EXAMINATION AND HEALTH
ASSESSMENT CHAPTER 1
QUESTIONS AND THEIR CORRECT
ANSWERS
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.
C
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.
A
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.
C
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.
B
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.
A
Expert nurses learn to attend to a pattern of assessment
data and act without consciously labeling it. These
responses are referred to as:
a.