Assessment Chapter 1 QUESTIONS AND
CORRECT ANSWERS
A - CORRECT ANSWER-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.
C - CORRECT ANSWER-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.
A - CORRECT ANSWER-The patients record, laboratory studies, objective data, and
subjective data combine to form the:
a.
Data base.
b.
Admitting data.
c.
, Financial statement.
d.
Discharge summary.
C - CORRECT ANSWER-When listening to a patients breath sounds, the nurse is
unsure of a sound that is heard. The nurses next action should be to:
a.
Immediately notify the patients 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.
B - CORRECT ANSWER-The nurse is conducting a class for new graduate nurses.
During the teaching session, the nurse should keep in mind that novice nurses, without
a background of skills and experience from which to draw, are more likely to make their
decisions using:
a.
Intuition.
b.
A set of rules.
c.
Articles in journals.
d.
Advice from supervisors.
A - CORRECT ANSWER-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.