RASMUSSEN HEALTH ASSESSMENT EXAM
TWO COMPREHENSIVE REVIEW
◉ 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
TWO COMPREHENSIVE REVIEW
◉ 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
