Test Bank For Health Assessment in
Nursing 6th Edition by Weber All
Chapters
What color ink should be used when documenting on paper - ANSWERS--Permanent
black ink
HITS questionnaire - ANSWERS--The wording of the question is "In the last year how
often did your partner:
1) Hurt you physically?"
2) Insult or talk down to you?"
3) Threaten you with physical harm?"
4) Scream or curse at you?"
What is the correct order for vital signs - ANSWERS--T, P, RR, BP, extremity, pt
position, SPO2
What should be at the top of every page of documentation - ANSWERS--Patient initials
and date and time of entry
SOAP modified format - ANSWERS--Subjective
Objective
Assessment
Plan
,What should be at the end of every documentation entry - ANSWERS--Interviewers
signature
How do you correct a mistake in documentation - ANSWERS--1) Draw a single line
through the incorrect documentation
2) Write error above the entry
3) Initial and date the crossed out entry
Documentation tips - ANSWERS--1) Avoid complete sentences
2) Do not use A, an, the
3) Do not put opinion in notes
4) Avoid use of normal or within normal limits
Normal oral temp range - ANSWERS--96.4 - 99.1 F
Febrile - ANSWERS--With fever
Afebrile - ANSWERS--Without fever
Hyperthermia symptoms - ANSWERS--1) Cessation of shivering
2) Bradycardia
3) Decrease in respiratory minute volume
Most common and easy method of assessing temperature - ANSWERS--Oral
What methods of assessing temperature reflects core temperature - ANSWERS--1)
Oral
2) Rectal
3) Tympanic
4) Temporal Artery
What is the least accurate method of assessing temperature - ANSWERS--axillary
Which patients are contraindicated for rectal temperature readings - ANSWERS--
Patients with increased HR
Preferred method of taking infants and small children's temperatures - ANSWERS--
Rectal
Pulse deficit - ANSWERS--- Difference between apical peripheral pulse
Pulse amplitude scale - ANSWERS--0 = no pulse
1 = diminished, weak
2 = normal and expected
3 = full or strong
4 = bounding
,Which pulses are assessed during a routine physical assessment? - ANSWERS--1)
Apical
2) Radial
3) Dorsalis pedis
4) Posterior tibialis
Normal heart rate in resting adult - ANSWERS--60 to 100 bpm
Well trained athletes heart rate - ANSWERS--Heart rate less than 60 bpm
When is it normal for someone to have a rapid heart rate over 100 bpm - ANSWERS--
Someone with anxiety and right after exercise
Eupnea - ANSWERS--Normal RR, rhythm and depth
Normal SPO2 value - ANSWERS--95-100%
What level is poor oxygenation - ANSWERS--below 90%
Systolic BP - ANSWERS--Maximum pressure on the artery during ventricular
contraction
Diastolic BP - ANSWERS--Resting pressure during ventricular filling
Pulse pressure - ANSWERS--Difference between systolic and diastolic
Stroke volume - ANSWERS--Amount of blood ejected with each beat
How does age affect BP - ANSWERS--BP increases with age
What BP is pre hypertensive? - ANSWERS--Sustained BP over 120/80
What extremities should you avoid taking a BP in - ANSWERS--Extremities with IV
lines, invasive lines, history of mastectomy/lymph node issues
Orthostatic hypertension - ANSWERS--- Decreased BP with change in position
- Drop in SBP of 25 mmHg or DBP of 10 mmHG
- Symptoms
1) Dizziness
2) Weakness
3) Blurred vision
4) Syncope
5) Changes in BP/HR
- Causes
1) Hypovolemia
, 2) Impaired vasoconstriction
3) Medications
Precautions in someone with orthostatic hypertension - ANSWERS--- change positions
slowly
- falls risk
- assist back to bed if symptomatic
What is the main objective of the health history - ANSWERS--- To gather accurate
information to provide immediate care
- Establish rapport with the client
What does establishing a positive patient relationship depend on - ANSWERS--1)
courtesy
2) comfort
3) connection
4) confirmation
5) confidentiality
What questions should you begin with for a health history interview - ANSWERS--Open
ended questions
Approaching Sensitive Issues - ANSWERS--- Use language that is understandable.
- Do not apologize for broaching the issue.
- Ensure privacy.
- Be direct and firm.
- Do not preach.
- Do not push too hard.
CAGE questionnaire - ANSWERS--Cutting down
Annoyance
Guilty feeling
Eye-openers
- Helps diagnose alcoholism
TACE questionnaire - ANSWERS--T - how many drinks does it TAKE to make you feel
right
A - Have people ANNOYED you by criticizing your drinking
C - Have you felt you out to cut down on your drinking
E - Have you had an EYE -OPENER first thing in the morning
CRAFFT questionnaire - ANSWERS--- Screening tool for alcohol and substance abuse
in adolescents
Car
Relax
Alone
Nursing 6th Edition by Weber All
Chapters
What color ink should be used when documenting on paper - ANSWERS--Permanent
black ink
HITS questionnaire - ANSWERS--The wording of the question is "In the last year how
often did your partner:
1) Hurt you physically?"
2) Insult or talk down to you?"
3) Threaten you with physical harm?"
4) Scream or curse at you?"
What is the correct order for vital signs - ANSWERS--T, P, RR, BP, extremity, pt
position, SPO2
What should be at the top of every page of documentation - ANSWERS--Patient initials
and date and time of entry
SOAP modified format - ANSWERS--Subjective
Objective
Assessment
Plan
,What should be at the end of every documentation entry - ANSWERS--Interviewers
signature
How do you correct a mistake in documentation - ANSWERS--1) Draw a single line
through the incorrect documentation
2) Write error above the entry
3) Initial and date the crossed out entry
Documentation tips - ANSWERS--1) Avoid complete sentences
2) Do not use A, an, the
3) Do not put opinion in notes
4) Avoid use of normal or within normal limits
Normal oral temp range - ANSWERS--96.4 - 99.1 F
Febrile - ANSWERS--With fever
Afebrile - ANSWERS--Without fever
Hyperthermia symptoms - ANSWERS--1) Cessation of shivering
2) Bradycardia
3) Decrease in respiratory minute volume
Most common and easy method of assessing temperature - ANSWERS--Oral
What methods of assessing temperature reflects core temperature - ANSWERS--1)
Oral
2) Rectal
3) Tympanic
4) Temporal Artery
What is the least accurate method of assessing temperature - ANSWERS--axillary
Which patients are contraindicated for rectal temperature readings - ANSWERS--
Patients with increased HR
Preferred method of taking infants and small children's temperatures - ANSWERS--
Rectal
Pulse deficit - ANSWERS--- Difference between apical peripheral pulse
Pulse amplitude scale - ANSWERS--0 = no pulse
1 = diminished, weak
2 = normal and expected
3 = full or strong
4 = bounding
,Which pulses are assessed during a routine physical assessment? - ANSWERS--1)
Apical
2) Radial
3) Dorsalis pedis
4) Posterior tibialis
Normal heart rate in resting adult - ANSWERS--60 to 100 bpm
Well trained athletes heart rate - ANSWERS--Heart rate less than 60 bpm
When is it normal for someone to have a rapid heart rate over 100 bpm - ANSWERS--
Someone with anxiety and right after exercise
Eupnea - ANSWERS--Normal RR, rhythm and depth
Normal SPO2 value - ANSWERS--95-100%
What level is poor oxygenation - ANSWERS--below 90%
Systolic BP - ANSWERS--Maximum pressure on the artery during ventricular
contraction
Diastolic BP - ANSWERS--Resting pressure during ventricular filling
Pulse pressure - ANSWERS--Difference between systolic and diastolic
Stroke volume - ANSWERS--Amount of blood ejected with each beat
How does age affect BP - ANSWERS--BP increases with age
What BP is pre hypertensive? - ANSWERS--Sustained BP over 120/80
What extremities should you avoid taking a BP in - ANSWERS--Extremities with IV
lines, invasive lines, history of mastectomy/lymph node issues
Orthostatic hypertension - ANSWERS--- Decreased BP with change in position
- Drop in SBP of 25 mmHg or DBP of 10 mmHG
- Symptoms
1) Dizziness
2) Weakness
3) Blurred vision
4) Syncope
5) Changes in BP/HR
- Causes
1) Hypovolemia
, 2) Impaired vasoconstriction
3) Medications
Precautions in someone with orthostatic hypertension - ANSWERS--- change positions
slowly
- falls risk
- assist back to bed if symptomatic
What is the main objective of the health history - ANSWERS--- To gather accurate
information to provide immediate care
- Establish rapport with the client
What does establishing a positive patient relationship depend on - ANSWERS--1)
courtesy
2) comfort
3) connection
4) confirmation
5) confidentiality
What questions should you begin with for a health history interview - ANSWERS--Open
ended questions
Approaching Sensitive Issues - ANSWERS--- Use language that is understandable.
- Do not apologize for broaching the issue.
- Ensure privacy.
- Be direct and firm.
- Do not preach.
- Do not push too hard.
CAGE questionnaire - ANSWERS--Cutting down
Annoyance
Guilty feeling
Eye-openers
- Helps diagnose alcoholism
TACE questionnaire - ANSWERS--T - how many drinks does it TAKE to make you feel
right
A - Have people ANNOYED you by criticizing your drinking
C - Have you felt you out to cut down on your drinking
E - Have you had an EYE -OPENER first thing in the morning
CRAFFT questionnaire - ANSWERS--- Screening tool for alcohol and substance abuse
in adolescents
Car
Relax
Alone
