Nur 230 Midterm- Chapters 1, 3, 4, 8, &9 Questions With
Complete Solutions
"touch"; allows the examiner to detect texture, temperature,
moisture, organ location and size, pain and more Correct
Answers Palpation
1 lb is equal to how many kg? Correct Answers 0.45
1st level priority diagnosis Correct Answers emergent, life
threatening, and immediate
-Airway, breathing, and circulation
2nd level priority diagnosis Correct Answers may not be
immediate but next in urgency
3rd level priority diagnosis Correct Answers important but can
be addressed later
A change in weight can mean.... Correct Answers a loss and
gain in bodily fluids; water retention is most common
Assessment (the nursing process) Correct Answers -data
collection about an individual's health state
Auscultation Correct Answers Listening to sounds produced by
the body through a stethoscope; can listen to manual BP, heart
sounds, lung sounds, and auscultation of large arteries
Behavior in the general survey Correct Answers facial
expression, mood, speech/speech pattern, dress, hygiene
,Bimanual palpation Correct Answers when the examiner must
use two hands to assess organs such as the kidneys or uterus
Biographical data includes what kind of information? Correct
Answers name, address, age and DOB, birthplace, gender,
marital status, race, ethnicity, and occupation
Body structure in the general survey Correct Answers stature,
nutrition, symmetry, posture, position, body build, contour, and
physical deformities
Clarification Correct Answers make sure the information is
accurate and correct; "The shortness of breath occurs when you
walk up the stairs but it stops when you're resting. Is that
correct?"
close, careful scrutiny of the individual as a whole and of each
body system as well; begins with the general survey and then the
inspector should use tools like the penlight, otoscope,
ophthalmoscope, and nasal or vaginal specula to enlarge the
view Correct Answers Inspection
Confrontation Correct Answers discrepancy or inconsistency in
the person's narrative, focus the person's attention, give honest
feedback; "When I press hear you grimace, but you said it
doesn't hurt."
Data collection during assessment includes... Correct Answers
review of the patient's record, interview, history, physical exam,
, functional assessment (day to day living), sometimes cultural
and spiritual assessment
Describe 3 qualities to assess when assessing the pulse. Correct
Answers rate- the number of beats per minute
rhythm- regular or irregular
force- 3+ (full, bounding), 2+ (normal), 1+ (weak, thready), 0
(absent)
Describe closed questions in the interview. Correct Answers -
they ask for specific information and require short answers or
yes/no
-use them after opening the narrative to fill in details or when
you need many specific facts
Describe open ended questions in the interview. Correct
Answers -ask of narrative responses
-state the topic only in general terms
-use these questions to begin the interview, when introducing a
new section of questions, and when the patient introduces a new
topic
Describe the conditions of the clinical setting Correct Answers -
warm, comfortable, and quiet
-have all equipment ready
-explain what you are doing and reduce anxiety
-infection control methods
-developmental needs
Complete Solutions
"touch"; allows the examiner to detect texture, temperature,
moisture, organ location and size, pain and more Correct
Answers Palpation
1 lb is equal to how many kg? Correct Answers 0.45
1st level priority diagnosis Correct Answers emergent, life
threatening, and immediate
-Airway, breathing, and circulation
2nd level priority diagnosis Correct Answers may not be
immediate but next in urgency
3rd level priority diagnosis Correct Answers important but can
be addressed later
A change in weight can mean.... Correct Answers a loss and
gain in bodily fluids; water retention is most common
Assessment (the nursing process) Correct Answers -data
collection about an individual's health state
Auscultation Correct Answers Listening to sounds produced by
the body through a stethoscope; can listen to manual BP, heart
sounds, lung sounds, and auscultation of large arteries
Behavior in the general survey Correct Answers facial
expression, mood, speech/speech pattern, dress, hygiene
,Bimanual palpation Correct Answers when the examiner must
use two hands to assess organs such as the kidneys or uterus
Biographical data includes what kind of information? Correct
Answers name, address, age and DOB, birthplace, gender,
marital status, race, ethnicity, and occupation
Body structure in the general survey Correct Answers stature,
nutrition, symmetry, posture, position, body build, contour, and
physical deformities
Clarification Correct Answers make sure the information is
accurate and correct; "The shortness of breath occurs when you
walk up the stairs but it stops when you're resting. Is that
correct?"
close, careful scrutiny of the individual as a whole and of each
body system as well; begins with the general survey and then the
inspector should use tools like the penlight, otoscope,
ophthalmoscope, and nasal or vaginal specula to enlarge the
view Correct Answers Inspection
Confrontation Correct Answers discrepancy or inconsistency in
the person's narrative, focus the person's attention, give honest
feedback; "When I press hear you grimace, but you said it
doesn't hurt."
Data collection during assessment includes... Correct Answers
review of the patient's record, interview, history, physical exam,
, functional assessment (day to day living), sometimes cultural
and spiritual assessment
Describe 3 qualities to assess when assessing the pulse. Correct
Answers rate- the number of beats per minute
rhythm- regular or irregular
force- 3+ (full, bounding), 2+ (normal), 1+ (weak, thready), 0
(absent)
Describe closed questions in the interview. Correct Answers -
they ask for specific information and require short answers or
yes/no
-use them after opening the narrative to fill in details or when
you need many specific facts
Describe open ended questions in the interview. Correct
Answers -ask of narrative responses
-state the topic only in general terms
-use these questions to begin the interview, when introducing a
new section of questions, and when the patient introduces a new
topic
Describe the conditions of the clinical setting Correct Answers -
warm, comfortable, and quiet
-have all equipment ready
-explain what you are doing and reduce anxiety
-infection control methods
-developmental needs
