NURS 125 Final 2022

A patient on a medical- surgical floor reports having shortness of breath. The nurse needs to conduct which type of assessment? Correct Answer:- A problem-based/focused assessment For which patient is a shift assessment indicated? Correct Answer:- The person who had abdominal surgery yesterday Which of the following examples represents a secondary prevention level of health promotion? Correct Answer:- Blood pressure screenings Which of the following is an example of objective data? Correct Answer:- Vomiting A nurse suspects a patient is a victim of physical abuse. Which response by the nurse will most likely encourage the patient to confide in the nurse? Correct Answer:- "I've seen people who have been hurt by their significant others. Do you feel safe in your home?" A patient answers questions quietly and appears sad. While answering questions about her marriage, she begins to cry. Which response by the nurse is appropriate in this situation? Correct Answer:- "I see that you are upset. Is there something you'd like to discuss?" A nurse is interviewing a patient. Which of the following questions is an open-ended question? Correct Answer:- Can you tell me how you have been feeling? When interviewing a patient to obtain a health history, asking if the patient has "dypsnea" can fall into which of the following systems? Correct Answer:- Respiratory and Cardiovascular A nurse asks a patient to rate their pain on a scale of "0-10". This is which part of the mnemonic for symptom analysis of "OLD CARTS"? Correct Answer:- Severity When examining a patient, the nurse remembers to follow which principle of Standard Precautions? Correct Answer:- Wear gloves when in contact with the patient's blood or other body fluids. Which of the following is a correct statement regarding the technique LIGHT palpation? Light palpation is Correct Answer:- Used to assess tenderness The nurse is unable to hear the patient's breath sounds. To determine the cause of this problem the nurse needs to ensure that the Correct Answer:- valve is open to the diaphragm on the head of the stethoscope. A nurse is preparing to take a patient's blood pressure. The blood pressure cuff is too narrow (small). How accurate will this patient's blood pressure be using this blood pressure cuff? Correct Answer:- Higher than the actual value Where does the nurse attach the sensor probe of the pulse oximeter to measure a patient's oxygen saturation? Correct Answer:- Around the patient's index fingernail