Health Assessment Final Practice
Questions And Answers Graded A+!!!
After completing an initial assessment of a patient, the nurse has charted that his respirations
are eupneic and his pulse is 58 beats per minute. These types of data would be:
a.
Objective.
b.
Reflective.
c.
Subjective.
d.
Introspective. - ANS a. objective
A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of
data would be:
a.
Objective.
b.
Reflective.
c.
Subjective.
d.
Introspective. - ANS c. subjective
The patients record, laboratory studies, objective data, and subjective data combine to form the:
a.
Data base.
b.
Admitting data.
c.
Financial statement.
,d.
Discharge summary. - ANS a. data base
When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The
nurses next action should be to:
a.
Immediately notify the patients physician.
b.
Document the sound exactly as it was heard.
c.
Validate the data by asking a coworker to listen to the breath sounds.
d.
Assess again in 20 minutes to note whether the sound is still present. - ANS c. validate the
data by asking a coworker to listen to breath sounds
The nurse is conducting a class for new graduate nurses. During the teaching session, the
nurse should keep in mind that novice nurses, without a background of skills and experience
from which to draw, are more likely to make their decisions using:
a.
Intuition.
b.
A set of rules.
c.
Articles in journals.
d.
Advice from supervisors. - ANS b.
A set of rules.
Expert nurses learn to attend to a pattern of assessment data and act without consciously
labeling it. These responses are referred to as:
a.
Intuition.
b.
The nursing process.
c.
Clinical knowledge.
d.
Diagnostic reasoning. - ANS a. intuition
,The nurse is reviewing information about evidence-based practice (EBP). Which statement best
reflects EBP?
a.
EBP relies on tradition for support of best practices.
b.
EBP is simply the use of best practice techniques for the treatment of patients.
c.
EBP emphasizes the use of best evidence with the clinicians experience.
d.
The patients own preferences are not important with EBP. - ANS c. EBP emphasizes the
use of best evidence with the clinicians experience.
The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is
an example of a first-level priority problem?
a.
Patient with postoperative pain
b.
Newly diagnosed patient with diabetes who needs diabetic teaching
c.
Individual with a small laceration on the sole of the foot
d.
Individual with shortness of breath and respiratory distress - ANS d.
Individual with shortness of breath and respiratory distress
When considering priority setting of problems, the nurse keeps in mind that second-level priority
problems include which of these aspects?
a.
Low self-esteem
b.
Lack of knowledge
c.
Abnormal laboratory values
d.
Severely abnormal vital signs - ANS c.
Abnormal laboratory values
Which critical thinking skill helps the nurse see relationships among the data?
, a.
Validation
b.
Clustering related cues
c.
Identifying gaps in data
d.
Distinguishing relevant from irrelevant - ANS b.
Clustering related cues
The nurse knows that developing appropriate nursing interventions for a patient relies on the
appropriateness of the __________ diagnosis.
a.
Nursing
b.
Medical
c.
Admission
d.
Collaborative - ANS a. nursing
The nursing process is a sequential method of problem solving that nurses use and includes
which steps?
a.
Assessment, treatment, planning, evaluation, discharge, and follow-up
b.
Admission, assessment, diagnosis, treatment, and discharge planning
c.
Admission, diagnosis, treatment, evaluation, and discharge planning
d.
Assessment, diagnosis, outcome identification, planning, implementation, and evaluation - ANS
d.
Assessment, diagnosis, outcome identification, planning, implementation, and evaluation
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?
Questions And Answers Graded A+!!!
After completing an initial assessment of a patient, the nurse has charted that his respirations
are eupneic and his pulse is 58 beats per minute. These types of data would be:
a.
Objective.
b.
Reflective.
c.
Subjective.
d.
Introspective. - ANS a. objective
A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of
data would be:
a.
Objective.
b.
Reflective.
c.
Subjective.
d.
Introspective. - ANS c. subjective
The patients record, laboratory studies, objective data, and subjective data combine to form the:
a.
Data base.
b.
Admitting data.
c.
Financial statement.
,d.
Discharge summary. - ANS a. data base
When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The
nurses next action should be to:
a.
Immediately notify the patients physician.
b.
Document the sound exactly as it was heard.
c.
Validate the data by asking a coworker to listen to the breath sounds.
d.
Assess again in 20 minutes to note whether the sound is still present. - ANS c. validate the
data by asking a coworker to listen to breath sounds
The nurse is conducting a class for new graduate nurses. During the teaching session, the
nurse should keep in mind that novice nurses, without a background of skills and experience
from which to draw, are more likely to make their decisions using:
a.
Intuition.
b.
A set of rules.
c.
Articles in journals.
d.
Advice from supervisors. - ANS b.
A set of rules.
Expert nurses learn to attend to a pattern of assessment data and act without consciously
labeling it. These responses are referred to as:
a.
Intuition.
b.
The nursing process.
c.
Clinical knowledge.
d.
Diagnostic reasoning. - ANS a. intuition
,The nurse is reviewing information about evidence-based practice (EBP). Which statement best
reflects EBP?
a.
EBP relies on tradition for support of best practices.
b.
EBP is simply the use of best practice techniques for the treatment of patients.
c.
EBP emphasizes the use of best evidence with the clinicians experience.
d.
The patients own preferences are not important with EBP. - ANS c. EBP emphasizes the
use of best evidence with the clinicians experience.
The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is
an example of a first-level priority problem?
a.
Patient with postoperative pain
b.
Newly diagnosed patient with diabetes who needs diabetic teaching
c.
Individual with a small laceration on the sole of the foot
d.
Individual with shortness of breath and respiratory distress - ANS d.
Individual with shortness of breath and respiratory distress
When considering priority setting of problems, the nurse keeps in mind that second-level priority
problems include which of these aspects?
a.
Low self-esteem
b.
Lack of knowledge
c.
Abnormal laboratory values
d.
Severely abnormal vital signs - ANS c.
Abnormal laboratory values
Which critical thinking skill helps the nurse see relationships among the data?
, a.
Validation
b.
Clustering related cues
c.
Identifying gaps in data
d.
Distinguishing relevant from irrelevant - ANS b.
Clustering related cues
The nurse knows that developing appropriate nursing interventions for a patient relies on the
appropriateness of the __________ diagnosis.
a.
Nursing
b.
Medical
c.
Admission
d.
Collaborative - ANS a. nursing
The nursing process is a sequential method of problem solving that nurses use and includes
which steps?
a.
Assessment, treatment, planning, evaluation, discharge, and follow-up
b.
Admission, assessment, diagnosis, treatment, and discharge planning
c.
Admission, diagnosis, treatment, evaluation, and discharge planning
d.
Assessment, diagnosis, outcome identification, planning, implementation, and evaluation - ANS
d.
Assessment, diagnosis, outcome identification, planning, implementation, and evaluation
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?
