Health Assessment Chapter 1,2,3 Written Test For Guaranteed Pass Questions And Verified Answers.

After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his pulse is 58 beats per minute. These types of data would be: a. Objective. b. Reflective. c. Subjective. d. Introspective. - correct answer a. Objective. A patient tells the nurse that he is very nervous, is nauseated, and "feels hot." These types of data would be: a. Objective. b. Reflective. c. Subjective. d. Introspective. - correct answer c. Subjective. The patient's record, laboratory studies, objective data, and subjective data combine to form the: b. Admitting data. c. Financial statement. d. Discharge summary. - correct answer a. Data base. When listening to a patient's breath sounds, the nurse is unsure of a sound that is heard. The nurse's next action should be to: a. Immediately notify the patient's physician. b. Document the sound exactly as it was heard. c. Validate the data by asking a coworker to listen to the breath sounds. d. Assess again in 20 minutes to note whether the sound is still present. - correct answer c. Validate the data by asking a coworker to listen to the breath sounds. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. These responses are referred to as: a. Intuition. b. The nursing process. c. Clinical knowledge. d. Diagnostic reasoning. - correct answer a. Intuition. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first-level priority problem? a. Patient with postoperative pain b. Newly diagnosed patient with diabetes who needs diabetic teaching c. Individual with a small laceration on the sole of the foot - correct answer d. Individual with shortness of breath and respiratory distress When considering priority setting of problems, the nurse keeps in mind that second-level priority problems include which of these aspects? a. Low self-esteem b. Lack of knowledge c. Abnormal laboratory values d. Severely abnormal vital signs - correct answer c. Abnormal laboratory values Which critical thinking skill helps the nurse see relationships among the data? a. Validation b. Clustering related cues c. Identifying gaps in data d. Distinguishing relevant from irrelevant - correct answer b. Clustering related cues The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the __________ diagnosis. a. Nursing b. Medical c. Admission d. Collaborative - correct answer a. Nursing A newly admitted patient is in acute pain, has not been sleeping well lately, and is having difficulty breathing. How should the nurse prioritize these problems? a. Breathing, pain, and sleep b. Breathing, sleep, and pain c. Sleep, breathing, and pain d. Sleep, pain, and breathing - correct answer a. Breathing, pain, and sleep . Which of these would be formulated by a nurse using diagnostic reasoning? a. Nursing diagnosis b. Medical diagnosis c. Diagnostic hypothesis d. Diagnostic assessment - correct answer c. Diagnostic hypothesis Barriers to incorporating EBP include: a. Nurses' lack of research skills in evaluating the quality of research studies. b. Lack of significant research studies. c. Insufficient clinical skills of nurses. d. Inadequate physical assessment skills. - correct answer a. Nurses' lack of research skills in evaluating the quality of research studies. 16. What step of the nursing process includes data collection by health history, physical examination, and interview? a. Planning b. Diagnosis c. Evaluation d. Assessment - correct answer d. Assessment 17. During a staff meeting, nurses discuss the problems with accessing research studies to incorporate evidence-based clinical decision making into their practice. Which suggestion by the nurse manager would best help these problems? a. Form a committee to conduct research studies. b. Post published research studies on the unit's bulletin boards. c. Encourage the nurses to visit the library to review studies. d. Teach the nurses how to conduct electronic searches for research studies. - correct answer d. Teach the nurses how to conduct electronic searches for research studies. The nurse is performing a physical assessment on a newly admitted patient. An example of objective information obtained during the physical assessment includes the: a. Patient's history of allergies. b. Patient's use of medications at home. c. Last menstrual period 1 month ago. d. 2. 5 cm scar on the right lower forearm. - correct answer d. 2 . 5 cm scar on the right lower forearm. A visiting nurse is making an initial home visit for a patient who has many chronic medical problems. Which type of data base is most appropriate to collect in this setting? a. A follow-up data base to evaluate changes at appropriate intervals b. An episodic data base because of the continuing, complex medical problems of this patient c. A complete health data base because of the nurse's primary responsibility for monitoring the patient's health d. An emergency data base because of the need to collect information and make accurate diagnoses rapidly - correct answer c. A complete health data base because of the nurse's primary responsibility for monitoring the patient's health The nurse is reviewing data collected after an assessment. Of the data listed below, which would be considered relat