Test Guide For Physical Examination and
History Taking ,13th Edition(2024/2025 Latest
Update)A+GRADE
Clustering related cues
Which critical thinking skill helps the nurse see relationships among the data?
Nursing
The nurse knows that developing appropriate nursing interventions for a patient relies on
the appropriateness of the __________ diagnosis.
Assessment, diagnosis, outcome identification, planning, implementation, and evaluation
The nursing process is a sequential method of problem solving that nurses use and includes
which steps?
Breathing, pain, and sleep
A newly admitted patient is in acute pain, has not been sleeping well lately, and is having
difficulty breathing. How should the nurse prioritize these problems?
Diagnostic hypothesis
Which of these would be formulated by a nurse using diagnostic reasoning?
Nurses lack of research skills in evaluating the quality of research studies.
Barriers to incorporating EBP include
Assessment
What step of the nursing process includes data collection by health history, physical
examination, and interview?
Teach the nurses how to conduct electronic searches for research studies.
,During a staff meeting, nurses discuss the problems with accessing research studies to
incorporate evidence-based clinical decision making into their practice. Which suggestion by
the nurse manager would best help these problems?
Holistic health views the mind, body, and spirit as interdependent.
When reviewing the concepts of health, the nurse recalls that the components of holistic
health include which of these?
Prevention places the emphasis on the link between health and personal behavior.
The nurse recognizes that the concept of prevention in describing health is essential
because:
2 5 cm scar on the right lower forearm.
The nurse is performing a physical assessment on a newly admitted patient. An example of
objective information obtained during the physical assessment includes the:
A complete health data base because of the nurses primary responsibility for monitoring
the patients health
A visiting nurse is making an initial home visit for a patient who has many chronic medical
problems. Which type of data base is most appropriate to collect in this setting?
Patient in an outpatient clinic has cold and influenza-like symptoms.
Which situation is most appropriate during which the nurse performs a focused or problem-
centered history?
Which situation is most appropriate during which the nurse performs a focused or
problem-centered history?
A patient is at the clinic to have her blood pressure checked. She has been coming to the
clinic weekly since she changed medications 2 months ago. The nurse should:
Simultaneously ask history questions while performing the examination and initiating life-
saving measures.
,A patient is brought by ambulance to the emergency department with multiple traumas
received in an automobile accident. He is alert and cooperative, but his injuries are quite
severe. How would the nurse proceed with data collection?
Provide culturally sensitive and appropriate care.
A 42-year-old patient of Asian descent is being seen at the clinic for an initial examination.
The nurse knows that including cultural information in his health assessment is important
to:
Helping the consumer choose a healthier lifestyle.
In the health promotion model, the focus of the health professional includes:
Evaluate the individuals condition, and compare actual outcomes with expected
outcomes.
The nurse has implemented several planned interventions to address the nursing diagnosis
of acute pain. Which would be the next appropriate action?
Understands a patient situation as a whole rather than a list of tasks and recognizes the
long-term goals for the patient.
Which statement best describes a proficient nurse? A proficient nurse is one who:
Inspiratory wheezes noted in left lower lobes
Nonproductive cough
Patient reports dyspnea upon exertion
Rate of respirations 16 breaths per minute
1. The nurse is reviewing data collected after an assessment. Of the data listed below, which
would be considered related cues that would be clustered together during data analysis?
Select all that apply.
First-level priority problem
A patient newly diagnosed with type 2 diabetes mellitus does not know how to check his
own blood glucose levels with a glucometer.
Second-level priority problem
, A teenager who was stung by a bee during a soccer match is having trouble breathing.
Third-level priority problems
An older adult with a urinary tract infection is also showing signs of confusion and agitation.
Learned through language acquisition and socialization.
The nurse is reviewing the development of culture. Which statement is correct regarding
the development of ones culture? Culture is:
Culture adapts to specific environmental factors and available natural resources.
During a class on the aspects of culture, the nurse shares that culture has four basic
characteristics. Which statement correctly reflects one of these characteristics?
Culture
During a seminar on cultural aspects of nursing, the nurse recognizes that the definition
stating the specific and distinct knowledge, beliefs, skills, and customs acquired by members
of a society reflects which term?
Identifying fairly large groups of people with shared characteristics that are not common
to all members of a culture.
When discussing the use of the term subculture, the nurse recognizes that it is best
described as:
Hispanic.
When reviewing the demographics of ethnic groups in the United States, the nurse recalls
that the largest and fastest growing population is:
Ask the patient about the item and its significance.
During an assessment, the nurse notices that a patient is handling a small charm that is tied
to a leather strip around his neck. Which action by the nurse is appropriate?
Understands and attends to the total context of the patients situation
The nurse manager is explaining culturally competent care during a staff meeting. Which
statement accurately describes the concept of culturally competent care? The caregiver:
History Taking ,13th Edition(2024/2025 Latest
Update)A+GRADE
Clustering related cues
Which critical thinking skill helps the nurse see relationships among the data?
Nursing
The nurse knows that developing appropriate nursing interventions for a patient relies on
the appropriateness of the __________ diagnosis.
Assessment, diagnosis, outcome identification, planning, implementation, and evaluation
The nursing process is a sequential method of problem solving that nurses use and includes
which steps?
Breathing, pain, and sleep
A newly admitted patient is in acute pain, has not been sleeping well lately, and is having
difficulty breathing. How should the nurse prioritize these problems?
Diagnostic hypothesis
Which of these would be formulated by a nurse using diagnostic reasoning?
Nurses lack of research skills in evaluating the quality of research studies.
Barriers to incorporating EBP include
Assessment
What step of the nursing process includes data collection by health history, physical
examination, and interview?
Teach the nurses how to conduct electronic searches for research studies.
,During a staff meeting, nurses discuss the problems with accessing research studies to
incorporate evidence-based clinical decision making into their practice. Which suggestion by
the nurse manager would best help these problems?
Holistic health views the mind, body, and spirit as interdependent.
When reviewing the concepts of health, the nurse recalls that the components of holistic
health include which of these?
Prevention places the emphasis on the link between health and personal behavior.
The nurse recognizes that the concept of prevention in describing health is essential
because:
2 5 cm scar on the right lower forearm.
The nurse is performing a physical assessment on a newly admitted patient. An example of
objective information obtained during the physical assessment includes the:
A complete health data base because of the nurses primary responsibility for monitoring
the patients health
A visiting nurse is making an initial home visit for a patient who has many chronic medical
problems. Which type of data base is most appropriate to collect in this setting?
Patient in an outpatient clinic has cold and influenza-like symptoms.
Which situation is most appropriate during which the nurse performs a focused or problem-
centered history?
Which situation is most appropriate during which the nurse performs a focused or
problem-centered history?
A patient is at the clinic to have her blood pressure checked. She has been coming to the
clinic weekly since she changed medications 2 months ago. The nurse should:
Simultaneously ask history questions while performing the examination and initiating life-
saving measures.
,A patient is brought by ambulance to the emergency department with multiple traumas
received in an automobile accident. He is alert and cooperative, but his injuries are quite
severe. How would the nurse proceed with data collection?
Provide culturally sensitive and appropriate care.
A 42-year-old patient of Asian descent is being seen at the clinic for an initial examination.
The nurse knows that including cultural information in his health assessment is important
to:
Helping the consumer choose a healthier lifestyle.
In the health promotion model, the focus of the health professional includes:
Evaluate the individuals condition, and compare actual outcomes with expected
outcomes.
The nurse has implemented several planned interventions to address the nursing diagnosis
of acute pain. Which would be the next appropriate action?
Understands a patient situation as a whole rather than a list of tasks and recognizes the
long-term goals for the patient.
Which statement best describes a proficient nurse? A proficient nurse is one who:
Inspiratory wheezes noted in left lower lobes
Nonproductive cough
Patient reports dyspnea upon exertion
Rate of respirations 16 breaths per minute
1. The nurse is reviewing data collected after an assessment. Of the data listed below, which
would be considered related cues that would be clustered together during data analysis?
Select all that apply.
First-level priority problem
A patient newly diagnosed with type 2 diabetes mellitus does not know how to check his
own blood glucose levels with a glucometer.
Second-level priority problem
, A teenager who was stung by a bee during a soccer match is having trouble breathing.
Third-level priority problems
An older adult with a urinary tract infection is also showing signs of confusion and agitation.
Learned through language acquisition and socialization.
The nurse is reviewing the development of culture. Which statement is correct regarding
the development of ones culture? Culture is:
Culture adapts to specific environmental factors and available natural resources.
During a class on the aspects of culture, the nurse shares that culture has four basic
characteristics. Which statement correctly reflects one of these characteristics?
Culture
During a seminar on cultural aspects of nursing, the nurse recognizes that the definition
stating the specific and distinct knowledge, beliefs, skills, and customs acquired by members
of a society reflects which term?
Identifying fairly large groups of people with shared characteristics that are not common
to all members of a culture.
When discussing the use of the term subculture, the nurse recognizes that it is best
described as:
Hispanic.
When reviewing the demographics of ethnic groups in the United States, the nurse recalls
that the largest and fastest growing population is:
Ask the patient about the item and its significance.
During an assessment, the nurse notices that a patient is handling a small charm that is tied
to a leather strip around his neck. Which action by the nurse is appropriate?
Understands and attends to the total context of the patients situation
The nurse manager is explaining culturally competent care during a staff meeting. Which
statement accurately describes the concept of culturally competent care? The caregiver:
