NURS 6101 Bates 13th Edition Health Assessment Questions
With Complete Solutions
10. A 13-year-old girl is interested in obtaining information
about the cause of her acne. The nurse should share with her that
acne:
a Is contagious.
b Has no known cause.
c Is caused by increased sebum production.
d Has been found to be related to poor hygiene. Correct Answers
ANS: C
Approximately 90% of males and 80% of females will develop
acne; causes are increased sebum
production and epithelial cells that do not desquamate normally.
10. A 25-year-old woman in her fifth month of pregnancy has a
blood pressure of 100/70 mm Hg. In reviewing her previous
examination, the nurse notes that her blood pressure in her
second month was 124/80 mm Hg. In evaluating this change,
what does the nurse know to be true?
a This decline in blood pressure is the result of peripheral
vasodilatation and is an expected change.
b Because of increased cardiac output, the blood pressure should
be higher at this time.
c This change in blood pressure i Correct Answers ANS: A
Despite the increased cardiac output, arterial blood pressure
decreases in pregnancy because of
peripheral vasodilatation. The blood pressure drops to its lowest
point during the second
trimester and then rises after that.
,10. A patient has been in the intensive care unit for 10 days. He
has just been moved to the medical-surgical unit, and the
admitting nurse is planning to perform a mental status
examination. During the tests of cognitive function, the nurse
would expect that he:
a May display some disruption in thought content.
b Will state, I am so relieved to be out of intensive care.
c Will be oriented to place and person, but the patient may not
be certain of the date.
d May show evidence of some clouding Correct Answers ANS:
C
The nurse can discern the orientation of cognitive function
through the course of the interview or
can directly and tactfully ask, Some people have trouble keeping
up with the dates while in the
hospital. Do you know todays date? Many hospitalized people
have trouble with the exact date
but are fully oriented on the remaining items.
10. A patient has hypoactive bowel sounds. The nurse knows
that a potential cause of hypoactive bowel sounds is:
a Diarrhea.
b Peritonitis.
c Laxative use.
d Gastroenteritis. Correct Answers ANS: B
Diminished or absent bowel sounds signal decreased motility
from inflammation as exhibited
,with peritonitis, with paralytic ileus after abdominal surgery, or
with late bowel obstruction.
10. A woman is in the clinic for an annual gynecologic
examination. The nurse should plan to begin the interview with
the:
a. Menstrual history, because it is generally nonthreatening.
b. Obstetric history, because it includes the most important
information.
c. Urinary system history, because problems may develop in this
area as well.
d. Sexual history, because discussing it first will build rapport.
Correct Answers ANS: A
Menstrual history is usually nonthreatening and therefore a good
topic with which to begin the interview. Obstetric, urinary, and
sexual histories are also part of the interview but not necessarily
the best topics with which to start.
10. An older man is concerned about his sexual performance.
The nurse knows that in the absence of disease, a withdrawal
from sexual activity later in life may be attributable to:
a Side effects of medications.
b Decreased libido with aging.
c Decreased sperm production.
d Decreased pleasure from sexual intercourse. Correct Answers
ANS: A
In the absence of disease, a withdrawal from sexual activity may
be attributable to side effects of
, medications such as antihypertensives, antidepressants,
sedatives, psychotropics, antispasmotics,
tranquilizers or narcotics, and estrogens. The other options are
not correct.
10. The nurse is reviewing the technique of palpating for tactile
fremitus with a new graduate. Which statement by the graduate
nurse reflects a correct understanding of tactile fremitus?
Tactile fremitus:
a Is caused by moisture in the alveoli.
b Indicates that air is present in the subcutaneous tissues.
c Is caused by sounds generated from the larynx.
d Reflects the blood flow through the pulmonary arteries.
Correct Answers ANS: C
Fremitus is a palpable vibration. Sounds generated from the
larynx are transmitted through patent
bronchi and the lung parenchyma to the chest wall where they
are felt as vibrations. Crepitus is
the term for air in the subcutaneous tissues.
10. The nurse is teaching a pregnant woman about breast milk.
Which statement by the nurse is correct?
a Your breast milk is immediately present after the delivery of
your baby.
b Breast milk is rich in protein and sugars (lactose) but has very
little fat.
c The colostrum, which is present right after birth, does not
contain the same
nutrients as breast milk.
With Complete Solutions
10. A 13-year-old girl is interested in obtaining information
about the cause of her acne. The nurse should share with her that
acne:
a Is contagious.
b Has no known cause.
c Is caused by increased sebum production.
d Has been found to be related to poor hygiene. Correct Answers
ANS: C
Approximately 90% of males and 80% of females will develop
acne; causes are increased sebum
production and epithelial cells that do not desquamate normally.
10. A 25-year-old woman in her fifth month of pregnancy has a
blood pressure of 100/70 mm Hg. In reviewing her previous
examination, the nurse notes that her blood pressure in her
second month was 124/80 mm Hg. In evaluating this change,
what does the nurse know to be true?
a This decline in blood pressure is the result of peripheral
vasodilatation and is an expected change.
b Because of increased cardiac output, the blood pressure should
be higher at this time.
c This change in blood pressure i Correct Answers ANS: A
Despite the increased cardiac output, arterial blood pressure
decreases in pregnancy because of
peripheral vasodilatation. The blood pressure drops to its lowest
point during the second
trimester and then rises after that.
,10. A patient has been in the intensive care unit for 10 days. He
has just been moved to the medical-surgical unit, and the
admitting nurse is planning to perform a mental status
examination. During the tests of cognitive function, the nurse
would expect that he:
a May display some disruption in thought content.
b Will state, I am so relieved to be out of intensive care.
c Will be oriented to place and person, but the patient may not
be certain of the date.
d May show evidence of some clouding Correct Answers ANS:
C
The nurse can discern the orientation of cognitive function
through the course of the interview or
can directly and tactfully ask, Some people have trouble keeping
up with the dates while in the
hospital. Do you know todays date? Many hospitalized people
have trouble with the exact date
but are fully oriented on the remaining items.
10. A patient has hypoactive bowel sounds. The nurse knows
that a potential cause of hypoactive bowel sounds is:
a Diarrhea.
b Peritonitis.
c Laxative use.
d Gastroenteritis. Correct Answers ANS: B
Diminished or absent bowel sounds signal decreased motility
from inflammation as exhibited
,with peritonitis, with paralytic ileus after abdominal surgery, or
with late bowel obstruction.
10. A woman is in the clinic for an annual gynecologic
examination. The nurse should plan to begin the interview with
the:
a. Menstrual history, because it is generally nonthreatening.
b. Obstetric history, because it includes the most important
information.
c. Urinary system history, because problems may develop in this
area as well.
d. Sexual history, because discussing it first will build rapport.
Correct Answers ANS: A
Menstrual history is usually nonthreatening and therefore a good
topic with which to begin the interview. Obstetric, urinary, and
sexual histories are also part of the interview but not necessarily
the best topics with which to start.
10. An older man is concerned about his sexual performance.
The nurse knows that in the absence of disease, a withdrawal
from sexual activity later in life may be attributable to:
a Side effects of medications.
b Decreased libido with aging.
c Decreased sperm production.
d Decreased pleasure from sexual intercourse. Correct Answers
ANS: A
In the absence of disease, a withdrawal from sexual activity may
be attributable to side effects of
, medications such as antihypertensives, antidepressants,
sedatives, psychotropics, antispasmotics,
tranquilizers or narcotics, and estrogens. The other options are
not correct.
10. The nurse is reviewing the technique of palpating for tactile
fremitus with a new graduate. Which statement by the graduate
nurse reflects a correct understanding of tactile fremitus?
Tactile fremitus:
a Is caused by moisture in the alveoli.
b Indicates that air is present in the subcutaneous tissues.
c Is caused by sounds generated from the larynx.
d Reflects the blood flow through the pulmonary arteries.
Correct Answers ANS: C
Fremitus is a palpable vibration. Sounds generated from the
larynx are transmitted through patent
bronchi and the lung parenchyma to the chest wall where they
are felt as vibrations. Crepitus is
the term for air in the subcutaneous tissues.
10. The nurse is teaching a pregnant woman about breast milk.
Which statement by the nurse is correct?
a Your breast milk is immediately present after the delivery of
your baby.
b Breast milk is rich in protein and sugars (lactose) but has very
little fat.
c The colostrum, which is present right after birth, does not
contain the same
nutrients as breast milk.
