DIPL-NCM5101 Health Assessment 2023 exam

DIPL-NCM5101 Health Assessment lOMoARcPSD| Health Assessment Prelim TO Midterm Nursing (AMA Computer University) lOMoARcPSD| DIPL-NCM5101 Health Assessment 1. Home 2. My courses 3. DIPL-NCMS 4. Prelim Examination 5. PRELIM EXAM Started on Friday, 17 March 2023, 12:15 AM State Finished Completed on Friday, 17 March 2023, 12:52 AM Time taken 37 mins 17 secs Marks 38.00/40.00 Grade 95.00 out of 100.00 Question 1 Correct Mark 1.00 out of 1.00 Flag question Question text It is a process which result to a diagnostic statement. It is an act to identify problems. Select one: a. Implementation b. Assessment c. Evaluation d. Nursing Diagnosis Feedback Your answer is correct. ) lOMoARcPSD| Question 2 Correct Mark 1.00 out of 1.00 Flag question Question text The following labels are found in the: “related to” ,followed by "manifested by”. Select one: a. Assessment b. Nursing Diagnosis c. Implementation d. Planning Feedback Your answer is correct. Question 3 Correct Mark 1.00 out of 1.00 Flag question Question text This indicates the patient’s exact words. Ex. “Chest pain for 3 hours”; “Difficulty of breathing for 2 days” Downloaded by kevin wacira () lOMoARcPSD| Select one: a. Lifestyle b. Biographic Data c. Chief Complaint d. Current Medication Feedback Your answer is correct. Question 4 Correct Mark 1.00 out of 1.00 Flag question Question text R is for: ___ Select one: a. Related b. Realistic c. Reachable d. Reasonable Feedback Downloaded by kevin wacira () lOMoARcPSD| Your answer is correct. Question 5 Correct Mark 1.00 out of 1.00 Flag question Question text It is repeating the part of what the patient just said Select one: a. Reflection b. Clarification c. Silence d. Empathy Feedback Your answer is correct. Question 6 Incorrect Mark 0.00 out of 1.00 Remove flag Question text Illnesses or cause of death of blood relatives such as parents, grandparents, siblings. This may indicate genetic predisposition Downloaded by kevin wacira () lOMoARcPSD| Answer: Family Health History Question 7 Correct Mark 1.00 out of 1.00 Flag question Question text This is a short statement the patient verbalizes to describe the reason for visit. It states one possible sign or symptoms and the duration. Select one: a. Current Medication b. Past Medical History c. Hisroty of Present Illness d. Reasons for Seeking Health Care Feedback Your answer is correct. Question 8 Correct Mark 1.00 out of 1.00 Flag question Question text Downloaded by kevin wacira () lOMoARcPSD| This consist of data collection occurs after comprehensive database is established. This is a mini overview of the client’s body system and holistic. Health patterns as a follow up on client’s health status. Answer: On-going partial Assessment Question 9 Correct Mark 1.00 out of 1.00 Flag question Question text What is actually said or written, the body language that accompanies the words. Select one: a. Receiver b. Response c. Message d. Sender Feedback Your answer is correct. Question 10 Correct Mark 1.00 out of 1.00 Flag question Downloaded by kevin wacira () lOMoARcPSD| Question text This is collecting, validating, organizing and recording data about the patient’s health status Select one: a. Assessment b. implementation c. Evaluation d. Planning Feedback Your answer is correct. Question 11 Correct Mark 1.00 out of 1.00 Flag question Question text A is for: ____ Select one: a. Attainable b. Acquirable c. Achievable Downloaded by kevin wacira () lOMoARcPSD| d. Appreciable Feedback Your answer is correct. Question 12 Correct Mark 1.00 out of 1.00 Flag question Question text The message that the receiver returns to the sender. It is also called feedback. Select one: a. Sender b. Receiver c. Response d. Message Feedback Your answer is correct. Question 13 Correct Mark 1.00 out of 1.00 Flag question Question text This makes the patient feel accepted and can deal with the feelings openly Downloaded by kevin wacira () lOMoARcPSD| Select one: a. Reflection b. Silence c. Empathy d. Clarification Feedback Your answer is correct. Question 14 Correct Mark 1.00 out of 1.00 Flag question Question text Vertigo, tinnitus, pain, anxiety, nausea, weakness, fatigue, anorexia , thirst, nervousness are: Select one: a. Subjective Data b. Assessment Data c. Objective Data d. Source Data Downloaded by kevin wacira () lOMoARcPSD| Feedback Your answer is correct. Question 15 Correct Mark 1.00 out of 1.00 Flag question Question text Uses silence, touch, eye movement, facial expression, body posture collection of Subjective Data through Interview and Health History Select one: a. Body Gesture b. Non-Verbal Communication c. Verbal Communication d. Hand Movement Feedback Your answer is correct. Question 16 Correct Mark 1.00 out of 1.00 Flag question Question text Another component of the communication process. Person or group who must listen, observe and attend. Downloaded by kevin wacira () lOMoARcPSD| Select one: a. Message b. Sender c. Receiver d. Response Feedback Your answer is correct. Question 17 Correct Mark 1.00 out of 1.00 Flag question Question text Pallor, diaphoresis, BP= 140/100, temperature= 38.5ᵒC, jaundice, weight loss, poor skin turgor, tachycardia, tachypnea, wheezing belong to: Select one: a. Subjective Data b. Assessment Data c. Downloaded by kevin wacira () lOMoARcPSD| Source Data d. Objective Data Feedback Your answer is correct. Question 18 Correct Mark 1.00 out of 1.00 Flag question Question text This involves collection of subjective data about the client’s perception of health of all parts or systems, past health history, family history, lifestyle and health practices. Answer: Initial Comprehensive Assessment Question 19 Correct Mark 1.00 out of 1.00 Flag question Question text Uses silence, touch, eye movement, facial expression, body posture. Types of Health Assessment in Nursing Practice Answer: Non-verbal Communication Question 20 Correct Mark 1.00 out of 1.00 Downloaded by kevin wacira () lOMoARcPSD| Flag question Question text The patient is the first priority of the nurse. The role of the nurse is to advocate for the best interests of the patient and to maintain the patient’s dignity throughout treatment and care Answer: Patient Advocacy Question 21 Correct Mark 1.00 out of 1.00 Flag question Question text Primary source: Patient; secondary source: Family members, friends and significant others, Patient’s record or chart. Health team members. Select one: a. Subjective Data b. Source of Data c. Supplemental Data d. Objective Data Feedback Downloaded by kevin wacira () lOMoARcPSD| Your answer is correct. Question 22 Correct Mark 1.00 out of 1.00 Flag question Question text Planning has guide to follow, acronym SMART: "S" is for_____ Select one: a. Sense b. Scientific c. Systematic d. Specific Feedback Your answer is correct. Question 23 Correct Mark 1.00 out of 1.00 Flag question Question text This final step of the nursing process is vital to a positive patient outcome. Whenever a Health care provider intervenes or implements care, they must reassess or evaluate to ensure the desired outcome has been met. Downloaded by kevin wacira () lOMoARcPSD| Select one: a. Evaluation b. Nursing Diagnosis c. Intervention d. Planning Feedback Your answer is correct. Question 24 Correct Mark 1.00 out of 1.00 Flag question Question text A person or group who wishes to communicate a message to another, can be considered the Select one: a. Message b. Sender c. Receiver d. Response Downloaded by kevin wacira () lOMoARcPSD| Feedback Your answer is correct. Question 25 Correct Mark 1.00 out of 1.00 Flag question Question text What is actually said or written, the body language that accompanies the words, and how the message is transmitted. Answer: Message Question 26 Correct Mark 1.00 out of 1.00 Flag question Question text This is performed when a database exists for a client and she comes to the health care agency with specific health concern. A focused assessment consists of a thorough assessment of a particular client problem and does not cover areas not related to the problem. If a client complains of ear pain, all questions should be related to ear pain. Select one: a. Comprehensive Health Assessment b. Initial comprehensive Assessment c. On-going Partial Assessment Downloaded by kevin wacira () lOMoARcPSD| d. Focused or Problem oriented Feedback Your answer is correct. Question 27 Correct Mark 1.00 out of 1.00 Flag question Question text T is for: ___ Select one: a. Truth b. Total c. Term d. Time Bounded Feedback Your answer is correct. Question 28 Correct Mark 1.00 out of 1.00 Flag question Question text Downloaded by kevin wacira () lOMoARcPSD| Goals and outcomes are formulated that directly impact patient care. These patient-specific goals and the attainment of such assist in ensuring a positive outcome. Select one: a. Nursing Diagnosis b. Implementation c. Evaluation d. Planning Feedback Your answer is correct. Question 29 Correct Mark 1.00 out of 1.00 Flag question Question text A person or group who wishes to communicate a message to another, can be considered the source-encoder. Answer: Sender Question 30 Correct Mark 1.00 out of 1.00 Downloaded by kevin wacira () lOMoARcPSD| Flag question Question text Involves determining beforehand the strategies or course of actions to be taken before implementation of nursing care. Select one: a. Evaluation b. Nursing Diagnosis c. Assessment d. Planning Feedback Your answer is correct. Question 31 Correct Mark 1.00 out of 1.00 Flag question Question text This deals with the client’s human response, which include nutritional habits, activity and exercise patterns, sleep and rest patterns, use of medications and substances, self-concept and self-care activities, social and community activities, relationships, values and beliefs system, education and work, stress and coping levels, and environment Select one: Downloaded by kevin wacira () lOMoARcPSD| a. Reasons for seeking health care b. Biographic Data c. Past health History d. Lifestyle Feedback Your answer is correct. Question 32 Incorrect Mark 0.00 out of 1.00 Remove flag Question text All of the following are nursing interventions, except: Select one: a. Dependent Intervention b. Interdependent Intervention c. Ordered Intervention d. Independent Interventions Feedback Your answer is incorrect. Downloaded by kevin wacira () lOMoARcPSD| Question 33 Correct Mark 1.00 out of 1.00 Flag question Question text Data that can be observed and measured. Select one: a. Assessment Data b. Subjective Assessment c. Source Data d. Objective Assessment Feedback Your answer is correct. Question 34 Correct Mark 1.00 out of 1.00 Flag question Question text This consist of data collection occurs after comprehensive database is established. This is a mini overview of the client’s body system and holistic. Health patterns as a follow up on client’s health status. Select one: a. Downloaded by kevin wacira () lOMoARcPSD| Comprehensive Health Assessment b. Initial comprehensive Assessment c. Focused or Problem-oriented d. On-going Partial Assessment Feedback Your answer is correct. Question 35 Correct Mark 1.00 out of 1.00 Flag question Question text Data includes: Name, Age and date of birth, Address, Gender, Marital status, Race, Occupation Select one: a. Biographic Data b. Lifestyle c. Reasons for seeking Health Care d. Past Health History Feedback Downloaded by kevin wacira () lOMoARcPSD| Your answer is correct. Question 36 Correct Mark 1.00 out of 1.00 Flag question Question text Chronological record of seeking care, from the time the symptoms appear until now. Select one: a. History of Present Illness b. Lifesytle c. Past Medical History d. Current Medications Feedback Your answer is correct. Question 37 Correct Mark 1.00 out of 1.00 Flag question Question text This is performed when a database exists for a client and she comes to the health care agency with specific health concern Downloaded by kevin wacira () lOMoARcPSD| Answer: Focused or Problem-Oriented Assessment Question 38 Correct Mark 1.00 out of 1.00 Flag question Question text M is for: ____ Select one: a. Measurable b. Manifestation c. Material d. Maintain Feedback Your answer is correct. Question 39 Correct Mark 1.00 out of 1.00 Flag question Question text Previous illness like childhood illnesses, accidents or injuries, serious or chronic, hospitalizations, operations, OB history (female), allergies Downloaded by kevin wacira () lOMoARcPSD| Select one: a. Reasons for seeking Health Care b. Biographic Data c. Family Health Hisroty d. Past Health History Feedback Your answer is correct. Question 40 Correct Mark 1.00 out of 1.00 Flag question Question text This involves collection of subjective data about the client’s perception of health of all parts or systems, past health history, family history, lifestyle and health practices, as well as objective data gathered during step-by-step examination. A total health assessment is needed when a client first enters a health care system to establish baseline data which future health status change can be compared and measured. Select one: a. Focused or Problem-oriented b. Comprehensive Health Assessment Downloaded by kevin wacira () lOMoARcPSD| c. On-going Partial Assessment d. Initial comprehensive Assessment Feedback Your answer is correct. DIPL-NCM5101 Health Assessment 1. Home 2. My courses 3. DIPL-NCMS 4. Prelim Examination 5. Prelim Lab Exam Started on Friday, 17 March 2023, 2:45 PM State Finished Completed on Friday, 17 March 2023, 3:20 PM Time taken 34 mins 57 secs Marks 47.00/50.00 Grade 94.00 out of 100.00 Question 1 Correct Mark 1.00 out of 1.00 Flag question Question text John Lucas went to medical center for an scheduled physical assessment. When percussing the client’s chest, the nurse would expect to find which assessment data as a normal sign over his lungs? Select one: Hyperresonance Resonance Downloaded by kevin wacira () lOMoARcPSD| Dullness Tympany Feedback Your answer is correct. Question 2 Correct Mark 1.00 out of 1.00 Flag question Question text Nurse Tara is teaching a community group about substance abuse. She explains that a genetic component has been implicated in which of the following commonly abused substances? Select one: Barbiturates Alcohol Marijuana Heroin Feedback Your answer is correct. Question 3 Correct Mark 1.00 out of 1.00 Flag question Question text Downloaded by kevin wacira () lOMoARcPSD| Evaluating the apical pulse is the most reliable noninvasive way to assess cardiac function. Which is the best area for auscultating the apical pulse? Select one: Tricuspid area Pulmonic area Aortic arch Mitral area Feedback Your answer is correct. Question 4 Correct Mark 1.00 out of 1.00 Flag question Question text A male client comes to the physician’s office for treatment of severe sunburn. The nurse takes this opportunity to discuss the importance of protecting the skin from the sun’s damaging rays. Which instruction would best prevent skin damage? Select one: “Use a sunscreen with a sun protection factor of 6 or higher.” “Apply sunscreen even on overcast days.” “Minimize sun exposure from 1 to 4 p.m. when the sun is strongest.” “When at the beach, sit in the shade to prevent sunburn.” Feedback Your answer is correct. Downloaded by kevin wacira () lOMoARcPSD| Question 5 Correct Mark 1.00 out of 1.00 Flag question Question text When planning care for a male client with burns on the upper torso, which nursing diagnosis should take the highest priority? Select one: Impaired physical mobility related to the disease process Disturbed sleep pattern related to facility environment Risk for infection related to breaks in the skin Ineffective airway clearance related to edema of the respiratory passages Feedback Your answer is correct. Question 6 Correct Mark 1.00 out of 1.00 Flag question Downloaded by kevin wacira () lOMoARcPSD| Question text Nurse Mary is acquiring information from a client in the emergency department. Which is an example of biographic information that may be obtained during a health history? Select one: Past health status Location of an advance directive History immunizations The chief complaint Feedback Your answer is correct. Question 7 Correct Mark 1.00 out of 1.00 Flag question Question text Pyloric stenosis is a : Select one: abnormal enlargement of the pyloric sphincter. abnormal opening in the pyloric sphincter. Downloaded by kevin wacira () lOMoARcPSD| inflammation of the pyloric sphincter. congenital narrowing of the pyloric sphincter. Feedback Your answer is correct. Question 8 Correct Mark 1.00 out of 1.00 Flag question Question text The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and dry. This finding would be related to which factor in the older adult? Select one: An increase in elastin and a decrease in subcutaneous fat An increased loss of elastin and a decrease in subcutaneous fat Increased numbers of sweat and sebaceous glands Increased vascularity of the skin Feedback Your answer is correct. Question 9 Correct Mark 1.00 out of 1.00 Downloaded by kevin wacira () lOMoARcPSD| Flag question Question text A female adult client with atopic dermatitis is prescribed a potent topical corticosteroid, to be covered with an occlusive dressing. To address a potential client problem associated with this treatment, the nurse formulates the nursing diagnosis of Risk for injury. To complete the nursing diagnosis statement, the nurse should add which “related-to” phrase? Select one: Related to vasodilatory effects of the topical corticosteroid Related to percutaneous absorption of the topical corticosteroid Related to potential interactions between the topical corticosteroid and other prescribed drugs Related to topical corticosteroid application to the face, neck, and intertriginous sites Feedback Your answer is correct. Question 10 Incorrect Mark 0.00 out of 1.00 Remove flag Question text The nurse educator is preparing an education module for the nursing staff on the dermis layer of skin. Which of these statements would be included in the module? The dermis: Select one: Downloaded by kevin wacira () lOMoARcPSD| Contains mostly fat cells Is replaced every 4 weeks Contains sensory receptors Consists mostly of keratin Feedback Your answer is incorrect. Question 11 Correct Mark 1.00 out of 1.00 Flag question Question text Novice nurse Liza is excited to perform her very first physical assessment with a 19-year-old client. Which assessment examination requires Liza to wear gloves? Select one: Oral Ophthalmic All of the above Breast . Integumentary Feedback Your answer is correct. Question 12 Correct Downloaded by kevin wacira () lOMoARcPSD| Mark 1.00 out of 1.00 Flag question Question text Which term would the nurse use to document pain at one site that is perceived in other site? Select one: Phantom pain Intractable pain Aftermath of pain Referred pain Feedback Your answer is correct. Question 13 Incorrect Mark 0.00 out of 1.00 Flag question Question text In planning pain reduction interventions, which pain theory provides information most useful to nurses? Select one: Gate-control theory Specificity theory Downloaded by kevin wacira () lOMoARcPSD| Central-control theory Pattern theory Feedback Your answer is incorrect. Question 14 Correct Mark 1.00 out of 1.00 Flag question Question text A newborn infant is in the clinic for a well-baby checkup. The nurse observes the infant for the possibility of fluid loss because of which of these factors? Select one: Subcutaneous fat deposits are high in the newborn. Sebaceous glands are over productive in the newborn. The amount of vernix caseosa dramatically rises in the newborn The newborn's skin is more permeable than that of the adult. Feedback Your answer is correct. Question 15 Correct Mark 1.00 out of 1.00 Flag question Question text Downloaded by kevin wacira () lOMoARcPSD| A male, who is 30 years old is diagnosed with dehydration and underwent series of tests. Which laboratory result would warrant immediate intervention by the nurse? Select one: Serum potassium level of 3.1 mEq/L Serum sodium level of 138 mEq/L Serum glucose level of 120 mg/dl Serum creatinine level of 0.6 mg/100 ml Feedback Your answer is correct. Question 16 Correct Mark 1.00 out of 1.00 Flag question Question text Nurse Julie recommends that the family of a client with substance-related disorder attend a support group, such as Al-Anon and Alateen. The purpose of these groups is to help family members understand the problem and to: Select one: Change the problem behaviors of the abuser. Learn how to assist the abuser in getting help. Maintain focus on changing their own behaviors. Prevent substance problems in vulnerable family members. Downloaded by kevin wacira () lOMoARcPSD| Feedback Your answer is correct. Question 17 Correct Mark 1.00 out of 1.00 Flag question Question text Miggy, a 6-year-old boy, received a small paper cut on his finger, his mother let him wash it and apply small amount of antibacterial ointment and bandage. Then she let him watch TV and eat an apple. This is an example of which type of pain intervention? Select one: Cutaneous stimulation Pharmacologic therapy Environmental alteration Control and distraction Feedback Your answer is correct. Question 18 Correct Mark 1.00 out of 1.00 Flag question Question text Christine Ann is about to take her NCLEX examination next week and is currently reviewing the concept of pain. Which scientific rationale would indicate that she understands the topic? Downloaded by kevin wacira () lOMoARcPSD| Select one: Pain is an objective sign of a more serious problem Intractable pain may be relieved by treatment Psychological factors rarely contribute to a client’s pain perception Pain sensation is affected by a client’s anticipation of pain Feedback Your answer is correct. Question 19 Correct Mark 1.00 out of 1.00 Flag question Question text A 22-year-old woman comes to the clinic because of severe sunburn and states, "I was out in the sun for just a couple of minutes." The nurse begins a medication review with her, paying special attention to which medication class? Select one: Nonsteroidal anti-inflammatory drugs for pain Tetracyclines for acne Proton pump inhibitors for heartburn Thyroid replacement hormone for hypothyroidism Feedback Your answer is correct. Question 20 Correct Mark 1.00 out of 1.00 Downloaded by kevin wacira () lOMoARcPSD| Flag question Question text Beginning in their 20s, women should be told about the benefits and limitations of breast self-exam (BSE). Which scientific rationale should the nurse remember when performing a breast examination on a female client? Select one: The tail of Spence area must be included in self-examination A pad should be placed under the opposite scapula of the breast being palpated The position of choice for the breast examination is supine One half of all breast cancer deaths occur in women ages 35 to 45 Feedback Your answer is correct. Question 21 Correct Mark 1.00 out of 1.00 Flag question Question text A female client with a severe staphylococcal infection is receiving the aminoglycoside gentamicin sulfate (Garamycin) by the I.V. route. The nurse should assess the client for which adverse reaction to this drug? Select one: Downloaded by kevin wacira () lOMoARcPSD| Seizures Ototoxicity Aplastic anemia Cardiac arrhythmias Feedback Your answer is correct. Question 22 Correct Mark 1.00 out of 1.00 Flag question Question text Elsa is being treated in a chemical dependency unit. She tells the nurse that she only uses drugs when under stress and therefore does not have a substance problem. Which defense mechanism is the client using? Select one: Denial Compensation Suppression Undoing Downloaded by kevin wacira () lOMoARcPSD| Feedback Your answer is correct. Question 23 Correct Mark 1.00 out of 1.00 Flag question Question text During an examination, the nurse finds that a patient has excessive dryness of the skin. The best term to describe this condition is: Select one: Xerosis Pruritus Alopecia Seborrhea Feedback Your answer is correct. Question 24 Correct Mark 1.00 out of 1.00 Flag question Question text Nurse Rob has observed a co-worker arriving to work drunk at least three times in the past month. Which action by Nurse Rob would best ensure client safety and obtain necessary assistance for the co-worker? Select one: Downloaded by kevin wacira () lOMoARcPSD| Report the coworker’s behavior to the appropriate supervisor. Warn the co-worker that this practice is unsafe. Ignore the co worker’s behavior, and frequently assess the clients assigned to the co-worker. Make general statements about safety issues at the next staff meeting. Feedback Your answer is correct. Question 25 Correct Mark 1.00 out of 1.00 Flag question Question text When evaluating a patient pain, the nurse knows that an example of acute pain would be: Select one: Fibromyalgia Arthritic pain Kidney stones Low back pain Downloaded by kevin wacira () lOMoARcPSD| Feedback Your answer is correct. Question 26 Correct Mark 1.00 out of 1.00 Flag question Question text Mr. Lim, who has chronic pain, loss of self-esteem, no job, and bodily disfigurement from severe burns over the trunk and arms, is admitted to a pain center. Which evaluation criteria would indicate the client’s successful rehabilitation? Select one: The client remains free of the aftermath phase of the pain experience. The client develops increased tolerance for severe pain in the future. The client continues normal growth and development with intact support systems. The client experiences decreased frequency of acute pain episodes. Feedback Your answer is correct. Question 27 Correct Mark 1.00 out of 1.00 Flag question Downloaded by kevin wacira () lOMoARcPSD| Question text A physician tells the nurse that a patient vertebra prominens is tender and asks the nurse to reevaluate the area in 1 hour. The area of the body the nurse will assess is: Select one: Just above the diaphragm Just lateral the knee cap At the level of the C& vertebra At the level of the T11 vertebra Feedback Your answer is correct. Question 28 Correct Mark 1.00 out of 1.00 Flag question Question text For which time period would the nurse notify the health care provider that the client had no bowel sounds? Select one: 2 minutes Downloaded by kevin wacira () lOMoARcPSD| 4 minutes 5 minutes 3 minutes Feedback Your answer is correct. Question 29 Correct Mark 1.00 out of 1.00 Flag question Question text The client’s vision is tested with a Snellen’s chart. The results of the tests are documented as 20/60. The nurse interprets this as: Select one: The client can read only at a distance of 20 feet what a client with normal vision can read at 60 feet. The client’s vision is normal The client can read at a distance of 60 feet what a client with normal vision can read at 20 feet. The client is legally blind. Feedback Downloaded by kevin wacira () lOMoARcPSD| Your answer is correct. Question 30 Correct Mark 1.00 out of 1.00 Flag question Question text Which statement represents the best rationale for using noninvasive and non-pharmacologic pain-control measures in conjunction with other measures? Select one: These measures decrease input to large fibers. These measures are more effective than analgesics. These measures block transmission of type C fiber impulses. These measures potentiate the effects of analgesics. Feedback Your answer is correct. Question 31 Correct Mark 1.00 out of 1.00 Flag question Question text During the aging process, the hair can look gray or white and begin to feel thin and fine. The nurse knows that this occurs because of a decrease in the number of functioning: Select one: Downloaded by kevin wacira () lOMoARcPSD| Melanocytes Phagocytes Metrocytes Fungacytes Feedback Your answer is correct. Question 32 Correct Mark 1.00 out of 1.00 Flag question Question text A woman is leaving on a trip to Hawaii and has come in for a checkup. During the examination the nurse learns that she has diabetes and takes oral hypoglycemic agents. The patient needs to be concerned about which possible effect of her medications? Select one: Lack of availability of glucose-monitoring supplies Skin sensitivity as a result of exposure to salt water Increased possibility of bruising Importance of sunscreen and avoiding direct sunlight Feedback Your answer is correct. Question 33 Correct Mark 1.00 out of 1.00 Downloaded by kevin wacira () lOMoARcPSD| Flag question Question text The clinic nurse is preparing to test the visual acuity of a client using a Snellen chart. Which of the following identifies the accurate procedure for this visual acuity test? Select one: The client is asked to stand at a distance of 40ft from the chart and to read the line than can be read 200 ft away by an individual with unimpaired vision. The right eye is tested followed by the left eye, and then both eyes are tested. The client is asked to stand at a distance of 40ft. from the chart and is asked to read the largest line on the chart. Both eyes are assessed together, followed by the assessment of the right and then the left eye. Feedback Your answer is correct. Question 34 Correct Mark 1.00 out of 1.00 Flag question Question text The clinic nurse notes that the following several eye examinations, the physician has documented a diagnosis of legal blindness in the client’s chart. The nurse reviews the results of the Snellen’s chart test expecting to note which of the following? Downloaded by kevin wacira () lOMoARcPSD| Select one: 20/20 vision 20/200 vision 20/60 vision 20/40 vision Feedback Your answer is correct. Question 35 Correct Mark 1.00 out of 1.00 Flag question Question text Ryan underwent an open reduction and internal fixation of the left hip. One day after the operation, the client is complaining of pain. Which data would cause the nurse to refrain from administering the pain medication and to notify the health care provider instead? Select one: Left leg in functional anatomic position Blood pressure of 114/78 mm Hg; pulse rate of 82 beats per minute Downloaded by kevin wacira () lOMoARcPSD| Left foot cold to touch; no palpable pedal pulse Left hip dressing dry and intact Feedback Your answer is correct. Question 36 Incorrect Mark 0.00 out of 1.00 Flag question Question text Physical assessment is being performed to Geoff by Nurse Tine. During the abdominal examination, Tine should perform the four physical examination techniques in which sequence? Select one: Inspection and then palpation, percussion, and auscultation Auscultation immediately after inspection and then percussion and palpation Palpation of tender areas first and then inspection, percussion, and auscultation Percussion, followed by inspection, auscultation, and palpation Feedback Your answer is incorrect. Question 37 Correct Mark 1.00 out of 1.00 Flag question Question text Downloaded by kevin wacira () lOMoARcPSD| During an otoscopic examination, which action should be avoided to prevent the client from discomfort and injury? Select one: Tipping the client’s head away from the examiner and pulling the ear up and back Inserting the otoscope superiorly into the proximal two-thirds of the external canal Inserting the otoscope inferiorly into the distal portion of the external canal Bracing the examiner’s hand against the client’s head Feedback Your answer is correct. Question 38 Correct Mark 1.00 out of 1.00 Flag question Question text Which assessment data should the nurse include when obtaining a review of body systems Select one: Client complaints of chest pain, dyspnea, or abdominal pain Information about the client’s sexual performance and preference The client’s name, address, age, and phone number Brief statement about what brought the client to the health care provider Feedback Your answer is correct. Downloaded by kevin wacira () lOMoARcPSD| Question 39 Correct Mark 1.00 out of 1.00 Flag question Question text Tywin has come to the nursing clinic for a comprehensive health assessment. Which statement would be the best way to end the history interview? Select one: “What brought you to the clinic today?” “Is there anything else you would like to tell me?” “Do you understand what is happening?” “Would you describe your overall health as good?” Feedback Your answer is correct. Question 40 Correct Mark 1.00 out of 1.00 Flag question Question text In a female client with burns on the legs, which nursing intervention helps prevent contractures? Select one: Hyperextending the client’s palms Elevating the foot of the bed Downloaded by kevin wacira () lOMoARcPSD| Applying knee splints Performing shoulder range-of-motion exercises Feedback Your answer is correct. Question 41 Correct Mark 1.00 out of 1.00 Flag question Question text When assessing a patient’s pulse, the nurse should also notice which of these characteristics? Select one: Timing in the cardiac cycle Capillary refill Force a. Pallor Feedback Your answer is correct. Question 42 Downloaded by kevin wacira () lOMoARcPSD| Correct Mark 1.00 out of 1.00 Flag question Question text A female client is brought to the emergency department with second- and third-degree burns on the left arm, left anterior leg, and anterior trunk. Using the Rule of Nines, what is the total body surface area that has been burned? Select one: 27% 18% 30% 36% Feedback Your answer is correct. Question 43 Correct Mark 1.00 out of 1.00 Flag question Question text When planning care for a male client with burns on the upper torso, which nursing diagnosis should take the highest priority? Select one: Disturbed sleep pattern related to facility environment Downloaded by kevin wacira () lOMoARcPSD| Impaired physical mobility related to the disease process Risk for infection related to breaks in the skin Ineffective airway clearance related to edema of the respiratory passages Feedback Your answer is correct. Question 44 Correct Mark 1.00 out of 1.00 Flag question Question text Albert who suffered severe burns 6 months ago is expressing concern about the possible loss of job-performance abilities and physical disfigurement. Which intervention is the most appropriate for him? Select one: Staying with the client as much as possible and building trust Referring the client for counseling and occupational therapy Providing distraction and guided imagery techniques Providing cutaneous stimulation and pharmacologic therapy Feedback Your answer is correct. Question 45 Correct Mark 1.00 out of 1.00 Downloaded by kevin wacira () lOMoARcPSD| Flag question Question text A male client is diagnosed with herpes simplex. Which statement about herpes simplex infection is true? Select one: During early pregnancy, herpes simplex infection may cause spontaneous abortion or premature delivery. Genital herpes simplex lesions are painless, fluid-filled vesicles that ulcerate and heal in 3 to 7 days A client with genital herpes lesions can have sexual contact but must use a condom. Herpetic keratoconjunctivitis usually is bilateral and causes systemic symptoms. Feedback Your answer is correct. Question 46 Correct Mark 1.00 out of 1.00 Flag question Downloaded by kevin wacira () lOMoARcPSD| Question text During the nursing assessment, which data represent information concerning health beliefs? Select one: Use of prescribed and over-the-counter medications Educational level and financial status Family role and relationship patterns Promotive, preventive, and restorative health practices Feedback Your answer is correct. Question 47 Correct Mark 1.00 out of 1.00 Flag question Question text A male client is diagnosed with primary herpes genitalis. Which instruction should the nurse provide? Select one: “Apply one applicator of terconazole intravaginally at bedtime for 7 days.” “Apply one applicator of tioconazole intravaginally at bedtime for 7 days.” Downloaded by kevin wacira () lOMoARcPSD| “Apply sulconazole nitrate twice daily by massaging it gently into the lesions.” “Apply acyclovir ointment to the lesions every 3 hours, six times a day for 7 days.” Feedback Your answer is correct. Question 48 Correct Mark 1.00 out of 1.00 Flag question Question text A male client with psoriasis visits the dermatology clinic. When inspecting the affected areas, the nurse expects to see which type of secondary lesion? Select one: Ulcer Scale Crust Scar Feedback Your answer is correct. Question 49 Correct Mark 1.00 out of 1.00 Flag question Downloaded by kevin wacira () lOMoARcPSD| Question text When assessing the lower extremities for arterial function, which intervention should the nurse perform? Select one: Palpating the pedal pulses Assessing the Homans’ sign Performing Allen’s test Assessing the medial malleoli for pitting edema Feedback Your answer is correct. Question 50 Correct Mark 1.00 out of 1.00 Flag question Question text When evaluating a client’s adaptation to pain, which behavior indicates appropriate adaptation? Select one: The client reports pain reduction with decreased activity. The client denies the existence of any pain. The client distracts himself during pain episodes. Downloaded by kevin wacira () lOMoARcPSD| The client reports no need for family support. Feedback Your answer is correct. DIPL-NCM5101 Health Assessment 1. Home 2. My courses 3. DIPL-NCMS 4. Midterm Examination 5. MIDTERM EXAM Started on Monday, 17 April 2023, 10:03 PM State Finished Completed on Monday, 17 April 2023, 10:58 PM Time taken 55 mins 14 secs Marks 38.00/40.00 Grade 95.00 out of 100.00 Question 1 Correct Mark 1.00 out of 1.00 Flag question Question text NPO is required for upper and lower gastrointestinal tract procedures. NPO is: Select one: a. None per order b. Nothing by mouth c. Nothing prompt obtained d. No personal orders Downloaded by kevin wacira () lOMoARcPSD| Feedback Your answer is correct. Question 2 Correct Mark 1.00 out of 1.00 Flag question Question text The pulse may be palpated in any place that allows an artery to be compressed near the surface of the body On foot ________________. Select one: a. Femoral artery b. Dorsalis pedis artery c. Posterior tibial artery d. Popliteal artery Feedback Your answer is correct. Question 3 Incorrect Mark 0.00 out of 1.00 Flag question Downloaded by kevin wacira () lOMoARcPSD| Question text This is the record of nursing actions and observations in the nursing care process. It helps nurses to monitor and control the course of nursing care. Select one: a. Physical Examination b. Nursing Documentation c. Collection of Objective Data d. Progress Notes Feedback Your answer is incorrect. Question 4 Correct Mark 1.00 out of 1.00 Flag question Question text Pain is: Select one: a. Complaints of patient b. Descriptions based on manifestations of patients c. Downloaded by kevin wacira () lOMoARcPSD| Observations by the nurse d. Displayed by patient Feedback Your answer is correct. Question 5 Correct Mark 1.00 out of 1.00 Flag question Question text When providing for privacy, the nurse must: Select one: a. Provide a new and clean gown b. Provide adequate information about the procedure. c. Prepare the patient physically and psychologically to allay anxiety d. Curtain the unit as necessary. Feedback Your answer is correct. Question 6 Correct Mark 1.00 out of 1.00 Downloaded by kevin wacira () lOMoARcPSD| Flag question Question text Excessive fast heart rate above normal. Select one: a. Dysrythmia/Arythmia b. Pulse Deficit c. Tachycardia d. Bradycardia Feedback Your answer is correct. Question 7 Correct Mark 1.00 out of 1.00 Flag question Question text Body temperature alternates at a regular intervals between periods of fever and normal temperature. Select one: a. Remittent fever Downloaded by kevin wacira () lOMoARcPSD| b. Relapsing fever c. Constant fever d. Intermittent fever Feedback Your answer is correct. Question 8 Correct Mark 1.00 out of 1.00 Flag question Question text The following are methods of validation, except: Select one: a. Compare findings with subjective findings to uncover discrepancies. b. Recheck data through repeat assessment. c. Clarify data by asking additional questions. d. Verify data from another health care professional Feedback Your answer is correct. Downloaded by kevin wacira () lOMoARcPSD| Question 9 Correct Mark 1.00 out of 1.00 Flag question Question text The pulse may be palpated in any place that allows an artery to be compressed near the surface of the body Neck area __________________. Select one: a. Carotid artery b. Apical artery c. Radial artery d. Temporal artery Feedback Your answer is correct. Question 10 Correct Mark 1.00 out of 1.00 Flag question Question text Downloaded by kevin wacira () lOMoARcPSD| The pulse may be palpated in any place that allows an artery to be compressed near the surface of the body Behind the knee ______________. Select one: a. Dorsalis pedis artery b. Posterior tibial artery c. Popliteal artery d. Radial artery Feedback Your answer is correct. Question 11 Correct Mark 1.00 out of 1.00 Flag question Question text This involves sense of sight. Select one: a. Percussion b. Palpation Downloaded by kevin wacira () lOMoARcPSD| c. Inspection d. Auscultation Feedback Your answer is correct. Question 12 Correct Mark 1.00 out of 1.00 Flag question Question text The sequence of methods for abdominal examination is: Select one: a. Palpation, Percussion, and Inspection b. Percussion, Palpation, and Inspection c. Inspection, Percussion and Palpation d. Palpation, Inspection, and Percussion Feedback Your answer is correct. Question 13 Correct Mark 1.00 out of 1.00 Downloaded by kevin wacira () lOMoARcPSD| Flag question Question text The pulse may be palpated in any place that allows an artery to be compressed near the surface of the body Bilateral part of the head ______________. Select one: a. Apical artery b. Temporal artery c. Carotid artery d. Radial artery Feedback Your answer is correct. Question 14 Correct Mark 1.00 out of 1.00 Flag question Question text This systems have been implemented in health care organizations to bring in the benefits of increasing access to more complete, accurate and up-to-date data and reducing redundancy, improving communication and care service delivery. Downloaded by kevin wacira () lOMoARcPSD| Select one: a. Electronic Nursing Documentation b. Progress Notes c. Collection of Objective Data d. Nursing Documentation Feedback Your answer is correct. Question 15 Correct Mark 1.00 out of 1.00 Flag question Question text This reveals the sounds produced by the body, usually from movement of organs and tissues. Select one: a. Percussion b. Palpation c. Downloaded by kevin wacira () lOMoARcPSD| Auscultation d. Inspection Feedback Your answer is correct. Question 16 Incorrect Mark 0.00 out of 1.00 Flag question Question text Reflects the balance between heat produced and heat loss from the body Select one: a. Fever b. Posture and gait c. Defervesence d. Body temperature Feedback Your answer is incorrect. Question 17 Correct Mark 1.00 out of 1.00 Downloaded by kevin wacira () lOMoARcPSD| Flag question Question text Number 20 is used to measure Select one: a. Arterial oxygen b. Arterial blood gases c. Oxygen saturation d. Arterial blood oxygen Feedback Your answer is correct. Question 18 Correct Mark 1.00 out of 1.00 Flag question Question text To validate dehydration, assess if the patient is: Select one: a. On other conditions that involve fluid loss b. Vomiting. Downloaded by kevin wacira () lOMoARcPSD| c. Having adequate fluid intake d. Having diarrhea Feedback Your answer is correct. Question 19 Correct Mark 1.00 out of 1.00 Flag question Question text Perform the procedure using cephalo – caudal sequence, means; Select one: a. From laterals to median b. From head to toe c. From median to laterals d. From front to back Feedback Your answer is correct. Question 20 Correct Mark 1.00 out of 1.00 Downloaded by kevin wacira () lOMoARcPSD| Flag question Question text Heart rate less than the normal. Select one: a. Tachycardia b. Pulse Deficit c. Bradycardia d. Dysrythmia/Arythmia Feedback Your answer is correct. Question 21 Correct Mark 1.00 out of 1.00 Flag question Question text This is the principal clinical information source to meet legal and professional requirements, and is one of the most significant components in nursing care. Select one: a. Collection of Objective Data Downloaded by kevin wacira () lOMoARcPSD| b. Nursing Documentation c. Physical Examination d. Progress Notes Feedback Your answer is correct. Question 22 Correct Mark 1.00 out of 1.00 Flag question Question text This is a non-invasive technique to measure the percent to which Haemoglobin is filled with oxygen of arterial blood. It does not replace measurement of arterial blood gases for assessment of abnormalities. Select one: a. Oxygen pulse meter b. Arterial oxygen metry c. Pulse-oxygen meter d. Pulse oxymetry Feedback Downloaded by kevin wacira () lOMoARcPSD| Your answer is correct. Question 23 Correct Mark 1.00 out of 1.00 Flag question Question text Before doing any procedures, the nurse must: Select one: a. Check vital signs b. Begin by measuring height, weight then record c. Perform cephalo-caudal d. Hand wash before the procedure Feedback Your answer is correct. Question 24 Correct Mark 1.00 out of 1.00 Flag question Question text BP is measured using these instruments, which consists of an aneroid or mercury gauge and an inflatable rubber bladder in a cloth covering Downloaded by kevin wacira () lOMoARcPSD| Select one: a. Stethoscope & bulb b. Sphygmomanometer & cuff c. Stethoscope and sphygmomanometer d. Anaeroid gauge and Valve Feedback Your answer is correct. Question 25 Correct Mark 1.00 out of 1.00 Flag question Question text Short febrile periods of few days are interspersed within a period of 1 – 2 days Select one: a. Relapsing fever b. Constant fever c. Intermittent fever d. Downloaded by kevin wacira () lOMoARcPSD| Remittent fever Feedback Your answer is correct. Question 26 Correct Mark 1.00 out of 1.00 Flag question Question text Data are gathered through the senses – sight, smells, touch and hearing. Select one: a. Patient’s complaints b. Objective data c. Verbalized by patients d. Subjective data Feedback Your answer is correct. Question 27 Correct Mark 1.00 out of 1.00 Flag question Question text This applies sense of touch to assess the following factors: texture, temperature, moisture, organ location and size, any swelling, vibration or pulsation, rigidity or Downloaded by kevin wacira () lOMoARcPSD| spasticity, crepitation, presence of lumps or masses, presence of tenderness and pain. Select one: a. Inspection b. Percussion c. Auscultation d. Palpation Feedback Your answer is correct. Question 28 Correct Mark 1.00 out of 1.00 Flag question Question text The following are purposes of percussion Select one: a. Detecting abnormal mass. Percussion vibrations penetrate about 5 cm deep b. Mapping out a location and size of an organ c. If underlying structure is inflamed, it will not elicit pain Downloaded by kevin wacira () lOMoARcPSD| d. Detecting the density (air, fluid, or solid) of a structure by a characteristic note. Feedback Your answer is correct. Question 29 Correct Mark 1.00 out of 1.00 Flag question Question text Generally, nurses record information with a common format. Nurses are likely to record details about a client's clinical status or achievements during the course of the nursing care. Select one: a. Electronic Nursing Documentation b. Collection of Objective Data c. Nursing Documentation d. Progress Notes Feedback Your answer is correct. Question 30 Correct Mark 1.00 out of 1.00 Downloaded by kevin wacira () lOMoARcPSD| Flag question Question text This includes the ear tips, earpiece, flexible tubing, and chest piece. To be effective, the ear tips must fit into the ear canal snuggly but comfortably Select one: a. Sphygmomanometer b. Otoscope c. Stethoscope d. Electro-cardiogram Feedback Your answer is correct. Question 31 Correct Mark 1.00 out of 1.00 Flag question Question text The following are types of Fever, except: Select one: Downloaded by kevin wacira () lOMoARcPSD| a. Hyperpyrexia b. Pyrexia c. Afebrile d. Hyperthermia Feedback Your answer is correct. Question 32 Correct Mark 1.00 out of 1.00 Flag question Question text This reveals the sounds produced by the body, usually from movement of organs and tissues. Select one: a. Inspection b. Palpation c. Percussion d. Auscultation Feedback Your answer is correct. Downloaded by kevin wacira () lOMoARcPSD| Question 33 Correct Mark 1.00 out of 1.00 Flag question Question text Irregular pulse rhythm. Select one: a. Bradycardia b. Tachycardia c. Pulse Deficit d. Dysrythmia/Arythmia Feedback Your answer is correct. Question 34 Correct Mark 1.00 out of 1.00 Flag question Question text Pain is: Select one: a. Subjective cues Downloaded by kevin wacira () lOMoARcPSD| b. Objective cues c. Facial cues d. Movements cue Feedback Your answer is correct. Question 35 Correct Mark 1.00 out of 1.00 Flag question Question text It contains the principal clinical information source to meet legal and professional requirements and one of the most significant components in nursing care Select one: a. Nursing Documentation b. Progress Notes c. Collection of Objective Data d. Electronic Nursing Documentation Feedback Downloaded by kevin wacira () lOMoARcPSD| Your answer is correct. Question 36 Correct Mark 1.00 out of 1.00 Flag question Question text Tapping of the patient’s skin with short, sharp strokes to assess underlying structures, the characteristic sound produced during percussion depicts the location, size and density of underlying organ. Select one: a. Palpation b. Auscultation c. Inspection d. Percussion Feedback Your answer is correct. Question 37 Correct Mark 1.00 out of 1.00 Flag question Question text Body temperature fluctuates minimally but always remains above normal. Downloaded by kevin wacira () lOMoARcPSD| Select one: a. Remittent fever b. Relapsing fever c. Constant fever d. Intermittent fever Feedback Your answer is correct. Question 38 Correct Mark 1.00 out of 1.00 Flag question Question text The general sequence of performing physical examination techniques is as follows: Select one: a. Inspection, Palpation, Percussion, Auscultation. b. Inspection, Auscultation, Palpation, Percussion c. Auscultation, Percussion, Palpation, Inspection Downloaded by kevin wacira () lOMoARcPSD| d. Inspection, Percussion, Auscultation, Palpation Feedback Your answer is correct. Question 39 Correct Mark 1.00 out of 1.00 Flag question Question text Normal adult respiratory rate Select one: a. 30 – 80 cycles per minute b. 10 – 20 cpm c. 20 – 40 cpm d. 15 – 25 cpm Feedback Your answer is correct. Question 40 Correct Mark 1.00 out of 1.00 Downloaded by kevin wacira () lOMoARcPSD| Flag question Question text Wide range of temperature fluctuations over 24 hour period Select one: a. Constant fever b. Intermittent fever c. Relapsing fever d. Remittent fever Feedback Your answer is correct. DIPL-NCM5101 Health Assessment 1. Home 2. My courses 3. DIPL-NCMS 4. Midterm Examination 5. Midterm Lab Exam Started on Monday, 17 April 2023, 11:07 PM State Finished Completed on Monday, 17 April 2023, 11:28 PM Time taken 20 mins 19 secs Marks 48.00/50.00 Grade 96.00 out of 100.00 Question 1 Downloaded by kevin wacira () lOMoARcPSD| Correct Mark 1.00 out of 1.00 Flag question Question text Data are gathered through the senses – sight, smells, touch and hearing. Select one: a. Patient’s complaints b. Subjective data c. Verbalized by patients d. Objective data Feedback Your answer is correct. Question 2 Correct