Galen NSG 3160 Exam 1 – Health
Assessment – Actual Questions & Answers
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. - ------------ANS: 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. - ------------ANS: 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 - ------------ANS: 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 - ------------ANS: 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-health management is an example of a third-level priority. Second-level priority
problems are problems that are next in urgency; these problems require prompt
intervention to forestall further deterioration. Risk for infection is an example of a
second-level priority. 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. Wellness diagnoses are third-level priority problems.
A patient seeks care for "debilitating headaches that cause excessive absences at
work." On further exploration, the nurse asks, "What makes the headaches worse?"
With this question, the nurse is seeking information about
a. the patient's perception of pain.
b. the nature or character of the headache.
c. relieving factors.
d. aggravating factors. - ------------ANS: d. aggravating factors.
Aggravating factors are determined by asking the patient what makes the pain
worse. To determine the patient's perception of pain, the nurse would determine the
, meaning of the symptom by asking how it affects daily activities and what the patient
thinks the pain means. The nature or character calls for specific descriptive terms to
describe the pain. Relieving factors are determined by asking the patient what
relieves the pain, what is the effect of any treatment, what the patient has tried, and
what seems to help.
A woman seeks medical attention for a cut made by a knife during a physical
assault. The health care provider would document the cut as an
a. incision.
b. ecchymosis.
c. avulsion.
d. abrasion. - ------------ANS: a. incision.
An incision is a cut or wound made by a sharp instrument. Ecchymosis is a
hemorrhagic spot or blotch in the skin or mucous membrane that forms a
non-elevated, rounded or regular, blue or purplish patch. An avulsion is the tearing
away of a structure or part. An abrasion is a wound caused by rubbing the skin or
mucous membrane.
Abused women have been found to have significantly more health problems,
including
a. cardiovascular disease.
b. chronic anemia.
c. chronic pain.
d. cancer. - ------------ANS: c. chronic pain.
Abused women have been found to have significantly more injuries. Also, abused
women have more chronic health problems including neurologic, gastrointestinal,
and gynecologic symptoms and chronic pain. Abused women do not have a higher
incidence of cardiovascular disease. Abused women do not have a higher incidence
of cancer. Abused women do not have a higher incidence of chronic anemia.
Amplitude is
a. the intensity (soft or loud) of sound.
b. the number of vibrations per second.
c. the length of time the note lingers.
d. the subjective difference in a sound's distinctive overtones. - ------------ANS: a. the
intensity (soft or loud) of sound.
Amplitude is the intensity of sound.
Assessment – Actual Questions & Answers
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. - ------------ANS: 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. - ------------ANS: 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 - ------------ANS: 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 - ------------ANS: 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-health management is an example of a third-level priority. Second-level priority
problems are problems that are next in urgency; these problems require prompt
intervention to forestall further deterioration. Risk for infection is an example of a
second-level priority. 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. Wellness diagnoses are third-level priority problems.
A patient seeks care for "debilitating headaches that cause excessive absences at
work." On further exploration, the nurse asks, "What makes the headaches worse?"
With this question, the nurse is seeking information about
a. the patient's perception of pain.
b. the nature or character of the headache.
c. relieving factors.
d. aggravating factors. - ------------ANS: d. aggravating factors.
Aggravating factors are determined by asking the patient what makes the pain
worse. To determine the patient's perception of pain, the nurse would determine the
, meaning of the symptom by asking how it affects daily activities and what the patient
thinks the pain means. The nature or character calls for specific descriptive terms to
describe the pain. Relieving factors are determined by asking the patient what
relieves the pain, what is the effect of any treatment, what the patient has tried, and
what seems to help.
A woman seeks medical attention for a cut made by a knife during a physical
assault. The health care provider would document the cut as an
a. incision.
b. ecchymosis.
c. avulsion.
d. abrasion. - ------------ANS: a. incision.
An incision is a cut or wound made by a sharp instrument. Ecchymosis is a
hemorrhagic spot or blotch in the skin or mucous membrane that forms a
non-elevated, rounded or regular, blue or purplish patch. An avulsion is the tearing
away of a structure or part. An abrasion is a wound caused by rubbing the skin or
mucous membrane.
Abused women have been found to have significantly more health problems,
including
a. cardiovascular disease.
b. chronic anemia.
c. chronic pain.
d. cancer. - ------------ANS: c. chronic pain.
Abused women have been found to have significantly more injuries. Also, abused
women have more chronic health problems including neurologic, gastrointestinal,
and gynecologic symptoms and chronic pain. Abused women do not have a higher
incidence of cardiovascular disease. Abused women do not have a higher incidence
of cancer. Abused women do not have a higher incidence of chronic anemia.
Amplitude is
a. the intensity (soft or loud) of sound.
b. the number of vibrations per second.
c. the length of time the note lingers.
d. the subjective difference in a sound's distinctive overtones. - ------------ANS: a. the
intensity (soft or loud) of sound.
Amplitude is the intensity of sound.
