A 16 year old female is referred to the school nurse for a vision
test after the teacher notes her squinting to see the front
blackboard. The nurse uses which one of the following tools to
assess the patient's vision?
a. Snellen E chart
b. Snellen eye chart
c. Ishihara chart
d. Allen vision test Correct Answer B
A blood pressure of 120/80 mmHg is recorded by the nurse.
What does the 120 represent?
a. Pulse rate
b. Systolic pressure
c. Diastolic pressure
d. Pulse pressure Correct Answer B
A bluish hue to the skin and nails that develops as a result of
decreased blood flow to an area as seen in cold conditions for
example is called which term?
a. Jaundice
b. Central cyanosis
c. Peripheral cyaanosis
d. Melanin Correct Answer C
A breast mass that is tender, mobile, round and well-delineated
would probably classified as which type of breast condition?
,a. Breast Cancer
b. Fibroadenoma
c. Fibrocystic disease
d. A lactating breast Correct Answer C
A client visits the clinic and tells the nurse that she has joint pain
in her hands, especially in the morning. The nurse should assess
the client further for signs and symptoms of
a. Rheumatoid arthritis
b. Osteoporosis
c. Carpal tunnel syndrome
d. Osteoarthritis Correct Answer A
A client who is paralyzed on one side of the body due to a stroke
is described by which one of the following terms?
A. Paraplegia
B. Hemiplegia
C. Hemiparesis
D. Quadraplegia Correct Answer B
A criterion for testing the adequacy of a client's visual fields is
which one of the following?
a. The ability to discriminate primary colors
b. The lack of floaters across the field of vision
c. The correspondence to visual fields of the examiner, if the
examiner has normal visual fields
d. The ability to read Correct Answer C
,A description of a lesion grouping or configuration as localized
and following a nerve path or dermatome would be classified as
which one of the following?
a. Annular
b. Arcuate
c. Discoid
d. Zosteriform Correct Answer D
A family history for a patient with joint pain should include
information about which of the following conditions?
a. Autoimmune disorders
b. Chronic dermatitis
c. Chronic obstructive pulmonary disease (COPD)
d. Obesity Correct Answer A
A female client visits the clinic and complains to the nurse that
her skin feels "dry". The nurse should instruct the client that skin
elasticity is related to adequate . . .
a. Calcium
b. Fluid intake
c. Vitamin D
d. Carbohydrates Correct Answer B
A hard, enlarged and nontender supraclavicular lymph node may
be an indication of which of the following conditions?
a. Brain tumor
, b. Breast Cancer
c. Tonsillitis
d. Sinusitis Correct Answer B
A home health nurse is beginning the physical assessment of a
new patient at their home. What is the first piece of information
the nurse should obtain?
a. Vital signs
b. Ability to do activities of daily living
c. Height and weight
d. Skin color and texture Correct Answer A
A male patient complains of pain in his genital area. Upon
inspection and palpation, the patient's scrotum is enlarged,
reddened, and tender. The nurse suspects which of the following
conditions?
a. Hydrocele
b. Spermatocele
c. Orchitis
d. Testicular tumor Correct Answer C
A nurse is collecting data from an older adult patient as part of a
neurosensory examination. Which of the following findings
should the nurse expect as changes associated with aging? Select
all that may apply.
a. Slower light touch sensation
b. Some vision and hearing decline
c. Slower fine finger movement