Health Assessment Final 2.Pdf

Ag29-year-
oldgwomangtellsgthegnursegthatgsheghasg"excruciatinggpain"ginghergback.gWhichgwouldgbegthegnurse'sgappro
priategresponsegtogthegwoman'sgstatement?



Selectgone:

a.gHowgwouldgyougsaygthegpaingaffectsgyourgabilitygtogdogyourgdailygactivities?g

b.gI'veghadgbackgpaingmyself,gandgitgcangbegexcruciating.

c.gThegpaingmustgbegterrible.gYougprobablygpinchedgagnerve.

d.gHowgdoesgyourgfamilygreactgtogyourgpain?g-
ggCORRECTgANSWERSa.gHowgwouldgyougsaygthegpaingaffectsgyourgabilitygtogdogyourgdailygactivities?




Whengpercussinggovergtheglivergofgagpatient,gthegnursegnoticesgagdullgsound.gThegnursegshould:



Selectgone:

a.gConsidergthisgagnormalgfinding

b.gPalpategthisgareagforgangunderlyinggmass

c.gRepositiongtheghands,gandgattemptgtogpercussgingthisgareagagaing

d.gConsidergthisgfindinggasgabnormal,gandgrefergthegpatientgforgadditionalgtreatmentg-
ggCORRECTgANSWERSa.gConsidergthisgagnormalgfinding




Thegnursegisgperforminggaggeneralgsurvey.gWhichgactiongisgagcomponentgofgtheggeneralgsurvey?



Selectgone:

a.gMeasuringgthegpatient'sgtemperature,gpulse,grespirations,gandgbloodgpressure

b.gObservinggspecificgbodygsystemsgwhilegperforminggthegphysicalgassessment

,c.gObservinggthegpatient'sgbodygstaturegandgnutritionalgstatusg

d.gInterpretinggthegsubjectiveginformationgthegpatientghasgreportedg-
ggCORRECTgANSWERSc.gObservinggthegpatient'sgbodygstaturegandgnutritionalgstatus




Thegnursegisgassessinggthegvitalgsignsgofgag20-year-
oldgmalegmarathongrunnergandgdocumentsgthegfollowinggvitalgsigns:gtemperature-36°gC;gpulse-
48gbeatsgpergminute;grespirations-14gbreathsgpergminute;gbloodgpressure-
104/68gmmgHg.gWhichgstatementgisgtruegconcerninggthesegresults?



Selectgone:

a.gOngthegbasisgofgthesegreadings,gthegpatientgshouldgreturngtogthegclinicging1gweek

b.gThesegaregnormalgvitalgsignsgforgaghealthy,gathleticgadultg

c.gThegpatient'sgpulsegrategisgnotgnormal—hisgphysiciangshouldgbegnotified

d.gThegpatientgisgexperiencinggtachycardiag-
ggCORRECTgANSWERSb.gThesegaregnormalgvitalgsignsgforgaghealthy,gathleticgadultgCorrect




Thegreviewgofgsystemsgprovidesgthegnursegwith:



Selectgone:

a.gInformationgregardingghealthgpromotiongpractices

b.gPhysicalgfindingsgrelatedgtogeachgsystem

c.gInformationgnecessarygforgthegnursegtogdiagnosegthegpatient'sgmedicalgproblemg

d.gAngopportunitygtogteachgthegpatientgmedicalgtermsg-
ggCORRECTgANSWERSb.gPhysicalgfindingsgrelatedgtogeachgsystem




Whichgtechniquegisgcorrectgwhengthegnursegisgassessinggthegradialgpulsegofgagpatient?

Thegpulsegisgcountedgfor:



Selectgone:

a.g2gfullgminutesgtogdetectganygvariationgingamplitude

b.g10gsecondsgandgthengmultipliedgbyg6,gifgthegpatientghasgnoghistorygofgcardiacgabnormalities

, c.g1gminute,gifgthegrhythmgisgirregularg

d.g15gsecondsgandgthengmultipliedgbyg4,gifgthegrhythmgisgregularg-
ggCORRECTgANSWERSc.g1gminute,gifgthegrhythmgisgirregulargCorrect




Whengassessinggagpatient'sgpulse,gthegnursegshouldgalsognoticegwhichgofgthesegcharacteristics?



Selectgone:

a.gForceg

b.gTiminggingcardiacgcycle

c.gPallor

d.gCapillarygrefillg-ggCORRECTgANSWERSa.gForcegCorrect



Thegnursegisgreviewinggthegdevelopmentgofgculture.gWhichgstatementgisgcorrectgregardinggthegdevelopme
ntgofgone'sgculture?gCulturegis:



Selectgone:

a.gAgnonspecificgphenomenongandgisgadaptivegbutgunnecessary.

b.gBiologicallygdeterminedgongthegbasisgofgphysicalgcharacteristics.

c.gLearnedgthroughglanguagegacquisitiongandgsocialization.g

d.gGeneticallygdeterminedgongthegbasisgofgracialgbackground.g-
ggCORRECTgANSWERSc.gLearnedgthroughglanguagegacquisitiongandgsocialization.gCorrect




Thegnursegisgteachinggagclassgongbasicgassessmentgskills.gWhichgofgthesegstatementsgisgtruegregardinggthegs
tethoscopegandgitsguse?



Selectgone:

a.gIdealgtubingglengthgshouldgbeg22ginchesgtogdampengthegdistortiongofgsound.

b.gFitgandgqualitygofgthegstethoscopegaregnotgasgimportantgasgitsgabilitygtogmagnifygsound.

c.gSlopegofgthegearpiecesgshouldgpointgposteriorlyg(towardgthegocciput).