While the nurse is taking the history of a 68-year-old patient who sustained a head injury
3 days earlier, he tells the nurse that he is on a cruise ship and is 30 years old. What does
this finding indicate?
A Great sense of humor
B Decreased level of consciousness
C Uncooperative behavior
D Inability to understand questions
Give this one a try later!
B Decreased level of consciousness
,In obtaining a health history on a 74-year-old patient, the nurse notes that he drinks
alcohol daily and that he has noticed a tremor in his hands that affects his ability to hold
things. With this information, what response should the nurse make?
A "Does the tremor change when you drink alcohol?"
B "We'll do some tests to see what is causing the tremor."
C "You really shouldn't drink so much alcohol; it may be causing your tremor."
D "Does your family know you are drinking every day?"
Give this one a try later!
A "Does the tremor change when you drink alcohol?"
The nurse is assessing a patient with liver disease for jaundice. Which of these assessment
findings is indicative of true jaundice?
A Yellow color of the sclera that extends up to the iris
B Skin that appears yellow when examined under low light
C Yellow deposits on the palms and soles of the feet where jaundice first appears
D Yellow patches in the outer sclera
Give this one a try later!
A Yellow color of the sclera that extends up to the iris
,When the nurse is testing the triceps reflex, what is the expected response?
A Pronation of the hand
B Extension of the forearm
C Flexion of the forearm
D Flexion of the hand
Give this one a try later!
B Extension of the forearm
During ocular examinations, what should the nurse keep in mind regarding the
movement of the extraocular muscles?
A Is stimulated by CNs III, IV, and VI.
B Is stimulated by cranial nerves (CNs) I and II.
C Is impaired in a patient with cataracts.
D Is decreased in the older adult.
Give this one a try later!
A Is stimulated by CNs III, IV, and VI.
The nurse needs to find a fast way to assess patient's fine motor skills. Which skill will the
nurse ask the patient to perform?
Gait
Stand on one foot
, Bend over and touch toes
Turn one page at a time
Give this one a try later!
Turn one page at a time
A physician has diagnosed a patient with purpura. After leaving the room, a nursing
student asks the nurse what the physician saw that led to that diagnosis. What is the best
response by the nurse?
A "Fiery red, star-shaped marking on the cheek that has a solid circular center."
B "Confluent and extensive patch of petechiae and ecchymoses on the feet."
C "Blue dilation of blood vessels in a star-shaped linear pattern on the legs."
D "Tiny areas of hemorrhage that are less than 2 mm, round, discrete, and dark red in
color."
Give this one a try later!
B "Confluent and extensive patch of petechiae and ecchymoses on the feet."
Which of the following options reflect the definition of tolerance?
Physiological relies on the substance
Requires an increased amount of a substance to feel the same effect
Daily use to function
Ingestion causes changes to the central nervous system
3 days earlier, he tells the nurse that he is on a cruise ship and is 30 years old. What does
this finding indicate?
A Great sense of humor
B Decreased level of consciousness
C Uncooperative behavior
D Inability to understand questions
Give this one a try later!
B Decreased level of consciousness
,In obtaining a health history on a 74-year-old patient, the nurse notes that he drinks
alcohol daily and that he has noticed a tremor in his hands that affects his ability to hold
things. With this information, what response should the nurse make?
A "Does the tremor change when you drink alcohol?"
B "We'll do some tests to see what is causing the tremor."
C "You really shouldn't drink so much alcohol; it may be causing your tremor."
D "Does your family know you are drinking every day?"
Give this one a try later!
A "Does the tremor change when you drink alcohol?"
The nurse is assessing a patient with liver disease for jaundice. Which of these assessment
findings is indicative of true jaundice?
A Yellow color of the sclera that extends up to the iris
B Skin that appears yellow when examined under low light
C Yellow deposits on the palms and soles of the feet where jaundice first appears
D Yellow patches in the outer sclera
Give this one a try later!
A Yellow color of the sclera that extends up to the iris
,When the nurse is testing the triceps reflex, what is the expected response?
A Pronation of the hand
B Extension of the forearm
C Flexion of the forearm
D Flexion of the hand
Give this one a try later!
B Extension of the forearm
During ocular examinations, what should the nurse keep in mind regarding the
movement of the extraocular muscles?
A Is stimulated by CNs III, IV, and VI.
B Is stimulated by cranial nerves (CNs) I and II.
C Is impaired in a patient with cataracts.
D Is decreased in the older adult.
Give this one a try later!
A Is stimulated by CNs III, IV, and VI.
The nurse needs to find a fast way to assess patient's fine motor skills. Which skill will the
nurse ask the patient to perform?
Gait
Stand on one foot
, Bend over and touch toes
Turn one page at a time
Give this one a try later!
Turn one page at a time
A physician has diagnosed a patient with purpura. After leaving the room, a nursing
student asks the nurse what the physician saw that led to that diagnosis. What is the best
response by the nurse?
A "Fiery red, star-shaped marking on the cheek that has a solid circular center."
B "Confluent and extensive patch of petechiae and ecchymoses on the feet."
C "Blue dilation of blood vessels in a star-shaped linear pattern on the legs."
D "Tiny areas of hemorrhage that are less than 2 mm, round, discrete, and dark red in
color."
Give this one a try later!
B "Confluent and extensive patch of petechiae and ecchymoses on the feet."
Which of the following options reflect the definition of tolerance?
Physiological relies on the substance
Requires an increased amount of a substance to feel the same effect
Daily use to function
Ingestion causes changes to the central nervous system
