Correct Answers
What bdata bshould bthe bnurse bcollect bduring bthe binterview bportion bof ba bhealth
bassessment? b
a. bPhysical
b. bHistorical
c. bObjective
d. bSubjective b- bcorrect banswers✔✔d. bSubjective
A b59-year-old bpatient btells bthe bnurse bthat bhe bhas bulcerative bcolitis. bHe bhas bbeen
bhaving b"black bstools" bfor bthe blast b24 bhours. bHow bwould bthe bnurse bbest
bdocument bhis breason bfor bseeking bcare?
a. bJ.M. bis ba b59-year-old bman bseeking btreatment bfor bulcerative bcolitis.
b. bJ.M. bcame binto bthe bclinic bcomplaining bof bhaving bblack bstools bfor bthe bpast b24
bhours.
c. bJ.M. bis ba b59-year-old bman bwho bstates bthat bhe bhas bulcerative bcolitis band bwants
bit bchecked.
d. bJ.M. bis ba b59-year-old bman bwho bstates bthat bhe bhas bbeen bhaving b"black bstools"
bfor bthe bpast b24 bhours. b- bcorrect banswers✔✔d. bJ.M. bis ba b59-year-old bman bwho
bstates bthat bhe bhas bbeen bhaving b"black bstools" bfor bthe bpast b24 bhours.
The bnurse bis bnearing bthe bend bof ban binterview. bWhich bstatement bis bappropriate bat
bthis btime?
a. b"Did bwe bforget bsomething?"
b. b"Is bthere banything belse byou bwould blike bto bmention?" b
c. b"I bneed bto bgo bon bto bthe bnext bpatient. bI'll bbe bback."
d. b"While bI'm bhere, blet's btalk babout byour bupcoming bsurgery." b- bcorrect
banswers✔✔b. b"Is bthere banything belse byou bwould blike bto bmention?"
When bthe bnurse basks bfor ba bdescription bof bwho blives bwith ba bchild, bthe bmethod bof
bdiscipline, band bthe bsupport bsystem bof bthe bchild, bwhat bpart bof bthe bassessment bis
bbeing bperformed?
,a. bFamily bhistory
b. bReview bof bsystems
c. bFunctional bassessment b
d. bReason bfor bseeking bcare b- bcorrect banswers✔✔c. bFunctional bassessment
The bnurse bis bcomparing bthe bconcepts bof breligion band bspirituality. bWhich bstatement
bdescribes ban bappropriate bcomponent bof bone's bspirituality?
a. bBelief bin band bthe bworship bof bGod bor bgods
b. bBeing bclosely btied bto bone's bethnic bbackground
c. bAttendance bat ba bspecific bchurch bor bplace bof bworship
d. bA bconnection bwith bsomething blarger bthan boneself band bbelief bin btranscendence b-
bcorrect banswers✔✔d. bA bconnection bwith bsomething blarger bthan boneself band bbelief
bin btranscendence
The bnurse bis btaking ban binitial bblood bpressure breading bon ba b72-year-old bpatient
bwith bdocumented bhypertension. bHow bshould bthe bnurse bproceed?
a. bCuff bshould bbe bplaced bon bthe bpatient's barm band binflated b30 bmm bHg babove
bthe bpatient's bpulse brate.
b. bCuff bshould bbe binflated bto b200 bmm bHg bin ban battempt bto bobtain bthe bmost
baccurate bsystolic breading.
c. bCuff bshould bbe binflated b30 bmm bHg babove bthe bpoint bat bwhich bthe bpalpated
bpulse bdisappears. b
d. bAfter bconfirming bthe bpatient's bprevious bblood bpressure breadings, bthe bcuff bshould
bbe binflated b30 bmm bHg babove bthe bhighest bsystolic breading brecorded. b- bcorrect
banswers✔✔c. bCuff bshould bbe binflated b30 bmm bHg babove bthe bpoint bat bwhich bthe
bpalpated bpulse bdisappears.
A b42-year-old bpatient bof bAsian bdescent bis bbeing bseen bat bthe bclinic bfor ban binitial
bexamination. bWhy bis bit bimportant bfor bthe bnurse bto bconsider bthe bbasics bof bthe
bpatient's bculture bduring bthe bpatient's bhealth bassessment?
a. bIdentify bthe bcause bof bhis billness.
b. bMake baccurate bdisease bdiagnoses.
c. bThe bU.S. bis bbecoming bincreasingly bdiverse.
d. bProvide bculturally brelevant bhealth bcare. b- bcorrect banswers✔✔d. bProvide
bculturally brelevant bhealth bcare.
The bnurse bis bperforming ba bmental bstatus bexamination. bWhich bstatement bis btrue
bregarding bthe bassessment bof bmental bstatus?
a. bMental bstatus bassessment bdiagnoses bspecific bpsychiatric bdisorders.
b. bMental bdisorders boccur bin bresponse bto beveryday blife bstressors.
c. bMental bstatus bfunctioning bis binferred bthrough bthe bassessment bof ban bindividual's
bbehaviors. b
d. bMental bstatus bcan bbe bdirectly bassessed, bsimilar bto bother bsystems bof bthe bbody
b(e.g., bheart bsounds, bbreath bsounds). b- bcorrect banswers✔✔c. bMental bstatus
bfunctioning bis binferred bthrough bthe bassessment bof ban bindividual's bbehaviors.
,The bnurse bis bassessing ba b75-year-old bman. bWhat bshould bthe bnurse bexpect bwhen
bperforming bthe bmental bstatus bportion bof bthe bassessment?
a. bWill bhave bno bdecrease bin bany bof bhis babilities, bincluding bresponse btime.
b. bWill bhave bdifficulty bon btests bof bremote bmemory bbecause bthis bability btypically
bdecreases bwith bage.
c. bMay btake ba blittle blonger bto brespond, bbut bhis bgeneral bknowledge band babilities
bshould bnot bhave bdeclined. b
d. bWill bexhibit ba bdecrease bin bhis bresponse btime bbecause bof bthe bloss bof blanguage
band ba bdecrease bin bgeneral bknowledge. b- bcorrect banswers✔✔c. bMay btake ba blittle
blonger bto brespond, bbut bhis bgeneral bknowledge band babilities bshould bnot bhave
bdeclined.
A bnurse bis bhelping bat ba bhealth bfair bat ba blocal bmall. bWhat bshould bthe bnurse bkeep
bin bmind bwhen btaking bblood bpressures bon ba bvariety bof bpeople?
a. bAfter bmenopause, bblood bpressure breadings bin bwomen bare busually blower bthan
bthose btaken bin bmen.
b. bThe bblood bpressure bof ban bAfrican-American badult bis busually bhigher bthan bthat
bof ba bnon-Hispanic bWhite badult bof bthe bsame bage. b
c. bBlood bpressure bmeasurements bin bpeople bwho bare boverweight bshould bbe bthe
bsame bas bthose bof bpeople bwho bare bat ba bnormal bweight.
d. bA bteenager's bblood bpressure breading bwill bbe blower bthan bthat bof ban badult. b-
bcorrect banswers✔✔b. bThe bblood bpressure bof ban bAfrican-American badult bis busually
bhigher bthan bthat bof ba bnon-Hispanic bWhite badult bof bthe bsame bage.
Which btechnique bis bcorrect bwhen bthe bnurse bis bassessing bthe bradial bpulse bof ba
bpatient?
a. bPalpate bfor b1 bminute, bif bthe brhythm bis birregular. b
b. bPalpate bfor b15 bseconds band bmultiply bby b4, bif bthe brhythm bis bregular.
c. bPalpate bfor b2 bfull bminutes bto bdetect bany bvariation bin bamplitude.
d. bPalpate bfor b10 bseconds band bmultiply bby b6, bif bthe brhythm bis bregular band bthe
bpatient bhas bno bhistory bof bcardiac babnormalities. b- bcorrect banswers✔✔a. bPalpate
bfor b1 bminute, bif bthe brhythm bis birregular.
A bstudent bis blate bfor bhis bappointment band bhas brushed bacross bcampus bto bthe
bhealth bclinic. bHow bshould bthe bnurse bproceed?
a. bAllow b5 bminutes bfor bhim bto brelax band brest bbefore bchecking bhis bvital bsigns. b
b. bCheck bthe bblood bpressure bin bboth barms, bexpecting ba bdifference bin bthe
breadings bbecause bof bhis brecent bexercise.
c. bImmediately bmonitor bhis bvital bsigns bon bhis barrival bat bthe bclinic band bthen b5
bminutes blater, brecording bany bdifferences.
d. bCheck bhis bblood bpressure bin bthe bsupine bposition, bwhich bwill bprovide ba bmore
baccurate breading band bwill ballow bhim bto brelax bat bthe bsame btime.
Feedback b- bcorrect banswers✔✔a. bAllow b5 bminutes bfor bhim bto brelax band brest
bbefore bchecking bhis bvital bsigns.
, The bnurse bis bassessing ban b8-year-old bchild bwhose bgrowth brate bmeasures bbelow
bthe bthird bpercentile bfor ba bchild bhis bage. bHe bappears bsignificantly byounger bthan
bhis bstated bage band bis bchubby bwith binfantile bfacial bfeatures. bWhich bcondition bdoes
bthis bchild blikely bhave?
a. bAcromegaly
b. bMarfan bsyndrome
c. bHypopituitary bdwarfism b
d. bAchondroplastic bdwarfism b- bcorrect banswers✔✔c. bHypopituitary bdwarfism
When bobserving ba bpatient's bverbal band bnonverbal bcommunication, bthe bnurse
bnotices ba bdiscrepancy. bWhat baction bshould bthe bnurse btake bin bthis bsituation?
a. bAsk bsomeone bwho bknows bthe bpatient bwell bto bhelp binterpret bthis bdiscrepancy.
b. bFocus bon bthe bpatient's bverbal bmessage, band btry bto bignore bthe bnonverbal
bbehaviors.
c. bTry bto bintegrate bthe bverbal band bnonverbal bmessages band bthen binterpret bthem
bas ban baverage.
d. bFocus bon bthe bpatient's bnonverbal bbehaviors, bbecause bthese bare boften bmore
breflective bof ba bpatient's btrue bfeelings. b- bcorrect banswers✔✔d. bFocus bon bthe
bpatient's bnonverbal bbehaviors, bbecause bthese bare boften bmore breflective bof ba
bpatient's btrue bfeelings.
The bnurse bis bassessing bthe bmental bstatus bof ba bchild. bWhich bstatement babout
bchildren band bmental bstatus bis btrue?
a. bAll baspects bof bmental bstatus bin bchildren bare binterdependent. b
b. bChildren bare bhighly blabile band bunstable buntil bthe bage bof b2 byears.
c. bA bchild's bmental bstatus bis bimpossible bto bassess buntil bthe bchild bdevelops bthe
bability bto bconcentrate.
d. bChildren's bmental bstatus bis blargely ba bfunction bof btheir bparents' blevel bof
bfunctioning buntil bthe bage bof b7 byears. b- bcorrect banswers✔✔a. bAll baspects bof
bmental bstatus bin bchildren bare binterdependent.
When bcaring bfor bchildren bwith ba bdifferent bcultural bperspective, bwhat bshould bthe
bnurse brecognize bmay bpose ba bchallenge?
a. bChildren bhave bspiritual bneeds bthat bare binfluenced bby btheir bstages bof
bdevelopment. b
b. bChildren bhave bspiritual bneeds bthat bare bdirect breflections bof bwhat bis boccurring bin
btheir bhomes.
c. bReligious bbeliefs brarely baffect bthe bparents' bperceptions bof bthe billness.
d. bParents bare boften bthe bdecision bmakers, band bthey bhave bno bknowledge bof btheir
bchildren's bspiritual bneeds. b- bcorrect banswers✔✔a. bChildren bhave bspiritual bneeds
bthat bare binfluenced bby btheir bstages bof bdevelopment.
A b30-year-old bfemale bpatient bis bdescribing bfeelings bof bhopelessness band
bdepression. bShe bhas battempted bself-mutilation band bhas ba bhistory bof bsuicide
battempts. bShe bdescribes bdifficulty bsleeping bat bnight band bhas blost b10 bpounds bin