Cardiac
Musculoskeletal
GI/GU
HEENMT
Neuro
100

State the four chambers of the heart.

What are the RT and LT atrium and ventricles?

100
Which description of pain from the patient makes a nurse suspect the patient’s pain is originating from a muscle? a. “Crampy” b. “Dull and deep” c. “Boring and intense” d. “Sharp upon movement”
What is Crampy
100
A patient reports having frequent heartburn. Which question does the nurse ask in response to this information? a. “Has your abdomen been distended when you feel the heartburn?” b. “What have you eaten in the last 24 hours?” c. “Is there a history of heart disease in your family?” d. “How long after eating do you have heartburn?”
What is “How long after eating do you have heartburn?”
100
During symptom analysis, the nurse helps the patient distinguish between dizziness and vertigo. Which description by the patient indicates vertigo? a. “I felt faint, like I was going to pass out.” b. “I just could not keep my balance when I sat up.” c. “It seemed that the room was spinning around.” d. “I was afraid that I was going to lose consciousness.”
What is C. It seemed that the room was spinning around.
100
What is the earliest and most sensitive indication of altered cerebral function? a. Unequal pupils b. Loss of deep tendon reflexes c. Paralysis on one side of the body d. Change in level of consciousness
What is D. Change in level of consciousness
200

The nurse auscultate this cardiac valve when the stethoscope is placed on the 5th intercostal space at the left sternal border?

What is the tricuspid valve?

200
When assessing the neck of a healthy adult, a nurse expects which findings? a. A convex contour of the posterior cervical spine b. Bending of the head to the right and left (ear to shoulder) 15 degrees c. Turning the chin to the right shoulder and then the left shoulder d. Hyperextension of the head 30 degrees from midline
What is Turning the chin to the right shoulder and then the left shoulder
200
A patient reports having abdominal distention and having vomited several times yesterday and today. What question is appropriate for the nurse to ask in response to this information? a. “Has there been a change in your usual pattern of urination?” b. “Did you have heartburn before the vomiting?” c. “What did the vomitus look like?” d. “Have you noticed a change in the color of your urine or stools?”
What is "What did the vomitus look like?"
200
Which patient in the eye clinic should the nurse assess first? a. The patient who reports a gradual clouding of vision b. The patient who complains of sudden loss of vision c. The patient who complains of double vision d. The patient who complains of poor night vision
What is the patient who complains of sudden loss of vision
200
The nurse moves a wisp of cotton lightly across the anterior scalp, paranasal sinuses, and lower jaw to test the function of which cranial nerve? a. CN IV (trochlear nerve) b. CN V (trigeminal nerve) c. CN VI (abducens nerve) d. CN VII (facial nerve)
What is B CN V trigeminal nerve
300

The bell of the stethoscope is used auscultate this sound.

What is a murmur?

300
On inspection of a patient’s hands, the nurse notices ulnar deviation and swan-neck deformities bilaterally and correlates this finding with which disorder? a. Osteoarthritis b. Osteoporosis c. Rheumatoid arthritis d. Gout
What is Rheumatoid Arthritis
300
In assessing a patient with renal disease, the nurse palpates edema in both ankles and feet. Based on this finding, what question does the nurse ask the patient? a. “Have you had any pain in your abdomen?” b. “Have you had an unexpected weight gain?” c. “Have you noticed a change in the color of your skin?” d. “Have you had any nausea or vomiting?
What is "Have you had any unexpected weight gain?"
300
A patient complains of nasal drainage and sinus headache. The nurse suspects a nasal infection and anticipates observing which finding during examination? a. Foul-smelling drainage b. Purulent green-yellow drainage c. Bloody drainage d. Watery drainage
What is purulent green-yellow drainage
300
DAILY DOUBLE!!! A nurse has an order to give 1.5gm of vancomycin in 500ml 0.9% NaCl q 12 hours IVPB over 2 hours. At what rate will the nurse set the pump to run? (Round to the nearest 10th)
What is 250ml/hr
400

This piece of equipment provides a visual display of the hearts electrical conduction. 

What is an ECG/EKG?

400
A patient reports joint pain interfering with sleep and morning joint stiffness for the first hour after getting out of bed. Considering this report, what abnormal findings does the nurse anticipate during the examination? a. Abrupt onset of local tenderness, edema, and decreased range of motion of the shoulder and hip bilaterally b. Decreased range of motion of one hip and knee with pain on flexion and crepitus during movement of these joints c. Erythema in one great toe, ankle, and lower leg that is painful to the touch d. Hot, painful, deformed, and edematous wrists and peripheral interphalangeal joints bilaterally
What is Hot, painful, deformed, and edematous wrists and peripheral interphalangeal joints bilaterally
400
When inspecting a patient’s abdomen, which finding does the nurse note as normal? a. Engorgement of veins around the umbilicus b. Sudden bulge at the umbilicus when coughing c. Visible peristalsis in all quadrants d. Silver-white striae extending from the umbilicus
What is silver-white striae extending from the umbilicus.
400
While taking a history, the nurse observes that the patient’s facial cranial nerves (CN VII) are intact based on which behaviors of the patient? a. The patient’s eyes move to the left, right, up, down, and obliquely during conversation. b. The patient moistens the lips with the tongue. c. The sides of the mouth are symmetric when the patient smiles. d. The patient’s eyelids blink periodically.
What is C. The sides of the mouth are symmetric when the patient smiles
400
The nurse assesses the glossopharyngeal nerve (CN IX) by testing which reflex? a. Corneal reflex b. Gag reflex c. Blink reflex d. Cough reflex
What is B gag reflex
500

A patient presents with complaints of chest pressure, diaphoresis, and an achy jaw. These symptoms/signs are concerning this medical diagnosis.

What is a myocardial infarction?

500
DAILY DOUBLE A nurse is to administer 500mg of a nonsteroidal-antiinflammatory drug. The drug comes in 150mg/ml Oral suspension. How much of this drug will the nurse administer? (round to the nearest 10th)
What is 3.3 ml
500
Which patient has the lowest risk for colon cancer? a. Patient A is 50 years old, is obese, and has type 2 diabetes mellitus. b. Patient B is 60 years old, has alcoholism, and smokes a pack of cigarettes daily. c. Patient C is 55 years old, has ulcerative colitis, and inflammatory bowel disease. d. Patient D is 45 years old and has diverticulosis.
What is D. A 45 year old with diverticulosis
500
A patient is in a sitting position as the nurse palpates the temporal arteries and feels smooth, bilateral pulsations. What is the appropriate action for the nurse at this time? a. Auscultate the temporal arteries for bruits. b. Palpate the arteries with the patient in supine position. c. Document this as an expected finding. d. Measure the patient’s blood pressure.
What is C. document this as a normal finding
500
A nurse assessing a patient who had a cerebrovascular accident involving the Broca area suspects expressive or nonfluent aphasia. What communication abilities does the nurse anticipate from this patient? a. The patient understands speech but is unable to translate ideas into meaningful speech. b The patient is unable to comprehend speech and thus does not respond verbally. c. The patient is able to understand speech but has difficulty forming words, creating muffled speech. d. The patient is unable to comprehend speech and responds inappropriately to conversation.
What is The patient understands speech but is unable to translate ideas into meaningful speech.
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