ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 13 : Physical Assessment Questions
Question 1 of 5
Which are infectious diseases?
Correct Answer: A,B,D,F
Rationale: Infectious diseases result from the invasion of microorganisms into the body. Examples of infectious diseases include acquired immunodeficiency syndrome (AIDS), tuberculosis, measles, and pneumonia. Hay fever is a manifestation of an allergic reaction, and osteoarthritis is an example of a degenerative disease.
Question 2 of 5
The nurse is preparing to perform a physical assessment. What essential supplies should this nurse gather?
Correct Answer: A,B,D,E
Rationale: Items essential to the nurse's assessment are a penlight or flashlight, a stethoscope, a blood pressure cuff, a thermometer, gloves, gait belt, watch with second hand, scissors, black pen, and a tongue blade.
Question 3 of 5
An unpleasant sensation caused by noxious (extremely destructive or harmful) stimulation of the sensory nerve endings is ____.
Correct Answer: pain
Rationale: Pain is an unpleasant sensation caused by noxious (extremely destructive or harmful) stimulation of the sensory nerve endings. It is a cardinal symptom of inflammation and is valuable in the diagnosis of many disorders and conditions. Pain has varied manifestations: mild or severe, chronic, acute, burning, dull or sharp, precisely or poorly localized, or referred.
Question 4 of 5
When auscultating the chest a nurse hears crackles in both lower lobes. To further assess this finding the nurse should ask the patient to ____.
Correct Answer: cough
Rationale: It is a useful assessment to determine that the patient can clear the secretions by coughing.
Question 5 of 5
The nurse observes that an older adult patient has no hair on the lower legs. The nurse should assess further for the sufficiency of arterial ____.
Correct Answer: flow
Rationale: Reduced arterial flow causes lack of hair on the lower extremities due to inadequate blood flow.