CASAL 1 Pre-assessment 1 questions and answers latest top score.

CASAL 1 Pre-assessment 1 questions and answers latest top score. The nurse prepares to conduct a general survey on an adult patient. Which assessment is performed first while the nurse initiates the nurse-patient relationship? A. Appearance and behavior B. Measurement of viral signs C. Observing specific body systems D. Conducting a detailed health history - correct answers.A The nurse is teaching a young mother to palpate her 8- year old child to quickly evaluate if the child has a fever. Which information is important for the nurse to include? A. Place the palm of the hand on the child's back. B. Lightly touch the child's forehead with the fingertips C. Place the back of your hand against the child's forehead and then on the back of the neck D. Use the pads of your fingers and press against the child's neck and over the thorax - correct answers.C While assessing the adult patient's lungs, the nurse identifies the following assessment findings. Which finding should be reported to the health care provider? A. Respiratory rate: 14 B. Pain reported when palpating posterior lower thorax C. Thorax rising and falling symmetrically for right and left lungs D. Vesicular breath sounds heard with auscultation of peripheral lung fields - correct answers.B The nurse is teaching a young female patient to practice good skin health. Which information is important for the nurse to include? A. Avoid sunbathing between 3 PM and 7 PM B. Oral contraceptives and antiinflammatories make the skin more sensitive to the sun C. Call the health care provider for the presence of a mole on an arm or leg that appears uniformly brown Wear sunscreen with an SPF of 30 or greater if using a sunlamp or tanning parlor - correct answers.B As a nurse prepares to provide morning care and treatments, it is important to question a patient about a latex allergy before which intervention? (Select all that apply.) A. Applying adhesive tape to anchor a nasogastric tube B. Inserting a rubber Foley catheter into the patient's bladder C. Providing oral hygiene using a standard toothbrush and toothpaste D. Giving an injection using plastic syringes with rubber coated plungers E. Applying a transparent wound dressing - correct answers.A, B, D The nurse is assessing a patient who returned 3 hours ago from a cardiac catheterization, during which the large catheter was inserted into the patient's femoral artery in the right groin. Which assessment finding would require immediate follow-up? A. Palpation of a femoral pulse with a heart rate of 76 B. Auscultation of a heart murmur over the left thorax C. Identification of a mild bruising at the catheter insertion site D. Palpation of a right dorsalis pedis pulse with strength of +1 - correct answers.D The patient reports having a sore throat, coughing, and sneezing. While performing a focused assessment, which finding supports the patient's reported symptoms related to upper respiratory infection? A. Buccal mucosa is moist and dark pink B. Respiratory rate is 18, rhythm is even C. Retropharyngeal lymph nodes are enlarged and firm D. Inspection with a tongue depressor on the posterior tongue causes gagging - correct answers.C The nurse is teaching a patient with poor arterial circulation about checking blood flow in the legs. Which information should the nurse include? (Select all that apply.) A. A normal pulse on the top of the foot indicates adequate blood flow to the foot B. To locate the dorsalis pedis pulse, take the fingers and palpate behind the knee C. When there is poor arterial blood flow, the leg is generally warm to the touch D. Loss of hair on the lower leg indicates a long-term problem with arterial blood flow - correct answers.A, D How should the patient be position to best palpate for lumps or tumors during an examination of the right breast? A. Supine with both arms overhead with palms upward B. Sitting with hands clasped just above the umbilicus C. Supine with the right arm abducting and hand under the head and neck D. Lying on the right side, adducting the right arm on the side of the body - correct answers.C The nurse is planning a staff education conference about abdominal assessment. Which point is important for the nurse to include? A. The aorta can be felt using deep palpation in the upper abdomen near the midline B. The patient should be sitting to best determine the contour and shape of the abdomen C. Always wear gloves when palpating the skin on the patient's abdomen D. Avoid palpating the abdomen if the patient reports any discomfort or feelings of fullness - correct answers.A The nurse is teaching a patient how to perform a testicular self-examination. Which statement by the nurse is correct? A. "The testes are normally round and feel smooth and rubbery." B. "The best time to do a testicular self-examination is before your bath or shower." C. "Perform a testicular self-examination weekly to detect signs of testicular cancer." D. "Since you are over 40 years old, you are in the highest risk group for testicular cancer." - correct answers.A The patient is assessed for range of joint movement. He or she is unable to move the right arm above the shoulder. How should the nurse document this findings? A. Patient was not able to flex arm at shoulder B. Extension of right arm is limited C. Patient's abduction of right arm was limited to 100 degrees D. Internal rotation of right arm is limited to less than 90 degress - correct answers.C The nurse plans to assess the patient's abstract reasoning. Which task should the nurse ask the patient to perform? A. "Tell me where you are." B. "What can you tell me about your illness? C. "Repeat these numbers back to me: 7... 5... 8." D. " What does this mean: 'A stitch in time saves nine?'" - correct answers.D The nurse teaches a patient about cranial nerves to help explain why the patient's right side of the mouth droops instead of moving up into a smile. What nerve does the nurse explain to the patient? A. VII- Facial B. V- Trigeminal C. XII- Hypoglossal D. XI- Spinal accessory - correct answers.A The nurse is planning to teach the student nurse how to assess the hydration status of an older adult. Which techniques are appropriate for this situation? (Select all that apply.) A. Inspect the lips and mucous membranes to determine if they are moist B. Pinch the skin on the back of the hand to see if the skin tents. C. Check the patient's pulse and blood pressure D. Weigh the patient daily - correct answers.A,C,D The nurse is having difficulty reading a physician's order for a medication. He or she knows that the physician is very busy and does not like to be called. What is the most appropriate next step for the nurse to take? A. Call a pharmacist to interpret the order B. Call the physician to have the order clarified C. Consult the unit manager to help interpret the order D. Ask the unit secretary to interpret the physician's handwriting - correct answers.B The patient has an order for 2 tablespoons of Milk of Magnesia. How much medication does the nurse give him or her? A. 2 mL B. 5 mL C. 16 mL D. 30 mL - correct answers.D A patient is to receive cephalexin (Keflex) 500 mg PO. The pharmacy has sent 250 mg tablets. How many tablets does the nurse administer? A. .5 tablet B. 1 tablet C. 1.5 tablets D. 2 tablets - correct answers.D A nurse is administering medications to a 4-year-old patient. After he or she explains which medications are being given, the mother states, "I don't remember my child having that medication before." What is the nurse's next action? A. Give the medications B. Identify the patient using two patient identifiers C. Withhold the medications and verify the medication orders D. Provide medication education to the mother to help her better understand her child's medications - correct answers.C A patient is transitioning from the hospital to the home environment. A home care referral is obtained. What is a priority in relation to safe medication administration for the discharge nurse? A. Set up the follow-up appointments with the physician for the patient B. Ensure that someone will provide housekeeping for the patient at home C. Ensure that the home care agency is aware of medication and health teaching needs D. Make sure that the patient's family knows how to safely bathe him or her and provide mouth care - correct answers.C A nursing student takes a patient's antibiotic to his room. The patient asks the nursing student what it is and why he should take it. Which information does the nursing student include when replying to the patient? A. Only the patient's physician can give this information B. The student provides the name of the medication and a description of its desired effect C. Information about medications is confidential and cannot be shared D. He has to speak with his assigned nurse about this - correct answers.B The nurse is administering a sustained-release capsule to a new patient. The patient insists that he cannot swallow pills. What is the nurse's next best course of action? A. Ask the prescriber to change the order B. Crush the pill with a mortar and pestle C. Hide the capsule in a piece of solid food D. Open the capsule and sprinkle it over pudding - correct answers.A The nurse take a medication to a patient, and the patient tells him or her to take it away because she is not going to take it. What is the nurse's next action? A. Ask the patient's reason to refusal B. Explain that she must take the medication C. Take the medication away and chart the patient's refusal D. Tell the patient that her physician knows what is best for her - correct answers.A The nurse receives an order to start giving a loop diuretic to a patient to help lower his or her blood pressure. The nurse determines the appropriate route for administering the diuretic according to: A. Hospital policy B. The prescriber's orders C. The type of medication ordered D. The patient's size and muscle mass - correct answers.B A patient is receiving an intravenous (IV) push medication. If the drug infiltrates into the outer tissues, the nurse: A. Continues to let the IV run B. Applies a warm compress to the infiltrated site C. Stops the administration of the medication and follows agency policy D. Should not worry about this because vesicant filtration is not a problem - correct answers.C If a patient who is receiving intravenous (IV) fluids develops tenderness, warmth, erythema, and pain at the site, the nurse suspects: A. Sepsis B. Phlebitis