Health Assesment Answered New test
bank
, NURSING2058HealthAssessmentExam1:Stu
dy Guide
Chapter01:Evidence-BasedAssessment
1. Aftercompletinganinitialassessmentofapatient,thenursehaschartedthathis
respirations are eupneic and his pulse is 58 beats per minute. These types ofdata
would be:
a. Objective.
2. A patient tells the nurse that he is very nervous, is nauseated, and “feelshot.”
These types of data would be:
a. Subjective.
3. The patient’s record, laboratory studies, objective data, and subjectivedata
combine to form the:
a. Database.
4. When listening to a patient’s breath sounds, the nurse is unsure of a sound thatis
heard. The nurse’s next action should be to:
a. Validate thedatabyaskingacoworkerto listentothebreath sounds.
5. The nurse is conducting a class for new graduate nurses. During the teaching
session,thenurseshouldkeepinmindthatnovicenurses,withoutabackground of
skills and experience from which to draw, are more likely to make their
decisions using:
a. Asetof rules.
6. Expertnurseslearntoattendtoapatternofassessmentdataandact
without consciously labeling it. These responses are referred to as:
a. Intuition.
7. Thenurseisreviewinginformationaboutevidence-basedpractice(EBP).
,tementbestreflectsEBP?
a. EBPemphasizestheuseofbestevidencewiththeclinician’sexperience.
8. Thenurseisconductingaclassonprioritysettingforagroupofnewgraduate nurses.
Which is an example of a first-level priority problem?
a. Individualwithshortnessofbreathandrespiratory distress
9. Whenconsideringprioritysettingofproblems,thenursekeepsinmindthat
second-level priority problems include which of these aspects?
a. Abnormallaboratoryvalues
10. Whichcriticalthinkingskillhelpsthenurseseerelationshipsamongthedata?
a. Clusteringrelatedcues
11. Thenurseknowsthatdevelopingappropriatenursinginterventionsforapatient relies
on the appropriateness of the diagnosis.
a. Nursing
12. Thenursingprocessisasequentialmethodofproblemsolvingthat nursesuseand
includes which steps?
a. Assessment,diagnosis,outcomeidentification,planning,i
mplementation,and evaluation
13. Anewlyadmittedpatientisinacutepain,hasnotbeensleepingwelllately,andis having
difficulty breathing. How should the nurse prioritize these problems?
a. Breathing,pain,and sleep
14. Whichofthesewouldbeformulatedbyanurseusingdiagnostic reasoning?
a. Diagnostichypothesis
1
, 15. Barrierstoincorporating EBPinclude:
a. Nurses’lackofresearchskillsinevaluatingthequalityofresearchstudies.
16. Whatstepofthenursingprocessincludesdatacollectionbyhealth
history, physical examination, and interview?
a. Assessment
17. Duringa staff meeting, nurses discuss the problems with accessing research
studiestoincorporateevidence-basedclinicaldecisionmakingintotheirpractice.
Which suggestion by the nurse manager would best help these problems?
a. Teachthenurseshowtoconductelectronicsearchesforresearchstudies.
18. Whenreviewingtheconceptsofhealth,thenurserecallsthatthecomponentsof holistic
health include which of these?
a. Holistichealthviewsthemind,body,andspiritas interdependent.
19. Thenurserecognizesthattheconceptofpreventionindescribinghealthis
essential because:
a. Preventionplacestheemphasisonthelinkbetweenhealthandpersonalbehav
ior.
20. The nurse is performing a physical assessment on a newly admitted patient.
Anexampleofobjectiveinformationobtainedduringthephysicalassessment
includes the:
a. 25cmscarontherightlowerforearm.
21. Avisitingnurseismakinganinitialhomevisitforapatientwhohasmany chronic
medical problems. Which type of data base is most appropriate to collect
in this setting?
a. Afollow-updatabasetoevaluatechangesatappropriateintervals
b. Anepisodicdatabasebecauseofthecontinuing,complexmedical
problems of this patient
c. Acompletehealthdatabasebecauseofthenurse’sprimaryresponsibility for
monitoring the patient’s health
d. Anemergencydatabasebecauseoftheneedtocollectinformation and
make accurate diagnoses rapidly
bank
, NURSING2058HealthAssessmentExam1:Stu
dy Guide
Chapter01:Evidence-BasedAssessment
1. Aftercompletinganinitialassessmentofapatient,thenursehaschartedthathis
respirations are eupneic and his pulse is 58 beats per minute. These types ofdata
would be:
a. Objective.
2. A patient tells the nurse that he is very nervous, is nauseated, and “feelshot.”
These types of data would be:
a. Subjective.
3. The patient’s record, laboratory studies, objective data, and subjectivedata
combine to form the:
a. Database.
4. When listening to a patient’s breath sounds, the nurse is unsure of a sound thatis
heard. The nurse’s next action should be to:
a. Validate thedatabyaskingacoworkerto listentothebreath sounds.
5. The nurse is conducting a class for new graduate nurses. During the teaching
session,thenurseshouldkeepinmindthatnovicenurses,withoutabackground of
skills and experience from which to draw, are more likely to make their
decisions using:
a. Asetof rules.
6. Expertnurseslearntoattendtoapatternofassessmentdataandact
without consciously labeling it. These responses are referred to as:
a. Intuition.
7. Thenurseisreviewinginformationaboutevidence-basedpractice(EBP).
,tementbestreflectsEBP?
a. EBPemphasizestheuseofbestevidencewiththeclinician’sexperience.
8. Thenurseisconductingaclassonprioritysettingforagroupofnewgraduate nurses.
Which is an example of a first-level priority problem?
a. Individualwithshortnessofbreathandrespiratory distress
9. Whenconsideringprioritysettingofproblems,thenursekeepsinmindthat
second-level priority problems include which of these aspects?
a. Abnormallaboratoryvalues
10. Whichcriticalthinkingskillhelpsthenurseseerelationshipsamongthedata?
a. Clusteringrelatedcues
11. Thenurseknowsthatdevelopingappropriatenursinginterventionsforapatient relies
on the appropriateness of the diagnosis.
a. Nursing
12. Thenursingprocessisasequentialmethodofproblemsolvingthat nursesuseand
includes which steps?
a. Assessment,diagnosis,outcomeidentification,planning,i
mplementation,and evaluation
13. Anewlyadmittedpatientisinacutepain,hasnotbeensleepingwelllately,andis having
difficulty breathing. How should the nurse prioritize these problems?
a. Breathing,pain,and sleep
14. Whichofthesewouldbeformulatedbyanurseusingdiagnostic reasoning?
a. Diagnostichypothesis
1
, 15. Barrierstoincorporating EBPinclude:
a. Nurses’lackofresearchskillsinevaluatingthequalityofresearchstudies.
16. Whatstepofthenursingprocessincludesdatacollectionbyhealth
history, physical examination, and interview?
a. Assessment
17. Duringa staff meeting, nurses discuss the problems with accessing research
studiestoincorporateevidence-basedclinicaldecisionmakingintotheirpractice.
Which suggestion by the nurse manager would best help these problems?
a. Teachthenurseshowtoconductelectronicsearchesforresearchstudies.
18. Whenreviewingtheconceptsofhealth,thenurserecallsthatthecomponentsof holistic
health include which of these?
a. Holistichealthviewsthemind,body,andspiritas interdependent.
19. Thenurserecognizesthattheconceptofpreventionindescribinghealthis
essential because:
a. Preventionplacestheemphasisonthelinkbetweenhealthandpersonalbehav
ior.
20. The nurse is performing a physical assessment on a newly admitted patient.
Anexampleofobjectiveinformationobtainedduringthephysicalassessment
includes the:
a. 25cmscarontherightlowerforearm.
21. Avisitingnurseismakinganinitialhomevisitforapatientwhohasmany chronic
medical problems. Which type of data base is most appropriate to collect
in this setting?
a. Afollow-updatabasetoevaluatechangesatappropriateintervals
b. Anepisodicdatabasebecauseofthecontinuing,complexmedical
problems of this patient
c. Acompletehealthdatabasebecauseofthenurse’sprimaryresponsibility for
monitoring the patient’s health
d. Anemergencydatabasebecauseoftheneedtocollectinformation and
make accurate diagnoses rapidly
