NR 509 Week 1 Quiz / NR509 Week 1 Quiz (2019): Advanced Physical Assessment: Chamberlain (Already graded A)

NR 509 Week 1 Quiz / NR509 Week 1 Quiz (Latest): Advanced Physical Assessment: Chamberlain NR 509 Advanced Physical Assessment Quiz 1 / NR509 Advanced Physical Assessment Quiz 1 (Latest): Chamberlain NR 509 Week 1 Advanced Physical Assessment Quiz / NR 509 Week 1 Advanced Physical Assessment Quiz (Latest): Chamberlain Question1. The nurse is performing a physical assessment on a newly admitted patient. An example of objective information obtained during the physical assessment includes the patient’s history of allergies. patient’s use of medications at home. last menstrual period one month ago. 2  5 cm scar present on the right lower forearm. Question 2. Barriers to incorporating evidence-based practice (EBP) include nurses’ lack of research skills in evaluating quality of research studies. lack of significant research studies. insufficient clinical skills of nurses. inadequate physical assessment skills. Question 3. The nurse has implemented several planned interventions to address the nursing diagnosis of acute pain. Which would be the next appropriate action? Establish priorities. Identify expected outcomes. Evaluate the individual’s condition and compare actual outcomes with expected outcomes. Interpret data and then identify clusters of cues and make inferences. Question 4. Which of these would be formulated by a nurse using diagnostic reasoning? Nursing diagnosis Medical diagnosis Diagnostic hypothesis Diagnostic assessment Question 5. The nurse asks, “I would like to ask you some questions about your health and your usual daily activities so that we can better plan your stay here.” This question is found at the _____ phase of the interview process. summary closing body opening or introduction Question 6. A female nurse is interviewing a male patient who is near the same age as the nurse. During the interview, the patient makes an overtly sexual comment. The nurse’s best reaction would be “Stop that immediately!” “Oh, you are too funny. Let’s keep going with the interview.” “Do you really think I would be interested?” “It makes me uncomfortable when you talk that way. Please stop.” Question 7. The nurse makes this comment to a patient: “I know it may be hard, but you should do what the doctor ordered because she is the expert in this field.” Which statement is correct about the nurse’s comment? This comment is inappropriate because it shows the nurse’s bias. This comment is appropriate because members of the healthcare team are experts in the area of patient care. This type of comment promotes dependency and inferiority on the part of the patient and is best avoided in an interview situation. At times, it is necessary to use authority statements when dealing with patients, especially when they are undecided about an issue. Question 8. A patient has finished giving the nurse information about the reason he is seeking care. When reviewing the data, the nurse finds that some information about past hospitalizations is missing. At this point, which statement by the nurse would be most appropriate to gather these data? “Mr. Y., at your age, surely you have been hospitalized before!” “Mr. Y., I just need permission to get your medical records from County Medical.” “Mr. Y., you mentioned that you have been hospitalized on several occasions. Would you tell me more about that?” “Mr. Y., I just need to get some additional information about your past hospitalizations. When was the last time you were admitted for chest pain?” Question 9. The nurse is incorporating a person’s spiritual values into the health history. Which of these questions illustrates the “community” portion of the FICA questions? “Do you believe in God?” “Are you a part of any religious or spiritual congregation?” “Do you consider yourself to be a religious or spiritual person?” “How does your religious faith influence the way you think about your health?” Question 10. The nurse is performing a review of symptoms. Which of these questions is appropriate as health promotion questions to ask during this time? “Do you use sunscreen while outside?” “May I see if your skin is warm and dry?” “Have you had any dizziness or headaches?” “When you cough, what color is the sputum you bring up?” Question 11. The nurse is obtaining a history from a 30-year-old male patient and is concerned about health promotion activities. Which of these questions would be appropriate to use to assess health promotion activities for this patient? “Do you perform testicular self-examinations?” “Have you ever noticed any pain in your testicles?” “Have you had any problems with passing urine?” “Do you have any history of sexually transmitted disease?” Question 12. A 5-year-old boy is being admitted to the hospital to have his tonsils removed. Which information should the nurse collect before this procedure? The child’s birth weight The age at which he crawled Whether he has had the measles Reactions to previous hospitalizations Question 13. A female patient tells the nurse that she has had six pregnancies, with four live births at term and two spontaneous abortions. Her four children are still living. How would the nurse record this information? P-6, B-4, (S)Ab-2 Grav 6, Term 4, (S)Ab 2, Living 4 Patient has had four living babies. Patient has been pregnant six times. Question 14. The nurse is preparing to use an otoscope for an examination. Which statement is true regarding the otoscope? The otoscope is often used to direct light onto the sinuses. uses a short, broad speculum to help visualize the ear. is used to examine the structures of the internal ear. directs light into the ear canal and onto the tympanic membrane. Question 15. Which of these statements is true regarding the use of standard precautions in the healthcare setting? Standard precautions apply to all body fluids, including sweat. Use alcohol-based hand rub if hands are visibly dirty. Standard precautions are intended for use with all patients regardless of their risk or presumed infection status. Standard precautions are to be used only when there is nonintact skin, excretions containing visible blood, or expected contact with mucous membranes. Question 16. Which of these techniques uses the sense of touch to assess texture, temperature, moisture, and swelling when the nurse is assessing a patient? Palpation Inspection Percussion Auscultation Question 17. A man is at the clinic for a physical examination. He states that he is “very anxious” about the physical examination. What steps can the nurse take to make him more comfortable? Appear unhurried and confident when examining him. Stay in the room when he undresses in case he needs assistance. Ask him to change into an examining gown and take off his undergarments. Defer measuring vital signs until the end of the examination, which allows him time to become comfortable. Question 18. The nurse is preparing to use a stethoscope for auscultation. Which statement is true regarding the diaphragm of the stethoscope? The diaphragm is used to listen for high-pitched sounds. is used to listen for low-pitched sounds. should be held lightly against the person’s skin to block out low-pitched sounds. should be held lightly against the person’s skin to listen for extra heart sounds and murmurs. Question 19. The nurse knows that one advantage of the tympanic thermometer is that its rapid measurement is useful for uncooperative younger children. it is the most accurate method for measuring temperature in newborn infants. it is an inexpensive means of measuring temperature. studies strongly support use of the tympanic route in children under age six years. Question 20. The nurse is conducting a health fair for older adults. Which statement is true regarding vital sign measurements in aging adults? The pulse is more difficult to palpate because of the stiffness of the blood vessels. An increased respiratory rate and a shallower inspiratory phase are expected findings. A decreased pulse pressure occurs from changes in systolic and diastolic blood pressures. Changes in the body’s temperature regulatory mechanism leave the aging person more likely to develop a fever. Question 21. The nurse is taking an initial blood pressure on a 72-year-old patient with documented hypertension. How should the nurse proceed? Place the cuff on the patient’s arm and inflate it 30 mm Hg above the patient’s pulse rate. Inflate the cuff to 200 mm Hg in an attempt to obtain the most accurate systolic reading. Inflate the blood pressure cuff 30 mm Hg above the point at which the palpated pulse disappears. Look at the patient’s past blood pressure readings and inflate the cuff 30 mm Hg above the highest systolic reading recorded. Question 22. The nurse is examining a patient who is complaining of “feeling cold.” Which is a mechanism of heat loss in the body? Exercise Radiation Metabolism Food digestion Question 23. When measuring a patient’s weight, the nurse keeps in mind which of these guidelines? Always weigh the patient with only his or her undergarments on. It does not matter what type of scale is used, as long as the weights are similar from day-to-day. The patient may leave on his or her jacket and shoes as long as this is documented next to the weight. Attempt to weigh the patient at approximately the same time of day, if a sequence of weights is necessary. Question 24. The nurse knows that which statement is true regarding the pain experienced by infants? Pain in infants can only be assessed by physiologic changes, such as increased heart rate. The Faces Pain Scale—revised (FPS-R) can be used to assess pain in infants. A procedure that induces pain in adults will also induce pain in the infant. Infants feel pain less than adults do. Question 25. A patient is complaining of severe knee pain after twisting it during a basketball game and is requesting pain medication. Which action by the nurse is appropriate? Complete the physical examination first and then give the pain medication. Tell the patient that the pain medication must wait until after the x-rays are completed. Evaluate full range of motion of the knee and then medicate for pain. Administer pain medication and then proceed with the assessment.