Physical Examination and Health
Assessment WITH VERIFIED QUESTIONS AND
ANSWERS LATEST UPDATED
A - 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
B - . 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
D - The nursing process is a sequential method of problem solving that nurses use and
includes which steps?
a. Assessment, treatment, planning, evaluation, discharge, and follow-up
b. Admission, assessment, diagnosis, treatment, and discharge planning
,c. Admission, diagnosis, treatment, evaluation, and discharge planning
d. Assessment, diagnosis, outcome identification, planning, implementation, and
evaluation
A - 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
C - Which of these would be formulated by a nurse using diagnostic reasoning?
a. Nursing diagnosis
b. Medical diagnosis
c. Diagnostic hypothesis
d. Diagnostic assessment
A - . 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 - 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 - 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 - 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 - 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 - 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.
C - The nurse is reviewing information about evidence-based practice (EBP). Which
statement best reflects EBP?
a. EBP relies on tradition for support of best practices.
Assessment WITH VERIFIED QUESTIONS AND
ANSWERS LATEST UPDATED
A - 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
B - . 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
D - The nursing process is a sequential method of problem solving that nurses use and
includes which steps?
a. Assessment, treatment, planning, evaluation, discharge, and follow-up
b. Admission, assessment, diagnosis, treatment, and discharge planning
,c. Admission, diagnosis, treatment, evaluation, and discharge planning
d. Assessment, diagnosis, outcome identification, planning, implementation, and
evaluation
A - 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
C - Which of these would be formulated by a nurse using diagnostic reasoning?
a. Nursing diagnosis
b. Medical diagnosis
c. Diagnostic hypothesis
d. Diagnostic assessment
A - . 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 - 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 - 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 - 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 - 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 - 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.
C - The nurse is reviewing information about evidence-based practice (EBP). Which
statement best reflects EBP?
a. EBP relies on tradition for support of best practices.
