smoke)
Regular swimming
Vegan diet
Which of the following is a risk factor specifically mentioned for COPD but not for lung cancer?
Air pollution
Being over 40
Radiation exposure
Family history of lung cancer
What is the first step in the physical assessment of the lungs using correct techniques of inspection and auscultation?
Observing the patient's respiratory rate, pattern, and chest wall movement for symmetry
Placing a warmed stethoscope on the chest
Listening for abnormal breath sounds
Checking the patient's pulse
Which of the following is a key location for auscultation during lung assessment?
Midsternal line
Lateral line
Posterior line
Inferior line
What type of breath sound is described as a high-pitched whistling from narrowed small airways?
Wheezing
Crackles
Rhonchi
Pleural friction rubs
Which abnormal breath sound is characterized by a low-pitched whistling from narrowed large airways?
Rhonchi
Stridor
Crackles
Wheezing
Which of the following is high pitched popping on inspiration?
coarse crackles?
fine crackles?
wheezing?
stridor?
Which is low pitched gurgling on inspiration?
fine crackles
rhonchi
coarse crackles
wheezing
which is high pitched crowing heard on inspiration only?
stridor
wheezing
fine crackles
coarse crackles
Which is grating heard on inspiration or exspiration?
fine crackles
friction rub
stridor
rhonchi
What is the primary function of the heart in the cardiovascular system?
To transport oxygen-rich blood away from the heart
To pump blood throughout the body, delivering oxygen and nutrients
To regulate blood flow and pressure before blood enters capillaries
To begin the return flow of deoxygenated blood toward the heart
Which structure in the cardiovascular system is responsible for transporting oxygen-rich blood away from the heart?
Capillaries
Venules
Arteries
Heart
What is the function of capillaries in the cardiovascular system?
To pump blood throughout the body
To transport oxygen-rich blood from the heart
To site of exchange of oxygen, nutrients, carbon dioxide, and waste
To begin the return flow of deoxygenated blood toward the heart
When assessing the older client's cardiovascular system, what is a common finding related to lymphatic tissue?
Increase in lymph nodes
Lymphatic tissue is lost with aging, resulting in smaller or less lymph nodes
No change in lymphatic tissue
Enlargement of lymph nodes
Which of the following is a risk factor for both CAD and PAD?
High cholesterol
Advanced age
Gender
High levels of homocysteine
Why might older clients with arterial disease not exhibit classic symptoms of claudication?
They have high cholesterol.
They experience coldness, color change, numbness, and abnormal sensations.
They have a family history of PAD.
They are physically inactive.
Which demographic factor is specifically mentioned as a risk for PAD?
Advanced age
Gender
Being African American
High stress
Which of the following is a recommended lifestyle change to improve heart health?
Increase alcohol intake
Practice stress-inducing techniques
Stop smoking
Decrease physical activity
What is the purpose of inspecting the chest during a physical assessment of the heart?
To check for skin temperature
To observe heart pulse in the apical area
To measure blood pressure
To assess hair distribution
What is included in the inspection of the peripheral vascular system?
Heart rate and rhythm
Size, color, and venous pattern of arms and legs
Blood pressure levels
Skin temperature and condition
Which condition is associated with severe constriction of bronchioles?
Peripheral edema
Central cyanosis
Jugular venous distension
Radial pulse
What is a bruit in the context of heart assessment?
A normal heartbeat
A noisy, blowing/vibrating sound
A silent pulse
A regular rhythm
What should be analyzed to make clinical judgments based on cardiovascular data?
Only subjective data
Only objective data
Both subjective and objective data
Neither subjective nor objective data
Which of the following is an example of professional boundary crossing in nursing?
Giving your patient your phone number
Maintaining patient confidentiality
Following hospital protocols
Documenting patient care accurately
What does the term "autonomy" refer to in professional nursing values?
Concern for the welfare of others
Right to self-determination
Respect for human dignity
Acting with integrity
Which of the following describes "capillary refill" in a normal assessment finding?
More than 3 seconds
Less than 2 seconds
Exactly 5 seconds
Between 4 and 5 seconds
Identify a professional value in nursing that involves acting in accordance with an appropriate code of ethics.
Altruism
Integrity
Autonomy
Social justice
Which ethical principle in nursing involves respecting a patient's right to make their own decisions?
Beneficence
Nonmaleficence
Autonomy
Justice
How is the principle of beneficence applied in nursing practice?
By providing informed consent
By promoting the patient's well-being and comfort
By ensuring patient confidentiality
By giving accurate information
What does the principle of nonmaleficence emphasize in nursing practice?
Doing good for the patient
Preventing or minimizing harm
Treating all patients equally
Being truthful and honest
Which ethical principle is demonstrated by ensuring equal access to pain management for all patients?
Fidelity
Justice
Veracity
Autonomy
What is the focus of the ethical principle of fidelity in nursing?
Providing informed consent
keeping promises to patients
Promoting patient comfort
Preventing harm
How does the principle of veracity apply to nursing practice?
By advocating for patient comfort
By providing accurate information even when difficult
By ensuring equal treatment
By respecting patient decisions
What is the main difference between utilitarian and deontological theories of ethics?
Utilitarianism focuses on rules, deontology on consequences
Utilitarianism is based on consequences, deontology on rules
Both focus on patient comfort
Both emphasize informed consent
Which ethical principle involves advocating for care that promotes the patient's well-being and comfort?
Nonmaleficence
Justice
Beneficence
Fidelity
In the context of nursing ethics, what does fidelity involve?
Being truthful and honest
Treating all patients equally
Being loyal and maintaining trust
Respecting patient choices
Which ethical issue is concerned with ensuring patients understand their treatment before agreeing?
End-of-Life Decisions
Informed Consent
Resource Allocation
Professional Boundaries
What is an example of respecting patient autonomy in nursing practice?
A nurse explains the risks of a procedure honestly.
A patient with dementia insists on walking alone.
A family wants to continue life support despite a DNR order.
Two patients need the same equipment, but only one is available.
What is moral distress in nursing practice?
The ability to maintain integrity and ethical practice despite challenges
Occurs when a nurse knows the right action but cannot act due to constraints
Reflecting on personal values and emotional responses
Engaging in open discussions about ethical dilemmas
Which strategy is used to promote moral resilience in nursing?
Wanting to give more pain medication
Reflect on personal values and emotional responses
Staffing shortages force compromised care
Patient wants DNR, but family insists otherwise
How can empathy be applied in nursing practice?
Fully focusing on the patient and acknowledging concerns
Understanding and validating the patient’s feelings
Providing physical or emotional support
Teaching and guiding patients in a compassionate way
What is an example of advocacy in nursing practice?
Sitting with a patient who is anxious
Saying, “I can see this is really stressful for you”
Speaking to the healthcare team to ensure a patient’s request for pain management is honored
Adjusting pillows and offering a warm blanket
What are the key characteristics of effective nursing documentation according to institutional and legal standards?
Accurate, complete, objective, timely
Subjective, brief, delayed, informal
Incomplete, biased, untimely, casual
Vague, unstructured, late, personal
Which process should nursing documentation reflect to ensure comprehensive care?
Nursing process
Financial process
Marketing process
Administrative process
What does the abbreviation WNL stand for in nursing documentation?
Within Normal Limits
With New Limits
Without Notable Limits
Within Necessary Limits
Which of the following is a measure to protect confidential patient information?
Limit access
Share freely
Post online
Discuss publicly
What is the role of documentation in nursing communication with other healthcare professionals?
To provide subjective opinions about patient care
To ensure continuity of care with comprehensive, factual information
To record only the positive outcomes of treatments
To communicate in a casual and informal manner
Which organ is located in the right upper quadrant of the GI system?
Spleen
Gallbladder
Left kidney
Sigmoid colon
Which organ is located in the left upper quadrant of the abdomen?
Appendix
Stomach
Right ovary
Sigmoid colon
What is a key topic to discuss when taking a nursing history of the GI/GU system related to family history?
Appetite
hx of Cancers
Difficulty swallowing
Recent weight loss
