NURS 210 - EXAM 1 PRACTICE QUESTIONS WITH CORRECT ANSWERS GRADED TO PASS

Which factors would help the nurse interpret patient data accurately? Select all that apply 1. Knowledge of evidence-based practice research 2. Attention to detail during the patient interview 3. Understanding of the patient's culture and values 4. Careful observation of the patient's behavior 5. Using past experiences and generalizations - correct answer: 1. Knowledge of evidence-based practice research 2. Attention to detail during the patient interview 3. Understanding of the patient's culture and values 4. Careful observation of the patient's behavior A nurse asks a patient several questions to determine how he may have gotten a pressure ulcer. Which of the gordon's model of 11 functional health patterns would the nurse address in her assessment? Select all that apply 1. Sleep-rest 2. Elimination 3. Pain and weakness 4. Food and fluid intake 5. Past medical history or family history - correct answer: 1. Sleep-rest 2. Elimination 4. Food and fluid intake When obtaining data for an assessment, a nurse must confirm the accuracy of the information by using another source or method. This is known as validating. Which actions are examples of validation? Select all that apply 1. Confirming the information from the patient's family 2. Getting diagnostic tests done 3. Asking the patient directly 4. Validating with findings from a physical examination 5. Contacting the patient's previous doctor - correct answer: 1. Confirming the information from the patient's family 3. Asking the patient directly 4. Validating with findings from a physical examination 5. Contacting the patient's previous doctor How would the nurse organize patient data using the head-to-toe model? 1. Organizes assessment data of each body system and focuses on physical aspects 2. Organizes only the physical assessment data from the upper to lower extremities 3. Organizes health assessment data according to the areas of function from head to toe 4. Organizes general health status first, vital signs next, and physical assessment at the end - correct answer: 4. Organizes general health status first, vital signs next, and physical assessment at the end A nurse is assigned to a 78-year-old patient with symptoms of h1n1 flu. The patient is short of breath with a respiratory rate of 30 breaths/min. He lost his wife just a month ago. The nurse's knowledge about this patient would result in which assessment approach at this time? Select all that apply. 1. A focused approach 2. A structured comprehensive approach 3. Using multiple visits to gather a complete database 4. Focusing on the functional health pattern of role-relationship 5. Scheduling a single extensive, structured interview to gather a detailed assessment - correct answer: 1. A focused approach 3. Using multiple visits to gather a complete database Which frameworks can help the nurse organize patient data after the interview process? Select all that apply 1. Triage system 2. Head-to-toe model 3. Body systems model 4. Focused assessment model 5. Functional health patterns - correct answer: 2. Head-to-toe model 3. Body systems model 5. Functional health patterns In which order, from the first technique to the last, would the nurse perform a physical assessment? Auscultation, palpation, inspection, percussion - correct answer: Inspection, palpation, percussion, auscultation Which questions would the nurse ask to assess the chronology of the patient's chief complaint of abdominal pain? Select all that apply 1. "how and when did the pain start?" 2. "was the onset gradual or sudden?" 3. "can you tell me more about your problem?" 4. "can you show me where the pain is located?" 5. " is the pain accompanied by any other problems or complaints?" - correct answer: 1. "how and when did the pain start?" 3. "can you tell me more about your problem?" 4. "can you show me where the pain is located?" Which nursing actions are examples of data validation? Select all that apply. 1. Asking the patient to describe a symptom by saying, "go on" 2. Asking the patient if he is having pain and then asking the patient to rate the severity 3. Obtaining a blood pressure value that is abnormal and asking the charge nurse to repeat the measurement 4. Assessing the patient's heart rate and comparing the value with the last value entered in the medical record 5. Observing a patient reading a teaching booklet and asking the patient if he has questions about its content - correct answer: 3. Obtaining a blood pressure value that is abnormal and asking the charge nurse to repeat the measurement 4. Assessing the patient's heart rate and comparing the value with the last value entered in the medical record Gordon's model of functional health patterns helps nurses focus on which aspects during health assessment? 1. All areas of concern in the patient 2. Physical aspects of the patient 3. Patient's head-to-toe assessment 4. Patient's strengths during assessment - correct answer: 4. Patient's strengths during assessment Which actions does the nurse take during the working phase of a patient interview? Select all that apply 1. Focuses on the purpose of the interaction 2. Assesses both verbal and nonverbal cues 3. Assesses the patient's educational needs 4. Uses a variety of communication techniques 5. Summarizes key findings of the physical exam - correct answer: 1. Focuses on the purpose of the interaction 2. Assesses both verbal and nonverbal cues 3. Assesses the patient's educational needs 4. Uses a variety of communication techniques Place the elements of a comprehensive assessment in the correct order 1. Health history 2. Thorough interview 3. Review of systems 4. Extensive physical head-to-toe assessment 5. Laboratory and diagnostic tests ordered by the pcp - correct answer: 3. Review of systems 4. Extensive physical head-to-toe assessment 5. Laboratory and diagnostic tests ordered by the pcp Which mineral supplement is most likely to be included in the medication list for a patient with osteoporosis? 1. Zinc 2. Calcium 3. Sodium 4. Iron - correct 2. Calcium Which conditions are diagnosed more frequently in infancy and childhood than in adulthood? Select all that apply 1. Spina bifida 2. Osteoporosis 3. Osteoarthritis 4. Cerebral palsy 5. Rheumatoid arthritis - correct answer: 1. Spina bifida 4. Cerebral palsy Which device is most appropriate for preventing foot drop in a patient on bed rest? 1. Splint 2. Trapeze bar 3. Transfer belt 4. Antiembolism hose - correct answer: 1. Splint Which body system controls balance? - correct answer: Nervous Which assessment finding does the nurse expect to observe in a child with cerebral palsy? 1. Spasticity 2. Paraplegia 3. Quadriplegia 4. Osteoarthritis - correct answer: 1. Spasticity A patient who has been on bed rest for several days prepares to walk with assistance. Upon standing, the patient's blood pressure changes from 120/80 to 96/68 mm hg, and heart rate changes from 88 to 112 bpm. Based on these findings, the nurse knows that the patient is experiencing which condition? 1. Rebound hypertension 2. Orthostatic hypotension 3. Dysfunctional proprioception 4. Disuse osteoporosis - correct answer: 2. Orthostatic hypotension A nurse is using the braden scale. Which characteristic about a patient is the nurse assessing? 1. Perception of pain 2. Fall risk 3. Risk for skin breakdown 4. Risk for venous thrombosis - correct answer: 3. Risk for skin breakdown The nurse fits elastic stockings on a patient following major abdominal surgery. The nurse explains to the patient that the stockings help prevent which condition? 1. Varicose veins 2. Muscular atrophy 3. Joint contractures 4. Deep vein thrombosis - correct answer: 4. Deep vein thrombosis Which device should the nurse use to prevent external rotation of the hip when the patient is in a supine position? 1. Trochanter roll 2. Positioning boot 3. Trapeze bar 4. Lateral assist lift - correct answer: 1. Trochanter roll Which body mechanics principles should the nurse adopt to prevent injury at work? Select all that apply. 1. Bend at the knees 2. Pull rather than push patients or objects 3. Keep the spine in natural alignment while lifting or transferring 4. Get assistance when moving patients 5. Keep the weight to be lifted as close to the body as possible - correct answer: 1. Bend at the knees 3. Keep the spine in natural alignment while lifting or transferring 4. Get assistance when moving patients 5. Keep the weight to be lifted as close to the body as possible Which condition is a common consequence of osteoporosis? 1. Joint contractures 2. Pathologic fractures 3. Foot drop 4. Urinary stasis - correct answer: 2. Pathologic fractures