Answers 2025
1. Which assessment by the nurse most likely indicates c. Subjective
source
that a patient is having difficulty breathing?
d. Secondary
a. 18 breaths per minute and inhaled through the
source
mouth
b. 20 breathes per minute and shallow in character
c. 16 breaths per minute and deep in character
d. 28 breaths per minute and noisy
2. Which should a nurse always do when taking a rectal
temperature?
a. Allow self-insertion of the thermometer.
b. Position the patient on the left side.
c. Use an electronic thermometer.
d. Lubricate the thermometer.
3. A nurse is assessing a patient'sideal body weight.
Which significant factor should be takin into consider-
ation when performing this assessment?
a. Daily intake
b. Body height
c. Clothing size
d. Food preferences
4. A nurse asks a patient's wife specific questions about
the patient's health status before admission. When
collecting this information, the nurse is seeking infor-
mation from a:
a. Primary source
b. Tertiary sources
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, d. 28 breaths per minute and noisy
d. Lubricate the ther- mometer.
b. Body height
d. Secondary source
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