Health Assessment (Final Exam Review;
Jarvis 6th Ed.)
1. A 45-year-old mother of two children is seen at the clinic for complaints of
"losing my urine when I sneeze." The nurse documents that she is
experiencing:
A. enuresis.
B. stress incontinence.
C. urinary frequency.
D. urge incontinence.
2. A 70-year-old patient tells the nurse that he has noticed that he is having
trouble hearing, especially in large groups. He says he "can't always tell where
the sound is coming from" and the words often sound "mixed up." What
might the nurse suspect as the cause for this change?
A. Cilia becoming coarse and stiff
B. Nerve degeneration in the inner ear
C. Scarring of the tympanic membrane
D. Atrophy of the apocrine glands
3. A 70-year-old woman tells the nurse that every time she gets up in the
morning or after she's been sitting she gets "really dizzy" and feels like she is
going to fall over. The nurse's best response would be:
A. "I'll refer you for a complete neurologic examination."
B. "Have you been extremely tired lately?"
C. "You need to get up slowly when you've been lying or sitting."
D. "You probably just need to drink more liquids."
4. A nurse notices that a patient has ascites, which indicates the presence of:
A. flatus.
B. feces.
C. fibroid tumors.
D. fluid.
5. A patient has been admitted to the hospital with vertebral fractures related
to osteoporosis. She is in extreme pain. This type of pain would be classified
as:
A. deep somatic.
B. visceral.
, C. cutaneous.
D. referred.
6. A patient has had three pregnancies and two live births. The nurse would
record this information as gravida , para , AB .
A. 3; 2; 1
B. 2; 2; 1
C. 3; 2; 0
D. 3; 3; 1
7. A patient is unable to differentiate between sharp and dull stimulation to
both sides of her face. The nurse suspects:
A. scleroderma.
B. Bell's palsy.
C. damage to the trigeminal nerve.
D. frostbite with resultant paresthesia to the cheeks.
8. A patient states that the pain medication is "not working" and rates his
postoperative pain at a 10 on a 1 to 10 scale. Which of these assessment
findings indicates an acute pain response to poorly controlled pain?
A. Increased blood pressure and pulse
B. Confusion
C. Hyperventilation
D. Depression
9. A patient with a middle ear infection asks the nurse, "What does the middle
ear do?" The nurse responds by telling the patient that the middle ear
functions to:
A. interpret sounds as they enter the ear.
B. conduct vibrations of sounds to the inner ear.
C. maintain balance.
D. increase amplitude of sound for the inner ear to function.
10. A patient with lack of oxygen to his heart will have pain in his chest and
possibly the shoulder, arms, or jaw. The nurse knows that the statement that
best explains why this occurs is which of these?
A. The lack of oxygen in his heart has resulted in decreased amount of oxygen to the areas
experiencing pain.
B. There is a lesion in the dorsal root that is preventing the sensation from being transmitted
normally.
C. The sensory cortex does not have the ability to localize pain in the heart, so the pain is felt
elsewhere.
D. There is a problem with the sensory cortex and its ability to discriminate the location.
Jarvis 6th Ed.)
1. A 45-year-old mother of two children is seen at the clinic for complaints of
"losing my urine when I sneeze." The nurse documents that she is
experiencing:
A. enuresis.
B. stress incontinence.
C. urinary frequency.
D. urge incontinence.
2. A 70-year-old patient tells the nurse that he has noticed that he is having
trouble hearing, especially in large groups. He says he "can't always tell where
the sound is coming from" and the words often sound "mixed up." What
might the nurse suspect as the cause for this change?
A. Cilia becoming coarse and stiff
B. Nerve degeneration in the inner ear
C. Scarring of the tympanic membrane
D. Atrophy of the apocrine glands
3. A 70-year-old woman tells the nurse that every time she gets up in the
morning or after she's been sitting she gets "really dizzy" and feels like she is
going to fall over. The nurse's best response would be:
A. "I'll refer you for a complete neurologic examination."
B. "Have you been extremely tired lately?"
C. "You need to get up slowly when you've been lying or sitting."
D. "You probably just need to drink more liquids."
4. A nurse notices that a patient has ascites, which indicates the presence of:
A. flatus.
B. feces.
C. fibroid tumors.
D. fluid.
5. A patient has been admitted to the hospital with vertebral fractures related
to osteoporosis. She is in extreme pain. This type of pain would be classified
as:
A. deep somatic.
B. visceral.
, C. cutaneous.
D. referred.
6. A patient has had three pregnancies and two live births. The nurse would
record this information as gravida , para , AB .
A. 3; 2; 1
B. 2; 2; 1
C. 3; 2; 0
D. 3; 3; 1
7. A patient is unable to differentiate between sharp and dull stimulation to
both sides of her face. The nurse suspects:
A. scleroderma.
B. Bell's palsy.
C. damage to the trigeminal nerve.
D. frostbite with resultant paresthesia to the cheeks.
8. A patient states that the pain medication is "not working" and rates his
postoperative pain at a 10 on a 1 to 10 scale. Which of these assessment
findings indicates an acute pain response to poorly controlled pain?
A. Increased blood pressure and pulse
B. Confusion
C. Hyperventilation
D. Depression
9. A patient with a middle ear infection asks the nurse, "What does the middle
ear do?" The nurse responds by telling the patient that the middle ear
functions to:
A. interpret sounds as they enter the ear.
B. conduct vibrations of sounds to the inner ear.
C. maintain balance.
D. increase amplitude of sound for the inner ear to function.
10. A patient with lack of oxygen to his heart will have pain in his chest and
possibly the shoulder, arms, or jaw. The nurse knows that the statement that
best explains why this occurs is which of these?
A. The lack of oxygen in his heart has resulted in decreased amount of oxygen to the areas
experiencing pain.
B. There is a lesion in the dorsal root that is preventing the sensation from being transmitted
normally.
C. The sensory cortex does not have the ability to localize pain in the heart, so the pain is felt
elsewhere.
D. There is a problem with the sensory cortex and its ability to discriminate the location.
