AND ANSWERS|A+GRADE|GALEN COLLEGE OF
NURSING
EXAM 1
What type of database is most appropriate when the rapid collection of data is
required and often compiled concurrently with lifesaving measures?
a. Complete
b. Focused
c. Follow-up
d. Emergency
d. Emergency
RATIONALE :>>> An emergency database includes the rapid collection of data
often obtained concurrently with lifesaving measures. A focused database is for a
limited or short-term problem; this database concerns mainly one problem, one
cue complex, or one body system. A follow-up database is used to follow up on
short-term or chronic health problems; the statuses of identified problems are
evaluated at regular and appropriate intervals. A complete database includes a
complete health history and a full physical examination; it describes the current
and past health state and forms a baseline against which all future changes can be
measured.
A nurse precepting a student nurse asks, "What's the most important step in the
critical-thinking process?"
a. Clustering subjective and objective data
,b. Analyzing health data
c. Using evidence-based assessment techniques
d. Prioritizing health concerns
c. Using evidence-based assessment techniques
RATIONALE :>>> Evidence-based techniques are supported by research
showing effectiveness of the technique that provides the safest and most current
techniques to promote the health of patients. Clustering subjective and objective
data is a step in the critical-thinking process, but is not the most important step.
Analyzing health data is a step in the critical-thinking process, but is not the most
important step. Prioritizing health concerns is a step in the critical-thinking
process, but is not the most important step.
What type of database is most appropriate for an individual who is admitted to a
long-term care facility?
a. Focused
b. Complete
c. Emergency
d. Follow-up
b. Complete
RATIONALE :>>> A complete database includes a complete health history and
a full physical examination; it describes the current and past health state and
forms a baseline against which all future changes can be measured. A focused
database is for a limited or short-term problem; this database concerns mainly one
problem, one cue complex, or one body system. A follow-up database is used to
follow up on short-term or chronic health problems; the statuses of identified
problems are evaluated at regular and appropriate intervals. An emergency
,database includes a rapid collection of data often obtained concurrently with
lifesaving measures.
Which of the following is an example of objective data?
a. A sore throat
b. An earache
c. Alert and oriented
d. Dizziness
c. Alert and oriented
RATIONALE :>>> Objective data is what the health professional observes; level
of consciousness and orientation are observations. Subjective data is what the
person says about himself or herself during history taking.
Which of the following is an example of subjective data?
a. Blood glucose 126 md/dL
b. Pain rated at 7 out of 10
c. Heart rate of 76 bpm
d. Bruising on lower leg
b. Pain rated at 7 out of 10
RATIONALE :>>> Subjective data is what the patient says about himself or
herself during history taking. Objective data is what the health professional
observes by inspecting, percussing, palpating, and auscultating during the
physical examination. Blood glucose is measured by using a drop of blood placed
on a test strip in a glucometer. Bruising is assessed by inspection. Heart rate is
, assessed by palpation of the radial artery or auscultated with a stethoscope when
listening to heart sounds.
A complete database is
a. used to collect data rapidly and is often compiled concurrently with lifesaving
measures.
b. used to evaluate the cause or etiology of disease.
c. used for a limited or short-term problem usually consisting of one problem, one
cue complex, or one body system.
d. used to perform a thorough or comprehensive health history and physical
examination.
d. used to perform a thorough or comprehensive health history and
physical examination.
RATIONALE :>>> A complete database includes a complete health history and
a full physical examination; it describes the current and past health state and
forms a baseline against which all future changes can be measured. An emergency
database is a rapid collection of data often obtained concurrently with lifesaving
measures. A focused database is for a limited or short-term problem; this database
concerns mainly one problem, one cue complex, or one body system. Medical
diagnoses are used to evaluate the cause or etiology of the disease.
A patient admitted to the hospital with asthma has the following problems
identified based on an admission health history and physical assessment. Which
problem is a first-level priority?
a. Ineffective self-health management
b. Impaired gas exchange
c. Readiness for enhanced spiritual well-being