Health Assessment Final.pdf

At29-year-
oldtwomanttellstthetnursetthattshethast"excruciatingtpain"tinthertback.tWhichtwouldtbetthetnurse'stappropri
atetresponsettotthetwoman'ststatement?



Selecttone:

a.tHowtwouldtyoutsaytthetpaintaffectstyourtabilityttotdotyourtdailytactivities?t

b.tI'vethadtbacktpaintmyself,tandtittcantbetexcruciating.

c.tThetpaintmusttbetterrible.tYoutprobablytpinchedtatnerve.

d.tHowtdoestyourtfamilytreactttotyourtpain?t-
ttCORRECTtANSWERSa.tHowtwouldtyoutsaytthetpaintaffectstyourtabilityttotdotyourtdailytactivities?




Whentpercussingtovertthetlivertoftatpatient,tthetnursetnoticestatdulltsound.tThetnursetshould:



Selecttone:

a.tConsidertthistatnormaltfinding

b.tPalpatetthistareatfortantunderlyingtmass

c.tRepositiontthethands,tandtattemptttotpercusstintthistareatagaint

d.tConsidertthistfindingtastabnormal,tandtrefertthetpatienttfortadditionalttreatmentt-
ttCORRECTtANSWERSa.tConsidertthistatnormaltfinding




Thetnursetistperformingtatgeneraltsurvey.tWhichtactiontistatcomponenttoftthetgeneraltsurvey?



Selecttone:

a.tMeasuringtthetpatient'sttemperature,tpulse,trespirations,tandtbloodtpressure

b.tObservingtspecifictbodytsystemstwhiletperformingtthetphysicaltassessment

,c.tObservingtthetpatient'stbodytstaturetandtnutritionaltstatust

d.tInterpretingtthetsubjectivetinformationtthetpatientthastreportedt-
ttCORRECTtANSWERSc.tObservingtthetpatient'stbodytstaturetandtnutritionaltstatus




Thetnursetistassessingtthetvitaltsignstoftat20-year-
oldtmaletmarathontrunnertandtdocumentstthetfollowingtvitaltsigns:ttemperature-36°tC;tpulse-
48tbeatstpertminute;trespirations-14tbreathstpertminute;tbloodtpressure-
104/68tmmtHg.tWhichtstatementtisttruetconcerningtthesetresults?



Selecttone:

a.tOntthetbasistoftthesetreadings,tthetpatienttshouldtreturnttotthetclinictint1tweek

b.tThesetaretnormaltvitaltsignstfortathealthy,tathletictadultt

c.tThetpatient'stpulsetratetistnottnormal—histphysiciantshouldtbetnotified

d.tThetpatienttistexperiencingttachycardiat-
ttCORRECTtANSWERSb.tThesetaretnormaltvitaltsignstfortathealthy,tathletictadulttCorrect




Thetreviewtoftsystemstprovidestthetnursetwith:



Selecttone:

a.tInformationtregardingthealthtpromotiontpractices

b.tPhysicaltfindingstrelatedttoteachtsystem

c.tInformationtnecessarytfortthetnursettotdiagnosetthetpatient'stmedicaltproblemt

d.tAntopportunityttotteachtthetpatienttmedicalttermst-
ttCORRECTtANSWERSb.tPhysicaltfindingstrelatedttoteachtsystem




Whichttechniquetistcorrecttwhentthetnursetistassessingtthetradialtpulsetoftatpatient?

Thetpulsetistcountedtfor:



Selecttone:

a.t2tfulltminutesttotdetecttanytvariationtintamplitude

b.t10tsecondstandtthentmultipliedtbyt6,tiftthetpatientthastnothistorytoftcardiactabnormalities

, c.t1tminute,tiftthetrhythmtistirregulart

d.t15tsecondstandtthentmultipliedtbyt4,tiftthetrhythmtistregulart-
ttCORRECTtANSWERSc.t1tminute,tiftthetrhythmtistirregulartCorrect




Whentassessingtatpatient'stpulse,tthetnursetshouldtalsotnoticetwhichtoftthesetcharacteristics?



Selecttone:

a.tForcet

b.tTimingtintcardiactcycle

c.tPallor

d.tCapillarytrefillt-ttCORRECTtANSWERSa.tForcetCorrect



Thetnursetistreviewingtthetdevelopmenttoftculture.tWhichtstatementtistcorrecttregardingtthetdevelopmentt
oftone'stculture?tCulturetis:



Selecttone:

a.tAtnonspecifictphenomenontandtistadaptivetbuttunnecessary.

b.tBiologicallytdeterminedtontthetbasistoftphysicaltcharacteristics.

c.tLearnedtthroughtlanguagetacquisitiontandtsocialization.t

d.tGeneticallytdeterminedtontthetbasistoftracialtbackground.t-
ttCORRECTtANSWERSc.tLearnedtthroughtlanguagetacquisitiontandtsocialization.tCorrect




Thetnursetistteachingtatclasstontbasictassessmenttskills.tWhichtoftthesetstatementstisttruetregardingtthetstet
hoscopetandtitstuse?



Selecttone:

a.tIdealttubingtlengthtshouldtbet22tinchesttotdampentthetdistortiontoftsound.

b.tFittandtqualitytoftthetstethoscopetaretnottastimportanttastitstabilityttotmagnifytsound.

c.tSlopetoftthetearpiecestshouldtpointtposteriorlyt(towardtthetocciput).