Fundamentals of Nursing – Exam 3:
Advancing Patient Care Concepts
mr. s is complaining of pain in his chest, difficulty breathing, and a cough. what are these reports by
the patient considered?
a: objective data
b: subjective data
c: observable data
d: disease process
subjective data
which term is described as abnormal growth of new tissue, either malignant or benign?
a: deficiency disease
b: metabolic disease
c: infectious disease
d: neoplastic disease
neoplastic disease
the nurse is taking care of a patient with a leg wound. the nurse notices redness, swelling and
purulent drainage while completing assessment and recognizes that these are cardinal signs of what
process?
a: pain
b: ecchymosis
c: infection
d: asthenia
infection
when documenting assessment findings, which of the following examples of objective data?
a: chest pains and headache
b: leg pain and calf tenderness
c: redness and swelling of feet
d: dizziness and headache
,redness and swelling of feet
the lpn is working on a medical floor and assisting the rn with patient assessments. a new patient is
admitted to the floor and the rn takes health history and performs assessment. first step?
a: nursing process
b: the nurse patient relationship
c: the review of systems
d: the obtaining of the chief complaint
nursing process
while the nurse is performing a physical assessment, the patient complains of dyspnea. this symptom
indicates a problem with which body system?
a: gastrointestinal
b: respiratory
c: neurologic
d: peripheral vascular
respiratory
the process of listening to sounds produced by the body in which physical assessment technique?
a: inspection
b: palpation
c: auscultation
d: percussion
auscultation
while assessing patient's lower extremities, the nurse notes edema around feet and ankles. when area
is depressed, it lasts for more than 1 minute before shape returns. how would nurse document this
edema?
a: 4+ pitting edema
b: 3+ pitting edema
c: 2+ pitting edema
d: 1+ pitting edema
3+ pitting edema
while performing a physical assessment which findings would indicate deviation from normal? - select
all that apply -
O cyanosis of fingers and toes
O cap refill of less than three seconds
O jaundice
O apical heart rate of 110
O bilateral lung sounds clear
O erythema of lower extremities
O afebrile
, cyanosis of fingers and toes
jaundice
apical heart rate of 110
erythema of lower extremities
one of first steps in gathering data about a patient is to establish the nurse- patient relationship. what
are appropriate ways to establish this relationship? - select all that apply -
O the nurse communicates trust and confidentiality to patients
O the nurse shows professionalism and competence to patients
O nurse introduces herself / himself to patient's and answers questions
O nurse enters patient's room without knocking and offer no information
O nurse promises to return in 10 minutes but returns in 45 minutes
the nurse communicates trust and confidentiality to patients
the nurse shows professionalism and competence to patients
nurse introduces herself / himself to patients and answers questions
which physical examination method should the nurse use when assessing for borborgmi?
a: percussion
b: auscultation
c: inspection
d: palpation
auscultation
the nurse must assess for presence of bowel sounds in a postoperative patient. the nurse should
auscultate the patients abdomen
a: before palpation
b: for several minutes in each quadrant
c: starting at left lower quadrant
d: using warmed stethoscope
before palpation
the process of listening to sounds produced by the body in which physical assessment technique?
a: inspection
b: percussion
c: auscultation
d: palpation
auscultation
the nurse concludes that a patient has inadequate nutrition. which patient adaption supports
conclusion?
a: presence of surface papillae on tongue
b: shiny eyes
c: reddish pink mucous membranes
d: cachectic appearance
Advancing Patient Care Concepts
mr. s is complaining of pain in his chest, difficulty breathing, and a cough. what are these reports by
the patient considered?
a: objective data
b: subjective data
c: observable data
d: disease process
subjective data
which term is described as abnormal growth of new tissue, either malignant or benign?
a: deficiency disease
b: metabolic disease
c: infectious disease
d: neoplastic disease
neoplastic disease
the nurse is taking care of a patient with a leg wound. the nurse notices redness, swelling and
purulent drainage while completing assessment and recognizes that these are cardinal signs of what
process?
a: pain
b: ecchymosis
c: infection
d: asthenia
infection
when documenting assessment findings, which of the following examples of objective data?
a: chest pains and headache
b: leg pain and calf tenderness
c: redness and swelling of feet
d: dizziness and headache
,redness and swelling of feet
the lpn is working on a medical floor and assisting the rn with patient assessments. a new patient is
admitted to the floor and the rn takes health history and performs assessment. first step?
a: nursing process
b: the nurse patient relationship
c: the review of systems
d: the obtaining of the chief complaint
nursing process
while the nurse is performing a physical assessment, the patient complains of dyspnea. this symptom
indicates a problem with which body system?
a: gastrointestinal
b: respiratory
c: neurologic
d: peripheral vascular
respiratory
the process of listening to sounds produced by the body in which physical assessment technique?
a: inspection
b: palpation
c: auscultation
d: percussion
auscultation
while assessing patient's lower extremities, the nurse notes edema around feet and ankles. when area
is depressed, it lasts for more than 1 minute before shape returns. how would nurse document this
edema?
a: 4+ pitting edema
b: 3+ pitting edema
c: 2+ pitting edema
d: 1+ pitting edema
3+ pitting edema
while performing a physical assessment which findings would indicate deviation from normal? - select
all that apply -
O cyanosis of fingers and toes
O cap refill of less than three seconds
O jaundice
O apical heart rate of 110
O bilateral lung sounds clear
O erythema of lower extremities
O afebrile
, cyanosis of fingers and toes
jaundice
apical heart rate of 110
erythema of lower extremities
one of first steps in gathering data about a patient is to establish the nurse- patient relationship. what
are appropriate ways to establish this relationship? - select all that apply -
O the nurse communicates trust and confidentiality to patients
O the nurse shows professionalism and competence to patients
O nurse introduces herself / himself to patient's and answers questions
O nurse enters patient's room without knocking and offer no information
O nurse promises to return in 10 minutes but returns in 45 minutes
the nurse communicates trust and confidentiality to patients
the nurse shows professionalism and competence to patients
nurse introduces herself / himself to patients and answers questions
which physical examination method should the nurse use when assessing for borborgmi?
a: percussion
b: auscultation
c: inspection
d: palpation
auscultation
the nurse must assess for presence of bowel sounds in a postoperative patient. the nurse should
auscultate the patients abdomen
a: before palpation
b: for several minutes in each quadrant
c: starting at left lower quadrant
d: using warmed stethoscope
before palpation
the process of listening to sounds produced by the body in which physical assessment technique?
a: inspection
b: percussion
c: auscultation
d: palpation
auscultation
the nurse concludes that a patient has inadequate nutrition. which patient adaption supports
conclusion?
a: presence of surface papillae on tongue
b: shiny eyes
c: reddish pink mucous membranes
d: cachectic appearance
