Name: Score:
307 Multiple choice questions
Term 1 of 307
A 21-year-old patient has a head injury resulting from trauma and is unconscious. There are no
other injuries. During the assessment what would the nurse expect to find when testing the
patients deep tendon reflexes?
Reflexes will be normal.
Reflexes cannot be elicited.
All reflexes will be diminished but present.
Some reflexes will be present, depending on the area of injury.
Term 2 of 307
A patient tells the nurse, Sometimes I wake up at night and I have real trouble breathing. I have to
sit up in bed to get a good breath. When documenting this information, the nurse would note:
Orthopnea.
Acute emphysema.
Paroxysmal nocturnal dyspnea.
Acute shortness of breath episode.
Term 3 of 307
Which finding is considered normal and expected when the nurse is performing a physical
examination on a pregnant woman?
Palpable, full thyroid
Edema in one lower leg
Significant diffuse enlargement of the thyroid
Pale mucous membranes of the mouth
,Term 4 of 307
During an examination, the nurse notices that a patients legs turn white when they are raised
above the patients head. The nurse should suspect:
Lymphedema.
Raynaud disease.
Chronic arterial insufficiency.
Chronic venous insufficiency.
Term 5 of 307
An 11-year-old girl is in the clinic for a sports physical examination. The nurse notices that she has
begun to develop breasts, and during the conversation the girl reveals that she is worried about
her development. The nurse should use which of these techniques to best assist the young girl in
understanding the expected sequence for development? The nurse should:
Use the Tanner scale on the five stages of sexual development.
Describe her development and compare it with that of other girls her age.
Use the Jacobsen table on expected development on the basis of height and weight data.
Reassure her that her development is within normal limits and tell her not to worry about
the next step.
Term 6 of 307
A 40-year-old man has come into the clinic with complaints of extreme pain in his toes. The nurse
notices that his toes are slightly swollen, reddened, and warm to the touch. His complaints would
suggest:
Osteoporosis.
Acute gout.
Ankylosing spondylitis.
Degenerative joint disease.
,Term 7 of 307
The nurse is testing the deep tendon reflexes of a 30-year-old woman who is in the clinic for an
annual physical examination. When striking the Achilles heel and quadriceps muscle, the nurse is
unable to elicit a reflex. The nurses next response should be to:
Ask the patient to lock her fingers and pull.
Complete the examination, and then test these reflexes again.
Refer the patient to a specialist for further testing.
Document these reflexes as 0 on a scale of 0 to 4+.
Term 8 of 307
When the nurse is testing the triceps reflex, what is the expected response?
Flexion of the hand
Pronation of the hand
Extension of the forearm
Flexion of the forearm
Term 9 of 307
A 46-year-old woman is in the clinic for her annual gynecologic examination. She voices a
concern about ovarian cancer because her mother and sister died of it. Which statement does the
nurse know to be correct regarding ovarian cancer?
Ovarian cancer rarely has any symptoms.
The Pap smear detects the presence of ovarian cancer.
Women at high risk for ovarian cancer should have annual transvaginal ultrasonography for
screening.
Women over age 40 years should have a thorough pelvic examination every 3 years.
, Term 10 of 307
A patient is unable to shrug her shoulders against the nurses resistant hands. What cranial nerve is
involved with successful shoulder shrugging?
VII
IX
XI
XII
Term 11 of 307
The external male genital structures include the:
Testis.
Scrotum.
Epididymis.
Vas deferens.
Term 12 of 307
During an examination, the nurse observes a female patients vestibule and expects to see the:
Urethral meatus and vaginal orifice.
Vaginal orifice and vestibular (Bartholin) glands.
Urethral meatus and paraurethral (Skene) glands.
Paraurethral (Skene) and vestibular (Bartholin) glands.
307 Multiple choice questions
Term 1 of 307
A 21-year-old patient has a head injury resulting from trauma and is unconscious. There are no
other injuries. During the assessment what would the nurse expect to find when testing the
patients deep tendon reflexes?
Reflexes will be normal.
Reflexes cannot be elicited.
All reflexes will be diminished but present.
Some reflexes will be present, depending on the area of injury.
Term 2 of 307
A patient tells the nurse, Sometimes I wake up at night and I have real trouble breathing. I have to
sit up in bed to get a good breath. When documenting this information, the nurse would note:
Orthopnea.
Acute emphysema.
Paroxysmal nocturnal dyspnea.
Acute shortness of breath episode.
Term 3 of 307
Which finding is considered normal and expected when the nurse is performing a physical
examination on a pregnant woman?
Palpable, full thyroid
Edema in one lower leg
Significant diffuse enlargement of the thyroid
Pale mucous membranes of the mouth
,Term 4 of 307
During an examination, the nurse notices that a patients legs turn white when they are raised
above the patients head. The nurse should suspect:
Lymphedema.
Raynaud disease.
Chronic arterial insufficiency.
Chronic venous insufficiency.
Term 5 of 307
An 11-year-old girl is in the clinic for a sports physical examination. The nurse notices that she has
begun to develop breasts, and during the conversation the girl reveals that she is worried about
her development. The nurse should use which of these techniques to best assist the young girl in
understanding the expected sequence for development? The nurse should:
Use the Tanner scale on the five stages of sexual development.
Describe her development and compare it with that of other girls her age.
Use the Jacobsen table on expected development on the basis of height and weight data.
Reassure her that her development is within normal limits and tell her not to worry about
the next step.
Term 6 of 307
A 40-year-old man has come into the clinic with complaints of extreme pain in his toes. The nurse
notices that his toes are slightly swollen, reddened, and warm to the touch. His complaints would
suggest:
Osteoporosis.
Acute gout.
Ankylosing spondylitis.
Degenerative joint disease.
,Term 7 of 307
The nurse is testing the deep tendon reflexes of a 30-year-old woman who is in the clinic for an
annual physical examination. When striking the Achilles heel and quadriceps muscle, the nurse is
unable to elicit a reflex. The nurses next response should be to:
Ask the patient to lock her fingers and pull.
Complete the examination, and then test these reflexes again.
Refer the patient to a specialist for further testing.
Document these reflexes as 0 on a scale of 0 to 4+.
Term 8 of 307
When the nurse is testing the triceps reflex, what is the expected response?
Flexion of the hand
Pronation of the hand
Extension of the forearm
Flexion of the forearm
Term 9 of 307
A 46-year-old woman is in the clinic for her annual gynecologic examination. She voices a
concern about ovarian cancer because her mother and sister died of it. Which statement does the
nurse know to be correct regarding ovarian cancer?
Ovarian cancer rarely has any symptoms.
The Pap smear detects the presence of ovarian cancer.
Women at high risk for ovarian cancer should have annual transvaginal ultrasonography for
screening.
Women over age 40 years should have a thorough pelvic examination every 3 years.
, Term 10 of 307
A patient is unable to shrug her shoulders against the nurses resistant hands. What cranial nerve is
involved with successful shoulder shrugging?
VII
IX
XI
XII
Term 11 of 307
The external male genital structures include the:
Testis.
Scrotum.
Epididymis.
Vas deferens.
Term 12 of 307
During an examination, the nurse observes a female patients vestibule and expects to see the:
Urethral meatus and vaginal orifice.
Vaginal orifice and vestibular (Bartholin) glands.
Urethral meatus and paraurethral (Skene) glands.
Paraurethral (Skene) and vestibular (Bartholin) glands.
