NSG 3160 EXAM 1
QUESTIONS AND VERIFIED
ANSWERS; 100% CORRECT;
GRADE A
A common error in blood pressure measurement is
a. waiting less than 1 to 2 minutes before repeating the
blood pressure reading on the same arm.
b. taking the blood pressure in an arm that is at the level
of the heart.
c. deflating the cuff about 2 mm Hg per heartbeat.
d. using a blood pressure cuff whose bladder length is
80% of the arm circumference. - correct answer-
a. waiting less than 1 to 2 minutes before repeating the
blood pressure reading on the same arm.
Waiting less than 1 to 2 minutes before repeating the
blood pressure reading on the same arm will result in a
falsely high diastolic pressure r/t venous congestion in the
,forearm. The patient's arm should be positioned at the
level of the heart when obtaining a blood pressure
measurement. The cuff should be deflated at a rate of 2
mm Hg per heartbeat. The blood pressure cuff bladder
length should be about 80% of the arm circumference.
A complete database is
a. used to collect data rapidly and is often compiled
concurrently with lifesaving measures.
b. used to evaluate the cause or etiology of disease.
c. used for a limited or short-term problem usually
consisting of one problem, one cue complex, or one body
system.
d. used to perform a thorough or comprehensive health
history and physical examination. - correct answer-
d. used to perform a thorough or comprehensive health
history and physical examination.
A complete database includes a complete health history
and a full physical examination; it describes the current
and past health state and forms a baseline against which
,all future changes can be measured. An emergency
database is a rapid collection of data often obtained
concurrently with lifesaving measures. A focused
database is for a limited or short-term problem; this
database concerns mainly one problem, one cue complex,
or one body system. Medical diagnoses are used to
evaluate the cause or etiology of the disease.
A nurse precepting a student nurse asks, "What's the
most important step in the critical-thinking process?"
a. Clustering subjective and objective data
b. Analyzing health data
c. Using evidence-based assessment techniques
d. Prioritizing health concerns - correct answer-
c. Using evidence-based assessment techniques
Evidence-based techniques are supported by research
showing effectiveness of the technique that provides the
safest and most current techniques to promote the health
of patients. Clustering subjective and objective data is a
step in the critical-thinking process, but is not the most
, important step. Analyzing health data is a step in the
critical-thinking process, but is not the most important
step. Prioritizing health concerns is a step in the critical-
thinking process, but is not the most important step.
A patient admitted to the hospital with asthma has the
following problems identified based on an admission
health history and physical assessment. Which problem is
a first-level priority?
a. Ineffective self-health management
b. Impaired gas exchange
c. Readiness for enhanced spiritual well-being
d. Risk for infection - correct answer- b.
Impaired gas exchange
First-level priority problems are problems that are
emergent, life-threatening, and immediate. Impaired gas
exchange is an emergent and immediate problem. Third-
level priority problems are problems that are important to
the patient's health but can be addressed after more
urgent health problems are addressed. Ineffective self-
QUESTIONS AND VERIFIED
ANSWERS; 100% CORRECT;
GRADE A
A common error in blood pressure measurement is
a. waiting less than 1 to 2 minutes before repeating the
blood pressure reading on the same arm.
b. taking the blood pressure in an arm that is at the level
of the heart.
c. deflating the cuff about 2 mm Hg per heartbeat.
d. using a blood pressure cuff whose bladder length is
80% of the arm circumference. - correct answer-
a. waiting less than 1 to 2 minutes before repeating the
blood pressure reading on the same arm.
Waiting less than 1 to 2 minutes before repeating the
blood pressure reading on the same arm will result in a
falsely high diastolic pressure r/t venous congestion in the
,forearm. The patient's arm should be positioned at the
level of the heart when obtaining a blood pressure
measurement. The cuff should be deflated at a rate of 2
mm Hg per heartbeat. The blood pressure cuff bladder
length should be about 80% of the arm circumference.
A complete database is
a. used to collect data rapidly and is often compiled
concurrently with lifesaving measures.
b. used to evaluate the cause or etiology of disease.
c. used for a limited or short-term problem usually
consisting of one problem, one cue complex, or one body
system.
d. used to perform a thorough or comprehensive health
history and physical examination. - correct answer-
d. used to perform a thorough or comprehensive health
history and physical examination.
A complete database includes a complete health history
and a full physical examination; it describes the current
and past health state and forms a baseline against which
,all future changes can be measured. An emergency
database is a rapid collection of data often obtained
concurrently with lifesaving measures. A focused
database is for a limited or short-term problem; this
database concerns mainly one problem, one cue complex,
or one body system. Medical diagnoses are used to
evaluate the cause or etiology of the disease.
A nurse precepting a student nurse asks, "What's the
most important step in the critical-thinking process?"
a. Clustering subjective and objective data
b. Analyzing health data
c. Using evidence-based assessment techniques
d. Prioritizing health concerns - correct answer-
c. Using evidence-based assessment techniques
Evidence-based techniques are supported by research
showing effectiveness of the technique that provides the
safest and most current techniques to promote the health
of patients. Clustering subjective and objective data is a
step in the critical-thinking process, but is not the most
, important step. Analyzing health data is a step in the
critical-thinking process, but is not the most important
step. Prioritizing health concerns is a step in the critical-
thinking process, but is not the most important step.
A patient admitted to the hospital with asthma has the
following problems identified based on an admission
health history and physical assessment. Which problem is
a first-level priority?
a. Ineffective self-health management
b. Impaired gas exchange
c. Readiness for enhanced spiritual well-being
d. Risk for infection - correct answer- b.
Impaired gas exchange
First-level priority problems are problems that are
emergent, life-threatening, and immediate. Impaired gas
exchange is an emergent and immediate problem. Third-
level priority problems are problems that are important to
the patient's health but can be addressed after more
urgent health problems are addressed. Ineffective self-
