Quiz 1
1. After completing an initial assessment of a patient, the nurse has charted that his respirations
are EUPEENIC and his pulse is 58 beats per minutes. These types of data would be:
Objective
2. The patient’s record, laboratory studies, objective data, and subjective data combine to form
the:
Data Base
3. When listening to a patient’s breath sounds, the nurse is unsure of a sound that is heard. The
nurse’s next action should be to:
Validate the data by asking a coworker to listen to the breath sounds.
4. Expert nurses learn to attend to a pattern of assessment data and act without consciously
labeling it. These responses are referred to as:
Intuition
5. The nurse makes which adjustment in the physical environment to promote the success of an
interview?
Reduces noise by turning off television and radios
6. In an interview, the nurse may find it necessary to take notes to aid his or her memory later.
Which statement is true regarding note-taking?
Note taking may impede the nurse’s observation of the patient’s nonverbal behaviors.
7. The nurse asks, “I would like to ask you some questions about your health and your usual
daily activities so that we can better plan your stay here.” This question is found at the
___________.
Opening or Intro
8. When taking a history from a newly admitted patient, the nurse notices that he often pauses
and expectantly looks at the nurse. What would be the nurse’s best response to this behavior?
Be silent and allow him to continue when he is ready
9. A woman comes to the clinic to seek help with a substance abuse problem. She admits to
using cocaine just before arriving. Which of these assessment findings would the nurse expect to
find when examining the woman?
, Dilated pupils, pacing, and psychomotor agitation
10. During a session on substance abuse, the nurse reviewing statistics with the class. For
person’s age 12 years older, which illicit substance was most commonly used?
Marijuana
11. A woman who has just discovered that she is pregnant in the clinic for her first obstetric visit.
She asks the nurse. “How many drinks a day is safe for my baby?” The Nurse’s best response is
“No amount of alcohol has been determined to be safe during pregnancy.”
12. As a mandatory reporter of elder abuse, which must be present before a nurse should notify
the authorities?
Suspicion of elder abuse and/or neglect
13. During the home visit, the nurse notices that an older adult woman is caring for her
bedridden husband. The woman states that this is her duty, she does the best she can, and her
children come to help when they are in town. Her husband is unable to care for himself, and she
appears thin, weak, and exhausted. The nurse notices that several of his prescription medication
bottles are empty. This situation is best described by the term:
Unintentional Physical Neglect
14. Which statement is best for the nurse to use when preparing to administer the Abuse
Assessment Screen?
“We need to ask the following questions because domestic violence is so common in our
society.”
15. The nurse is using the Danger Assessment (DA) tool to evaluate the risk of homicide. Which
of these statements best describe its use?
The higher the number of “yes” answers, the more serious the danger of the woman’s situation.
1. After completing an initial assessment of a patient, the nurse has charted that his respirations
are EUPEENIC and his pulse is 58 beats per minutes. These types of data would be:
Objective
2. The patient’s record, laboratory studies, objective data, and subjective data combine to form
the:
Data Base
3. When listening to a patient’s breath sounds, the nurse is unsure of a sound that is heard. The
nurse’s next action should be to:
Validate the data by asking a coworker to listen to the breath sounds.
4. Expert nurses learn to attend to a pattern of assessment data and act without consciously
labeling it. These responses are referred to as:
Intuition
5. The nurse makes which adjustment in the physical environment to promote the success of an
interview?
Reduces noise by turning off television and radios
6. In an interview, the nurse may find it necessary to take notes to aid his or her memory later.
Which statement is true regarding note-taking?
Note taking may impede the nurse’s observation of the patient’s nonverbal behaviors.
7. The nurse asks, “I would like to ask you some questions about your health and your usual
daily activities so that we can better plan your stay here.” This question is found at the
___________.
Opening or Intro
8. When taking a history from a newly admitted patient, the nurse notices that he often pauses
and expectantly looks at the nurse. What would be the nurse’s best response to this behavior?
Be silent and allow him to continue when he is ready
9. A woman comes to the clinic to seek help with a substance abuse problem. She admits to
using cocaine just before arriving. Which of these assessment findings would the nurse expect to
find when examining the woman?
, Dilated pupils, pacing, and psychomotor agitation
10. During a session on substance abuse, the nurse reviewing statistics with the class. For
person’s age 12 years older, which illicit substance was most commonly used?
Marijuana
11. A woman who has just discovered that she is pregnant in the clinic for her first obstetric visit.
She asks the nurse. “How many drinks a day is safe for my baby?” The Nurse’s best response is
“No amount of alcohol has been determined to be safe during pregnancy.”
12. As a mandatory reporter of elder abuse, which must be present before a nurse should notify
the authorities?
Suspicion of elder abuse and/or neglect
13. During the home visit, the nurse notices that an older adult woman is caring for her
bedridden husband. The woman states that this is her duty, she does the best she can, and her
children come to help when they are in town. Her husband is unable to care for himself, and she
appears thin, weak, and exhausted. The nurse notices that several of his prescription medication
bottles are empty. This situation is best described by the term:
Unintentional Physical Neglect
14. Which statement is best for the nurse to use when preparing to administer the Abuse
Assessment Screen?
“We need to ask the following questions because domestic violence is so common in our
society.”
15. The nurse is using the Danger Assessment (DA) tool to evaluate the risk of homicide. Which
of these statements best describe its use?
The higher the number of “yes” answers, the more serious the danger of the woman’s situation.
