1. When a patient exhibits extreme swaying when they stand with feet together, arms at the side, and eyes closed....how would you document this finding? a) Ataxia b) Positive Homan's sign c) Positive Allen's test d) Positive Romberg's sign - ANSd) Positive Romberg's sign 2. Costovertebral angle tenderness is indicative of what condition? a) gallbladder disease b) kidney inflammation c) liver enlargement d) spleen enlargement - ANSb) kidney inflammation 3. Having the patient bend from the waist while you observe the scapula for symmetry is a good technique to test for... a) osteopororis b) lordosis c) scoliosis d) ataxia - ANSc) scoliosis 4. What function does the vagus nerve serve? a) It is the nerve which regulates autonomic control of skin temperature b) It is the major sympathetic nerve in the body, causing flight or fight c) It is the major parasympathetic nerve in the body, decreasing heart rate d) It causes the uvula to deviate to the left when a person says "AH" - ANSc) It is the major parasympathetic nerve in the body, decreasing heart rate 5. What is involved in a functional assessment of an elderly client? a) ask the client's physician for information on the client's ability b) observe their ability to perform tasks c) review the medical records for information on the client's ability d) ask the wife about the client's ability to perform tasks - ANSb) observe their ability to perform tasks 6. What is the cause of a women wetting herself when sneezing? a) urge incontinence b) stress incontinence c) kidney stone d) urinary tract infection - ANSb) stress incontinence 7. Curd-like, white vaginal discharge with vaginal pruritis is indicative of what? a) herpes b) yeast c) syphillis d) gonorrhea - ANSb) yeast 8. The nurse knows resonance in the left lower lobe when percussing the client's posterior thorax is due to... a) normal lung tissue b) pneumothorax c) chronic bronchitis d) shallow breathing - ANSa) normal lung tissue 9. The following symptoms are indicative of what disease process? 10. -difficulty breathing 11. -sharp pain in left chest 12. -decreases tactile fremitus on left chest 13. -asymmetrical chest expansion 14. -tachypnea a) pneumonia b) bronchitis c) asthma d) pneumothorax - ANSd) pneumothorax 15. Which of the following clinical findings is suggestive of rheumatoid arthritis? a) heberden nodes b) swan-neck deformities c) dupuytren contractures d) bouchard nodes - ANSb) swan-neck deformities 16. What condition would cause tenting of the skin? a) scleroderma b) diabetes c) heart disease d) vomiting and diarrhea - ANSd) vomiting and diarrhea 17. A blood pressure of 144/94 is what stage of hypertension? a) stage 2 b) stage 3 c) stage 1 d) normal - ANSc) stage 1 18. A grade I murmur is .... a) heard best over the apex b) usually pathological c) easily noted with the bell of the stethoscope d) barely audible - ANSd) barely audible 19. Which finding is suggestive of poor circulation? a) 2+ pedal pulses b) hair present on toes c) immediate blanching of nails d) capillary refill of 3 seconds - ANSd) capillary refill of 3 seconds 20. Which finding is suggestive of copd? a) unequal chest expansion b) increased tactile fremitus c) equal anterior to posterior and transverse diameters d) oxygen saturation 98% - ANSc) equal anterior to posterior and transverse diameters 21. What is normal when performing a respiratory assessment of an elderly client? a) bronchovesicular breath sounds in all lung fields b) decreased ant-posterior diameter c) hyper-resonance in all lung fields d) decreased thorax mobility - ANSd) decreased thorax mobility 22. What is true concerning air conduction? a) pitch is determined by sound amplitude b) air conduction>bone conduction c) it is caused by skull vibrations d) air conductionbone conduction 23. When palpating an abdomen, the nurse feels a large, pulsating 6-cm mass above the umbilicus. What is the most appropriate next step? a) encourage the client to schedule an appointment with the primary provider within the next month b) refer the client to a surgeon for hernia repair c) stop palpating and get the primary provider involved d) percuss the mass to determine borders - ANSc) stop palpating and get the primary provider involved