EAQ EXAM 1 QUESTIONS AND ANSWERS
goal of obtaining pt health history - CORRECT ANSWER✅✅1. establishing rapport between the nurse
and pt
2. assessing and diagnosing the pts health needs and problems
3. providing a picture of the pt as a whole
the neonate has a respiratory rate of 64 bpm. the nurse uses which term to document this finding? -
CORRECT ANSWER✅✅tachypnea
- normal rate (30-60 aka eupnea)
- rate below 30 = bradypnea
- apnea = 0 respirations
nurse is caring for a pt from spain who has recently immigrated to the US. which action by the nurse is in
accordance with title VI of the Civil Rights Act of 1964? - CORRECT ANSWER✅✅assessing the pt in the
presence of an interpreter
- according to health insurance portability and accountability act of 1996: nurse would maintain
confidentiality about the pt's illness
the pt presents with headaches that have lasted for 3 days without relief and has a history of
hypertension and atherosclerosis. which should the nurse document in the medical record as the reason
for seeking care? - CORRECT ANSWER✅✅intractable headaches
- do not assume
which statement about taking oral temperatures is correct? - CORRECT ANSWER✅✅"drinking hot
liquids may alter the temperature reading"
not:
"oral temp is higher than rectal" (rectal temp measures higher)
"the normal celcius temp for an adult is 38.3" (normal is 37)
"a glass thermometer should be placed in front of the tongue" (should be placed in either posterior
sublingual pockets not in front of the tongue)
, the nurse asks the pt to make a mark along a 10cm horizontal line from "no pain" to "worst pain
imaginable" which pain assessment tool is the nurse using? - CORRECT ANSWER✅✅visual analogue
scale
numeric: pt would choose number to rate pain intensity
simple descriptor: list of words to describe pain
verbal descriptor: nurse asks pt to describe feelings and intensity of pain
how would the nurse record the reason for seeking care for the pt who says, "i have difficulty breathing,
and so i can't sleep at night"? - CORRECT ANSWER✅✅"difficulty in breathing and sleepless nights"
- do not use medical terminology
which statement by the nursing student indicates effective learning about blood pressure cuff sizes? -
CORRECT ANSWER✅✅"a cuff size too narrow for a pt will give a false high blood pressure"
- takes extra pressure to compress the artery
which condition would a nurse be concerned about in a muslim teenager who recently migrated to the
US and is having difficulty adjusting to the catholic culture of a new school? - CORRECT
ANSWER✅✅acculturative stress
- adjusting to new cutsoms
not:
dhat syndrome: culture-bound syndrome characterized by severe anxiety and concerns about the
discharge of semen
shenkui syndrome: culture-bound syndrome associate with anxiety, panic, sexual dysfunction
the pt with a history of hypertension has a standing blood pressure of 90/60 mm Hg. which intervention
would the nurse perform first? - CORRECT ANSWER✅✅assess the blood pressure again
- 90/60 is not consistent with hypertension
- if a false rise: ask pt to sit down and rest for hour
goal of obtaining pt health history - CORRECT ANSWER✅✅1. establishing rapport between the nurse
and pt
2. assessing and diagnosing the pts health needs and problems
3. providing a picture of the pt as a whole
the neonate has a respiratory rate of 64 bpm. the nurse uses which term to document this finding? -
CORRECT ANSWER✅✅tachypnea
- normal rate (30-60 aka eupnea)
- rate below 30 = bradypnea
- apnea = 0 respirations
nurse is caring for a pt from spain who has recently immigrated to the US. which action by the nurse is in
accordance with title VI of the Civil Rights Act of 1964? - CORRECT ANSWER✅✅assessing the pt in the
presence of an interpreter
- according to health insurance portability and accountability act of 1996: nurse would maintain
confidentiality about the pt's illness
the pt presents with headaches that have lasted for 3 days without relief and has a history of
hypertension and atherosclerosis. which should the nurse document in the medical record as the reason
for seeking care? - CORRECT ANSWER✅✅intractable headaches
- do not assume
which statement about taking oral temperatures is correct? - CORRECT ANSWER✅✅"drinking hot
liquids may alter the temperature reading"
not:
"oral temp is higher than rectal" (rectal temp measures higher)
"the normal celcius temp for an adult is 38.3" (normal is 37)
"a glass thermometer should be placed in front of the tongue" (should be placed in either posterior
sublingual pockets not in front of the tongue)
, the nurse asks the pt to make a mark along a 10cm horizontal line from "no pain" to "worst pain
imaginable" which pain assessment tool is the nurse using? - CORRECT ANSWER✅✅visual analogue
scale
numeric: pt would choose number to rate pain intensity
simple descriptor: list of words to describe pain
verbal descriptor: nurse asks pt to describe feelings and intensity of pain
how would the nurse record the reason for seeking care for the pt who says, "i have difficulty breathing,
and so i can't sleep at night"? - CORRECT ANSWER✅✅"difficulty in breathing and sleepless nights"
- do not use medical terminology
which statement by the nursing student indicates effective learning about blood pressure cuff sizes? -
CORRECT ANSWER✅✅"a cuff size too narrow for a pt will give a false high blood pressure"
- takes extra pressure to compress the artery
which condition would a nurse be concerned about in a muslim teenager who recently migrated to the
US and is having difficulty adjusting to the catholic culture of a new school? - CORRECT
ANSWER✅✅acculturative stress
- adjusting to new cutsoms
not:
dhat syndrome: culture-bound syndrome characterized by severe anxiety and concerns about the
discharge of semen
shenkui syndrome: culture-bound syndrome associate with anxiety, panic, sexual dysfunction
the pt with a history of hypertension has a standing blood pressure of 90/60 mm Hg. which intervention
would the nurse perform first? - CORRECT ANSWER✅✅assess the blood pressure again
- 90/60 is not consistent with hypertension
- if a false rise: ask pt to sit down and rest for hour
