Question 1

MATCHING
Prioritize the following patient situations:

-A teenager who was stung by a bee during a soccer match is having trouble breathing

Accepted Answer

A)  first-level priority problem 
B)  second-level priority problem 
C)  third-level priority problem 
A)  first-level priority problem 
B)  second-level priority problem 
C)  third-level priority problem

Question 2

An example of objective information obtained during the physical assessment includes the patient's:

Accepted Answer

A) history of allergies. 
B) use of medications at home. 
C) last menstrual period. 
D) 2 ´ 5 cm scar present on the right forearm. 
A) history of allergies. 
B) use of medications at home. 
C) last menstrual period. 
D) 2 ´ 5 cm scar present on the right forearm.

Question 3

What is the step of the nursing process that includes data collection through health history taking,physical examination,and interview?

Accepted Answer

A) Planning 
B) Diagnosis 
C) Evaluation 
D) Assessment 
A) Planning 
B) Diagnosis 
C) Evaluation 
D) Assessment

Question 4

In the socioenvironmental model,the focus of the health care provider includes:

Accepted Answer

A) changing the patient's perceptions of disease. 
B) identification of biomedical model interventions. 
C) identifying the negative health behaviours of the patient. 
D) helping the patient view health as a resource. 
A) changing the patient's perceptions of disease. 
B) identification of biomedical model interventions. 
C) identifying the negative health behaviours of the patient. 
D) helping the patient view health as a resource.

Question 5

A patient tells the nurse that he is very nervous,that he is nauseated,and that he "feels hot." This type of data would be:

Accepted Answer

A) objective. 
B) reflective. 
C) subjective. 
D) introspective. 
A) objective. 
B) reflective. 
C) subjective. 
D) introspective.

Question 6

The public's concept of health has changed since the 1950s.Which of the following statements most accurately describes this change?

Accepted Answer

A) Lifestyle,personal habits,exercise,and nutrition are essential to health. 
B) Assessment of health is critical to identifying disease-causing pathogens. 
C) Accurate diagnosis and treatment by a physician are essential for all health care. 
D) An individual is considered healthy when signs and symptoms of disease have been eliminated. 
A) Lifestyle,personal habits,exercise,and nutrition are essential to health. 
B) Assessment of health is critical to identifying disease-causing pathogens. 
C) Accurate diagnosis and treatment by a physician are essential for all health care. 
D) An individual is considered healthy when signs and symptoms of disease have been eliminated.

Question 7

A patient is brought by ambulance to the emergency department with multiple injuries received in an automobile accident.He is alert and cooperative,but his injuries are quite severe.How should the nurse proceed with the data collection?

Accepted Answer

A) Collect history information first,perform the physical examination next,and institute lifesaving measures. 
B) Ask history questions while performing the examination and initiating lifesaving measures. 
C) Collect all information on the history form,including social support patterns,strengths,and coping patterns. 
D) Perform lifesaving measures and not ask any history questions until after the patient has been transferred to the critical care unit. 
A) Collect history information first,perform the physical examination next,and institute lifesaving measures. 
B) Ask history questions while performing the examination and initiating lifesaving measures. 
C) Collect all information on the history form,including social support patterns,strengths,and coping patterns. 
D) Perform lifesaving measures and not ask any history questions until after the patient has been transferred to the critical care unit.

Question 8

Which of the following would be formulated by a nurse using diagnostic reasoning?

Accepted Answer

A) Nursing diagnosis 
B) Medical diagnosis 
C) Diagnostic hypothesis 
D) Diagnostic assessment 
A) Nursing diagnosis 
B) Medical diagnosis 
C) Diagnostic hypothesis 
D) Diagnostic assessment

Question 9

A visiting nurse is making an initial home visit to a patient who has a number of chronic medical problems.Which type of database is most appropriate to collect in this setting?

Accepted Answer

A) A follow-up database to evaluate changes at appropriate intervals 
B) An episodic database because of the continuing,complex medical problems of this patient 
C) A complete health database because of the nurse's primary responsibility for monitoring the patient's health 
D) An emergency database because of the need to rapidly collect information and make accurate diagnoses 
A) A follow-up database to evaluate changes at appropriate intervals 
B) An episodic database because of the continuing,complex medical problems of this patient 
C) A complete health database because of the nurse's primary responsibility for monitoring the patient's health 
D) An emergency database because of the need to rapidly collect information and make accurate diagnoses

Question 10

Which six phases are included in the nursing process?

Accepted Answer

A) Assessment,treatment,client outcome,evaluation,discharge,follow-up 
B) Admission,assessment,outcome identification,diagnosis,treatment,discharge planning 
C) Admission,diagnosis,expected outcome,treatment,evaluation,discharge planning 
D) Assessment,diagnosis,outcome identification,planning,implementation,evaluation 
A) Assessment,treatment,client outcome,evaluation,discharge,follow-up 
B) Admission,assessment,outcome identification,diagnosis,treatment,discharge planning 
C) Admission,diagnosis,expected outcome,treatment,evaluation,discharge planning 
D) Assessment,diagnosis,outcome identification,planning,implementation,evaluation

Question 11

A patient is at the clinic to have her blood pressure checked.She has been coming to the clinic weekly since her medications were changed 2 months ago.The nurse should:

Accepted Answer

A) collect a follow-up database and then check the patient's blood pressure. 
B) ask the patient to read her health record and indicate any changes since her last visit. 
C) check only the blood pressure because the patient's complete health history was documented 2 months ago. 
D) obtain a complete health history before checking the blood pressure because much of the patient's information may have changed. 
A) collect a follow-up database and then check the patient's blood pressure. 
B) ask the patient to read her health record and indicate any changes since her last visit. 
C) check only the blood pressure because the patient's complete health history was documented 2 months ago. 
D) obtain a complete health history before checking the blood pressure because much of the patient's information may have changed.

Question 12

After completing an initial assessment on a patient,the nurse has charted that his respirations are eupneic and his pulse is 58.This type of data would be:

Accepted Answer

A) objective. 
B) reflective. 
C) subjective. 
D) introspective. 
A) objective. 
B) reflective. 
C) subjective. 
D) introspective.

Question 13

A 42-year-old patient of Asian descent is being seen at the clinic for an initial examination.The nurse knows that it is important to include cultural information in his health assessment to:

Accepted Answer

A) identify the cause of his illness. 
B) make an accurate diagnosis. 
C) provide cultural health rights for the individual. 
D) provide culturally sensitive and appropriate care. 
A) identify the cause of his illness. 
B) make an accurate diagnosis. 
C) provide cultural health rights for the individual. 
D) provide culturally sensitive and appropriate care.

Question 14

Which of the following statements about nursing diagnoses is true? Nursing diagnoses:

Accepted Answer

A) evaluate the etiology of disease. 
B) are a process based on medical diagnosis. 
C) evaluate the response of the whole person to actual or potential health problems. 
D) focus on the function and malfunction of a specific organ system in response to disease. 
A) evaluate the etiology of disease. 
B) are a process based on medical diagnosis. 
C) evaluate the response of the whole person to actual or potential health problems. 
D) focus on the function and malfunction of a specific organ system in response to disease.

Question 15

Which of the following statements is a characteristic of the clinical practice guidelines for infants and children for a periodic health examination?

Accepted Answer

A) They are used to diagnose an illness. 
B) They are helpful in identifying developmental delays in children. 
C) They recommend that every individual receive an annual physical examination. 
D) They list a frequency schedule for periodic health visits for a specific age group. 
A) They are used to diagnose an illness. 
B) They are helpful in identifying developmental delays in children. 
C) They recommend that every individual receive an annual physical examination. 
D) They list a frequency schedule for periodic health visits for a specific age group.

Exam 1: Critical Thinking and Evidence-Informed Assessment

MATCHING Prioritize the following patient situations: -A teenager who was stung by a bee during a soccer match is having trouble breathing

An example of objective information obtained during the physical assessment includes the patient's:

What is the step of the nursing process that includes data collection through health history taking,physical examination,and interview?

In the socioenvironmental model,the focus of the health care provider includes:

A patient tells the nurse that he is very nervous,that he is nauseated,and that he "feels hot." This type of data would be:

The public's concept of health has changed since the 1950s.Which of the following statements most accurately describes this change?

A patient is brought by ambulance to the emergency department with multiple injuries received in an automobile accident.He is alert and cooperative,but his injuries are quite severe.How should the nurse proceed with the data collection?

Which of the following would be formulated by a nurse using diagnostic reasoning?

A visiting nurse is making an initial home visit to a patient who has a number of chronic medical problems.Which type of database is most appropriate to collect in this setting?

Which six phases are included in the nursing process?

A patient is at the clinic to have her blood pressure checked.She has been coming to the clinic weekly since her medications were changed 2 months ago.The nurse should:

After completing an initial assessment on a patient,the nurse has charted that his respirations are eupneic and his pulse is 58.This type of data would be:

A 42-year-old patient of Asian descent is being seen at the clinic for an initial examination.The nurse knows that it is important to include cultural information in his health assessment to:

Which of the following statements about nursing diagnoses is true? Nursing diagnoses:

Which of the following statements is a characteristic of the clinical practice guidelines for infants and children for a periodic health examination?

Health Promotion in the Context of Health Assessment

Cultural Competence: Cultural Care and Social Considerations in Health Assessment

The Interview

The Complete Health History

Mental Health Assessment

Substance Use in the Context of Health Assessment

Interpersonal Violence Assessment

Assessment Techniques and the Clinical Setting

General Survey, measurement, and Vital Signs

Pain Assessment

Nutritional Assessment and Nursing Practice

Skin, hair, and Nails

Head and Neck, including Regional Lymphatic System

Eyes

Ears

Nose, mouth, and Throat

Breasts and Regional Lymphatic System

Thorax and Lungs

Heart and Neck Vessels

Peripheral Vascular System and Lymphatic System

Abdomen

Anus,rectum and Prostate

Musculoskeletal System

Neurological System

Male Genitourinary System

Female Genitourinary System

The Complete Health Assessment: Putting It All Together

Bedside Assessment of the Hospitalized Patient

Pregnancy

Functional Assessment of the Older Adult

Filters