Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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The nurse is nearing the end of an interview. Which state-
"Is there anything else you would like to mention?"
ment is appropriate at this time?
The nurse is assessing a patient's pain. What should the
Subjective report
nurse know is the most reliable indicator of pain?
The nurse is asking a patient for his reason for seeking
care and asks about the signs and symptoms he is expe- Chest pain
riencing. Which of these is an example of a symptom?
"Where is the headache pain?"
The nurse is assessing a patient's headache pain. Which
"On a scale of 1 to 10, how bad is the pain?"
questions reflect one or more of the critical characteristics
of symptoms that should be assessed? Select all that ap-
"How often do the headches occur?"
ply).
"What makes the headaches feel better?"
During an examination, the nurse can assess mental sta- Examining the patient's response to a specific set of ques-
tus by which activity? tions.
The nurse is assessing orientation in a 79-year-old pa- "I know my name is John. I am at the hospital in Spokane.
tient. Which of these responses would lead the nurse to I couldn't tell you what date it is, but I know that it is March
conclude that this patient is oriented? of a new year - 2025."
The nurse is administering a Mini-Cog test to an older
adult woman. When asked to draw a clock showing the
time of 10:45, the patient drew a clock with the numbers Cognitive impairement
out of order and with an incorrect time. This result indi-
cates which finding?
The nurse is conducting an interview with an adult male
"I have a strong urge to drink and I've tried to stop drink-
patient. Which statement made by the patient indicates
ing several times but it doesn't last long."
an alcohol use disorder?
The nurse suspects abuse when a 10-year old child is
taken to the urgent care center for a leg injury. Which is
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, the best way for the nurse to document the findings in the Use the words the child has said to describe how the injury
patient's chart? occured.
The nurse is preparing to use a stethoscope for ausculta-
tion. Which statement is true regarding the diaphragm of Used to listen for high-pitched sounds
the stethoscope?
The nurse is preparing to use an otoscope for an exami- Directs light into the ear canal and onto the tympanic
nation. Which statement is true regarding the otoscope? membrane.
When assessing the force, or strength of a pulse, what
Is a reflection of the heart's stroke volume.
should the nurse recall about the pulse?
A patient's blood pressure is 118/82 mmHg. He asks the "The top number is the systolic blood pressure and reflects
nurse, "What do the numbers mean?". Which is the best the pressure of the blood against the arteries when the
reply by the nurse? heart contracts."
The person supports his or her own arm during the blood
pressure reading.
While measuring a patient's blood pressure, the nurse
uses the proper technique to obtain an accurate reading. The blood pressure cutt is too narrow for the extremity.
Which of these situations will result in a falsely blood
pressure reading? Select all that apply). The cutt is loosely wrapped around the arm.
The person is sitting with his or her legs crossed.
The nurse keeps in mind that a thorough skin assessment
is extremely important. What can the skin provide impor- Circulatory status
tant information about?
A patient tells the nurse that he has noticed that one of
his moles has started to burn and bleed. When assessing
his skin, the nurse pays special attention to the danger Color variation
signs for pigmented lesions and is concerned with which
additional finding?
A papule
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