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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?
A. A comprehensive assessment
B. A problem-based health assessment
C. An episodic assessment
D. A screening assessment for colorectal cancer - correct answer ✔✔ A. A comprehensive
assessment
After collecting data, the nurse begins data analysis with which activity?
A. Documenting information from the history
B. Organizing the data collected
C. Reporting data to other care providers
D. Recording data from the physical examination - correct answer ✔✔ B. Organizing the data
collected
Which situation illustrates a screening assessment?
A. A patient visits a clinic for the first time and the nurse completes a history and physical
examination.
B. A hospital sponsors a health fair in a community to measure blood pressure as well as
cholesterol levels.
,C. A nurse at an urgent care center checks the blood pressure, pulse, temperature, and
respirations of a patient reporting leg pain.
D. A patient with diabetes mellitus comes to the laboratory to get her blood glucose tested prior
to a visit with a health care provider. - correct answer ✔✔ B. A hospital sponsors a health fair in
a community to measure blood pressure as well as cholesterol levels.
The nurse documents which information in the patient's history?
A. The patient is scratching his left arm
B. The patient's skin feels warm
C. The patient reports itching of her eyes
D. The patient's temperature is 100F - correct answer ✔✔ C. The patient reports itching of her
eyes
Select the example given below that represents information a nurse collects from a patient
during a physical examination.
A. Shiny skin and lack of hair found on lower legs
B. Concerned about lack of money to pay for prescriptions
C. Complains of tingling in both feet while sleeping
D. Family history of colon and breast cancer - correct answer ✔✔ A. Shiny skin and lack of hair
found on lower legs
The nurse obtains vital signs on a 42-year-old man having his annual physical examination. He
has no medical conditions and also states that his health is excellent. Using an automated blood
pressure device, his blood pressure is measured as 62/40. Which action by the nurse is most
appropriate?
A. Obtain a different cuff and take the blood pressure again
, B. Take the blood pressure again using the auscultation method
C. Place the patient in a supine position and take the pressure on the leg
D. Record the blood pressure and continue with the examination - correct answer ✔✔ B. Take
the blood pressure again using the auscultation method
Which set of vital signs should the nurse recognize as out of the expected range?
A. 42-year-old man: BP 114/82, P 74 R 16 T 36.8
B. 11-year-old girl: P 88 R 22 T 36.7
C. 3-year-old boy: P 130 R 44 T 36.7
D. 1-month-old girl: P 120 R 42 T 36.7 - correct answer ✔✔ C. 3-year-old girl: P 130 R 44 T 36.7
The nurse records the following general inspection findings on a patient: "41-year-old Hispanic
male in no distress; very thin, skin tone slightly jaundiced, disheveled appearance, and appears
older than his stated age. Patient with flat affect and make minimal eye contact." What
additional information should be added to this general inspection?
A. His body movement
B. The family history
C. The estimated size of his liver
D. His pulse rate - correct answer ✔✔ A. His body movement
A patient is brought to the emergency department in severe respiratory distress. Which method
of temperature measurement would be most appropriate?
A. Oral temperature
B. Axillary temperature
C. Temporal temperature