Nursing Health Assessment Exam Questions with Verified Answers, Exams of Nursing

Download Nursing Health Assessment Exam Questions with Verified Answers and more Exams Nursing in PDF only on Docsity! NURS HEALTH ASS EXAM QUESTIONS WITH 100% CORRECT AND VERIFIED ANSWERS 2023 UPDATE A woman delivers a 3,250 g neonate at 42 weeks’ gestation. Which physical finding is expected during an examination of this neonate? * 1/1 A. Abundant lanugo B. Absence of sole creases C. Breast bud of 1-2 mm in diameter D. Leathery, cracked, and wrinkled skin A client in the first trimester of pregnancy arrives at a health care clinic and reports that she has been experiencing vaginal bleeding. A threatened abortion is suspected, and the nurse instructs the client regarding management of care. Which statement, if made by the client, indicates a need for further education? * 1/1 A. “I will maintain strict bedrest throughout the remainder of pregnancy.” B. “I will avoid sexual intercourse until the bleeding has stopped, and for 2 weeks following the last evidence of bleeding.” C. “I will count the number of perineal pads used on a daily basis and note the amount and color of blood on the pad.” D. “I will watch for the evidence of the passage of tissue.” A multigravid client is admitted to the hospital with a diagnosis of ectopic pregnancy. The nurse anticipates that, because the client’s fallopian tube has not yet ruptured, which of the following may be ordered? * 1/1 A. Progestin contraceptives B. Medroxyprogesterone C. Methotrexate D. Dyphylline A 46-year-old woman tells the nurse that she has not had a menstrual period for 3 months and asks whether she is going into menopause. The best response by the nurse is: * 1/1 NURS HEALTH ASS EXAM QUESTIONS WITH 100% CORRECT AND VERIFIED ANSWERS 2023 UPDATE A. "Have you thought about using hormone replacement therapy?" B. "Most women feel a little depressed about entering menopause." C. "What was your menstrual pattern before your periods stopped?" D. "Since you are in your mid-40s, it is likely that you are menopausal." During apnea episodes, a nurse must: * 1/1 A. stroke infant’s sole of the foot. B. shake infant with force. C. attach infant to a ventilator. D. Perform resuscitation. At 16 weeks’ gestation, a pregnant client is admitted to the maternity unit to have a McDonald procedure (cerclage) done. When asked about the purpose for this procedure, the nurse answers correctly by explaining that this procedure is to: * 1/1 A. dilate the cervix. B. evaluate cephalopelvic disproportion. C. reinforce an incompetent cervix temporarily. D. reinforce an incompetent cervix permanently. Which of the following is the primary predisposing factor related to mastitis? * 1/1 A. Epidemic infection from nosocomial sources localizing in the lactiferous glands and ducts B. Endemic infection occurring randomly and localizing in the peri glandular connective tissue C. Temporary urinary retention due to decreased perception of the urge to avoid D. Breast injury caused by overdistention, stasis, and cracking of the nipples When developing a plan of care for a client newly diagnosed with gestational diabetes, which of the following instructions would be the PRIORITY? * 1/1 NURS HEALTH ASS EXAM QUESTIONS WITH 100% CORRECT AND VERIFIED ANSWERS 2023 UPDATE A nurse is developing a plan of care for a client experiencing dystocia and includes several nursing interventions in the plan of care. The nurse prioritizes the plan of care and selects which of the following nursing interventions as the highest priority? * 1/1 A. Keeping the significant other informed of the progress of the labor B. Providing comfort measures C. Monitoring fetal heart rate D. Changing the client’s position frequently A 24-year-old client, gravida III, para I, at 32 weeks’ gestation, is admitted to the hospital because of vaginal bleeding. After reviewing the client’s history, which of the following factors might lead the nurse to suspect abruptio placenta? * 1/1 A. one induced abortion B. history of cocaine use C. several hypotensive episodes D. previous low transeverse cesarean delivery A laboring woman becomes anxious during the transition phase of the first stage of labor and develops a rapid and deep respiratory pattern. She complains of feeling dizzy and light-headed. The nurse's immediate response would be to: * 1/1 A. encourage the woman to breathe more slowly. B. help the woman breathe into a paper bag. C. turn the woman on her side. D. administer a sedative. The physician orders intravenous Magnesium sulfate for a primigravid client at 38 weeks’ gestation diagnosed with severe preeclampsia. Which of the following medications would the nurse have readily available at the client’s bedside? * 0/1 A. 34-years-old NURS HEALTH ASS EXAM QUESTIONS WITH 100% CORRECT AND VERIFIED ANSWERS 2023 UPDATE A. Calcium gluconate B. Phenytoin C. Hydralazine D. diazepam An important nursing intervention in the care of a child with conjunctivitis is: * 1/1 A. administering oral antihistamine to minimize itching B. applying intermittent warm, moist compresses to remove crusts in the eye area C. applying continuous warm compresses to relieve discomfort D. administering optic cocrticosteroids to reduce inflammation A 34-year-old female is currently 16 weeks pregnant. You’re collecting the patient’s health history. She has the following health history: gravida 5, para 4, BMI 28, hypertension, depression, and family history of Type 2 diabetes. Select below all the risk factors in this scenario that increases this patient’s risk for developing gestational diabetes? SELECT ALL THAT APPLY. * 0/1 B. 16 weeks pregnant C. Gravida 5, para 4 D. BMI 28 E. Hypertension F. Depression G. Family history of Type 2 diabetes The nurse should inform the client with mastitis that the disorder is most commonly caused by which of the following organisms? * 1/1 A. Escherichia coli B. Group A beta-hemolytic streptococci (GBS) C. Staphylococcus aureus NURS HEALTH ASS EXAM QUESTIONS WITH 100% CORRECT AND VERIFIED ANSWERS 2023 UPDATE D. Streptococcus pyogenes NURS HEALTH ASS EXAM QUESTIONS WITH 100% CORRECT AND VERIFIED ANSWERS 2023 UPDATE B. Check the FHT, anticipate and set-up for oxygen therapy. C. Anticipate and set-up for emergency low cervical cesarean section. D. Elevate the foot of the bed, check cervical dilatation, check vital signs. A postpartum nurse is taking the vital signs of a woman who delivered a healthy newborn infant 4 hours ago. The nurse notes that the mother’s temperature is 100.2*F. Which of the following actions would be most appropriate? * 1/1 A. Retake the temperature in 15 minutes B. Notify the physician C. Document the findings D. Increase hydration by encouraging oral fluids Which of the following arteries primarily feeds the anterior wall of the heart? * 1/1 A. Circumflex artery B. Internal mammary artery C. Left anterior descending artery D. Right coronary artery All of the following are important in the immediate care of the premature neonate. Which nursing activity should have the greatest PRIORITY? * 1/1 A. Instillation of antibiotic in the eyes. B. Identification by bracelet and foot prints. C. Placement in a warm environment. D. Neurological assessment to determine gestational age. An 18-year-old primigravida gives birth at 38 weeks gestation via uncomplicated vaginal delivery. The baby weighs 1500 g and the placenta weighs 330 gm. No congenital anomalies are noted. Which of the following conditions is most likely to produce these findings? * 1/1 NURS HEALTH ASS EXAM QUESTIONS WITH 100% CORRECT AND VERIFIED ANSWERS 2023 UPDATE A. prematurity B. intrauterine growth retardation C. maternal diabetes mellitus D. abruptio placenta Respiratory distress syndrome is commonly caused by: * 1/1 A. decreased surfactant production B. hypothermia C. substernal retractions D. hyperbilirubinemia The factors that play a significant role in the causation of spontaneous abortion include: * 1/1 A. smoking, paternal factors, young age. B. competent cervix, high parity, heart defects. C. accidents, early pregnancy coitus, high parity. D. infection, defective ovum, diabetes mellitus, incompetent cervix. A nurse in the labor room is performing a vaginal assessment on a pregnant client in labor. The nurse notes the presence of the umbilical cord protruding from the vagina. Which of the following would be the initial nursing action? * 1/1 A. Place the client in Trendelenburg’s position B. Call the delivery room to notify the staff that the client will be transported immediately C. Gently push the cord into the vagina D. Find the closest telephone and stat page the physician You’re developing a plan of care for a patient who is at risk for the development of a deep vein thrombosis after surgery. What nursing intervention below would the nurse NOT include in the patient’s plan of care to prevent DVT formation? * B. Primigravida C. BMI 34 D. Pregnant with twins E. Maternal history of preeclampsia NURS HEALTH ASS EXAM QUESTIONS WITH 100% CORRECT AND VERIFIED ANSWERS 2023 UPDATE 1/1 A. The patient will eat all meals out of the bed daily by sitting in the bedside chair. B. The nurse will apply sequential compression devices (SCDs) per physician’s order to the patient’s lower extremities every night at bedtime. C. The nurse will administer per physician’s order Enoxaparin in the subcutaneous tissue of the abdomen. D. The patient will ambulate daily. A woman with a fetus in occipitoposterior position would commonly demonstrate which of the following? * 1/1 A. Acute chest pain B. Increased energy levels C. Intense back pressure D. Precipitate labor The nurse is teaching a client who has iron deficiency anemia about foods she should include in her diet. The nurse determines that the client understands the dietary instructions if she selects which of the following from her menu? * 1/1 A. Nuts and fish. B. Oranges and dark green leafy vegetables. C. Butter and margarine. D. Sugar and candy. Select all the risk factors below that increases a woman’s risk for developing preeclampsia: * 1/1 A. Nulligravida NURS HEALTH ASS EXAM QUESTIONS WITH 100% CORRECT AND VERIFIED ANSWERS 2023 UPDATE A. failure to ovulate. B. low sperm count. C. hostile cervical mucus. D. complications from sexually transmitted diseases. Option 5 Nurse Ching is observing 6-year-old Anna during a community visit. Which of the following findings would lead the nurse to suspect that Anna is a victim of sexual abuse? * 1/1 A. The child is fearful of the caregiver and other adults. B. The child has a lack of peer relationships. C. The child has self-injurious behavior. D. The child has interest in things of a sexual nature What notable sign may indicate increased intracranial pressure in an infant with hydrocephalus? * 0/1 A. Overflow voiding B. Bulging fontanel when crying C. High-pitched cry D. Minimal lower extremity movement Which of the following symptoms is common in asthma? * 1/1 A. Barking cough B. Bradycardia C. Dry, productive cough D. Wheezing What are the symptoms of cerebral palsy? * 1/1 A. Poor wound healing B. Dry hair C. weak hand grips D. Impaired coordination NURS HEALTH ASS EXAM QUESTIONS WITH 100% CORRECT AND VERIFIED ANSWERS 2023 UPDATE A. Baby doesn’t roll over in either direction? B. Baby cannot bring her hands together C. Baby has difficulty bringing her hands to her mouth D. All of the above A 1-day-old neonate hasn’t passed meconium. The nurse would assess this neonate for which of the following conditions? * 1/1 A. Umbilical hernia B. Celiac disease C. Gastroesophageal reflux D. Hirschsprung’s disease A nurse is performing a nutritional assessment on a 3-year old patient. Which of the following clinical findings are suggestive of malnutrition? SELECT ALL THAT APPLY * 1/1 After birth, early detection of hydrocephalus can be done by: * 0/1 A. monitoring the growth and development of the child. B. observing the signs and symptoms of hydrocephalus. C. checking the CSF drainage from ventricles down to the peritoneum. D. measuring the head circumference within 1 hour after birth and before discharge. While caring for a neonate with an imperforate anus, the nurse assesses the neonate’s urine output for which of the following? * NURS HEALTH ASS EXAM QUESTIONS WITH 100% CORRECT AND VERIFIED ANSWERS 2023 UPDATE 1/1 A. Bile B. Blood C. Acetone D. Meconium The nurse observes several interactions between a postpartum woman and her new son. What behavior, if exhibited by this woman, does the nurse identify as a possible maladaptive behavior regarding parent-infant attachment? * 1/1 A. Talks and coos to her son B. Seldom makes eye contact with her son C. Cuddles her son close to her D. Tells visitors how well her son is feeding Which of the following situations increase risk of lead poisoning in children? * 1/1 A. playing in the park with heavy traffic and with many vehicles passing by B. playing sand in the park C. playing plastic balls with other children D. playing with stuffed toys at home Strawberry tongue and maculopapular ("sandpaper") rash are commonly seen in what childhood exanthem? * 1/1 A. Varicella B. Roseola C. Impetigo D. Scarlet fever Which of the following structural defects involves the use of Logan bow postoperatively? * NURS HEALTH ASS EXAM QUESTIONS WITH 100% CORRECT AND VERIFIED ANSWERS 2023 UPDATE D. Basal body temperature B. An infant who contracted Hepatitis B at birth. NURS HEALTH ASS EXAM QUESTIONS WITH 100% CORRECT AND VERIFIED ANSWERS 2023 UPDATE To prevent trauma to the suture line of an infant who underwent cleft lip repair, the nurse would perform which of the following interventions? * 0/1 A. Maintain arm restrains. B. Place mittens on the infant’s hands. C. Not allowing the parents to touch the infant. D. Remove the lip device from the infant after surgery. Option 5 The nurse is admitting a client with suspected tuberculosis (TB) to the acute care unit. The nurse places the client in airborne precautions until a confirmed diagnosis of active TB can be made. Which of the following tests is a priority to confirm the diagnosis? * 1/1 A. Chest x-ray that is positive for lung lesions B. Positive purified protein derivative (PPD) test C. Sputum culture positive for Mycobacterium Tuberculosis D. Sputum positive for blood (hemoptysis) You’re educating a 15-year-old female about possible triggers for seizures. Which statement requires you to reeducate the patient about the triggers? * 1/1 A. “I’m at risk for seizure activity during my menstrual cycle.” B. “I will limit my alcohol intake to 2 glasses of wine per day.” C. “It’s important I get plenty of sleep.” D. “I will be sure to stay hydrated, especially during hot weather.” Which patients below are at risk for developing complications related to a chronic hepatitis infection, such as cirrhosis and liver cancer? Select all that apply: * 1/1 A. A 15-year-old male with Hepatitis A. NURS HEALTH ASS EXAM QUESTIONS WITH 100% CORRECT AND VERIFIED ANSWERS 2023 UPDATE C. A 18-year-old female with Hepatitis C who reports using IV drugs. D. A 17-year-old male with alcoholism and Hepatitis D. E. A 10-year-old who contracted Hepatitis E. A client has suffered a spinal cord injury after a fall. When he is brought in for care, the client experiences diaphoresis and headache. The nurse notes that his blood pressure is 174/102 mmHg. Which action should the nurse perform first? * 1/1 A. Raise the head of the bed, lower the legs, and remove constrictive clothing B. Apply hemodynamic monitoring C. Ask the client to perform the Valsalva maneuver D. Assess the client for fecal impaction The primary critical observation for Apgar scoring is the: * 1/1 A. Heart rate B. Respiratory rate C. Presence of meconium D. Evaluation of the Moro reflex Appropriate nursing interventions for a newborn's myelomeningocele sac prior to surgery include using sterile technique and: * 1/1 A. Leaving the sac open to air B. Applying petrolatum to cover the sac C. Applying moist saline dressings D. Applying dry dressings A child appears with a flat pink rash that first appeared on the trunk. Subsequently, the rash migrated to the rest of the body. Which of the following is the most likely cause? * 0/1 NURS HEALTH ASS EXAM QUESTIONS WITH 100% CORRECT AND VERIFIED ANSWERS 2023 UPDATE bronchodilators Option 5 NURS HEALTH ASS EXAM QUESTIONS WITH 100% CORRECT AND VERIFIED ANSWERS 2023 UPDATE The primary treatment of bacterial meningitis is: * 0/1 A. Antibiotic B. Corticosteroid C. Osmotic diuretic D. Anti-inflammatory agents Nurse Sol is assessing a parent who abused her child. Which of the following risk factors would the nurse expect to find in this case? * 1/1 A. Flexible role functioning between parents B. History of the parent having been abused as a child C. Single-parent home situation D. Presence of parental mental illness Which of the following instructions would Nurse Courtney include in a teaching plan that focuses on initial prevention for Sheri who is diagnosed with rheumatic fever? * 1/1 A. Treating streptococcal throat infections with an antibiotic B. Giving penicillin to patients with rheumatic fever C. Using corticosteroid to reduce inflammation D. Providing an antibiotic before dental work When a child displays scissors gait, he/she may have what type of cerebral palsy? * 1/1 A. Spastic B. Dyskinetic C. Mixed D. Ataxic B. Apply ice compresses to the nose. NURS HEALTH ASS EXAM QUESTIONS WITH 100% CORRECT AND VERIFIED ANSWERS 2023 UPDATE A patient is being discharged from the emergency department after being treated for epistaxis. In teaching the family first aid measures in the event the epistaxis would recur, what measures should the nurse suggest (select all that apply)? * 1/1 A. Tilt patient's head backwards. C. Tilt head forward while lying down. D. Pinch the entire soft lower portion of the nose. E. Partially insert a small gauze pad into the bleeding nostril. Betty is a 9-year-old girl diagnosed with cystic fibrosis. Which of the following must Nurse Archie keep in mind when developing a care plan for the child? * 1/1 A. Pulmonary secretions are abnormally thick. B. Elevated levels of potassium are found in the sweat. C. CF is an autosomal dominant hereditary disorder. D. Obstruction of the endocrine glands occurs. During assessment of a child with celiac disease, the nurse would most likely note which of the following physical findings? * 1/1 A. Enlarged liver B. Periorbital edema. C. Protuberant abdomen D. Tender inguinal lymph nodes During the acute stage of meningitis, a 3-year-old child is restless and irritable. Which of the following would be most appropriate to institute? * 1/1 A. Performing treatments quickly. B. Limiting conversation with the child.