Post RN 1st Health Assessment
Post RN 1st Health Assessment
er.
Subj
:Heal
thassessment
.
Pasti
mpor
tantmcqs.
Pr
epar
edbyAbdul
lah.
[Link]
seSal
maknewt
hatGulkhanhasj
ustunder
goneanoper
ati
onwi
thani
nci
sionneart
he
di
aphr
[Link]
hatt
hiswi
llcont
ri
but
etosomecompl
icat
ionsl
[Link]
henshoul
d
dev
elopwhatt
ypeofnur
singdi
agnosi
s?
[Link] ual
[Link] obabl
e
c. Possibl
e
[Link]
2.I
nassessi
ngt
hecl
ient
’schest
,whi
chposi
ti
onbestshowchestexpansi
onaswel
lasi
ts
mov
ement
s?
[Link]
ing
[Link]
c. Si
delyi
ng
[Link]
[Link]
dthecl
ientt
esthi
sbl
oodsugarl
evel
sforgr
eat
eraccur
acy
?
[Link]
[Link]
c. Bef
oremeals
d.2Hour saf
termeal
s
4.I
npal
pat
ingt
hecl
ient
’sbr
east
,whi
choft
hef
oll
owi
ngposi
ti
oni
snecessar
yfort
hepat
ient
t
oassumebef
oret
hest
artoft
hepr
ocedur
e?
[Link]
[Link]
c. Si
tt
ing
[Link]
thot
omy
[Link]
sthebestt
imet
ocol
lectur
inespeci
menf
orr
out
ineur
inal
ysi
sandC/
S?
[Link]
[Link]
ernoon
c. Mi
dnight
[Link]
ast
[Link]
ethel
egci
rcumf
erenceofacl
ientwi
thbi
pedaledemai
sbestdonei
nwhatposi
ti
on?
[Link] r
ecumbent
[Link]
ing
c. St
anding
[Link]
7.I
npal
pat
ingt
hecl
ient
’sabdomen,
whi
choft
hef
oll
owi
ngi
sthebestposi
ti
onf
ort
hecl
ientt
o
assume?
[Link] salrecumbent
[Link] yi
ng
c. Supine
[Link]
[Link]
pat
ingt
hecl
ient
’sneckf
orl
ymphadenopat
hy,
wher
eshoul
dthenur
seposi
ti
on
hi
msel
f?
[Link]
’sback
[Link]
’sri
ghtsi
de
c. Att
heclient
’sl
eftsi
de
[Link]
ti
ngcli
ent
[Link]
choft
hef
oll
owi
ngi
sthebestposi
ti
onf
ort
hecl
ientt
oassumei
fthebacki
stobe
exami
nedbyt
henur
se?
[Link]
[Link]
ing
c. Si
delying
[Link]
[Link]
alexami
nat
ioni
sdonewi
thacl
ienti
nwhatposi
ti
on?
[Link] salr
ecumbent
[Link] t
ion
c. Supine
[Link]
11.I
ncleani
ngt
het
her
momet
eraf
teruse,
Thedi
rect
ionoft
hecl
eani
ngt
ofol
lowMedi
cal
Asepsi
sis:
[Link] bulbtostem
[Link] stem t
obul b
c. Fr
om stem t
ost em
[Link] bulbtobulb
[Link]
hef
oll
owi
ngst
atement
s,whi
chshoul
dbegi
vent
heHI
GHESTpr
ior
it
y?
[Link]
enti
sinext r
emepain
[Link]
ent’
sbloodpressur
eis60/
40
c. Cl
i
ent’
stemperatur
[Link]
igr
ade
[Link]
enti
scy anoti
c
[Link]
choft
hef
oll
owi
ngi
sanOBJECTI
VEdat
a?
[Link]
ness
[Link]
c. Anxi
ety
[Link]
s
[Link]
ouexpectf
rom Zeeshan,
whoi
scur
rent
lyatt
heONSETst
ageoff
ever
?
[Link] ,f
lushedskin
[Link]
rst
c. Convulsi
on
[Link],coldskin
15.I
fthecl
ienti
sfemal
e,andt
hedoct
ori
samal
eandt
hepat
ienti
saboutt
ounder
goa
v
agi
nalandcer
vicalexami
nat
ion,
whyi
sitnecessar
ytohav
eaf
emal
enur
sei
nat
tendance?
[Link] ethatt
hedoctorperfor
mst heproceduresaf
ely
[Link]
c. Toassessthecli
ent
’sresponsetoexaminati
on
[Link] ethatt
heprocedureisdoneinanet hi
calmanner
[Link]
ti
onf
oranypr
ocedur
ethati
nvol
vesv
agi
nalandcer
vicalexami
nat
ioni
s
[Link] salrecumbent
[Link] yi
ng
c. Supine
[Link]
[Link]
pmentwoul
dbenecessar
ytocompl
eteanev
aluat
ionofcr
ani
alner
ves9and10
dur
ingaphy
sicalassessment
?
[Link] tonbal
l
[Link] i
ght
c. Anophthal
moscope
[Link] onguedepressorandf
lashl
i
ght
18.I
facl
ientumbi
li
cusi
senl
argedandt
othel
eft-whati
sthi
sindi
cat
iveof
?
[Link] li
calherni
a
[Link]
c. I
ntr
aabdomi nalbl
eedi
ng
[Link] eat
it
is
19.I
fassessi
ngacl
ientf
orki
dneyt
ender
ness,
wher
ewoul
dyoubegi
n?
[Link]
cusst
hel
iv
erofanadul
t,wher
eshoul
dthenur
sebegi
ntheassessment
?
[Link] ghtupperquadrant
[Link] ghtl
owerquadr ant
c. Leftupperquadrant
[Link] tl
owerquadrant
[Link]
epar
ingt
oassesstheabdomenofahospi
tal
izedcl
ient2day
saf
ter
abdominalsur
gery
.Thenurseshoul
dfi
rst
[Link]
onsi t
e
[Link] sounds
c. Per
cussf orty
mpany
[Link] nalarea
[Link]
pat
etender
nessofanadul
t'
sappendi
x,wher
eshoul
dyoubegi
n?
[Link]
owerquadrant
[Link]
c. Ri
ghtl
owerquadr ant
[Link]
[Link]
sei
spl
anni
ngt
oassesst
heabdomenofanadul
tmal
[Link]
dbedonef
ir
st?
[Link]
oempt ybladder
[Link]
entinsi
de-ly
ingposit
ion
c. Askcl
ientt
ohol dhi
sbreathforafewseconds
[Link]
i
enttoraisearmsabov ethehead
[Link]
pat
ethespl
een,
wher
eshoul
dyoubegi
ntheassessment
?
[Link] ghtupperquadrant
[Link] ghtl
owerquadr ant
c. Leftupperquadrant
[Link] tl
owerquadrant
[Link]
ienthasexper
iencedhemat
emesi
s,whati
sthi
s?
[Link]
ntheuri
ne
[Link]
nthevomit(emesi
s)
c. Bl
oodi
nthestool
[Link]
nthesputum
[Link]
sist
hesoundofanor
mall
ung
[Link] perresonance
[Link]
c. Dul
lness
[Link]
[Link]
siswhati
shear
dwheny
ouper
cusst
hel
iv
er
[Link]
perr
esonance
[Link]
c. Dul
l
ness
d. Fl
atness
[Link]
scol
orcanr
esul
tfr
om bl
oodl
oss,
lackofci
rcul
ati
on,
anemi
a,anexi
tyorf
ear
,col
d,
ci
gar
ett
esmoki
ng
a. Cy
anosi
s
b. Pal
l
or
c. Jaundi
ce
[Link]
ythema
[Link]
imeper
iodwoul
dthenur
senot
if
ytheheal
thcar
epr
ovi
dert
hatt
hecl
ienthadno
bowelsounds?
a.3minut
es
b.5minut
es
c. 2mi
nut
es
d.4minut
es
[Link]
cht
erm woul
dthenur
seuset
odocumentpai
natonesi
tet
hati
sper
cei
vedi
not
her
si
te?
[Link] om pai
n
[Link] t
ermathofpai
n
c. Refer
redpain
[Link]
actabl
epain
[Link]
yhi
rednur
seFat
imai
sexci
tedt
oper
for
m herv
eryf
ir
stphy
sicalassessmentwi
tha
19-
year
-ol
dcl
ient
.Whi
chassessmentexami
nat
ionr
equi
resFat
imat
oweargl
oves?
[Link]
egumentar
y
[Link]
c. Or
al
[Link]
mic
[Link]
ngt
hel
owerext
remi
ti
esf
orar
ter
ialf
unct
ion,
whi
chi
nter
vent
ionshoul
dthe
nur
seper
for
m?
[Link]
ses
[Link] f
ormi ngAll
en’
stest
c. Assessingthemedialmal
l
eol
iforpi
tt
ingedema
[Link] ngtheHomans’si
gn
[Link]
oraphysi
calassessment
.Whenper
cussi
ngthecli
ent’
s
chest
,thenursewoul
dexpecttof
indwhi
chassessmentdataasanor
malsignoverhi
slungs?
[Link] perresonance
[Link]
c. Ty
mpany
[Link]
[Link]
lect
ionofdat
aaboutani
ndi
vi
dual
'
sheal
thst
ate
[Link]
ivedat
a
[Link]
c. Dat
abase
[Link]
ivedat
a
[Link]
sonsay
sabouthi
msel
forher
sel
fdur
inghi
stor
ytaki
ng
[Link] agnosti
creasoni
ng
[Link] ecti
vedata
c. Subject
ivedata
d..Assessment ,di
agnosi
s,out
comei
dent
if
icat
ion,
planni
ng,
impl
ement
ati
on,
and
evaluat
ion
[Link]
ini
calj
udgment
saboutaper
son'
sresponset
oanact
ualorpot
ent
ialheal
thst
ate
[Link]
cdata
[Link] st
ory
c. Nur
singdiagnosi
s
[Link] hemedi
cal
model
whenwor
kingi
nter
dependent
ly
[Link]
ntemper
atur
eisbestdonebyuseoft
henur
se’
s?
[Link]
ms
[Link]
ngert
ips
c. El
bow
[Link]
sum oft
hef
inger
s/hand
[Link]
dexpectt odev
elopcrepi
tusi
napat
ientwi
thost
eoar
thr
it
isoft
heknee
duri
ngwhichphysi
calassessmenttechni
que?
[Link]
pat
ion
[Link]
cussi
on
c. I
nspect
ion
[Link]
tat
ion
[Link]
sicalexami
nat
iont
echni
quesi
sasf
oll
ow.
a.I
nspect
ion,
pal
pat
ion,
auscul
tat
ionandper
cussi
on
b.I
nspect
ion,
pal
pat
ion,
per
cussi
onandauscul
tat
ion
c. I
nspect
ion,
auscul
tat
ion,
pal
pat
ionandper
cussi
on
[Link]
[Link]
or,
size,
shape,
posi
ti
onandsy
mmet
rycanbeassessedusi
ng
a.I
nspect
ion
[Link]
pat
ion
c. Per
cussi
on
[Link]
tat
ion
[Link]
hef
oll
owi
ngassessmenti
snotconsi
der
edpal
pat
ionofski
n
[Link]
atur
e
[Link]
st
c. Text
ure
[Link]
42.
Nor
malcol
orofnai
lis
[Link]
uish
[Link]
nki
sh
c. Yel
l
owi
sh
[Link]
k
[Link]
.Tebani
sa73-
yearol
dpat
ientdi
agnosedwi
thpneumoni
[Link]
chdat
awoul
dbeof
gr
eat
estconcer
ntot
henur
sewhencompl
eti
ngt
henur
singassessmentoft
hepat
ient
?
[Link]
ertandor
ient
edt
odat
e,t
ime,
andpl
ace
[Link]
cyanosi
sandcapi
l
lar
yref
il
lgr
eat
ert
han3seconds
[Link]
earbr
eat
hsoundsandnonpr
oduct
ivecough
[Link]
obi
nconcent
rat
ionof13g/
dlandl
eukocy
tecount5, mm3
300/
[Link]
ingt
henur
singassessment
,whi
chdat
arepr
esenti
nfor
mat
ionconcer
ningheal
th
bel
ief
s?
[Link]
l
yrol
eandr
elat
ionshi
ppat
ter
ns
[Link]
ional
lev
elandf
inanci
alst
atus
[Link]
omot
ive,
prev
ent
ive,
andr
est
orat
iveheal
thpr
act
ices
[Link]
escr
ibedandov
er-
the-
count
ermedi
cat
ions
[Link]
seJami
lisacqui
ri
ngi
nfor
mat
ionf
rom acl
ienti
ntheemer
gencydepar
tment
.Whi
chi
s
anexampl
eofbi
ogr
aphi
cinf
ormat
iont
hatmaybeobt
aineddur
ingaheal
thhi
stor
y?
[Link]
efcompl
aint
[Link]
thst
atus
[Link]
stor
yimmuni
zat
ions
[Link]
ionofanadv
ancedi
rect
ive
[Link]
teoi
sdi
agnosedwi
thdehy
drat
ionandunder
wentser
iesoft
est
[Link]
chl
abor
ator
y
r
esul
twoul
dwar
ranti
mmedi
atei
nter
vent
ionbyt
henur
se?
[Link]
um sodi
um l
evel
of138mEq/
L
[Link]
um pot
assi
um l
evel
of3.
1mEq/
L
[Link]
um gl
ucosel
evel
of120mg/
dl
d.
Ser
um cr
eat
ini
nel
evel
of0.
6mg/
100ml
[Link]
seRenori
saboutt
oper
for
m Romber
g’st
estt
ozaki
[Link]
ethel
att
er’
ssaf
ety
,
whi
chi
nter
vent
ionshoul
dnur
seRenori
mpl
ement
?
[Link]
l
owi
ngt
hecl
i
entt
okeephi
sey
esopen
[Link]
ingt
hecl
i
enthol
dont
ofur
nit
ure
[Link]
ti
ngt
hecl
i
entspr
eadhi
sfeetapar
t
[Link]
andi
ngcl
oset
opr
ovi
desuppor
t
[Link]
aluat
ingt
heapi
calpul
sei
sthemostr
eli
abl
enoni
nvasi
vewayt
oassesscar
diacf
unct
ion.
Whi
chi
sthebestar
eaf
orauscul
tat
ingt
heapi
calpul
se?
[Link]
ti
car
ch
[Link]
moni
car
ea
[Link]
icuspi
dar
ea
[Link]
tr
alar
ea
[Link]
malcapi
ll
aryr
efi
lldur
ati
oni
s
[Link]
han1sec
[Link]
han3sec
c. Lesst
han10sec
[Link]
ethan10sec
[Link]
choft
hef
oll
owi
ngar
ethet
ypesofassessment
a.I
nit
ial
[Link]
c. Emer
gency
[Link]
loft
heabov
e
[Link]
choft
hef
oll
owi
ngi
sanopenendedquest
ion?
[Link]
oughty
oui
ntoday
?
[Link]
edoesi
thur
t?
c. Hav
eyoubeenchecki
ngy
ourbl
oodpr
essur
e?
[Link]
hel
astt
imey
ouwer
eseenby
?
[Link]
chofthefol
lowi
ngisthemostbasi
cfunct
ionandt
her
efor
eshoul
dbet
est
edf
ir
st
i
nanassessmentofmentalstat
us?
[Link]
ior
[Link]
ousness
c. Judgment
[Link]
[Link]
a,a68-
year
-ol
dwi
dower
,hasbeenst
ri
ckenwi
thcat
aract
sabouty
[Link]
ch
assessmentdat
ewoul
dthenur
seexpectwhencol
lect
ingt
henur
singhi
stor
yfr
om t
hecl
ient
?
[Link]
urr
edv
isi
on
[Link]
epai
n
[Link]
oat
ers
[Link]
eredness
[Link]
chassessmentdat
awoul
dthenur
seexpectast
hechi
efcompl
aintf
rom acl
ientwho
i
sexper
ienci
nganacut
eexacer
bat
ionofMéni
ère’
sdi
sease?
[Link]
ti
go
[Link]
zzi
ness
[Link]
ereearpai
n
[Link]
ness
[Link]
sdi
agnosedwi
thar
eti
naldet
achmentatt
hei
nneraspectoft
her
ightey
e.I
ntowhi
ch
posi
ti
onwoul
dthenur
sepl
acet
hecl
i
ent
?
[Link]
er’
sposi
ti
on
[Link]
newi
thasmal
lpi
l
low
[Link]
ght
-si
del
yi
ng
[Link]
t-
sidel
yi
ng
[Link]
ientcompl
aini
ngofper
iocul
arachi
ngaf
terasur
gicalr
epai
rofadet
achedr
eti
na,
whi
chmedi
cat
ionwoul
dbet
hemostappr
opr
iat
eanal
gesi
c?
[Link]
ami
nophen
[Link]
ne
[Link]
idi
ne
[Link]
phi
ne
57.An8-
year
-ol
dboyi
sret
urnedt
ohi
sroom f
oll
owi
ngat
onsi
ll
ect
omy
.Her
emai
nssl
eepy
f
rom t
heanest
hesi
abuti
seasi
[Link]
seshoul
dpl
acet
hechi
ldi
nwhi
choft
he
f
oll
owi
ngposi
ti
ons?
[Link]
ms’
[Link]
de-
ly
ing
[Link]
ne
[Link]
one
[Link]
let
heexami
nerisi
nspecti
ngthet
hroatofacli
entwit
hat onguebl
ade,
thecl
ient
begi
nst
[Link]
hisresponsei
ndi
catetotheexaminer
?
[Link]
i
enti
snauseat
ed.
[Link]
i
enthasner
vedamaget
othet
ongue.
c. Thecl
i
enthasamal
funct
ioni
ngresponse.
[Link]
enthasaf
uncti
oni
ngresponse.
[Link]-
li
ned,ai
r-
fi
ll
edcavit
iest
hatsur
roundthenasalcav
ityandper
for
mthesameai
r-
processi
ngf
uncti
onsoffil
tr
ati
on,moist
eni
ng,andwarming
[Link]
s
[Link]
[Link]
[Link]
nuses
[Link]
choft
hef
oll
owi
ngst
atement
sist
rue?
[Link]
nisoneoft
hesmal
l
estor
gansoft
hebody
[Link]
nist
hel
argestor
ganoft
hebody
[Link]
nisat
issue
[Link]
nist
hesmal
l
estor
ganoft
hebody
[Link]
ethepur
posesofaphy
sicalexami
nat
ion?
a.
Toobt
ainbasel
i
nedat
a
[Link]
if
ynursi
ngdiagnoses
[Link]
hestat
usofapr evi
ousl
yident
if
iedpr
obl
em
[Link]
loftheabove
[Link]
ethecomponent
sofagener
alsur
vey
?
[Link]
or
[Link]
[Link]
ghtandWei ght
[Link]
loftheabove
[Link]
ngacardi
acexaminat
ion,
thenur
secanbestheart
heS1hear
tsound bypl
aci
ngt
he
stet
hoscopeatt
hecl
ient
s?
[Link]
[Link]
cv al
vearea
[Link]
[Link]
eftint
erspace
[Link]
sbodypar
tisbestusedt
oassesspul
sat
ion,
text
ure,
shape,
size&consi
stency
[Link]
nger
ti
ps
[Link]
[Link]
m ofhand
[Link]
ssoundi
shear
dwheny
ouper
cussy
ourpuf
fedoutchecks
[Link]
atness
[Link]
[Link]
[Link]
[Link]
chi
ndi
vi
duali
satgr
eat
estr
iskf
ordev
elopi
nghy
per
tensi
on?
a.45-
year
-ol
dAf
ri
canAmer
icanat
tor
ney
b.60-
year
-ol
dAsi
anAmer
icanshopowner
c.40-
year
-ol
dCaucasi
annur
se
d.55-
year
-ol
dHi
spani
cteacher
[Link]
ldwhoi
ngest
ed15maxi
mum st
rengt
hacet
ami
nophent
abl
ets45mi
nut
esagoi
s
seeni
ntheemer
gencydepar
tment
.Whi
choft
heseor
der
sshoul
dthenur
sedof
ir
st?
[Link]
ri
clav
agePRN
[Link]
ylcy
stei
ne(
Mucomy
st)f
orageperphar
macy
[Link]
artanI
VDext
rose5%wi
th0.
33%nor
mal
sal
i
net
okeepv
einopen
[Link]
ivat
edchar
coal
perphar
macy
[Link]
ienti
sadmi
tt
edt
otheemer
gencyr
oom wi
thr
enalcal
cul
iandi
scompl
aini
ngof
moder
atet
osev
eref
lankpai
[Link]
ient
’st
emper
atur
eis100.
8degr
ees
Fahr
enhei
[Link]
ior
it
ynur
singgoalf
ort
hiscl
ienti
s:
[Link]
ntai
nfl
uidandel
ect
rol
ytebal
ance
[Link]
rol
nausea
[Link]
n
[Link]
eventur
inar
ytr
acti
nfect
ion
[Link]
sepr
act
ici
ngi
namat
erni
tyset
ti
ngr
ecogni
zest
hatt
hepostmat
uref
etusi
satr
isk
duet
o
[Link]
vef
etal
wei
ght
[Link]
oodsugarl
evel
s
[Link]
eti
onofsubcut
aneousf
at
[Link]
ogr
essi
vepl
acent
ali
nsuf
fi
ciency
[Link]
ienthasunder
goneUpperGIandLowerGIser
[Link]
cht
ypeofheal
thassessment
f
ramewor
kisusedi
nthi
ssi
tuat
ion?
[Link]
ional
heal
thf
ramewor
k
[Link]
otoef
ramewor
k
[Link]
stem f
ramewor
k
[Link]
ocaudal
framewor
k
key
s: 17d
18a
36c
37d
55d
56a
19d 38a 57b
1d 20a 39b 58d
2a 21d 40a 59d
3c 22c 41d 60b
4a 23a 42b 61d
5a 24c 43b 62d
6a 25b 44c 63c
7a 26d 45d 64a
8a 27c 46b 65b
9a 28b 47d 66a
10b 29b 48d 67a
11b 30c 49b 68c
12d 31c 50d 69d
13d 32a 51a 70c
14d 33b 52b
15d 34b 53a
16d 35c 54a