QUESTIONS .ACCURATE ANSWERS
1. An elderly patient is admitted to the hospital. While performing a skin assessment,
the nurse discovers bruises in various stages of healing all over the patient's body. Why
is it important for the nurse to promptly document and report these findings?
a.The patient may have been
abused. b.The patient is elderly.
c.The patient may have peripheral vascular disease.
d.The patient may have a cognitive deficit.: a. The patient may have been
abused
2. When the nurse observes the patient for general characteristics including age,
gender, and level of alertness, what aspect of assessment are you per- forming?
a.Inspecting
b.Interviewing
c.Palpating
d.Ausculating: a. Inspecting
3. The four areas to consider during the general survey include:
a. Dress, medical history, nonverbal behavior, and mobility.
b.Ethnicity, gender, age, and socioeconomic status. c.Physical
appearance, gender, ethnicity, and medical history.
d.Physical appearance, body structure, mobility, and behavior.: d. Physical
appearance, body structure, mobility, and behavior.
, 4. When reading the patient's medical record, the nurse sees the following notation:
Patient states, "I have had a cold for about a week, and I am having difficulty
breathing." This is an example of:
a.A past health history.
b.A review of systems.
c.A functioning assessment.
d.A chief compliant.: d.A chief compliant.
5. Normal cervical lymph nodes are:
a.Smaller than 1 cm
b.Warm and red
c.Fixed
d.Firm: a.Smaller than 1 cm
6. The first step to cultural competency by a nurse is to:
a.Identify the meaning of health to the patient.
b.Understand their own heritage and its basis in cultural values.
c.Develop a frame of reference to traditional health care
practices.
d.Understand how a health care delivery system works.: b.Understand their own
heritage and its basis in cultural values.
7. The nurse is conducting a physical assessment of a new patient. What data does
the nurse collect that are measurable?
a.Objective
b.Effective
c.Subjective
d.Affective:
a.Objective