Q1. Which of the following factors should be considered when assessing the condition of a patient’s hair? Select All That Apply Answers: A – E A Hair Distribution B Haircare practices and products C Sweat produced in the hair D Hair texture, thickness, and shine E Cardiovascular health Q2. When assessing a patient’s understanding of the education provided about good mouth care, which of the following indicators is the BEST way to determine their comprehension and ability to follow instructions? Answers: A – D A The patient provides written feedback on the instructions. B The patient successfully demonstrates the proper mouth care technique. C The patient verbally repeats the instructions back to the nurse. D The patient nods in agreement and smiles. Q3. When assessing the body structure of a patient during the General Survey, which of the following aspects should the healthcare provider consider? (Select all that apply) A Symmetry of body parts B Skin color and condition C Muscular development D Nutritional status E Presence of deformities or abnormalities F Stature (height) Q4. Please fill in the blanks using the drop down options: In aging adults, facial skin tends to experience sagging and a loss of (1) Elasticity resulting in a smaller lower face due to the (2) When the nurse assesses the older adult, the patient appears dehydrated. The nurse does not understand the older adult’s typical facial bones and orbits appear(3). 1: ● Elasticity ● ● ● Loss of elasticity Loss of teeth Loss of muscle mass ● ● ● more protruding more dry more prominent 2: 3: Q5. Which of the following factors can significantly affect blood pressure levels in individuals? (Select all that apply) Answers: A – E A Gender B Dietary sodium intake C Physical activity D Age E Eye color Q6. The nurse is beginning the inspection of a young adult client’s breasts. The client states, “My left breast has always been a bit bigger than the right.” How should the nurse best respond to the client’s statement? Answers: A – D A “Many women have this, and it’s rarely a sign of a health problem.” B ‘That’s very normal, and it usually resolves over time as you get older.” C T’ll make sure to refer to the doctor to get this assessed further.” D “If you lose some weight, the size disparity will likely decrease.” Q7. Trus case stud, may be used for more than one question Sarah, a 45 year-old woman, presents with complaints related to her facial sennations, taste, and hearing She reports experiencing several symptoms, including a loss of taste on the antenor two thirds of her tongue, facial muscle weakness on one side, and hearing difficulties. The nurse performs a thorough assessment to investigate these concerns Which cranial nerve is primarily responsible for the loss of taste in this case? A Cranial Nerve VIII (Vestibulocochlear) B Cranial Nerve V (Trigeminal) C Cranial Nerve VII (Facial) D Cranial Nerve XII (Hypoglossal) Q8. Match the characteristics to the corresponding type of headache (there is one answer per description). Tension Headache Short, extremely painful episodes Frequent sensitivity to light and spund Duration of headache- Hours to days Migraine Headache Cluster Headache Timing (length) of headache- Days to weeks Throbbing pain on one side of the head Duration of headache- Minutes to hours Steady, band-like pressure around the head Pain QualityStabbing or Q9. ‫!!!! مو موجود‬ Q10. Place the following in the correct order of how to don Personal Protective Equipment: Items to be Ordered: ● Put on a gown, ensuring it covers your torso and ties securely in the back ● Don gloves, ensuring they cover your wrists and overlap with the gown sleeves. ● Perform hand hygiene by washing your hands thoroughly with soap and water or using hand sanitizer. ● Apply a mask or respirator over your nose and mouth, securing it in place Q11. When teaching a patient how to perform a self-testicular exam, the nurse emphasizes the importance of palpating for any lumps, swelling, or changes in texture. To evaluate the patient’s understanding, the nurse should ask: Answers: A – D A “Can you describe the steps involved in a self-testicular exam?” B “How often do you think you should perform a self-testicular exam?” C “Why is it necessary to perform a self-testicular exam regularly?* D “Have you ever experienced any discomfort or pain while performing a self-testicular exam?” Q12. Match each Tanner stage of breast development with its description. Tanner Stages: ● Tanner Stage III ● Tanner Stage I ● Tanner Stage II ● Tanner Stage V ● Tanner Stage IV Possible Answers: ● Further enlargement with the development of a secondary mound. ● Preadolescent, no glandular tissue, only a small elevated nipple ● Mature stage with a single, projecting papilla. Adult breasts. ● Enlargement with the formation of an areola mound. Nipples become more apparent ● Breast bud stage with a small mound and papilla elevation. Q13. As adults become older, a disease process or medications can affect a male’s sexual drive (labido) or cause withdrawal from sexual activity. What is another common reason for some aging males to withdraw from sexual activity? Answers: A -D A Increased testosterone levels leading to decreased interest. B Hormonal changes and associated physical factors contributing to reduced libido. C Lack of interest in emotional connections. D Improved sexual function due to aging. Q14. ‫مو موجود‬ Q15. ‫مو موجود‬ Q16. Which of the following are considered normal ranges for vital signs in adults? (Select all that apply) Answers: A – H A Systolic blood pressure: less than or equal to 120 mm Hg B Pulse rate: 60-100 beats per minute C Respiratory rate: 12-20 breaths per minute D Diastolic blood pressure: 100-120 mm Hg E Pulse Rate: 40-90 beats per minute F Temperature: 98.6 degrees Fahrenheit) G ‫مو موجود‬ F ‫مو موجود‬ Q17. Match the abnormality to the description. Abnormality: ● Phimosis ● Urethritis ● Paraphimosis ● Scrotal Swelling ● Epispadias ● Hypospadias Descriptions: ● Ventral location of meatus ● Narrowed opening of prepuce so cannot retract the foreskin ● meatus edges that are red, everted, edematous, along with purulent discharge ● Dorsal location of meatus ● ● Painful constriction of glans by retracted foreskin May be taut and pitting Q18. When assessing a patient’s nails, which of the following aspects should be considered for a comprehensive examination? (Select All That Apply) Answers: A – E A Differences in color of nails due to ethnic variations B Meals earlier that day C If the patient is physically active D Capillary Refill E Nail color, shape, and texture Q19. The nurse is setting up an examination room and decides to review their assessment of their patient. Which parts of the nose are typically included in a physical examination or assessment of the nose? (Choose one or more answers) Answers: A -G ● Nasal passages/patency of nostrils ● Oropharynx examination ● Observe the nasal sinuses and their locations ● Deviation of septum and integrity of nasal mucosa ● Inspect the turbinates ● External nose and its shape ● Sense of smell assessment Q20 ‫مو موجود‬ Q21. Match the cranial nerves (I, III, IV, VI) with their primary functions (there is only one answer per description) Description Responsible for vision Controls the majority of eye movements, pupil constriction, and eyelid elevation. Controls lateral eye movement, moving the eye Cranial Nerve 11 Cranial Nerve IV Cranial Nerve 111 Cranial Nerve Vi away from the nose. Primanly responsible for the downward and inward movement of the eye. Q22. Which of the following statements accurately describes dermatomes? Answers: A – D A Dermatomes are regions of the skin supplied by specific spinal nerves. B Dermatomes are the tiny blood vessels found in the dermal layer of the skin. C Dermatomes are sensory receptors responsible for detecting temperature changes. D Dermatomes are specialized skin cells responsible for the production of melanin. Q23. A woman has come in to the clinic for retraction and dimpling to her breasts. the nurse is preparing to inspect the patients breasts, which position would be most appropriate to have the patient in for this inspection? Answers: A – D Q24. ‫مو موجود‬ A Have the patient in semi-fowler’s position B Have the patient lying supine C Have the patient sitting D Have the patient standing Q25. What are the healthcare implications presented by skin alterations, such as pressure ulcers or skin infections? Answers: A – D A Regular eye examinations are necessary. B Frequent monitoring and preventive measures are essential C Routine dental check-ups are needed. D Increased risk of falls and fractures. Q26. When assessing the physi appearance of a patient during the General Survey, which of the following aspects should the healthcare provider consider? (Select all that apply) Answers: A – G A Ethnicity B Weight C Speech and language D Height E Clothing and grooming F Age G Gender Q27. When there is an increase in carbon dioxide, which is called, (1) there is (2) in the rate and depth of breathing. 1. select answer choice Hyperoxygenaton Hyperventiaton Hypercapnia 2. select answer choice an Increase Q28. Match the terms associated with the peripheral and autonomic nervous system with their respective descriptions: Prompts: ● Peripheral Nervous System (PNS) ● Autonomic Nervous System (ANS) ● Efferent Neurons ● Afferent Neurons Possible Answers: ● The network of nerves outside the CNS that connects the body to the spinal cord and brain. ● The division of the nervous system responsible for controlling involuntary bodily functions ● Neurons that carry signals from the CNS to muscles and glands, triggering a response. ● Neurons that transmit information from sensory receptors to the CNS Q29. The nurse is assessing the ear of an 18 year old patient. While examining the ear, which finding with cause the nurse to be concerned? Answers: A – D A A tympanic membrane that appears to be silver/gray B Gerumen that appears to be red and flaky C A tragus that is tender and painful to touch D A thickening of the helix due to sports Q30. Patient information: Name Jenna Age 28 Medical History. No significant medical history, regular menstrual cycles until recent changes Presenting Complaints: Absence of menstrual periods for the past six months and episodes of heavy and prolonged menstrual bleeding Case Background. Jenna, a 28-year-old woran, visits her gynecologist with concerns about her menstrual health. She reports having regular menstrual cycles until six months ago when her periods suddenly stopped. Additionally, she has experienced two episodes of exceptionally heavy and prolonged menstrual bleeding over the past three months. As a nurse, there are factors that should be considered in the assessment of menorrhagia. Which of the following are assessment questions the nurse should ask Jenna about her specific menorrhagia? (Select all that apply). Answers: A – E A How would you characterize the flow of your menstrual blood? Is it light, moderate, heavy, or extremely heavy? B Do you believe you are pregnant? C Do you have a sudden urge to urinate? D How does menorrhagia affect your daily activities and quality of life? E Have you noticed the presence of blood clots during your menstrual periods? If yes how large and how frequent are they? Q31. In a physical examination of the abdomen, what is the primary purpose of light palpation compared to deep palpation? Answers: A – D A To measure skin temperature and moisture B To assess for superficial masses and tenderness C To evaluate for organ enlargement and deeper masses D To assess muscle tone and hernias Q32. How can the ABCDEF skin assessment method be used to promote health and selfcare? Answers: A – F A By encouraging individuals to wear heavy makeup to conceal skin imperfections B By offering cosmetic treatments for skin blemishes C By helping individuals identify skin changes early and seek medical evaluation D By providing sunscreen application services to the community E By conducting skin sensitivity tests for cosmetic products F By recommending specific skincare products to patients Q33. Match the anterior thoracic landmark with its corresponding anatomical location. Thoracic Landmarks: ● Sternal Angle ● Costal Angle ● Sternum ● Suprasternal Notch Possible Answers: ● It is the manubrium, body, and xiphoid process ● ● ● Usually 90 degrees or less and the angle increases when the rib cage is chr onically overinflated It corresponds with the upper border of the atria of the heart Hollow U-shaped depression just above the sternum, in between the clavicle Q34. Arrange the following structures in the order that blood flows through them in the heart, starting with oxygen poor (deoxygenated) blood returning to the heart: ‫بالترتيب‬ Items to be Ordered: ● Superior Vena Cava ● Right Atria ● Tricuspid Valve ● Right Ventricle ● Pulmonary Artery ● Lungs ● Pulmonary Veins ● Mitral Valve ● Left Ventricle ● Aorta ● Body Q35. Drag and Drop the questions a nurse should ask a patient when assessing the respiratory system: The nurse is assessing the patient’s present symptoms. Choose the appropriate question from the left column (possible questions) then drag and drop to the right column (the questions selected). Selected Answers: Possible Answers to Choose From: ● Are you exposed to occupational hazards, such as dust or chemicals? * ● Are you currently experiencing any cough, shortness of breath? ● Do you smoke or have a history of smoking? ● Do you use any respiratory devices like inhalers or oxygen tanks? ● Are you taking any medications for respiratory issues or allergies? ● Do you have a history of respiratory conditions or allergies? ● Have you recently traveled to areas with high air pollution levels? Q36. Which of the foilowing statements is true regarding the aging male and its impact on sex and fertility? Answers: A – D A The aging process has minimal effects on male reproductive health. B Testosterone levels typically increase with age, enhancing fertility. C Sperm quality and quantity generally improve as men age. D Aging can lead to a decline in testosterone levels and a gradual reduction in fertility. Q37. In the General Survey of a patient, which of the following aspects is most closely related to their emotional and psychological state? Answers: A – D A Affect B Behavior C Facial expression D Mood Q38. Which of the following statements accurately describe postural and height changes that are commonly observed in aging adults? Answers: A – D A Decreased height in aging adults is typically related to an increase in intervertebral disc thickness. B Decreased height is primarily caused by increased bone density in the spine. C Aging adults often experience an increase in height due to improved posture. D Postural changes, such as kyphosis, may result in a stooped appearance. Q39. Matching: Lymph Nodes: ● Posterior Cervical ● Posterior Auricular ● Submental ● Submandibular ● Supraclavicular ● Preauricular ● Anterior Cervical Descriptions: ● Lymph nodes in the back of the neck. ● Lymph nodes in the front of the neck. ● Lymph nodes under the chin. ● Lymph nodes located in front of the ear. ● Lymph nodes beneath the jawline. ● Lymph nodes in the area just above the clavicle. ● Lymph nodes found behind the ear. Q40. ‫مو موجود‬ Q41 ‫مو موجود‬ Q42. Match the specific heart sounds or auscultatory areas on the chest wall to their corresponding anatomical locations: Prompts: ● Left fifth intercostal space, left of the sternum, midclavicular line. ● Second right intercostal space, left sternal border. ● Left fourth intercostal space, left sternal border. ● Left third intercostal space, left sternal border. ● Second left intercostal space, left sternal border. Possible Answers: ● Pulmonic Area ● Erb’s Point ● Tricuspid Area ● Aortic Area ● Mitral Area Q43. Drag and Drop the questions a nurse should ask a patient when assessing the respiratory system: The nurse is assessing the patient’s medical history. Choose the appropriate medical history question(s) from the left column (possible questions) then drag and drop to the right. column (the questions sclected). Possible Answers to Choose From Selected Answers ● Are you currently experiencing any cough, shortness of breath, or chest pain? ● Are you exposed to occupational hazards, such as dust or chemicals? ● Do you smoke or have a history of smoking? ● Have you recently traveled to areas with high air pollution levels? ● Are you taking any medications for respiratory issues or allergies? ● Do you have a history of respiratory conditions or allergies? Q44. A healthcare provider is monitoring a patient’s oxygen saturation using a pulse oximeter. The pulse oximeter displays an unusually low reading of 85% SpO2. Which of the following factors could lead to an incorrect reading on the pulse oximeter? Answers: A – D A Excessive patient movement B High ambient light in the room C Using a brand-new pulse oximeter D Applying the probe to the patient’s finger correctly Q45. Arrange the following pulse sites in the order they would typically be assessed from head to toe during a comprehensive physical examination: Items to be Ordered: ● Dorsalis Pedis ● Femoral ● Brachial ● Temporal ● Radial ● Popliteal ● Carotid ● Posterior Tibial Q46. A female patient is being examined by a nurse. The nurse is examining the patient’s breasts. When palpating the patient’s axillae, which action is most appropriate during this part of the examination? Answers: A – D A Have the client hold the arm of the side being examined slightly away from the body. B Have the client lean forward from the waist with arms outstretched. C Tell the client to raise her arm on the side being examined up over her head. D Hold the client’s elbow of the side being examined with one hand. Q47. What are some of the significant differences between the skin of a young adult and an older adult? (Select all that apply) Answers: A -E A Reduced sebaceous gland activity in older adults B Decreased collagen production in older adults C Increased melanocyte activity in older adults D Improved wound healing in older adults E Increased elasticity and firmness in older adults Q48. Which types of movement are produced by skeletal muscles? (Choose one or more answers) Answers: A -D A Reflexive movement B Smooth and continuous movement C Involuntary movement D Voluntary movements Q49. Drag and Drop the questions a nurse should ask a patient when assessing the respiratory system: The nurse is assessing the patient’s lifestyle and habits. Choose the appropriate lifestyle and habit question from the left column (possible questions) then drag and drop to the right column (the questions selected). Possible Answers to Choose From ● Are you currently experiencing any cough, shortness of breath, or chest pain? ● Do you smoke or have a history of smoking? ● Do you have a history of respiratory conditions or allergies? ● Have you recently traveled to areas with high air pollution levels? ● Are you taking any medications for respiratory issues or allergies? ● Are you exposed to occupational hazards, such as dust or chemicals? ● Do you use any respiratory devices like inhalers or oxygen tanks? Q50. Age-related macular degeneration (AMD) primarily affects (1) in the aging adult. Whereas glaucoma primarily affects (2) in the aging adult. Answers 1 – 2 1. Select answer choice ● Central Vision ● Peripheral Vision ● Farsightedness Vision ● Nearsightedness Vision 2. Select answer choice ● Central Vision ● Peripheral Vision ● Farsightedness Vision ● Nearsightedness Vision Q51. Matching: ● Elevation ● Eversion ● Flexion ● Supination ● Pronation ● Abduction ● Adduction ● Retraction ● Circumduction ● ● ● ● ● ● ● ● ● ● Movement towards the bodys midline. Movement away from the body’s midline. Rotation of the forearm or foot, turning the palm or sole downward. Bending a joint to decrease the angle between two bones. Circular movement involves a combination of flexion, extension, abduction, and adduction. Rotation of the forearm or foot, turning the palm or sole upward Rotation of the forearm or foot, turning the palm or sole upward. Moving body part backwards, parallel to the ground Moving sole of foot outward at the ankle Raising a body part Q52. A requatered nade (RN) is performing an abdominal assessment on a 45 year old male patient during a routine physical examination During the assessment, the RN identifies a palpable mass in the night lower quadrant of the abdomen The patient does not report any associated po in or discomfort. The RN has completed the assessment and must document the finding How should the RN appropriately document the finding of the palpable mass in the patient’s right lower quadrant during the abdominal assessment? What key information should be included in the documentation? (Select All That Apply) Answers: A – H A Scent B Consistency C Location D Shape E Tenderness F Drainage G Pulsalilitv H ‫مو موجوده‬ Q53. Which questions should the nurse ask a patient regarding their health history of joints? (Choose one or more answers) Answers: A – E A. Are you experiencing any pain, swelling, or tenderness in your joints? B Have you ever been diagnosed with a joint-related autoimmune disorder? C Have you had any recent long bone procedures or surgeries? D Are you allergic to any medications or foods? E Do you have a family history of joint diseases or conditions? Q54. Which of the following are common routes for measuring body temperature? (Select all that apply) Answers: A -F A Temporal B Wrist C Oral D Tympanic E Rectal F Axillary Q55. Match the wound stage (1-4) with its description: Stages of Wound: ● Stage II (2) ● Stage I (1) ● Stage IV (4) ● Stage III (3) Description of Wound: ● Skin loss with extensive tissue damage, extends to muscle, bone, or may exhibit necrotic tissue ● Skin loss involving the epidermis and dermis; may present as a blister or shallow crater. ● Skin damage involving the epidermis; a reddened area that does not blanch when pressed. ● Skin loss- damage to subcutaneous tissue, appears as a deep ulcer with visible adipose tis Q56. The nurse is assessing eye health and decides to have a conversation with the patient, Which health promotion concept is essential to consider? Select the most appropriate option. Answers: A – D A Routine eye examinations for adults, especially after age 65 B Encouraging a high-sugar diet for overall eye health C Promoting the use of sunglasses to prevent skin cancer D Vision screening for a one day old newborn Q57. Match the skin color change (Pallor, Cyanosis, Erythema, Jaundice) under the “Skin Color Description” with its description under columns A, B. C, and D. There is one answer per skin color description. Skin color description Pallor Cyanosis Erythema Jaundice Redness or flushed appearance. Skin appears ashen or pale. Yellowing of the skin or eyes Bluish or purplish discoloration Q58. Match the anatomical terms related to the neart to their descriptions remis Promote: ● The top of the near, were major blood vesseis enter and exit ● The pointed tip of the heart, formed by the left ventricle ● The area of the chest overlying the heart Possible Answers: ● base ● Apex ● Precordium Q59. During a mouth assessment, which parts) of the mouth should the nurse shine the penlight on? (Choose one or more answers) A Palate and uvula B Teeth and gums C Tongue and floor of the mouth D The patient’s external facial features E Tonsils to grade Q60. Which of the following terms best describes normal bowel sounds, and which term is used to describe the normal, coordinated muscular contractions that propel contents through the gastrointestinal tract. Answers. A – D A Ileus; Borborygmi B Absent Peristalsis; Borborygmi C Borborygmi; Peristalsis D Peristalsis; Ileus Q61. The nurse is assessing an adult client’s areolas and nipples. What assessment finding would most clearly warrant referral by the Practitioner? Answers: A – D A Supernumerary nipples are present. B Small Montgomery tubercles are present on the areolas. C The client’s nipple has recently become inverted or retracted D The client’s areola puckers or pokes outwards upon palpation. Q62. What is a common cause of varicose veins in the legs? Answers: A – D A Weak or damaged valves in the leg veins B Wearing compression stockings C Adequate intake of dietary fiber DRegular exercise and physical activity Q63. A disc jockey (DJ) who works multiple parties, weddings, and high school reunions every weekend, is exposed to loud music and other loud noises. The DJ is attending a teaching session on safety in entertainment. What would be an important risk prevention measure to teach regarding hearing? Answers: A – D A Only be exposed to loud noises 1-2 hours per day B Be sure not clean ears often because this can cause ear infections C While in the entertainment environment, wear ear protection D Take a mandatory 20 minute break in between parties Q64. Which of the following changes are commonly associated with the aging adult’s mouth? (Choose one or more answers) Answers: A – E A Trouble with chewing/eating B Decreased risk of periodontal or gum disease C Decreased sense of thirst D Decreased number of taste buds E Increased salivation and taste perception Q65. A patient has come in for her yearly examination. The nurse teaches the patient about self breast exams and is performing the breast exam as a demonstration for the patient. Which area of the breast would be most important for the nurse to educate patient on and assess? Answers: A – D A Lower outer quadrant B Upper outer quadrant C Lower inner quadrant D Upper inner quadrant Q66. Place the following items in the correct sequence for doffing personal protective equipment (PPE): Items to be Ordered: ● ● ● ● Remove the gown, taking care to avoid contamination. Pull it away from your body, turning it inside out as you do so. Safely remove the mask or respirator. Do not touch the front of the mask or respirator. Perform hand hygiene one last time to ensure your hands are thoroughly clean. Remove and dispose of gloves. Q67. There are 4 male patients who have come in for their physical. Which of the patients would the nurse expect to document gynecomastia found during the assessment? Answers: A – D A A male who has been diagnosed with breast cancer B A 55 year old male who takes medications for blood pressure C A 14 year old boy who began puberty within the last year D A 62 year old man who is exposed to heavy lifting in the workplace Q68. The nurse has completed the assessment of a client’s breast and lymphatic system. The nurse has ended the assessment by offering to teach the client how to perform breast self-examination (BSE). The client states, ‘That’s alright. I already know how to do that.” What should the nurse do next? Answers. A -D A Ask the client to demonstrate BSE. B Reiterate the correct technique for BSE. C Encourage the client to perform BSE as often as possible. D Encourage the client to promote BSE to her peers. Q69. How does the stiffening of arteries change with aging? Answers. A – D A Arteries become more elastic and flexible. B Arteries develop irregularities and blockages. C Arteries remain unchanged in terms of stiffness. D Arteries progressively stiffen and lose their elasticity.


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