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NURS 525 EXAM 1 REVIEW QUESTIONS & ANSWERS

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NURS 525 EXAM 1 REVIEW QUESTIONS & ANSWERS

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NURS 525 EXAM 1 REVIEW QUESTIONS & ANSWERS


(Ch. 1) A 52-year-old male patient is admitted to the hospital with a new diagnosis of
rectal cancer. The nurse conducts which type of assessment on his admission?

1. A comprehensive assessment
2. A problem-based health assessment
3. An episodic assessment
4. A screening assessment for colorectal cancer - Answer -Answer: 1. A
comprehensive assessment

Why? A thorough evaluation that includes a complete medical history, physical
examination, and other relevant information. It's used to gain a full understanding of the
patient's overall health and to plan comprehensive care, especially important for a new
diagnosis like rectal cancer.

All the other answers focus on a particular symptom or problem

(Ch.1) Which situation illustrates a screening assessment?

1. A patient visits a clinic for the first time and the nurse completes a history and
physical examination.
2. A hospital sponsors a health fair in a community to measure blood pressure as well
as cholesterol levels
3. A nurse at an urgent care center checks the blood pressure, pulse, temperature, and
respirations of a patient reporting leg pain.
4. A patient with diabetes mellitus comes to the laboratory to get her blood glucose
tested prior to a visit with a healthcare provider - Answer -Answer: 2

Why? Screening assessments are used on a broad group to identify individuals who
may have undiagnosed conditions or risk factors.

(Ch. 1) The nurse documents which information in the patient's history?

1. The patient is scratching his left arm.
2. The patient's skin feels warm.
3. The patient reports itching in her eyes.
4. The patient's temperature is 100F - Answer -Answer: 3

Why? This is a SUBJECTIVE symptom, something that would be reported in the
patients history.
All the other are objective and measured which would then be reported in the physical
examination

, (Ch.1) After collecting data, the nurse begins data analysis with which activity?

1. Documenting information from the history
2. Organizing the data collected
3. Reporting data to other care providers
4. Recording data from the physical examination - Answer -Answer: 2

Why? This helps the nurse to systematically review and interpret the information
gathered from the various sources (patient history, physical examination, and other
assessments). Important for making appropriate CARE PLANS

(Ch. 1) Select the example given below that represents the information a nurse collects
from a patient during a physical examination

1. Shiny skin and lack of hair found on lower legs
2. Concerned about lack of money to pay for prescriptions
3. Complains of tingling in both feet while sleeping
4. Family history of colon and breast cancer - Answer -Answer: 1

Why? This is an objective finding that would be recorded in the physical exam while the
others are subjective and would be put in the patient history

(Ch. 2) The nurse is interviewing an adult Navajo woman. Which statement
demonstrates cultural sensitivity and acceptance of the patient?

1. "How often do you visit the medicine man for your health care?"
2. " Tell me about your health care beliefs and practices."
3. "Many Navajo people are afraid of hospitals. Are you afraid?"
4. Have you ever had a physical examination with a physician or nurse practitioner?" -
Answer -Answer: 2

Why? Shows that the nurse respects and invites them to share their own personal
beliefs on their own terms. The other statements make assumptions and might not be
as open ended

(Ch. 2) The nurse is conducting an interview with Heremy, a 17-year-old accompanied
by his mother. Which statement made by the nurse is an age-appropriate adjustment
when conducting a health history with an adolescent?

1. "Jeremy do you have a girlfriend, and if so are you sexually active?"
2. "Mrs. Williams, is your son sexually active yet?"
3. "Jeremy, how do you incorporate safe sex practices into your daily life?"
4. "Mrs. Williams would you wait outside while I discuss a few things with Jeremy?" -
Answer -Answer: 4

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