QUESTIONS WITH 100% RATED ANSWERS | GUARANTEED TO PASS!!
Reduced arterial elasticity is most likely to cause which of the following? - correct answer
increased systolic BP
Snellen chart - correct answer Select the definition that best describes the image below:
When taking the pulse of a newborn infant, the nurse notices that the rate is 145 beats/min
and the rhythm is regular. The nurse realizes that his rate is
a. Normal for an infant.
b. The proper rate for a toddler.
c. Too slow for an infant.
d. The same as that of a normal adult. - correct answer a. normal for an infant (range 120-160
beats/min)
The patient has a temperature of 103.2° F. The nurse is attempting to lower his temperature by
providing tepid sponge baths and placing cool compresses in strategic body locations. The
nurse is attempting to lower the patient's temperature through the use of___ - correct answer
Conduction
Following the circadian rhythm, body temperature is lowest in _____ - correct answer Early
morning
Normal blood pressure tends to be lowest in: - correct answer Early morning
A patient's kidneys are not working causing him to retain fluid . The nurse measures the patient
weight this morning and notes that it is 500 grams higher than the previous morning. How
much fluid has the patient retained in the 24-hr. period? - correct answer 500g/1000 = 0.5 liters
Pain is an important part of vital signs assessment and is often referred to as "the fifth vital
sign"
TRUE or FALSE - correct answer True
The neural and vascular control of core body temperature is regulated by the ________ -
correct answer hypothalamus
,What is the best action for a nurse should take after auscultating a BP of 128/70 on an older
adult client? - correct answer Document the findings
lithotomy position - correct answer Select the answer that best defines the patient positioning
image below:
Which of the following assessment routes best reflects the body's core temperature? - correct
answer Rectal
The first Korotkoff sound of blood pressure auscultation can best be described as ___: - correct
answer A clear, rhythmic thumping corresponding to the pulse rate that gradually increases in
intensity
Which statement about the use of a stethoscope is true? - correct answer the diaphragm
transmits high pitched sounds created by the high velocity movement of air and blood
The incidence of hypertension is greater in which of the following ethnic groups? - correct
answer African American
While examining a patient with an infected abdominal wound, the nurse notices that it is very
malodorous. Which technique does this represent? - correct answer Inspection
List the steps of physical assessment in the proper sequence: - correct answer 1. Hand hygiene
2. Inspection
3. Palpate
4. Percuss
5. Auscultation
The nurse uses the technique of percussion to assess a patient's stomach. Which sound is the
nurse most likely to hear? - correct answer Tympany
Which of the following commonly cause errors in blood pressure (BP) measurement? Select all
that apply. - correct answer 1. Patient's legs are crossed during BP measurement
2. Using the wrong size BP cuff
3. Failing to wait 1-2 minutes before repeating the BP measurement
The patient requires routine temperature assessment but reports having finished a cup of hot
coffee 5 minutes ago. What is the best route of assessment for the nurse to use? - correct
answer Temporal
Which data do nurses document under the heading of Past Health History?
,a. Father has Alzheimer disease
b. Last tetanus in 2009
c. Had chicken pox as a child
d. Drinks three to four beers each day
e. Had a dental examination 6 months ago - correct answer b. Last tetanus in 2009
c. Had chicken pox as a child
e. Had dental examination 6 months ago
An example of a health promotion question included in the health history is:
a. "Do you have any allergies?"
b. "How often are you exercising?"
c. "What are you doing to relieve your leg pain?"
d. "What kind of herbs are you using?" - correct answer b. How often do you exercise
A female Korean patient accompanied by her husband and son comes to the emergency
department (ED) complaining of abdominal pain. The patient speaks and understands Korean
only. Which person is the appropriate choice for the nurse to use to get a history from this
patient?
a. The patient's husband who speaks Korean and English
b. The patient's son who speaks Korean and English
c. A male technician who works in the ED who speaks Korean and English
d. A female interpreter who speaks Korean and English and is available by phone - correct
answer d. A female interpreter who speaks Korean and English and is available by phone
While giving a history, a male patient describes several events out of order that occurred in
different decades in his life. What technique does the nurse use to understand the timeline of
these events?
a. State the order of events as understood and ask the patient to verify the order.
b. Draw conclusions about the order of events from data given.
, c. Ask the patient to elaborate about these events.
d. Ask the patient to repeat what he said about these events. - correct answer a. State the
order of events as understood and ask the patient to verify the order.
Which statement is appropriate to use when beginning an interview with a new patient?
a. "Have you ever been a patient in this clinic before?"
b. "What is your purpose for coming to the clinic today?"
c. "Tell me a little about yourself and your family."
d. "Did you have any difficulty finding the clinic?" - correct answer b. "What is your purpose for
coming to the clinic today?"
Which technique should the nurse use to obtain more data about a patient's vague or
ambiguous statement about diet such as "My diet's okay"?
a. "Eating a variety of meats, fruits, and vegetables each day is important."
b. "Give me an example of the foods you eat in a typical day."
c. "Go on."
d. "Does your diet meet your needs or does it need improvement?" - correct answer b. "Give
me an example of the foods you eat in a typical day."
(Ask patient to explain a point)
A nurse is interviewing a male patient who reports he has not had a tetanus immunization in
about 15 years because he had a "bad reaction" to the last tetanus immunization. What is the
most appropriate response by the nurse in this case?
a. Notify the health care provider that this immunization cannot be given.
b. Document that the patient is allergic to the tetanus vaccine.
c. Give the vaccine after explaining that adverse reactions are rare.
d. Ask the patient to describe the "bad reaction" to the vaccine in more detail. - correct answer
d. Ask the patient to describe the bad reaction to the vaccine in more detail
A nurse suspects a female patient is a victim of physical abuse. Which response is most likely to
encourage the patient to confide in the nurse?