ADPIE NCLEX HEART FAILURE - PULMONARY EDEMA
QUESTIONS WITH DETAILED VERIFIED AND 100%
ACCURATE ANSWERS
Read the following scenario and identify the term for the characteristics
of patient data that are numbered below.
The nurse is conducting an initial assessment of a 79 year old female
patient admitted to the hospital with a diagnosis of dehydration. The
nurse: (1) uses clinical reasoning to gather the appropriate patient data,
(2) first ask the patient about the most important details leading to her
diagnosis, (3) collects as much information as possible to understand the
patient's health problems, (4) collects the patient data in an organized
manner, (5) verifies that the data obtained is pertinent to the patient care
plan, and (6) records the data according to agency policy. Correct
Answers 1. Purposeful - The nurse identified the purpose of the nursing
assessment (comprehensive) and gathers the appropriate data.
2. Prioritized - The nurse gets the most important information first.
3 . Complete - The nurse gathers as much data as possible to understand
the patient health problem and develop a plan of care.
4. Systematic - The nurse gathers the information in an organized
manner.
5. Factual & Accurate - The nurse verifies that the information is
reliable.
6. Recorded in a standard manner - The nurse records the data according
to agency policy so that all caregivers can easily access what is learned.
The nurse practitioner is performing a short assessment of a newborn
who is displaying signs of jaundice. The nurse observes the infant's skin
,color and orders a test for bilirubin levels to report to the primary care
provider. What type of assessment has this nurse performed?
a. comprehensive
b. initial
c. time-lapsed
d. quick priority Correct Answers d
The nurse is admitting a 35 year old pregnant women to the hospital for
treatment of preeclampsia. The patient asks the nurse: "Why are you
doing a history and physical exam when the doctor just did one?" Which
statement best explains the primary reasons a nursing assessment is
performed? select all that apply
a. "The nursing assessment will allow us to plan and deliver
individualized, holistic nursing care that draws on your strengths."
b. "It's hospital policy, I know it must be tiresome, but I will try to make
it quick."
c. "I'm a student nurse and need to develop the skill of assessing your
health status and need for nursing care."
d. "We want to make sure your responses to the medical exam are
consistent and that all you data is accurate."
e. "We need to check your health status to see what kind of nursing care
you may need."
f. "We need to see of you require a referral to a physician or other health
professio Correct Answers aef
, When you receive the shift report, you learn that you patient has no
special skin care needs. You are surprised during the bath to observe
reddened areas over bony prominences. What action is appropriate?
a. correct the initial assessment form
b. redo the initial assessment and document current findings
c. conduct and document an emergency assessment
d. perform and document a focused assessment of skin integrity Correct
Answers d
A student nurse attempts to perform a nursing history for the first time.
The student nurse asks the instructor how anyone ever lens all the
questions a nurse must ask to get a good baseline of data. What would
be the instructors best reply?
a. "There's a lot to learn at first, but once it becomes part of you, you
just keep asking the same questions over and over in each situation until
you can do it in your sleep"
b. "You can make the basic questions part of you and then learn to
modify them for each unique situation, asking yourself how much you
need to know to plan good care."
c. "No one ever really learns how to do this well because each history is
different! I often feel like I'm starting afresh each new patient"
d. "Don't worry about learning all the questions to ask. Every agency has
its own assessment form you must use." Correct Answers b
The nurse collects objective and subjective data when conducting
patient assessments. Which patient conditions are examples of
subjective data? Select all that apply
QUESTIONS WITH DETAILED VERIFIED AND 100%
ACCURATE ANSWERS
Read the following scenario and identify the term for the characteristics
of patient data that are numbered below.
The nurse is conducting an initial assessment of a 79 year old female
patient admitted to the hospital with a diagnosis of dehydration. The
nurse: (1) uses clinical reasoning to gather the appropriate patient data,
(2) first ask the patient about the most important details leading to her
diagnosis, (3) collects as much information as possible to understand the
patient's health problems, (4) collects the patient data in an organized
manner, (5) verifies that the data obtained is pertinent to the patient care
plan, and (6) records the data according to agency policy. Correct
Answers 1. Purposeful - The nurse identified the purpose of the nursing
assessment (comprehensive) and gathers the appropriate data.
2. Prioritized - The nurse gets the most important information first.
3 . Complete - The nurse gathers as much data as possible to understand
the patient health problem and develop a plan of care.
4. Systematic - The nurse gathers the information in an organized
manner.
5. Factual & Accurate - The nurse verifies that the information is
reliable.
6. Recorded in a standard manner - The nurse records the data according
to agency policy so that all caregivers can easily access what is learned.
The nurse practitioner is performing a short assessment of a newborn
who is displaying signs of jaundice. The nurse observes the infant's skin
,color and orders a test for bilirubin levels to report to the primary care
provider. What type of assessment has this nurse performed?
a. comprehensive
b. initial
c. time-lapsed
d. quick priority Correct Answers d
The nurse is admitting a 35 year old pregnant women to the hospital for
treatment of preeclampsia. The patient asks the nurse: "Why are you
doing a history and physical exam when the doctor just did one?" Which
statement best explains the primary reasons a nursing assessment is
performed? select all that apply
a. "The nursing assessment will allow us to plan and deliver
individualized, holistic nursing care that draws on your strengths."
b. "It's hospital policy, I know it must be tiresome, but I will try to make
it quick."
c. "I'm a student nurse and need to develop the skill of assessing your
health status and need for nursing care."
d. "We want to make sure your responses to the medical exam are
consistent and that all you data is accurate."
e. "We need to check your health status to see what kind of nursing care
you may need."
f. "We need to see of you require a referral to a physician or other health
professio Correct Answers aef
, When you receive the shift report, you learn that you patient has no
special skin care needs. You are surprised during the bath to observe
reddened areas over bony prominences. What action is appropriate?
a. correct the initial assessment form
b. redo the initial assessment and document current findings
c. conduct and document an emergency assessment
d. perform and document a focused assessment of skin integrity Correct
Answers d
A student nurse attempts to perform a nursing history for the first time.
The student nurse asks the instructor how anyone ever lens all the
questions a nurse must ask to get a good baseline of data. What would
be the instructors best reply?
a. "There's a lot to learn at first, but once it becomes part of you, you
just keep asking the same questions over and over in each situation until
you can do it in your sleep"
b. "You can make the basic questions part of you and then learn to
modify them for each unique situation, asking yourself how much you
need to know to plan good care."
c. "No one ever really learns how to do this well because each history is
different! I often feel like I'm starting afresh each new patient"
d. "Don't worry about learning all the questions to ask. Every agency has
its own assessment form you must use." Correct Answers b
The nurse collects objective and subjective data when conducting
patient assessments. Which patient conditions are examples of
subjective data? Select all that apply
