Health Assessment and Physical Examination Test Bank new updated

Chapter 30: Health Assessment and Physical Examination Test Bank MULTIPLE CHOICE 1. A nurse is a preceptor for a nurse who just graduated from nursing school. When caring for a patient, the new graduate nurse begins to explain to the patient the purpose of completing a physical assessment. Which of the following statements made by the new graduate nurse requires the preceptor to intervene? a. “I will use the information from my assessment to figure out if your antihypertensive medication is working effectively.” b. “Nursing assessment data are used only to provide information about the effectiveness of your medical care.” c. “Nurses use data from their patient’s physical assessment to determine a patient’s educational needs.” d. “Information gained from physical assessment helps nurses better understand their patients’ emotional needs.” ANS: B Nursing assessment data are used to evaluate the effectiveness of all aspects of a patient’s care, not just the patient’s medical care. Assessment data help to evaluate the effectiveness of medications and to determine a patient’s health care needs, including the need for patient education. Nurses also use assessment data to identify patients’ psychosocial and cultural needs. DIF: Evaluate REF: 488 OBJ: Discuss the purposes of physical assessment. TOP: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care 2. Having misplaced his stethoscope, a nurse borrows a colleague’s stethoscope. He next enters the patient’s room and identifies himself, washes his hands with soap, and states the purpose of his visit. He performs proper identification of the patient before he auscultates her lungs. Which critical health assessment step was not performed? a. Running warm water over stethoscope for patient comfort b. Cleaning stethoscope with Betadine c. Using alcohol-based hand disinfectant d. Cleaning stethoscope with alcohol