RASMUSSEN HEALTH ASSESSMENT
EXAM #1 QUESTIONS WITH CORRECT
ANSWERS
After completing an initial assessment of a patient, the nurse has charted that his
respiration's are eupneic and his pulse is 58 beats per minute. These types of data
would be - Answer-Objective
A patient tells the nurse that he is very nervous, is nauseated, and "feels hot" These
types of data would be - Answer-Subjective
The patients record, laboratory studies, objective data, and subjective data combine to
form the - Answer-Database
When listening to a patients breath sounds, the nurse is unsure of a sound that is heard.
The nurses next action should be to - Answer-Validate the data by asking a coworker to
listen to the breath sounds.
The nurse is reviewing information about EBP. Which statement best reflects EBP? -
Answer-EBP emphasizes the use of best evidence with the clinician's experience.
The nurse is conducting a class on priority setting for a group of new graduate nurses.
Which is an example of a first level priority problem? - Answer-Individual with shortness
of breath and respiratory distress
When considering priority setting of problems, the nurse keeps in mind that second level
priority include which of these aspect? - Answer-Abnormal lab values
The nurse knows that developing appropriate nursing interventions for a patient relies
on the appropriateness of the _______________ diagnosis. - Answer-Nursing
The nursing process is a sequential method of problem solving the nurses use and
includes which steps? - Answer-Assessment, diagnosis, outcome identification,
planning, implementation, and evaluation
A newly admitted patient is in acute pain, has not been sleeping well lately, and is
having difficulty breathing. How should the nurse prioritize these problems. - Answer-
Breathing, pain, sleep.
What step of the nursing process includes data collection by health history, physical
exam, and interview - Answer-Assessment
, When reviewing the concepts of health, the nurse recalls that the components of holistic
health include which of these - Answer-Holistic health views the mind, body, and spirit
as interdependent
The nurse is performing a physical assessment on a newly admitted patient. An
example of objective information obtained during the physical assessment includes -
Answer-2-5 cm scar on the right lower forearm
A visiting nurse is making an initial home visit for a patient who has many chronic
medical problems. Which type of data base is most appropriate to collect in this setting -
Answer-A complete health data base because of the nurses primary responsibility for
monitoring the patients health
Which situation is most appropriate during which the nurse performs a focused of
problem- centered history - Answer-Patient in an outpatient clinic has cold and flu
symptoms
A patient is at the clinic to have her blood pressure checked. She has been coming to
the clinic weekly since she changed medication 2 months ago. The nurse should -
Answer-Collect a follow up data vase and the check her blood pressure
A patient is brought by ambulance to the emergency department with multiple traumas
received in an automobile accident. He is alert and cooperative, but his injuries are quite
severe. How would the nurse proceed with data collection - Answer-Simultaneously ask
history questions while performing exam and initiating life saving measures
a 42 year old patient of Asian descent is being seen at the clinic for an initial exam. The
nurse knows that including cultural information in his health assessment is important to -
Answer-Provide culturally sensitive and appropriate care
the nurse has implemented several planned interventions to address the nursing
diagnosis of acute pain. Which would be the next step - Answer-Evaluate the individuals
condition, and compare actual outcomes with expected outcomes
Each culture has its own healers who usually - Answer-cost less than traditional
biomedical providers
when evaluating health history, the nurse determines that the patient subscribes to the
hot/cold theory of health - Answer-the humors are balanced
on the basis of median age - Answer-asian population tends to be younger
spirituality is defined as - Answer-a personal effort to find meaning and purpose in life
which statement regards to language barriers and health care - Answer-there is a law
that addresses barriers in healthcare
EXAM #1 QUESTIONS WITH CORRECT
ANSWERS
After completing an initial assessment of a patient, the nurse has charted that his
respiration's are eupneic and his pulse is 58 beats per minute. These types of data
would be - Answer-Objective
A patient tells the nurse that he is very nervous, is nauseated, and "feels hot" These
types of data would be - Answer-Subjective
The patients record, laboratory studies, objective data, and subjective data combine to
form the - Answer-Database
When listening to a patients breath sounds, the nurse is unsure of a sound that is heard.
The nurses next action should be to - Answer-Validate the data by asking a coworker to
listen to the breath sounds.
The nurse is reviewing information about EBP. Which statement best reflects EBP? -
Answer-EBP emphasizes the use of best evidence with the clinician's experience.
The nurse is conducting a class on priority setting for a group of new graduate nurses.
Which is an example of a first level priority problem? - Answer-Individual with shortness
of breath and respiratory distress
When considering priority setting of problems, the nurse keeps in mind that second level
priority include which of these aspect? - Answer-Abnormal lab values
The nurse knows that developing appropriate nursing interventions for a patient relies
on the appropriateness of the _______________ diagnosis. - Answer-Nursing
The nursing process is a sequential method of problem solving the nurses use and
includes which steps? - Answer-Assessment, diagnosis, outcome identification,
planning, implementation, and evaluation
A newly admitted patient is in acute pain, has not been sleeping well lately, and is
having difficulty breathing. How should the nurse prioritize these problems. - Answer-
Breathing, pain, sleep.
What step of the nursing process includes data collection by health history, physical
exam, and interview - Answer-Assessment
, When reviewing the concepts of health, the nurse recalls that the components of holistic
health include which of these - Answer-Holistic health views the mind, body, and spirit
as interdependent
The nurse is performing a physical assessment on a newly admitted patient. An
example of objective information obtained during the physical assessment includes -
Answer-2-5 cm scar on the right lower forearm
A visiting nurse is making an initial home visit for a patient who has many chronic
medical problems. Which type of data base is most appropriate to collect in this setting -
Answer-A complete health data base because of the nurses primary responsibility for
monitoring the patients health
Which situation is most appropriate during which the nurse performs a focused of
problem- centered history - Answer-Patient in an outpatient clinic has cold and flu
symptoms
A patient is at the clinic to have her blood pressure checked. She has been coming to
the clinic weekly since she changed medication 2 months ago. The nurse should -
Answer-Collect a follow up data vase and the check her blood pressure
A patient is brought by ambulance to the emergency department with multiple traumas
received in an automobile accident. He is alert and cooperative, but his injuries are quite
severe. How would the nurse proceed with data collection - Answer-Simultaneously ask
history questions while performing exam and initiating life saving measures
a 42 year old patient of Asian descent is being seen at the clinic for an initial exam. The
nurse knows that including cultural information in his health assessment is important to -
Answer-Provide culturally sensitive and appropriate care
the nurse has implemented several planned interventions to address the nursing
diagnosis of acute pain. Which would be the next step - Answer-Evaluate the individuals
condition, and compare actual outcomes with expected outcomes
Each culture has its own healers who usually - Answer-cost less than traditional
biomedical providers
when evaluating health history, the nurse determines that the patient subscribes to the
hot/cold theory of health - Answer-the humors are balanced
on the basis of median age - Answer-asian population tends to be younger
spirituality is defined as - Answer-a personal effort to find meaning and purpose in life
which statement regards to language barriers and health care - Answer-there is a law
that addresses barriers in healthcare
