RN NURSING FINAL Exam Test Bank Questions & with Answers (From Real Exam), Rated 100%

RN NURSING FINAL Exam Test Bank Questions & with Answers (From Real Exam), Rated 100%-What data should the nurse collect during the interview portion of a health assessment? a. Physical b. Historical c. Objective d. Subjective - d. Subjective A 59-year-old patient tells the nurse that he has ulcerative colitis. He has been having "black stools" for the last 24 hours. How would the nurse best document his reason for seeking care? a. J.M. is a 59-year-old man seeking treatment for ulcerative colitis. b. J.M. came into the clinic complaining of having black stools for the past 24 hours. c. J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked. d. J.M. is a 59-year-old man who states that he has been having "black stools" for the past 24 hours. - d. J.M. is a 59-year-old man who states that he has been having "black stools" for the past 24 hours. The nurse is nearing the end of an interview. Which statement is appropriate at this time? a. "Did we forget something?" b. "Is there anything else you would like to mention?" c. "I need to go on to the next patient. I'll be back." d. "While I'm here, let's talk about your upcoming surgery." - b. "Is there anything else you would like to mention?" When the nurse asks for a description of who lives with a child, the method of discipline, and the support system of the child, what part of the assessment is being performed? a. Family history b. Review of systems c. Functional assessment d. Reason for seeking care - c. Functional assessment The nurse is comparing the concepts of religion and spirituality. Which statement describes an appropriate component of one's spirituality? a. Belief in and the worship of God or gods b. Being closely tied to one's ethnic background c. Attendance at a specific church or place of worship d. A connection with something larger than oneself and belief in transcendence - d. A connection with something larger than oneself and belief in transcendence The nurse is taking an initial blood pressure reading on a 72-year-old patient with documented hypertension. How should the nurse proceed? a. Cuff should be placed on the patient's arm and inflated 30 mm Hg above the patient's pulse rate. b. Cuff should be inflated to 200 mm Hg in an attempt to obtain the most accurate systolic reading. c. Cuff should be inflated 30 mm Hg above the point at which the palpated pulse disappears. d. After confirming the patient's previous blood pressure readings, the cuff should be inflated 30 mm Hg above the highest systolic reading recorded. - c. Cuff should be inflated 30 mm Hg above the point at which the palpated pulse disappears. A 42-year-old patient of Asian descent is being seen at the clinic for an initial examination. Why is it important for the nurse to consider the basics of the patient's culture during the patient's health assessment? a. Identify the cause of his illness. b. Make accurate disease diagnoses. c. The U.S. is becoming increasingly diverse. d. Provide culturally relevant health care. - d. Provide culturally relevant health care. The nurse is performing a mental status examination. Which statement is true regarding the assessment of mental status? a. Mental status assessment diagnoses specific psychiatric disorders. b. Mental disorders occur in response to everyday life stressors. c. Mental status functioning is inferred through the assessment of an individual's behaviors. d. Mental status can be directly assessed, similar to other systems of the body (e.g., heart sounds, breath sounds). - c. Mental status functioning is inferred through the assessment of an individual's behaviors. The nurse is assessing a 75-year-old man. What should the nurse expect when performing the mental status portion of the assessment? a. Will have no decrease in any of his abilities, including response time. b. Will have difficulty on tests of remote memory because this ability typically decreases with age. c. May take a little longer to respond, but his general knowledge and abilities should not have declined. d. Will exhibit a decrease in his response time because of the loss of language and a decrease in general knowledge. - c. May take a little longer to respond, but his general knowledge and abilities should not have declined.