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After completing an initial assessment of a patient, the nurse has charted that his
respirations are 18 breaths per minute and his pulse is 58 beats per minute. These
types of data would be:
a. Objective
b. Reflective
c. Subjective
d. Introspective - correct answer A
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 - correct answer C
The patient's record, laboratory studies, objective data, and subjective data combine to
form the:
a. Database
b. Admitting data
c. Financial statement
d. Discharge summary - correct answer A
When listening to a patient's breath sounds, the nurse is unsure of a sound that is
heard. The nurse's next action should be to:
a. Immediately notify the patient's 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. - correct
answer C
The nurse is conducting a class for new graduate nurses. During the teaching session,
the nurse should keep in mind that novice nurses, with less experience, are more
likely to base their decisions on:
a. Intuition
b. Clear-cut rules
c. Articles in journals
,Health Assessment Final Exam (Latest
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d. Advice from supervisors - correct answer B
Expert nurses assess and make decisions through the use of:
a. Critical thinking
b. The nursing process
c. Clinical knowledge
d. Diagnostic reasoning - correct answer A
The nurse is reviewing information about evidence-informed practice (EIP). Which
statement best reflects EIP?
a. EIP relies on tradition for support of best practices.
b. EIP is simply the use of best practice techniques for the treatment of patients.
c. EIP emphasizes the use of best and most appropriate evidence with clinician
expertise and patient preference.
d. The patient's own preferences are not important in EIP. - correct answer C
The nurse is conducting a class on priority setting for a group of new graduate nurses.
Which is an example of a first-level priority problem?
a. Patient with postoperative pain
b. Patient newly diagnosed with diabetes needing diabetic teaching
c. Individual with a small laceration on the sole of the foot
d. Individual with shortness of breath and respiratory distress - correct answer D
Which critical thinking skill helps the nurse see relationships among the data?
a. Validation
b. Clustering related cues
c. Identifying gaps in data
d. Distinguishing relevant data from irrelevant data - correct answer B
The nurse knows that developing appropriate nursing interventions for a patient relies
on the appropriateness of the diagnosis.
a. Nursing
b. Medical
c. Admission
d. Collaborative - correct answer A
, Health Assessment Final Exam (Latest
Update ) Questions with well
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The nursing process is a sequential method of problem solving that nurses use and
includes which steps?
a. Assessment, treatment, planning, evaluation, discharge, and follow-up
b. Admission, assessment, diagnosis, treatment, and discharge planning
c. Admission, diagnosis, treatment, evaluation, and discharge planning
d. Assessment, diagnosis, outcome identification, planning, implementation, and
evaluation - correct answer D
A newly admitted patient is in acute pain, has not been sleeping well lately, and is
having difficulty breathing. How should the nurse prioritize these problems?
a. Breathing, pain, and sleep
b. Breathing, sleep, and pain
c. Sleep, breathing, and pain
d. Sleep, pain, and breathing - correct answer
What step of the nursing process includes data collection through health history,
physical examination, and interview?
a. Planning
b. Diagnosis
c. Evaluation
d. Assessment - correct answer D
What is an important concept when undertaking a life-cycle approach to health
assessment?
a. Consideration of the patient's cultural view of health
b. Being responsive to the patient's gestures to build a relationship
c. Acknowledgement of the effect of poverty on health
d. Awareness of age-specific developmental factors - correct answer D
The nurse identifies priorities and assesses risk factors with a generally healthy
individual to:
a. Identify patterns to discover missing information.
b. Determine areas for health promotion and disease prevention.
c. Distinguish normal from abnormal findings.
d. Determine treatment for a medical diagnosis. - correct answer B