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Exam (elaborations)

Nur 2180-Practice questions quiz 1

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Nur 2180-Practice questions quiz 1 1. Nurse Patrick is acquiring information from a client in the emergency department. Which is an example of biographic information that may be obtained during a health history?: Location of an advance directive 2. During the nursing assessment, which data represent information con- cerning health beliefs?: Promotive, preventive, and restorative health practices 3. John Joseph was scheduled for a physical assessment. When percussing the client's chest, the nurse would expect to find which assessment data as a normal sign over his lungs?: Resonance 4. Newly hired nurse Liza is excited to perform her very first physical assess- ment with a 19year-old client. Which assessment examination requires Liza to wear gloves?: Oral 5. Physical assessment is being performed to Geoff by Nurse Tine. During the abdominal examination, Tine should perform the four physical examination techniques in which sequence?: Auscultation immediately after inspection and then percussion and palpation 6. Which assessment data should the nurse include when obtaining a review of body systems: Client complaints of chest pain, dyspnea, or abdominal pain 7. Tywin has come to the nursing clinic for a comprehensive health assess- ment. Which statement would be the best way to end the history interview?- : "Is there anything else you would like to tell me?" 8. Christine Ann is about to take her NCLEX examination next week and is currently reviewing the concept of pain. Which scientific rationale would indicate that she understands the topic?: Pain sensation is affected by a client's anticipation of pain 9. Which term would the nurse use to document pain at one site that is perceived in other site?: Referred pain 10. Which term refers to the pain that has a slower onset, is diffuse, radiates, and is marked by somatic pain from organs in any body activity?: Deep 11. You're performing a head-to-toe assessment on a patient admitted with abdominal pain. During inspection of the abdomen, you note the abdominal contour to be round and distended with no masses or lesions present. The patient reports that their last bowel movement was one hour ago, and the stool was loose. In addition, the patient states that the abdominal pain is located below the umbilicus and is sharp in quality. After inspection of the abdomen, you will:: Auscultate for bowel sounds by starting in the right lower quadrant. 12. What kind of data makes up the health history: Subjective Data 13. What kind of data makes up a physical assessment?: Objective Data 14. Health History + Physical Assessment = ?: Nursing Admission Assessment 15. This body part is best used to assess pulsation, texture, shape, size & consistency: Pads of fingertips 16. The is what is heard when you percuss the lung of a patient with emphy- sema: Hyperresonance 17. This is what is heard when you percuss the liver: Dullness 18. This is what is heard when you percuss the thigh: Flatness 19. This is what you should hear when you percuss a chest hollow sound- ing: Resonance 20. In a patient with COPD on collapsed lung the sound is loud and hollow- : Hyperresonance 21. What you hear in a patient with pneumonia solid tissue or fluid: Dull or flat 22. The nurse is assessing a postoperative patient for signs of hemorrhage. Which adaptation is most indicative of shock?: Hypotension 23. The nurse plans to take a patient's radial pulse. Which method of exami- nation should be used by the nurse?: Palpation 24. Which method of examination is being used when the nurse's hands are used to assess the temperature of a patient's skin?: Palpation

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