PCHA Final exam questions and expert verified
answers
A patient tells the nurse that he is very nervous, nauseated and that he "feels
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hot". This type of data would be considered: - CORRECT ANSWER✔✔-subjective
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Because the physical environment in which an interview takes place is an
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important consideration for the success of an interview, the interviewer should: -
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CORRECT ANSWER✔✔-reduce noise by turning off televisions and cell phones
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A nurse is taking complete health histories on all the patients attending a
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wellness workshop. While conducting an interview with a patient, the nurse asks,
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"Can you tell me a little about yourself?" This question is an example of: -
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CORRECT ANSWER✔✔-an open-ended question
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During an interview, a parent of a hospitalized child is sitting in an open position.
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As the interviewer begins to discuss the child's treatment, however, the parent
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suddenly crosses the arms against the chest and crosses the legs. Based on the
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understanding that nonverbal modes of communication provide clues to | | | | | | | | |
understanding feelings, the sudden change in body position would suggest that
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the parent is: - CORRECT ANSWER✔✔-uncomfortable talking about his child's
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treatment
A 59-year-old patient is returning to the outpatient clinic for a follow up visit. The
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patient has a history of ulcerative colitis. The patient states he has been having
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"black stools" for the last 24 hours. Which of the following would be the most
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,complete way for the nurse to document the patient's reason for seeking care? -
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CORRECT ANSWER✔✔-J.M. is a 59-year-old patient here for having "black stools"
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for the past 24 hours.
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Which of the following statements best describes the purpose of a health
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history? - CORRECT ANSWER✔✔-to provide a database of subjective information
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about the patient's past and current health.
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The inspection phase of the physical assessment: - CORRECT ANSWER✔✔-begins
| | | | | | | | | |
the moment you first meet the person and develop a "general survey".
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A patient is at the clinic for a physical examination. He states that he is "very
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anxious" about the physical exam. What steps can the examiner take to make the
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patient more comfortable? - CORRECT ANSWER✔✔-Appear unhurried and
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confident when examining the patient. | | | |
When performing a physical examination, safety must be considered to protect
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the examiner and the patient against the spread of infection. Which of the
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following statements describes the most appropriate actions the examiner should
| | | | | | | | |
|take when performing a physical examination? - CORRECT ANSWER✔✔-Wash
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hands at the beginning of the examination and any time that one leaves and re-
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enters the room. | |
A 50-year-old patient who is taking anti-hypertensive medications returns to the
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clinic to have their blood pressure (BP) checked. The last BP was 146/88. The BP
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reported to the nurse is 168/96. Both blood pressures were taken at the brachial
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site. Which of the following is true regarding blood pressure assessment in this
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patient? Choose all that apply: | | | |
, 1. The patient should be allowed to adequately rest prior to assessing the blood
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pressure.
2. The width of the cuff should cover 40% of the circumference of the upper arm.
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3. The position of the arm used for blood pressure assessment should be above
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the level of the heart.
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4. Goal blood pressure for this patient should be systolic less than 120 mm Hg
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and diastolic less than 80 mmHg.
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5. The last audible sound auscultated during blood pressure assessment should
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be recorded for the systolic reading.
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6. An unsupported arm may be used for an accurate blood pressure measure -
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CORRECT ANSWER✔✔-1, 2, 4 | | |
While caring for a patient with heart disease, the nurse notices an irregularity in
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the rhythm of the patient's radial pulse. The previous assessment did not reveal
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an irregular pulse. What would be the BEST action to take? - CORRECT
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ANSWER✔✔-count the patient's apical pulse for one minute | | | | | | |
Which of the following statements is true regarding use of the tympanic
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thermometer? - CORRECT ANSWER✔✔-The practitioner needs to wait at least 10 | | | | | | | | | | |
minutes to obtain the temperature if the patient has been outdoors.
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Which of the following is true regarding an oral temperature? - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-The thermometer should be placed in the posterior sublingual | | | | | | | | |
pocket of the mouth. | | |
The nurse is taking a blood pressure on a patient; the patient's baseline blood
| | | | | | | | | | | | | |
pressure is unknown. The nurse does not have any previous information about
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answers
A patient tells the nurse that he is very nervous, nauseated and that he "feels
| | | | | | | | | | | | | | |
hot". This type of data would be considered: - CORRECT ANSWER✔✔-subjective
| | | | | | | | | |
Because the physical environment in which an interview takes place is an
| | | | | | | | | | | |
important consideration for the success of an interview, the interviewer should: -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-reduce noise by turning off televisions and cell phones
| | | | | | | | |
A nurse is taking complete health histories on all the patients attending a
| | | | | | | | | | | | |
wellness workshop. While conducting an interview with a patient, the nurse asks,
| | | | | | | | | | |
"Can you tell me a little about yourself?" This question is an example of: -
| | | | | | | | | | | | | | | |
CORRECT ANSWER✔✔-an open-ended question
| | |
During an interview, a parent of a hospitalized child is sitting in an open position.
| | | | | | | | | | | | | | |
As the interviewer begins to discuss the child's treatment, however, the parent
| | | | | | | | | | | |
suddenly crosses the arms against the chest and crosses the legs. Based on the
| | | | | | | | | | | | | |
understanding that nonverbal modes of communication provide clues to | | | | | | | | |
understanding feelings, the sudden change in body position would suggest that
| | | | | | | | | | |
the parent is: - CORRECT ANSWER✔✔-uncomfortable talking about his child's
| | | | | | | | | |
treatment
A 59-year-old patient is returning to the outpatient clinic for a follow up visit. The
| | | | | | | | | | | | | | |
patient has a history of ulcerative colitis. The patient states he has been having
| | | | | | | | | | | | |
"black stools" for the last 24 hours. Which of the following would be the most
| | | | | | | | | | | | | | | |
,complete way for the nurse to document the patient's reason for seeking care? -
| | | | | | | | | | | | | |
CORRECT ANSWER✔✔-J.M. is a 59-year-old patient here for having "black stools"
| | | | | | | | | | |
for the past 24 hours.
| | | |
Which of the following statements best describes the purpose of a health
| | | | | | | | | | | |
history? - CORRECT ANSWER✔✔-to provide a database of subjective information
| | | | | | | | | |
about the patient's past and current health.
| | | | | |
The inspection phase of the physical assessment: - CORRECT ANSWER✔✔-begins
| | | | | | | | | |
the moment you first meet the person and develop a "general survey".
| | | | | | | | | | |
A patient is at the clinic for a physical examination. He states that he is "very
| | | | | | | | | | | | | | | |
anxious" about the physical exam. What steps can the examiner take to make the
| | | | | | | | | | | | | |
patient more comfortable? - CORRECT ANSWER✔✔-Appear unhurried and
| | | | | | | |
confident when examining the patient. | | | |
When performing a physical examination, safety must be considered to protect
| | | | | | | | | | |
the examiner and the patient against the spread of infection. Which of the
| | | | | | | | | | | | |
following statements describes the most appropriate actions the examiner should
| | | | | | | | |
|take when performing a physical examination? - CORRECT ANSWER✔✔-Wash
| | | | | | | | |
hands at the beginning of the examination and any time that one leaves and re-
| | | | | | | | | | | | | |
enters the room. | |
A 50-year-old patient who is taking anti-hypertensive medications returns to the
| | | | | | | | | | |
clinic to have their blood pressure (BP) checked. The last BP was 146/88. The BP
| | | | | | | | | | | | | | |
reported to the nurse is 168/96. Both blood pressures were taken at the brachial
| | | | | | | | | | | | | |
site. Which of the following is true regarding blood pressure assessment in this
| | | | | | | | | | | | |
patient? Choose all that apply: | | | |
, 1. The patient should be allowed to adequately rest prior to assessing the blood
| | | | | | | | | | | | | |
pressure.
2. The width of the cuff should cover 40% of the circumference of the upper arm.
| | | | | | | | | | | | | | |
3. The position of the arm used for blood pressure assessment should be above
| | | | | | | | | | | | | |
the level of the heart.
| | | |
4. Goal blood pressure for this patient should be systolic less than 120 mm Hg
| | | | | | | | | | | | | | |
and diastolic less than 80 mmHg.
| | | | |
5. The last audible sound auscultated during blood pressure assessment should
| | | | | | | | | | |
be recorded for the systolic reading.
| | | | |
6. An unsupported arm may be used for an accurate blood pressure measure -
| | | | | | | | | | | | | |
CORRECT ANSWER✔✔-1, 2, 4 | | |
While caring for a patient with heart disease, the nurse notices an irregularity in
| | | | | | | | | | | | | |
the rhythm of the patient's radial pulse. The previous assessment did not reveal
| | | | | | | | | | | | |
an irregular pulse. What would be the BEST action to take? - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-count the patient's apical pulse for one minute | | | | | | |
Which of the following statements is true regarding use of the tympanic
| | | | | | | | | | | |
thermometer? - CORRECT ANSWER✔✔-The practitioner needs to wait at least 10 | | | | | | | | | | |
minutes to obtain the temperature if the patient has been outdoors.
| | | | | | | | | |
Which of the following is true regarding an oral temperature? - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-The thermometer should be placed in the posterior sublingual | | | | | | | | |
pocket of the mouth. | | |
The nurse is taking a blood pressure on a patient; the patient's baseline blood
| | | | | | | | | | | | | |
pressure is unknown. The nurse does not have any previous information about
| | | | | | | | | | | |
