PCHA Final Exam/114 Complete
Questions and answers 2024
A patient tells the nurse that he is very nervous, nauseated and that he
"feels hot". This type of data would be considered: - -subjective
-Because the physical environment in which an interview takes place is an
important consideration for the success of an interview, the interviewer
should: - -reduce noise by turning off televisions and cell phones
-A nurse is taking complete health histories on all the patients attending a
wellness workshop. While conducting an interview with a patient, the nurse
asks, "Can you tell me a little about yourself?" This question is an example
of: - -an open-ended question
-During an interview, a parent of a hospitalized child is sitting in an open
position. As the interviewer begins to discuss the child's treatment, however,
the parent suddenly crosses the arms against the chest and crosses the legs.
Based on the understanding that nonverbal modes of communication provide
clues to understanding feelings, the sudden change in body position would
suggest that the parent is: - -uncomfortable talking about his child's
treatment
-A 59-year-old patient is returning to the outpatient clinic for a follow up
visit. The patient has a history of ulcerative colitis. The patient states he has
been having "black stools" for the last 24 hours. Which of the following would
be the most complete way for the nurse to document the patient's reason for
seeking care? - -J.M. is a 59-year-old patient here for having "black stools"
for the past 24 hours.
-Which of the following statements best describes the purpose of a health
history? - -to provide a database of subjective information about the
patient's past and current health.
-The inspection phase of the physical assessment: - -begins the moment
you first meet the person and develop a "general survey".
-A patient is at the clinic for a physical examination. He states that he is
"very anxious" about the physical exam. What steps can the examiner take
to make the patient more comfortable? - -Appear unhurried and confident
when examining the patient.
-When performing a physical examination, safety must be considered to
protect the examiner and the patient against the spread of infection. Which
, of the following statements describes the most appropriate actions the
examiner should take when performing a physical examination? - -Wash
hands at the beginning of the examination and any time that one leaves and
re-enters the room.
-A 50-year-old patient who is taking anti-hypertensive medications returns
to the clinic to have their blood pressure (BP) checked. The last BP was
146/88. The BP reported to the nurse is 168/96. Both blood pressures were
taken at the brachial site. Which of the following is true regarding blood
pressure assessment in this patient? Choose all that apply:
1. The patient should be allowed to adequately rest prior to assessing the
blood pressure.
2. The width of the cuff should cover 40% of the circumference of the upper
arm.
3. The position of the arm used for blood pressure assessment should be
above the level of the heart.
4. Goal blood pressure for this patient should be systolic less than 120 mm
Hg and diastolic less than 80 mmHg.
5. The last audible sound auscultated during blood pressure assessment
should be recorded for the systolic reading.
6. An unsupported arm may be used for an accurate blood pressure measure
- -1, 2, 4
-While caring for a patient with heart disease, the nurse notices an
irregularity in the rhythm of the patient's radial pulse. The previous
assessment did not reveal an irregular pulse. What would be the BEST action
to take? - -count the patient's apical pulse for one minute
-Which of the following statements is true regarding use of the tympanic
thermometer? - -The practitioner needs to wait at least 10 minutes to obtain
the temperature if the patient has been outdoors.
-Which of the following is true regarding an oral temperature? - -The
thermometer should be placed in the posterior sublingual pocket of the
mouth.
-The nurse is taking a blood pressure on a patient; the patient's baseline
blood pressure is unknown. The nurse does not have any previous
information about the patient's blood pressure measurements, nor is the
patient able to give any information about previous blood pressure readings.
Which of the following techniques would be the MOST accurate way to
measure this patient's blood pressure? - -Inflate the blood pressure cuff 30
mm Hg above the point at which the palpated pulse disappeared.
-A patient is being seen in the clinic for "fainting episodes". The patient has
a blood pressure of 150/90 in a lying position, 120/80 in a sitting position,
Questions and answers 2024
A patient tells the nurse that he is very nervous, nauseated and that he
"feels hot". This type of data would be considered: - -subjective
-Because the physical environment in which an interview takes place is an
important consideration for the success of an interview, the interviewer
should: - -reduce noise by turning off televisions and cell phones
-A nurse is taking complete health histories on all the patients attending a
wellness workshop. While conducting an interview with a patient, the nurse
asks, "Can you tell me a little about yourself?" This question is an example
of: - -an open-ended question
-During an interview, a parent of a hospitalized child is sitting in an open
position. As the interviewer begins to discuss the child's treatment, however,
the parent suddenly crosses the arms against the chest and crosses the legs.
Based on the understanding that nonverbal modes of communication provide
clues to understanding feelings, the sudden change in body position would
suggest that the parent is: - -uncomfortable talking about his child's
treatment
-A 59-year-old patient is returning to the outpatient clinic for a follow up
visit. The patient has a history of ulcerative colitis. The patient states he has
been having "black stools" for the last 24 hours. Which of the following would
be the most complete way for the nurse to document the patient's reason for
seeking care? - -J.M. is a 59-year-old patient here for having "black stools"
for the past 24 hours.
-Which of the following statements best describes the purpose of a health
history? - -to provide a database of subjective information about the
patient's past and current health.
-The inspection phase of the physical assessment: - -begins the moment
you first meet the person and develop a "general survey".
-A patient is at the clinic for a physical examination. He states that he is
"very anxious" about the physical exam. What steps can the examiner take
to make the patient more comfortable? - -Appear unhurried and confident
when examining the patient.
-When performing a physical examination, safety must be considered to
protect the examiner and the patient against the spread of infection. Which
, of the following statements describes the most appropriate actions the
examiner should take when performing a physical examination? - -Wash
hands at the beginning of the examination and any time that one leaves and
re-enters the room.
-A 50-year-old patient who is taking anti-hypertensive medications returns
to the clinic to have their blood pressure (BP) checked. The last BP was
146/88. The BP reported to the nurse is 168/96. Both blood pressures were
taken at the brachial site. Which of the following is true regarding blood
pressure assessment in this patient? Choose all that apply:
1. The patient should be allowed to adequately rest prior to assessing the
blood pressure.
2. The width of the cuff should cover 40% of the circumference of the upper
arm.
3. The position of the arm used for blood pressure assessment should be
above the level of the heart.
4. Goal blood pressure for this patient should be systolic less than 120 mm
Hg and diastolic less than 80 mmHg.
5. The last audible sound auscultated during blood pressure assessment
should be recorded for the systolic reading.
6. An unsupported arm may be used for an accurate blood pressure measure
- -1, 2, 4
-While caring for a patient with heart disease, the nurse notices an
irregularity in the rhythm of the patient's radial pulse. The previous
assessment did not reveal an irregular pulse. What would be the BEST action
to take? - -count the patient's apical pulse for one minute
-Which of the following statements is true regarding use of the tympanic
thermometer? - -The practitioner needs to wait at least 10 minutes to obtain
the temperature if the patient has been outdoors.
-Which of the following is true regarding an oral temperature? - -The
thermometer should be placed in the posterior sublingual pocket of the
mouth.
-The nurse is taking a blood pressure on a patient; the patient's baseline
blood pressure is unknown. The nurse does not have any previous
information about the patient's blood pressure measurements, nor is the
patient able to give any information about previous blood pressure readings.
Which of the following techniques would be the MOST accurate way to
measure this patient's blood pressure? - -Inflate the blood pressure cuff 30
mm Hg above the point at which the palpated pulse disappeared.
-A patient is being seen in the clinic for "fainting episodes". The patient has
a blood pressure of 150/90 in a lying position, 120/80 in a sitting position,
