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A 52-year-old male patient is admitted to the hospital with
a new diagnosis of rectal cancer. Which type of assess-
ment does the nurse conduct on his admission?
1. A comprehensive assessment 1. A comprehensive assessment
2. A problem-based health assessment
3. An episodic assessment
4. A screening assessment for colorectal cance
After collecting data, the nurse begins data analysis with
which activity?
1. Documenting information from the history
2. Organizing the data collected
2. Organizing the data collected
3. Reporting data to other care providers
4. Recording data from the physical examination
Which situation illustrates a screening assessment?
1. A patient visits a clinic for the first time and the nurse
completes a history and physical examination.
2. A hospital sponsors a health fair in a community to
measure blood pressure and cholesterol levels.
2. A hospital sponsors a health fair in a community to
3. A nurse at an urgent care center checks the blood pres-
measure blood pressure and cholesterol levels.
sure, pulse, temperature, and respirations of a patient
reporting leg pain.
4. A patient with diabetes mellitus comes to the laboratory
to get her blood glucose tested prior to a visit with a health
care provider.
The nurse documents which information in the patient's
history?
1. The patient is scratching his left arm.
3. The patient reports itching of her eyes.
2. The patient's skin feels warm.
3. The patient reports itching of her eyes.
4. The patient's temperature is 100°F (37.8°C).
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Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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Select the example given below that represents infor-
mation a nurse collects from a patient during a physical
examination.
1. Shiny skin and lack of hair found on lower legs
1. Shiny skin and lack of hair found on lower legs
2. Concerned about lack of money to pay for prescrip-
tions
3. Complains of tingling in both feet while sleeping
4. Family history of colon and breast cancer
The nurse is interviewing an adult Navajo woman. Which
statement demonstrates cultural sensitivity and accep-
tance of the patient?
1. "How often do you visit the medicine man for your
health care?"
2. "Tell me about your health care beliefs and practices."
2. "Tell me about your health care beliefs and practices."
3. "Many Navajo people are afraid of hospitals. Are you
afraid?"
4. "Have you ever had a physical examination by a physi-
cian or a nurse practitioner?
Which statement is appropriate to use when beginning an
interview with a new patient?
1. "Have you ever been a patient here before?"
4. "What is your purpose for coming to the clinic today?"
2. "Tell me a little about yourself and your family."
3. "Did you have any diflculty finding the clinic?"
4. "What is your purpose for coming to the clinic today?"
While giving a history, a patient describes several events
out of order that occurred in ditterent decades in his life.
What technique does the nurse use to understand the
3. State the order of events as understood and ask the
timeline of these events?
patient to verify the order.
1. Draw conclusions about the order of events from data
the patient provided.
2. Ask the patient to elaborate about these events.
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3. State the order of events as understood and ask the
patient to verify the order.
4. Ask the patient to repeat what he said about these
events in the order they occurred.
A patient is very talkative and shares much information
that is not relevant to his history or the reason for his
admission. Which action by the nurse improves data col-
lection in this situation?
1. Use closed-ended questions.
1. Use closed-ended questions.
2. Ask the patient to stay on the subject.
3. Ask another nurse to complete the interview.
4. Terminate the interview
For which patient is a focused health history most appro-
priate?
1. A new patient at the health clinic for an annual exami-
nation
2. A patient at the health care provider's oflce for a sport 4. A patient presenting to a clinic with a lacerated finger
physical
3. A patient discharged 11 months ago who is being
readmitted today
4. A patient presenting to a clinic with a lacerated finger
A nurse is interviewing a male patient who reports he has
not had a tetanus immunization in about 15 years because
he had a "bad reaction" to the last tetanus immunization.
What is the most appropriate response by the nurse in
this case? 3. Ask the patient to describe the "bad reaction" to the
1. Notify the health care provider that this immunization vaccine in more detail.
cannot be given.
2. Document that the patient is allergic to the tetanus
vaccine.
3. Ask the patient to describe the "bad reaction" to the
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Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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vaccine in more detail.
4. Give the vaccine after explaining that adverse reactions
are rare.
The patient reports having a persistent cough for the
past 2 weeks and that the cough disrupts sleep and has
not been helped by over-the-counter cough medicines.
Which question is most appropriate for the nurse to ask
next?
2. "What other symptoms have you noticed related to this
1. "What do you think is causing this persistent cough?"
cough?"
2. "What other symptoms have you noticed related to this
cough?"
3. "Have you tried taking sleeping pills to help you
sleep?"
4. "Did you think this will just go away on its own?
A nurse plans on changing a patient's wound dressing
and then performing perineal care on that same patient.
In following standard precautions, the nurse takes which
actions immediately after completing the wound care?
1. Documents the size and appearance of the wound and
treatment as ordered 4. Removes gloves, performs hand hygiene, and dons a
2. Helps the patient to a supine position and drapes the new pair of gloves
patient to perform perineal care
3. Performs hand hygiene immediately after removing the
gloves
4. Removes gloves, performs hand hygiene, and dons a
new pair of gloves
A patient reports his right leg feels cooler than his left.
What part of the hand does the nurse use to palpate his
legs to assess skin temperature? 1. The dorsal surface of both hands
1. The dorsal surface of both hands
2. The ulnar surfaces of both hands