Walden NURS3020 All Weeks Quizzes

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Walden NURS3020 All Weeks Quizzes

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NURS3020 Health Assessment

Week 2 Quiz

• Question 1 The nurse educator is preparing an education module for the
nursing staff on the epidermal layer of skin. Which of these statements would
be included in the module? The epidermis is:

Answers: a. Highly vascular.

b. Thick and tough.

c. Thin and nonstratified.

d. Replaced every 4 weeks.

• Question 2 The nurse educator is preparing an education module for the
nursing staff on the dermis layer of skin. Which of these statements would be
included in the module? The dermis:

Answers: a. Contains mostly fat cells.

b. Consists mostly of keratin.

c. Is replaced every 4 weeks.

d. Contains sensory receptors.

• Question 3 The nurse is examining a patient who tells the nurse, “I
sure sweat a lot, especially on my face and feet but it doesn’t have an odor.”
The nurse knows that this condition could be related to:

Answers: a. Eccrine glands.

b. Apocrine glands.

c. Disorder of the stratum
corneum.

d. Disorder of the stratum
germinativum.

• Question 4 A newborn infant is in the clinic for a well-baby checkup.
The nurse observes the infant for the possibility of fluid loss because of
which of these factors?

Answers: a. Subcutaneous fat deposits are high in the newborn.

b. Sebaceous glands are
overproductive in the newborn.

c. The newborn’s skin is more
permeable than that of the adult.

d. The amount of vernix caseosa
dramatically rises in the newborn.

• Question 5 The nurse is aware that the four areas in the body where
lymph nodes are accessible are the:

Answers: a. Head, breasts, groin, and abdomen.

b. Arms, breasts, inguinal area,
and legs.

c. Head and neck, arms, breasts,
and axillae.

d. Head and neck, arms, inguinal
area, and axillae.

• Question 6 A patient’s thyroid gland is enlarged, and the nurse is
preparing to auscultate the thyroid gland for the presence of a bruit. A bruit
is a __________ sound that is heard best with the __________ of the
stethoscope.

Answers: a. Low gurgling; diaphragm

b. Loud, whooshing, blowing;
bell

c. Soft, whooshing, pulsatile;
bell

d. High-pitched tinkling;
diaphragm

• Question 7 The nurse is testing a patient’s visual accommodation, which
refers to which action?

Answers: a. Pupillary constriction when looking at a near object

b. Pupillary dilation when
looking at a far object

c. Changes in peripheral vision
in response to light

d. Involuntary blinking in the
presence of bright light

• Question 8 A patient has a normal pupillary light reflex. The nurse
recognizes that this reflex indicates that:

Answers: a. The eyes converge to focus on the light.

b. Light is reflected at the
same spot in both eyes.

c. The eye focuses the image in
the center of the pupil.

d. Constriction of both pupils
occurs in response to bright light.

• Question 9 A mother asks when her newborn infant’s eyesight will be
developed. The nurse should reply:

Answers: a. “Vision is not totally developed until 2 years of
age.”

b. “Infants develop the ability
to focus on an object at approximately 8 months of age.”

c. “By approximately 3 months of
age, infants develop more coordinated eye movements and can fixate on an
object.”

d. “Most infants have
uncoordinated eye movements for the first year of life.”

• Question 10 The nurse is reviewing in age-related changes in the eye for a
class. Which of these physiologic changes is responsible for presbyopia?

Answers: a. Degeneration of the cornea

b. Loss of lens elasticity

c. Decreased adaptation to
darkness

d. Decreased distance vision
abilities

NURS3020 Health Assessment

Week 3 Quiz

• Question 1 When performing a respiratory assessment on a patient, the
nurse notices a costal angle of approximately 90 degrees. This characteristic
is:

Answers: a. Observed in patients with kyphosis.

b. Indicative of pectus
excavatum.

c. A normal finding in a healthy
adult.

d. An expected finding in a
patient with a barrel chest.

• Question 2 When assessing a patient’s lungs, the nurse recalls that the
left lung:

Answers: a. Consists of two lobes.

b. Is divided by the horizontal
fissure.

c. Primarily consists of an
upper lobe on the posterior chest.

d. Is shorter than the right
lung because of the underlying stomach.

Question 3 The nurse is observing the auscultation
technique of another nurse. The correct method to use when progressing from one
auscultatory site on the thorax to another is _______ comparison.

Answers: a. Side-to-side

b. Top-to-bottom

c. Posterior-to-anterior

d. Interspace-by-interspace

• Question 4 When
auscultating the lungs of an adult patient, the nurse notes that low-pitched,
soft breath sounds are heard over the posterior lower lobes, with inspiration
being longer than expiration. The nurse interprets that these sounds are:

Answers: a. Normally auscultated over the trachea.

b. Bronchial breath sounds and
normal in that location.

c. Vesicular breath sounds and
normal in that location.

d. Bronchovesicular breath
sounds and normal in that location.

• Question 5 The direction of blood flow through the heart is best
described by which of these? Answers: a. Vena cava ? right atrium ? right
ventricle ? lungs ? pulmonary artery ? left atrium ? left ventricle

b. Right atrium ? right
ventricle ? pulmonary artery ? lungs ? pulmonary vein ? left atrium ? left
ventricle

c. Aorta ? right atrium ? right
ventricle ? lungs ? pulmonary vein ? left atrium ? left ventricle ? vena cava

d. Right atrium ? right
ventricle ? pulmonary vein ? lungs ? pulmonary artery ? left atrium ? left
ventricle

• Question 6 A 45-year-old man is in the clinic for a routine physical
examination. During the recording of his health history, the patient states
that he has been having difficulty sleeping. “I’ll be sleeping great, and then
I wake up and feel like I can’t get my breath.” The nurse’s best response to this
would be:

Answers: a. “When was your last electrocardiogram?”

b. “It’s probably because it’s
been so hot at night.”

c. “Do you have any history of
problems with your heart?”

d. “Have you had a recent sinus
infection or upper respiratory infection?”

• Question 7 In assessing a patient’s major risk factors for heart
disease, which would the nurse want to include when taking a history?

Answers: a. Family history, hypertension, stress, and age

b. Personality type, high
cholesterol, diabetes, and smoking

c. Smoking, hypertension,
obesity, diabetes, and high cholesterol

d. Alcohol consumption, obesity,
diabetes, stress, and high cholesterol

• Question 8 The mother of a 3-month-old infant states that her baby has
not been gaining weight. With further questioning, the nurse finds that the
infant falls asleep after nursing and wakes up after a short time, hungry
again. What other information would the nurse want to have?

Answers: a. Infant’s sleeping position

b. Sibling history of eating
disorders

c. Amount of background noise
when eating

d. Presence of dyspnea or
diaphoresis when sucking

• Question 9 In assessing the carotid arteries of an older patient with
cardiovascular disease, the nurse would:

Answers: a. Palpate the artery in the upper one third of the
neck.

b. Listen with the bell of the
stethoscope to assess for bruits.

c. Simultaneously palpate both
arteries to compare amplitude.

d. Instruct the patient to take
slow deep breaths during auscultation.

• Question 10 Which statement is true regarding the arterial system?

Answers: a. Arteries are large-diameter vessels.

b. The arterial system is a
high-pressure system.

c. The walls of arteries are
thinner than those of the veins.

d. Arteries can greatly expand
to accommodate a large blood volume increase.

NURS3020 Health Assessment

Week 4 Quiz

• Question 1 The nurse is percussing the seventh right intercostal space
at the midclavicular line over the liver. Which sound should the nurse expect
to hear?

Answers: a. Dullness

b. Tympany

c. Resonance

d. Hyperresonance

• Question 2 Which structure is located in the left lower quadrant of the
abdomen?

Answers: a. Liver

b. Duodenum

c. Gallbladder

d. Sigmoid colon

• Question 3 A patient is having difficulty swallowing medications and
food. The nurse would document that this patient has:

Answers: a. Aphasia.

b. Dysphasia.

c. Dysphagia.

d. Anorexia.

• Question 4 The nurse suspects that a patient has a distended bladder.
How should the nurse assess for this condition?

Answers: a. Percuss and palpate in the lumbar region.

b. Inspect and palpate in the
epigastric region.

c. Auscultate and percuss in the
inguinal region.

d. Percuss and palpate the
midline area above the suprapubic bone.

• Question 5 The nurse is aware that one change that may occur in the
gastrointestinal system of an aging adult is:

Answers: a. Increased salivation.

b. Increased liver size.

c. Increased esophageal
emptying.

d. Decreased gastric acid
secretion.

• Question 6 A 22-year-old man comes to the clinic for an examination
after falling off his motorcycle and landing on his left side on the handle
bars. The nurse suspects that he may have injured his spleen. Which of these
statements is true regarding assessment of the spleen in this situation?

Answers: a. The spleen can be enlarged as a result of trauma.

b. The spleen is normally felt
on routine palpation.

c. If an enlarged spleen is
noted, then the nurse should thoroughly palpate to determine its size.

d. An enlarged spleen should not
be palpated because it can easily rupture.

• Question 7 A patient’s abdomen is bulging and stretched in appearance.
The nurse should describe this finding as:

Answers: a. Obese.

b. Herniated.

c. Scaphoid.

d. Protuberant.

• Question 8 The nurse is describing a scaphoid abdomen. To the
horizontal plane, a scaphoid contour of the abdomen depicts a ______ profile.

Answers: a. Flat

b. Convex

c. Bulging

d. Concave

• Question 9 While examining a patient, the nurse observes abdominal
pulsations between the xiphoid process and umbilicus. The nurse would suspect
that these are:

Answers: a. Pulsations of the renal arteries.

b. Pulsations of the inferior
vena cava.

c. Normal abdominal aortic
pulsations.

d. Increased peristalsis from a
bowel obstruction.

• Question 10 A patient has hypoactive bowel sounds. The nurse knows that a
potential cause of hypoactive bowel sounds is:

Answers: a. Diarrhea.

b. Peritonitis.

c. Laxative use.

d. Gastroenteritis.

NURS3020 Health Assessment

Week 5 Quiz

• Question 1 A patient is being assessed for range-of-joint movement. The
nurse asks him to move his arm in toward the center of his body. This movement
is called:

Answers: a. Flexion.

b. Abduction.

c. Adduction.

d. Extension.

• Question 2 During an interview the patient states, “I can feel this
bump on the top of both of my shoulders—it doesn’t hurt but I am curious about
what it might be.” The nurse should tell the patient that it is his:

Answers:a. Subacromial bursa.

b. Acromion process.

c. Glenohumeral joint.

d. Greater tubercle of the
humerus.

• Question 3 The nurse is checking the range of motion in a patient’s
knee and knows that the knee is capable of which movement(s)?

Answers: a. Flexion and extension

b. Supination and pronation

c. Circumduction

d. Inversion and eversion

• Question 4 The wife of a 65-year-old man tells the nurse that she is
concerned because she has noticed a change in her husband’s personality and
ability to understand. He also cries very easily and becomes angry. The nurse
recalls that the cerebral lobe responsible for these behaviors is the
__________ lobe.

Answers: a. Frontal

b. Parietal

c. Occipital

d. Temporal

• Question 5 Which statement concerning the areas of the brain is true?

Answers: a. The cerebellum is the center for speech and emotions.

b. The hypothalamus controls
body temperature and regulates sleep.

c. The basal ganglia are
responsible for controlling voluntary movements.

d. Motor pathways of the spinal
cord and brainstem synapse in the thalamus.

Question 6 The nurse places a key in the hand of a
patient and he identifies it as a penny. What term would the nurse use to
describe this finding?

Answers: a. Extinction

b. Astereognosis

c. Graphesthesia

d. Tactile discrimination

• Question 7 Which of these tests would the nurse use to check the motor
coordination of an 11-month-old infant?

Answers: a. Denver II

b. Stereognosis

c. Deep tendon reflexes

d. Rapid alternating movements

• Question 8 During an assessment of an 80-year-old patient, the nurse
notices the following: an inability to identify vibrations at her ankle and to
identify the position of her big toe, a slower and more deliberate gait, and a
slightly impaired tactile sensation. All other neurologic findings are normal.
The nurse should interpret that these findings indicate:

Answers: a. CN dysfunction.

b. Lesion in the cerebral
cortex.

c. changes attributable to
aging.

d. Demyelination of nerves
attributable to a lesion.

• Question 9 A 70-year-old woman tells the nurse that every time she gets
up in the morning or after she’s been sitting, she gets “really dizzy” and
feels like she is going to fall over. The nurse’s best response would be:

Answers:a. “Have you been
extremely tired lately?”

b. “You probably just need to
drink more liquids.”

c. “I’ll refer you for a
complete neurologic examination.”

d. “You need to get up slowly
when you’ve been lying down or sitting.”

• Question 10 During the taking of the health history, a patient tells the
nurse that “it feels like the room is spinning around me.” The nurse would
document this finding as:

Answers: a. Vertigo.

b. Syncope.

c. Dizziness.

d. Seizure activity.

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