HEALTH ASSESSMENT EXAM 2
225 QUESTIONS AND CORRECT
ANSWERS TESTBANK VERIFIED
AND GRADED A+
The _____________ coordinates movement, maintains equilibrium, and helps
maintain posture.
A. basal ganglia
B. extrapyramidal system
C. cerebellum
D. upper and lower motor neurons
C
During assessment of extraocular movements, two back-and-forth
oscillations of the eyes in the extreme lateral gaze occur. This response
indicates:
A. that the patient needs to be referred for a more complete eye
examination.
B. this assessment should be repeated in 15 minutes to allow the eyes to
rest.
C. a disease of the vestibular system, further evaluation is needed.
D. an expected movement of the eyes during this procedure.
D
,Which of the following documentation statements indicates a normal
assessment of the perianal area?
A. "Small round opening in the anal area."
B. "Anus moist, color darker than adjacent tissues. No lesions or discharge.
Opening tightly closed."
C. "Anal area dark pink, moist, with 0.5-cm shiny blue skin sac at 5 o'clock."
D. "Anus with flabby skin sac at 7 o'clock."
B
On palpation the prostate gland is enlarged, nontender, firm, and smooth
with a palpable central groove. This assessment finding indicates:
A. a normal prostate gland
B. prostatitis
C. prostate carcinoma
D. benign prostatic hypertrophy
D
Pruritus is the presence of:
A. an itching or burning sensation
B. a longitudinal tear in the superficial mucosa at the anal margin
C. blood in the stool
D. excessive fat in the stool
A
Rome III criteria for constipation includes which of the following?
,A. Straining to have a bowel movement
B. Pain with bowel movement
C. Soft, firm stools
D. Four stools per week
A
Toilet training (for bowel movements) in children:
A. may begin when the nerves in the rectal area are fully myelinated
B. should start after 4 years of age
C. can be successful as early as 12 months of age
D. should begin after the gastrocolic reflex disappears.
A
The etiology of a pilonidal cyst is:
A. a congenital disorder.
B. a chronically inflamed gastrointestinal tract.
C. trauma or irritant diarrheal stools.
D. a tear in the superficial mucosa.
A
An anorectal fistula is usually caused by:
A. a tear in the superficial mucosa
B. a chronically inflamed gastrointestinal tract
C. daily use of laxatives
, D. trauma from passing hard stools
B
A patient is taking iron supplements. The patient should expect the stools to
be:
A. frothy
B. clay-colored
C. tarry and black
D. nontarry and black
D
A patient tells the examiner that passing stools is painful. What term would
the examiner use to document painful bowel movements?
A. Flatulence
B. Encopresis
C. Occult
D. Dyschezia
D
Which of the following questions would be appropriate for the nurse to ask
when a patient complains of diarrhea? (Select all that apply.)
A. "Have you ever had clay-colored stools?"
B. "Have you traveled recently?"
C. "Do you eat breakfast?"
D. "Have you eaten at a restaurant in the past few days?"
225 QUESTIONS AND CORRECT
ANSWERS TESTBANK VERIFIED
AND GRADED A+
The _____________ coordinates movement, maintains equilibrium, and helps
maintain posture.
A. basal ganglia
B. extrapyramidal system
C. cerebellum
D. upper and lower motor neurons
C
During assessment of extraocular movements, two back-and-forth
oscillations of the eyes in the extreme lateral gaze occur. This response
indicates:
A. that the patient needs to be referred for a more complete eye
examination.
B. this assessment should be repeated in 15 minutes to allow the eyes to
rest.
C. a disease of the vestibular system, further evaluation is needed.
D. an expected movement of the eyes during this procedure.
D
,Which of the following documentation statements indicates a normal
assessment of the perianal area?
A. "Small round opening in the anal area."
B. "Anus moist, color darker than adjacent tissues. No lesions or discharge.
Opening tightly closed."
C. "Anal area dark pink, moist, with 0.5-cm shiny blue skin sac at 5 o'clock."
D. "Anus with flabby skin sac at 7 o'clock."
B
On palpation the prostate gland is enlarged, nontender, firm, and smooth
with a palpable central groove. This assessment finding indicates:
A. a normal prostate gland
B. prostatitis
C. prostate carcinoma
D. benign prostatic hypertrophy
D
Pruritus is the presence of:
A. an itching or burning sensation
B. a longitudinal tear in the superficial mucosa at the anal margin
C. blood in the stool
D. excessive fat in the stool
A
Rome III criteria for constipation includes which of the following?
,A. Straining to have a bowel movement
B. Pain with bowel movement
C. Soft, firm stools
D. Four stools per week
A
Toilet training (for bowel movements) in children:
A. may begin when the nerves in the rectal area are fully myelinated
B. should start after 4 years of age
C. can be successful as early as 12 months of age
D. should begin after the gastrocolic reflex disappears.
A
The etiology of a pilonidal cyst is:
A. a congenital disorder.
B. a chronically inflamed gastrointestinal tract.
C. trauma or irritant diarrheal stools.
D. a tear in the superficial mucosa.
A
An anorectal fistula is usually caused by:
A. a tear in the superficial mucosa
B. a chronically inflamed gastrointestinal tract
C. daily use of laxatives
, D. trauma from passing hard stools
B
A patient is taking iron supplements. The patient should expect the stools to
be:
A. frothy
B. clay-colored
C. tarry and black
D. nontarry and black
D
A patient tells the examiner that passing stools is painful. What term would
the examiner use to document painful bowel movements?
A. Flatulence
B. Encopresis
C. Occult
D. Dyschezia
D
Which of the following questions would be appropriate for the nurse to ask
when a patient complains of diarrhea? (Select all that apply.)
A. "Have you ever had clay-colored stools?"
B. "Have you traveled recently?"
C. "Do you eat breakfast?"
D. "Have you eaten at a restaurant in the past few days?"
