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Health Assessment Test 1 Chapters 1-4 Questions & Answers 2024 ( A+
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1. After completing an initial assessment of a patient, the nurse has charted that his
respirations are eupneic and his pulse is 58 beats per minute. These types of data
would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.: a. Objective.
Objective data are what the health professional observes by inspecting, percussing,
palpating, and auscultating during the physical examination. Subjective data is what the
person says about him or herself during history taking. The terms reflective and
introspective are not used to describe data.
2. 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.: c. Subjective.
Subjective data are what the person says about him or herself during history taking.
Objective data are what the health professional observes by inspecting, percussing,
palpating, and auscultating during the physical examination. The terms reflective and
introspective are not used to describe data.
3. The patient's record, laboratory studies, objective data, and subjective data
combine to form the:
a. Data base.
b. Admitting data.
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c. Financial statement.
d. Discharge summary.: ANS: A
Together with the patient's record and laboratory studies, the objective and subjective data
form the data base. The other items are not part of the patient's record, laboratory studies,
or data.
4. 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.: ANS:
C
When unsure of a sound heard while listening to a patient's breath sounds, the nurse
validates the data to ensure accuracy. If the nurse has less experience in an area, then he
or she asks an expert to listen.
5. The nurse is conducting a class for new graduate nurses. During the teaching
session, the nurse should keep in mind that novice nurses, without a background of
skills and experience from which to draw, are more likely to make their decisions
using:
a. Intuition.
b. A set of rules.
c. Articles in journals.
d. Advice from supervisors.: ANS: B
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses
intuitive links.
6. Expert nurses learn to attend to a pattern of assessment data and act without
consciously labeling it. These responses are referred to as: a. Intuition.