Answer: C. Promotive, preventive, and restorative health practices. Which intervention should the nurse include as a nonpharmacologic pain-relief intervention for chronic pain? Administering pain medication as prescribed, Removing all glaring lights and excessive noise, Using transcutaneous electric nerve stimulation. Test your knowledge with this 30-item exam. Client complaints of chest pain, dyspnea, or abdominal pain. NCLEX Practice Questions for Nursing Fundamentals Perioperative This is a NCLEX practice quiz to test your nursing knowledge on the fundamental skills when taking care of a Perioperative patient. 18. Alert and oriented, clear breath sounds, nonproductive cough, hemoglobin concentration of 13 g/dl, and leukocyte count of 5,300/mm3 are normal data. All questions are given in a single page and correct answers, rationales or explanations (if any) are immediately shown after you have selected an answer. Many times patients need specific positioning techniques if they've had a certain type of surgery or health problem. 27. B. Acute pain is rapid in onset, usually temporary (less than 6 months), and subsides spontaneously. Software Design Methodologies And Project Management Test, English Grammar- Past Perfect Or Past Simple Quiz. D. Mitral area. Massage increases inflammation and should be avoided with this client. What do the signs and symptoms of Cushing's triad include? For which time period would the nurse notify the health care provider that the client had no bowel sounds? The autonomic system regulates involuntary vital functions and organ control such as breathing. Superficial pain has abrupt onset with sharp, stinging quality. Fear and anxiety affect a person’s response to sensation and typically intensify the pain. Mang Teban is a 73-year old patient diagnosed with pneumonia. One half of all women who die of breast cancer are older than age 65. 9. A vibrating sensation perceived when an artery is palpated and is not expected when examining a carotid pulse. Only type A-delta fibers transmit sharp, piercing pain. Which is an example of biographic information that may be obtained during a health history? Asking if the client describes his overall health as good is a leading question that puts words in his mouth. The client experiences decreased frequency of acute pain episodes. I will need to determine the etiology of any pathologic symptoms you might have. The chief complaint Which laboratory result would warrant immediate intervention by the nurse? D. Palpating the pedal pulses. B. This quiz is a study aid for the 1st exam in health assessment. Fundamentals of Nursing NCLEX Practice Quiz 7 (20 Items) Once you are finished, click the button below. A. F. Encouraging the client to turn, cough, and deep breathe. No one theory explains all the factors underlying the pain experience, but the central-control theory discusses brain opiates with analgesic properties and how their release can be affected by actions initiated by the client and caregivers. Although removing glaring lights and excessive noise help to reduce or remove noxious stimuli, it is not specific to pain relief. This Nursing Quiz App Providing the best & Genuine Nursing … Cathy Parkes RN, covers Nursing Fundamentals - Physical Assessment, General Survey. D. These measures block transmission of type C fiber impulses. C. Clear breath sounds and nonproductive cough What would be the most appropriate thing to offer this patient while the physical assessment is going on? Pain sensation is affected by a client’s anticipation of pain A 12-year-old student fall off the stairs, grabs his wrist, and cries, “Oh, my wrist! A mother brings her 6-month-old infant to the clinic for a well-baby checkup. Nurse Renor is about to perform Romberg’s test to Pierro. Cram.com makes it easy to get the grade you want! May 7, 2015 - Fundamental of Nursing Quiz 1. 9. Answer: C. These measures potentiate the effects of analgesics. This quiz and corresponding worksheet gauge your understanding of what a nursing intervention is and the different types of interventions there are. 6. With an abdominal assessment, auscultation always is performed before percussion and palpation because any abdominal manipulation, such as from palpation or percussion, can alter bowel sounds. The mothers actions are example of control and distraction. D. Encouraging gentle range-of-motion exercises after administering aspirin and before rising. The client reports pain reduction with decreased activity. When evaluating a client’s adaptation to pain, which behavior indicates appropriate adaptation? D. The client’s name, address, age, and phone number. Engineering Quiz: Electromagnetic Interference (EMI). The tail of Spence area must be included in self-examination. ... (50 Quizzes, 1620 Questions ) Quizzes. Quiz 1 22 Questions. He earned his license to practice as a registered nurse during the same year. No time limit for this exam. D. Cutaneous stimulation. Answer: C. The client continues normal growth and development with intact support systems. Learn fundamentals of nursing physical assessment with free interactive flashcards. This is an example of which type of pain intervention? B. Albert who suffered severe burns 6 months ago is expressing concern about the possible loss of job-performance abilities and physical disfigurement. Which statement would be the best way to end the history interview? The client distracts himself during pain episodes. The nurse should notify the health care provider of these findings. Because it has been 6 months, the client needs professional help to get on with life and handle the limitations imposed by the current problems. During an otoscopic examination, which action should be avoided to prevent the client from discomfort and injury? ____ 1. NURSING MP3 LIVE LECTURE (50+ lectures) 10,000+ sample nursing examination in MS word format. Which intervention should the nurse include as a nonpharmacologic pain-relief intervention for chronic pain? However, if there are areas of skin breakdown or drainage, gloves should be used. Oh nothing, it is just something that we do. Telling the client to strictly limit the amount of movement of his inflamed joints, Teaching the client’s family how to transfer the client into a wheelchair, Teaching the client the proper method for massaging inflamed, sore joints, Encouraging gentle range-of-motion exercises after administering aspirin and before rising. ), A. Assessing the client’s bowel sounds Indicative of acute or chronic respiratory distress, Teaching patients to perform breast self-exams is only directly related to females, When auscultating for lung sounds, which part of the stethoscope is designed to transmit the higher pitch of abnormal sounds. When evaluating a client’s adaptation to pain, which behavior indicates appropriate adaptation? These measures potentiate the effects of analgesics. Which term would the nurse use to document pain at one site that is perceived in other site? The client distracts himself during pain episodes. Use of medications provides information about the client’s personal habits. Evaluating the apical pulse is the most reliable noninvasive way to assess cardiac function. Assessing the client to rule out possible complications secondary to surgery, Checking the client’s chart to determine when pain medication was last administered, Explaining to the client that the pain should not be this severe 3 days postoperatively, Obtaining an order for a stronger pain medication because the client’s pain has increased. This NCLEX practice quiz is to test your knowledge in nursing fundamentals with positioning a patient. 3. Which assessment examination requires Liza to wear gloves? 14. FUNDAMENTALS OF NURSING CLINICAL Renton Technical College. B. Conditioning probably would produce less pain tolerance. - Fundamentals in Nursing - Maternal and Child - Medical and Surgical - Nursing Jurisprudence - Community Health Nursing - Psychiatric Nursing Also Includes: 2 DVDs Nursing Skills. B. Autonomic nerve fibers When percussing the client’s chest, the nurse would expect to find which assessment data as a normal sign over his lungs? When assessing the lower extremities for arterial function, which intervention should the nurse perform? Professionals, Teachers, Students and Kids Trivia Quizzes to test your knowledge on the subject. Quickly memorize the terms, phrases and much more. B. Nurse Renor is about to perform Romberg’s test to Pierro. A dry and intact hip dressing, blood pressure of 114/78 mm Hg, pulse rate of 82 beats per minute, and a left foot in functional anatomic position are all normal assessment findings that do not require medical intervention. 20. Miggy, a 6-year-old boy, received a small paper cut on his finger, his mother let him wash it and apply small amount of antibacterial ointment and bandage. B. Phantom pain 3. D. Somatic efferent fibers. In the interview portion of the physical assessment, since we are not actually touching the patient, there is no need to wash our hands. During the abdominal examination, Tine should perform the four physical examination techniques in which sequence? Blood pressure of 114/78 mm Hg; pulse rate of 82 beats per minute, Left foot cold to touch; no palpable pedal pulse. National Institute of Health . Distraction is an appropriate method of reducing pain. 20 Promoting Asepsis And Preventing Infection (Week 4 Quiz) Show Class Nursing Fundamentals 1. Staying with the client as much as possible and building trust Community-Based Nursing Practice ... Health Assessment and Physical Examination . Referring the client for counseling and occupational therapy, Staying with the client as much as possible and building trust, Providing cutaneous stimulation and pharmacologic therapy, Providing distraction and guided imagery techniques. The tricuspid area is the fifth ICS to the left of the sternum. 15. A. Then she let him watch TV and eat an apple. Involving the child in care and providing distraction took his mind off the pain. C. Intractable pain 19. A. Matteo is diagnosed with dehydration and underwent series of tests. C. Providing cutaneous stimulation and pharmacologic therapy This is an example of which type of pain intervention? Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. Referring the client for counseling and occupational therapy Mr. Teban is a 73-year old patient diagnosed with pneumonia. One day after the operation, the client is complaining of pain. Which scientific rationale would indicate that she understands the topic? We'll review your answers and create a … Is your knowledge about the foundation of nursing well and sound? The client distracts himself during pain episodes. Which Naruto Character Are You Most Like? A. Specificity theory About this Quiz & Worksheet. Taking the client’s blood pressure and apical pulse C. Assessing the Homans’ sign In Fundamentals of Nursing Prep Free App is providing total 3500+ multiple choice questions. 3500+ Fundamentals of Nursing multiple choice practice questions Fundamentals of Nursing Quiz Questions Practice anywhere, anytime, even without a connection Instant Results for questions Detail Explanations (Rationales) for All Questions for best Fundamentals of Nursing practice Now you can Track Quiz Progress that you can keep tracking. The client remains free of the aftermath phase of the pain experience. The client’s name, address, age, and phone number are biographical data. B. Referred pain is pain occurring at one site that is perceived in another site. Answer: D. Encouraging gentle range-of-motion exercises after administering aspirin and before rising. Tywin has come to the nursing clinic for a comprehensive health assessment. Newly hired nurse Liza is excited to perform her very first physical assessment with a 19-year-old client. What is the proper way to provide this patient a proper physical assessment? The health-beliefs assessment includes expectations of health care; promotive, preventive, and restorative practices, such as breast self-examination, testicular examination, and seat-belt use; and how the client perceives illness. God bless you. Physical Science Test Quiz: Trivia! Aftermath of pain, a phase of the pain experience and the most neglected phase, addresses the client’s response to the pain experience. The tail of Spence, an extension of the upper outer quadrant of breast tissue, can develop breast tumors. Choose from 500 different sets of fundamentals of nursing physical assessment flashcards on Quizlet. Which assessment examination requires Liza to wear gloves? Quiz: Physics Questions For 12th Grade Students! Alert and oriented to date, time, and place B. Inserting the otoscope inferiorly into the distal portion of the external canal We know that the nurse knows the right time to do a physical assessment when she says: The nurse tells a 75 year old patient that she will have to do a "head to toe" assessment on him. While interviewing an older female patient of Asian descent, the nurse notices that the patient looks at the ground when answering questions. Which intervention should the nurse plan? An abnormal cycle of respiration that begin with slow, shallow respiration that become rapid, then become slower and are followed by periods of apnea (20 seconds). Ryan underwent an open reduction and internal fixation of the left hip. d. Prolong the termination phase of the interview. B. Resonance During Romberg’s test, the client is asked to stand with feet together and eyes shut and still maintain balance with the minimum of sway. 12. Conduct the physical assessment. This NCLEX test will test you nursing knowledge on position patients. Even though the client may experience an aftermath phase, progress is still possible, as is effective rehabilitation. A. Aortic arch Which statement represents the best rationale for using noninvasive and non-pharmacologic pain-control measures in conjunction with other measures? A. Tywin has come to the nursing clinic for a comprehensive health assessment. During the abdominal examination, Tine should perform the four physical examination techniques in which sequence? B. One half of all breast cancer deaths occur in women ages 35 to 45 Aftermath reactions may occur but need not interfere with rehabilitation. Somatic efferent fibers affect the voluntary movement of skeletal muscles and joints. The home environment was not changed, and cutaneous stimulation, such as massage, vibration, or pressure, was not used. United States Health Agency . These measures block transmission of type C fiber impulses. Vital signs are reliable even when there is a central nervous system deficit. 5. When percussing the client’s chest, the nurse would expect to find which assessment data as a normal sign over his lungs? A left foot cold to touch without palpable pedal pulse represents an abnormal finding on neurovascular assessment of the left leg. C. Superficial pain Decreased input over large fibers allows more pain impulses to reach the central nervous system. During the nursing assessment, which data represent information concerning health beliefs? Read each question carefully and choose the best answer. 24 Questions . Practice Mode: This is an interactive version of the Text Mode. 10. C. Explaining to the client that the pain should not be this severe 3 days postoperatively Be sure to read them. To completely determine that bowel sounds are absent, the nurse must auscultate each of the four quadrants for at least 5 minutes; 2, 3, or 4 minutes is too short a period to arrive at this conclusion. A normal sodium level is 135 to 145 mEq/L, a normal nonfasting glucose level is 85 to 140 mg/dl, and a normal creatinine level is 0.2 to 0.8 mg/100 ml. To ensure the latter’s safety, which intervention should nurse Renor implement? MCQ quiz on Fundamentals of Nursing multiple choice questions and answers on Fundamentals of Nursing MCQ questions on Fundamentals of Nursing objectives questions with answer test pdf for interview preparations, freshers jobs and competitive exams. After the quiz, you will see what you got right and wrong with rationales. Physical Assessment Multiple Choice Identify the choice that best completes the statement or answers the question. C. Control and distraction Which term refers to the pain that has a slower onset, is diffuse, radiates, and is marked by somatic pain from organs in any body activity? The client denies the existence of any pain. If you leave this page, your progress will be lost. 8. Nursing Today . Please wait while the activity loads. A. D. A pad should be placed under the opposite scapula of the breast being palpated. Homans’ sign is used to evaluate the possibility of deep vein thrombosis. 23. Answer: D. Left foot cold to touch; no palpable pedal pulse. Strict limitation of motion only increases the client’s pain. (Select all that apply. Albert who suffered severe burns 6 months ago is expressing concern about the possible loss of job-performance abilities and physical disfigurement. Answers and rationales are given below. Answer: D. “Is there anything else you would like to tell me?”. 2. Which assessment data should the nurse include when obtaining a review of body systems, A. 21. Physical assessment is being performed to Geoff by Nurse Tine. Also, this page requires javascript. A. B. Integumentary A patient has just been admitted. C. 4 minutes 19 Assessing Health: Physical Examination , Ch. If you have any disputes or clarifications, please direct them to the comments section. The nurse should never administer pain medication without assessing the client first. © 2021 Nurseslabs | Ut in Omnibus Glorificetur Deus! The gate-control, specificity, and patter theories do not address pain control to the depth included in the central-control theory. The chief complaint, past health status, and history of immunizations are part of assessing the client’s health and illness patterns. Which evaluation criteria would indicate the client’s successful rehabilitation? A. Assessing the client to rule out possible complications secondary to surgery Answer: B. Buccal cyanosis and capillary refill greater than 3 seconds. Allowing the client to keep his eyes open, spread his feet apart, or hang on to a piece of furniture interferes with the proper execution of the test and yields invalid results. D. Serum creatinine level of 0.6 mg/100 ml. Answer: A. Study Flashcards On Exam 2 - Ch 33 Physical Assessment questions Potter Perry Fundamentals of Nursing at Cram.com. D. Oral. Which statement represents the best rationale for using noninvasive and non-pharmacologic pain-control measures in conjunction with other measures? The health care provider ordered the pain medication for routine postoperative pain that is expected after abdominal surgery, not for such complications as hemorrhage, infection, or dehiscence. 2. Answer: A. Auscultation immediately after inspection and then percussion and palpation. In the superior position, the speculum of the otoscope is nearest the tympanic membrane, and the most sensitive portion of the external canal is the proximal two-thirds. Palpating the client’s pedal pulses assists in determining if arterial blood supply to the lower extremities is sufficient. Having others transfer the client into a wheelchair does not increase his feelings of dependency. A. Which data would cause the nurse to refrain from administering the pain medication and to notify the health care provider instead? From Foundations of Nursing by Christensen Kockrow, pages 93 through 120. Alert and oriented to date, time, and place, Buccal cyanosis and capillary refill greater than 3 seconds, Clear breath sounds and nonproductive cough, Hemoglobin concentration of 13 g/dl and leukocyte count 5,300/mm3. These measures are more effective than analgesics. Which intervention is the most appropriate for him? 7. Intractable pain is moderate to severe pain that cannot be relieved by any known treatment. When performing a head-to-toe assessment, we normally begin with a neurologic assessment . A. The book/lab manual also have some practice questions that are very similar if you would like extra practice. Answer: D. Location of an advance directive. The client continues normal growth and development with intact support systems. There is no connection between type C fiber impulses and noninvasive and nonpharmacologic pain-control measures. The consumption of alcohol, tobacco, caffeine, or herbal products are important in health history and which are part of what? Sample Decks: Ch. A. Auscultation immediately after inspection and then percussion and palpation C. Letting the client spread his feet apart Telling the client to strictly limit the amount of movement of his inflamed joints A 50-year-old widower has arthritis and remains in bed too long because it hurts to get started. Type A-delta fibers D. 5 minutes. D. Inspection and then palpation, percussion, and auscultation, 11. D. Central-control theory. Fundamentals of Nursing Health and Physical Assessment HESI Quiz./Fundamentals of Nursing Health and Physical Assessment HESI Quiz./Fundamentals of Nursing Health and Physical Assessment HESI Quiz. You have not finished your quiz. Can You Pass This Basic World History Quiz? Before the beginning of a physical examination, to make the patient more comfortable, what should be done first. B. These measures decrease input to large fibers. C. Information about the client’s sexual performance and preference B. Answer: D. Standing close to provide support. Which scientific rationale should the nurse remember when performing a breast examination on a female client? Quiz 3 23 Questions. The mitral area (also known as the left ventricular area or the apical area), the fifth intercostal space (ICS) at the left midclavicular line, is the best area for auscultating the apical pulse. D. Use of prescribed and over-the-counter medications. D. The client reports pain reduction with decreased activity. He wants to guide the next generation of nurses to achieve their goals and empower the nursing profession. 1) Have the mother remain outside the room. D. The client develops increased tolerance for severe pain in the future. Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse – helping them achieve success in their careers! Newly hired nurse Liza is excited to perform her very first physical assessment with a 19-year-old client. Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. John Joseph was scheduled for a physical assessment. C. Type C fibers The nurse must rule out complications prior to administering pain medication, so her interventions would include assessing to make sure the client has bowel sounds and determining if the client is hemorrhaging by checking the client’s blood pressure and pulse. B. If a complete physical assessment is necessary, it is best to assess any painful areas last. Answer: B. Which interventions should the nurse implement? A. Gil Wayne graduated in 2008 with a bachelor of science in nursing. Study Flashcards On Fundamentals of Nursing Quiz 1 at Cram.com. Tipping the client’s head away from the examiner and pulling the ear up and back, Inserting the otoscope inferiorly into the distal portion of the external canal, Inserting the otoscope superiorly into the proximal two-thirds of the external canal, Bracing the examiner’s hand against the client’s head. These measures are more effective than analgesics. Beginning in their 20s, women should be told about the benefits and limitations of breast self-exam (BSE). Answer: A. Assessing the client to rule out possible complications secondary to surgery. Dullness is typically heard on percussion of solid organs, such as the liver or areas of consolidation. Gauge your performance by counter checking your answers to those below. Answer Key Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. A. Client complaints about chest pain, dyspnea, or abdominal pain are considered part of the review of body systems. 25. D. Standing close to provide support. This nursing exam covers the concepts of Nursing Health Assessment and Pain. Elsevier: St. Louis.MO. Content includes all of the "need-to-know" facts covering the nursing process, physical assessment, communication, professional standards, health promotion through the lifespan, and more. Basic Physical Assessment Handout LPN Program/ Spring 2006. Cram.com makes it easy to get the grade you want! Which data would be of greatest concern to the nurse when completing the nursing assessment of the patient? “What brought you to the clinic today?” Your performance has been rated as %%RATING%%. Normally caused by hear failure, opioid overdose, renal failure, meningitis, and severe head ache. Medications are pharmacologic measures. C. Ophthalmic B. Her best answer would be ... A person who is just being admitted complains of pain on his right foot. ... Head-to-Toe Physical Assessment for Nurses. These measures decrease input to large fibers. Alert and oriented to date, time, and place Matteo is diagnosed with dehydration and underwent series of tests. A patient with increased turgor in his lower extremities manifested by smooth, taut, shiny skin that cannot be grasped or raised is most likely to have: Abnormal swishing sounds heard over organs, glands and arteries and results from an abnormality in an artery resulting from narrow or partially occluded artery such as those in atherosclerosis. Comment: This really interesting, I’m impressed .i will love to be a part of your programme. Pain sensation is affected by a client’s anticipation of pain. Percussion should never precede inspection or auscultation, and any tender or painful areas should be palpated last. A. The client denies the existence of any pain. B. Nursing Ebooks A. Dullness If you need more clarifications, please direct them to the comments section. Auscultation immediately after inspection and then percussion and palpation, Percussion, followed by inspection, auscultation, and palpation, Palpation of tender areas first and then inspection, percussion, and auscultation, Inspection and then palpation, percussion, and auscultation, Which assessment data should the nurse include when obtaining a review of body systems, Brief statement about what brought the client to the health care provider, Client complaints of chest pain, dyspnea, or abdominal pain, Information about the client’s sexual performance and preference, The client’s name, address, age, and phone number. During the nursing assessment, which data represent information concerning health beliefs? 4. 1.The very first thing a nurse will assess when doing a … Mrs. Bagapayo who had abdominal surgery 3 days earlier complains of sharp, throbbing abdominal pain that ranks 8 on a scale of 1 (no pain) to 10 (worst pain). Which scientific rationale would indicate that she understands the topic? 25. When assessing the lower extremities for arterial function, which intervention should the nurse perform? 22 Questions . Quizzes of Fundamentals of Nursing study set. Teaching the client’s family how to transfer the client into a wheelchair In the mnemonic used for assessments, what does PS stand for in ABC in and out, PS? C. History immunizations Chuck, who is in the hospital, complains of abdominal pain that ranks 9 on a scale of 1 (no pain) to 10 (worst pain). How should the nurse proceed when weighing the patient? 22. The client is most likely experiencing some complication from surgery, which requires immediate medical intervention. It is important to avoid these structures during the examination. Exclusion of family members and other sources of support represents a maladaptive response. Please visit using a browser with javascript enabled. No evidence indicates that noninvasive and nonpharmacologic measures are more effective than analgesics in relieving pain. Therapeutic Communication Techniques Quiz. Which scientific rationale should the nurse remember when performing a breast examination on a female client? By Arnoldjr2 | Last updated: Jul 31, 2020, The difference between a "head to toe" assessment and a "focused assessment". Answer: B. ), Taking the client’s blood pressure and apical pulse, Determining the last time the client received pain medication, Encouraging the client to turn, cough, and deep breathe. PHYSICAL ASSESSMENT EXAMINATION STUDY GUIDE Page 1 of 39 Adapted from the Kentucky Public Health Practice Reference, 2008 and Jarvis, C, (2011). Ryan underwent an open reduction and internal fixation of the left hip. The client reports no need for family support. In this Fundamentals of Nursing Quiz app we are providing huge number of practice tests and mock tests with best practices for success in all your Nursing Exams. If this activity does not load, try refreshing your browser. b. The nurse immediate action should be assess the client in an attempt to exclude possible complications that may be causing the client’s complaints. by Wright State University on May 28, 2012 for the NLN Assessment Exam for Credit by Exam Test Out Nursing Assessment 1. Deep pain has a slow onset, is diffuse, and radiates, and is marked by somatic pain from organs in any body activity.
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