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What should the nurse, who is caring for an American Indian woman seeking help to regulate her
diabetes, anticipate or expect of the patient?
a. Will comply with the treatment prescribed
b. Has given up her belief in naturalistic causes of disease
c. May also be seeking the assistance of a shaman or medicine man
d. Will need extra help in dealing with her illness and may be experiencing a crisis of faith
c. May also be seeking the assistance of a shaman or medicine man
What do the patient's record, laboratory studies, objective data, and subjective data combine to form?
a. Database
b. Admitting data
c. Financial statement
d. Discharge summary
a. Database
The nurse is unable to palpate the right radial pulse on a patient. What should the nurse do next?
a. Auscultate over the area with a fetoscope.
b. Use a goniometer to measure the pulsations.
c. Use a Doppler device to check for pulsations over the area.
d. Check for the presence of pulsations with a stethoscope.
c. Use a Doppler device to check for pulsations over the area.
,When taking a history from a newly admitted patient, the nurse notices that he often pauses and
expectantly looks at the nurse. What would be the nurse's best response to this behavior?
a. Lean forward slightly and making eye contact ask "Is there anything else?"
b. Smile at him and say, "Don't worry about all of this. I'm sure we can get to the bottom of your
symptoms."
c. Lean back in the chair and ask, "You are looking at me kind of funny; there isn't anything wrong, is
there?"
d. Stand up and say, "I can see that this interview is uncomfortable for you. We can continue it another
time."
a. Lean forward slightly and making eye contact ask "Is there anything else?"
The nurse is preparing to conduct a health history. Which of these statements best describes the
purpose of a health history?
a. To provide an opportunity for interaction between the patient and the nurse
b. To provide a form for obtaining the patient's biographic information
c. To document the normal and abnormal findings of a physical assessment
d. To provide a database of subjective information about the patient's past and current health
d. To provide a database of subjective information about the patient's past and current health
After completing an initial assessment of a patient, the nurse has charted that his respirations are
eupneic and his pulse is 58 beats per minute. What type of assessment data is this?
a. Objective
b. Reflective
c. Subjective
d. Introspective
a. Objective
,The nurse is preparing to do a functional assessment. Which statement best describes the purpose of a
functional assessment?
a. The functional assessment assesses how the individual is coping with life at home.
b. It determines how children are meeting developmental milestones.
c. The functional assessment can identify any problems with memory the individual may be
experiencing.
d. It helps determine how a person is managing day-to-day activities.
d. It helps determine how a person is managing day-to-day activities.
A 17-year-old single mother is describing how difficult it is to raise a 3-year-old child by herself. During
the course of the interview she states, "I can't believe my boyfriend left me to do this by myself! What a
terrible thing to do to me!" Which of these responses by the nurse uses empathy?
a. "You feel alone."
b. "You can't believe he left you alone?"
c. "It must be so hard to care for a child all alone."
d. "I would be angry, too; raising a child alone is no picnic."
c. "It must be so hard to care for a child all alone."
The nurse is preparing to assess a patient's abdomen by palpation. How should the nurse proceed?
a. Avoid palpation of reportedly "tender" areas because palpation in these areas may cause pain.
b. Palpate a tender area quickly to avoid any discomfort that the patient may experience.
c. Start the assessment with deep palpation, while encouraging the patient to relax and take deep
breaths.
d. Begin the assessment with light palpation to detect surface characteristics and to accustom the
patient to being touched.
d. Begin the assessment with light palpation to detect surface characteristics and to accustom the
patient to being touched.
, The direction of blood flow through the heart is best described by which of these?
a. Vena cava → right atrium → right ventricle → lungs → pulmonary artery → left atrium → left ventricle
b. Right atrium → right ventricle → pulmonary artery → lungs → pulmonary vein → left atrium → left
ventricle
c. Aorta → right atrium → right ventricle → lungs → pulmonary vein → left atrium → left ventricle →
vena cava
d. Right atrium → right ventricle → pulmonary vein → lungs → pulmonary artery → left atrium → left
ventricle
b. Right atrium → right ventricle → pulmonary artery → lungs → pulmonary vein → left atrium → left
ventricle
The findings from an assessment of a 70-year-old patient with swelling in his ankles include jugular
venous pulsations 5 cm above the sternal angle when the head of his bed is elevated 45 degrees. What
does this finding indicate?
a. Decreased fluid volume
b. Increased cardiac output
c. Narrowing of jugular veins
d. Elevated pressure r/t heart failure
d. Elevated pressure r/t heart failure
The nurse is examining a patient who has possible heart failure. Which statement about percussion of
the heart is true?
a. The patient will not show signs of poor health.
b. The patient will have yellow looking skin color.
c. The patient will have a chronic murmur.
d. The patient will have pale, gray, or cyanotic skin.
d. The patient will have pale, gray, or cyanotic skin.