Physical Assessment 1. The nurse is assessing a postoperative patient for signs of haemorrhage. Which adaptation is most indicative of shock? a. Hyperemia c. Irregular pulse b. Hypotension d. Slow respiration 2. The nurse is monitoring the vital signs of a group of patient. When reviewing these results, the nurse must remember that the body temperature usually is at its highest at: a. 12 AM – 2 AM b. 6 AM – 10 AM c. 4 PM – 6 PM d. 8 PM – 10 PM 3. When assessing bogborygmi, which physical examination method should the nurse use? a. Auscultation c. Inspection b. Percussion d. Palpation 4. The nurse plansto take a patient’s radial pulse. Which method of examination should be used by the nurse? a. Palpation c. Percussion b. Inspection d. Ausculration 5. Which nursing action is common to all instruments when taking a temperature? a. Identify the reading is below 35 ◦C before insertion b. Wash with cool soap and water after use c. Place a disposable sheath over the probe d. Ensure that the instrument is clean 6. The nurse concludes that a patient is experiencing hyperthermia. Which assessment precipitated this conclusion? a. Mental confusion c. Decrease heart rate b. Increase appetite d. Rectal temperature of 38.8 ◦C 7. The nurse in the emergency department is engaging in an initial assessment of a patient. Which assessment of a patient. Which assessment takes priority? a. Blood pressure b. Airway clearance c. Breathing pattern d. Circulatory status 8. The nurse is obtaining a patient’s blood pressure. Which information is most important for the nurse to document? a. Staff member who took the blood pressure b. Patient’stolerance to having the blood pressure taken c. Position of the patient if the patient is not in a sitting position d. Difference between the palpated and auscultated systolic readings 9. The nurse is teaching a cancer prevention community health class. Which recommended cancer screening guideline for asymptomatic non risk people should the nurse include? a. Pap smear annually for female 13 years of age and older b. Mammograms annually for women 30 years of age and older c. Prostate-specific antigens yearly for men 30 years of age and older d. Sigmoidoscopies every 5 years for patients 50 years and older 10. The nurse understands that the body heat production is increased by: a. Vasodilation c. Shivering b. Evaporation d. Radiation 11. The nurse is assessing a patient’s bilateral pulses for symmetry. However the nurse should not assess which pulse sites on both sides of the body at the same time? a. Radial b. Carotid c. Femoral d. Brachial 12. The nurse is caring for a patient who is experiencing an increase I n symptoms associated with multiple sclerosis. Which term best describes a recurrence of symptoms associated with chronic disease? a. Variance c. Adaptation b. Remission d. Exacerbation 13. The nurse in the clinic must obtain the vital signs of each patient before each patient is assessed by the practitioner. The nurse This study sosuhrcoeuwldasodbotwainnloaadteedmbpy e1r0a0t0u0r0e86v1ia88t9h2e82refrcotmalCroouurtseeHfoerroa.copmatioenn0t9:-10-2023 16:46:07 GMT -05:00 a. Who is a mouth breather c. With an intelligence of a seven-year-old child https://www.co bu . rsehWer io t . hco amh/f i i s le to/2 r0 y97 o7 f5 v9 o6m7/MitiC nN gP-FUNDAMENTALS-OF-NURSING-Practice-Te dst . -4-QWue hs otio cn asna nn odtC to or l r eec rattA en asw s e erms-L ia Ft oeswt-V lee r r ’ s s io pn o-2 s0 iti2 o3- n2024/