UPDATED Health Assessment Final Exam: Review Questions

UPDATED Health Assessment Final Exam: Review Questions A nurse is caring for a patient with an injury to Broca's area. Which finding would the nurse expect to assess in this patient? a.Difficulty speaking b.Receptive aphasia c.Visual disturbances d.Emotional lability - qualified answersa.Difficulty speaking A patient comes to the Emergency department (ED) complaining of chest pain. This would be considered: a.Secondary data b.Objective data c.Subjective data d.Tertiary data - qualified answersc.Subjective data A patient has a barrel-shaped chest. A barrel - shaped chest is characterized by: a.Anteroposterior to transverse (lateral) diameter of 2:1 and the elevation of the ribs. b.Anteroposterior to transverse (lateral) diameter of 1:2 and an elliptic shape. c.Equal anteroposterior to transverse (lateral) diameter and the ribs being horizational. d.Anteroposterior to transverse (lateral) diameter of 3:7 and sloping backwards of the ribs - qualified answersc.Equal anteroposterior to transverse (lateral) diameter and the ribs being horizational. A patient is clenching the jaw closed to avoid taking a prescribed oral medication. The nurse can use this observation to confirm the patient is demonstrating motor function of which cranial nerve? a.Facial b.Glossopharyngeal c.Trigeminal d.Vagus - qualified answersc.Trigeminal A patient is complaining of "shortness of breath with movements" and this complaint is validated by the nurse objectively. How would the nurse best document these findings? a.Patient complains of "shortness of breath". No DOE observed. b.Patient complains of mild "shortness of breath". + DOE noted by this RN. c.Patient reports "shortness of breath with movements". + DOE observed by this RN. d.Patient reports "shortness of breath at rest". DOE was not noted by this RN. - qualified answersc.Patient reports "shortness of breath with movements". + DOE observed by this RN. A patient with a history of depression and manic episodes acknowledges suicidal thinking over the past week and verbalized a plan. What are you most concerned about initially in caring for this patient? a.Mental health b.Mental status c.Neurologic function d.Safety - qualified answersd.Safety A patient with a recent head injury is admitted to the emergency department. The patient appears to be dazed. The nurse asks the patient, "Do you know where you are?" Which of the following parameters is the nurse assessing? a.Attention b.Memory c.Orientation d.Mood and affect - qualified answersc.Orientation A patient's patellar reflex is normal for the right side but diminished on the left. Using the scale for grading reflexes, how should the nurse document this finding