PA nurs 190 WCU
A nurse is completing the initial admission assessment and history for a patient . Which
of the following history findings is the priority action for the nurse to take? -
✔️✔️allergy, history, previous condition, reason for admission
What is the medical term for the patient having difficulty breathing in a supine position? -
✔️✔️Orthopnea
What does Murphy's sign suggest? - ✔️✔️acute cholecystitis by asking the patient to
take in and hold a deep breath while palpating the right subcostal area. If pain occurs on
inspiration, when the inflamed gallbladder comes into contact with the examiner's hand,
Murphy's sign is positive
A man 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.
The nurse is instructing a group of nursing students in the priorities of assessment
(thinking inspection and palpation) what manifestations should the students recognize
as requiring immediate intervention (Think Neuro ABC) ? - ✔️✔️Cyanosis, airway
The nurse is assessing a family what factors should the nurse include when assessing
sociocultural context? - ✔️✔️the family's religious practice
The nurse is caring for a patient who is postoperative what assessment method will be
used determining the intensity of the patient 's pain? - ✔️✔️offer the patient a pain
scale to objectify the information.
The public health nurse is assessing an older adult patient who lives with a family
member. what assessments in the home is the nurse mandated to evaluate? -
✔️✔️abuse and neglect
Describe the assessment finding " Clubbing?" - ✔️✔️insufficient oxygenation
What is the normal auscultation vibration sounds of a patient 's abdomen ? - ✔️✔️high
pitch
The nurse expects to hear which percussion sound over an organ such as the liver? -
✔️✔️Dull
What document findings would you chart for a "scab"? - ✔️✔️open wound, moist
A nurse is completing the initial admission assessment and history for a patient . Which
of the following history findings is the priority action for the nurse to take? -
✔️✔️allergy, history, previous condition, reason for admission
What is the medical term for the patient having difficulty breathing in a supine position? -
✔️✔️Orthopnea
What does Murphy's sign suggest? - ✔️✔️acute cholecystitis by asking the patient to
take in and hold a deep breath while palpating the right subcostal area. If pain occurs on
inspiration, when the inflamed gallbladder comes into contact with the examiner's hand,
Murphy's sign is positive
A man 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.
The nurse is instructing a group of nursing students in the priorities of assessment
(thinking inspection and palpation) what manifestations should the students recognize
as requiring immediate intervention (Think Neuro ABC) ? - ✔️✔️Cyanosis, airway
The nurse is assessing a family what factors should the nurse include when assessing
sociocultural context? - ✔️✔️the family's religious practice
The nurse is caring for a patient who is postoperative what assessment method will be
used determining the intensity of the patient 's pain? - ✔️✔️offer the patient a pain
scale to objectify the information.
The public health nurse is assessing an older adult patient who lives with a family
member. what assessments in the home is the nurse mandated to evaluate? -
✔️✔️abuse and neglect
Describe the assessment finding " Clubbing?" - ✔️✔️insufficient oxygenation
What is the normal auscultation vibration sounds of a patient 's abdomen ? - ✔️✔️high
pitch
The nurse expects to hear which percussion sound over an organ such as the liver? -
✔️✔️Dull
What document findings would you chart for a "scab"? - ✔️✔️open wound, moist
