Erythema - ANSWER white skin is redness of the skin produced by capillary congestion
Objective data - ANSWER measurable data, for example vital signs
After completing an initial assessment on a pt, the nurse charts, vital signs as temp of 100.1
oral, apical HR 98 irregular, RR 24 shallow, B/P 128/90, pulse ox of 90% on RA, what are you
worried about - ANSWER oxygenation, infection, activity intolerance, capillary refill
greater than 3 seconds
During assessment of the lower extremities of a male patient the nurse is unable to palpate
the dorsalis pedis pulse, what action should the nurse take first - ANSWER reposition the
fingers and assess again
What is a Doppler? - ANSWER is a test that uses high frequency sound waves (ultra-
sound) to measure the amount of blood flow through your arteries and veins, usually those
that supply blood to your arms and legs
An example of objective data obtained during the physical assessment includes - AN-
SWER audible and auscultated inspiratory wheeze, 2x2 cm stage 1 pressure ulcer on right
ankle, crackles that clear with cough
Audible vs. Ausculated - ANSWER auscultated is hearing through stethoscope while audi-
ble is heard within the room
What does clears with cough mean - ANSWER hear normal sounds after patient coughs
1
, Level of consciousness - ANSWER objective data, alert, lethargic, stuporons, and coma-
tose
Orientation x 4 - ANSWER person, place, time, situation
A mother is at the clinic with her 2 year old son, "he wont go to sleep at night and during the
day he has several fits" I get so upset when this happens, the nurses best verbal response
would be - ANSWER to clarify and get more information, fits?, tell me what you mean by
this
What are non-therapeutic communcation - ANSWER asking closed ended questions,
medical jargon, talking too much, asking why questions
Which of the following statements illustrates the use of open-ended questions - ANSWER
builds and enhances rapport, used when narrative information is needed
Therapeutic communication techniques - ANSWER assists the narrative, open-ended
questions, repeating what patient says for clarification
A patients reason for seeking care is shortness of breath, when obtaining a health history,
which of these questions by the nurse would obtain the most helpful information - AN-
SWER will you please describe the activities that cause you to be short of breath
Components of a health history - ANSWER biographical data, review of systems, func-
tional assessment, activities of daily living
The nurse is collecting data about a patients smoking history, the patient admits to smoking
1.5 packs/day for the last 10 years, the nurse documents the patient has a smoking history
of how many pack-years - ANSWER 15 pack years
2
Objective data - ANSWER measurable data, for example vital signs
After completing an initial assessment on a pt, the nurse charts, vital signs as temp of 100.1
oral, apical HR 98 irregular, RR 24 shallow, B/P 128/90, pulse ox of 90% on RA, what are you
worried about - ANSWER oxygenation, infection, activity intolerance, capillary refill
greater than 3 seconds
During assessment of the lower extremities of a male patient the nurse is unable to palpate
the dorsalis pedis pulse, what action should the nurse take first - ANSWER reposition the
fingers and assess again
What is a Doppler? - ANSWER is a test that uses high frequency sound waves (ultra-
sound) to measure the amount of blood flow through your arteries and veins, usually those
that supply blood to your arms and legs
An example of objective data obtained during the physical assessment includes - AN-
SWER audible and auscultated inspiratory wheeze, 2x2 cm stage 1 pressure ulcer on right
ankle, crackles that clear with cough
Audible vs. Ausculated - ANSWER auscultated is hearing through stethoscope while audi-
ble is heard within the room
What does clears with cough mean - ANSWER hear normal sounds after patient coughs
1
, Level of consciousness - ANSWER objective data, alert, lethargic, stuporons, and coma-
tose
Orientation x 4 - ANSWER person, place, time, situation
A mother is at the clinic with her 2 year old son, "he wont go to sleep at night and during the
day he has several fits" I get so upset when this happens, the nurses best verbal response
would be - ANSWER to clarify and get more information, fits?, tell me what you mean by
this
What are non-therapeutic communcation - ANSWER asking closed ended questions,
medical jargon, talking too much, asking why questions
Which of the following statements illustrates the use of open-ended questions - ANSWER
builds and enhances rapport, used when narrative information is needed
Therapeutic communication techniques - ANSWER assists the narrative, open-ended
questions, repeating what patient says for clarification
A patients reason for seeking care is shortness of breath, when obtaining a health history,
which of these questions by the nurse would obtain the most helpful information - AN-
SWER will you please describe the activities that cause you to be short of breath
Components of a health history - ANSWER biographical data, review of systems, func-
tional assessment, activities of daily living
The nurse is collecting data about a patients smoking history, the patient admits to smoking
1.5 packs/day for the last 10 years, the nurse documents the patient has a smoking history
of how many pack-years - ANSWER 15 pack years
2
