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Exam (elaborations)

Fundamentals Of Nursing Chapter 30

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This document provides a clear and structured summary of Chapter 30 from Fundamentals of Nursing. It explains the key concepts, procedures, and clinical considerations covered in the chapter, helping students understand essential nursing practices. The content supports exam preparation and aligns with common nursing curriculum standards.

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FUNDAMENTALS OF NURSING CHAPTER 30:
HEALTH ASSESSMENT AND PHYSICAL
EXAMINATIONACTUAL QUESTIONS AND
VERIFIED ANSWERS 2024 - 2025

ABnurseBisBaBpreceptorBforBaBnurseBwhoBjustBgraduatedBfromBnursingBschool.BWhenBcaringBforBaBpa
tient,BtheBnewBgraduateBnurseBbeginsBtoBexplainBtoBtheBpatientBtheBpurposeBofBcompletingBaBphysi
calBassessment.BWhichBofBtheBfollowingBstatementsBmadeBbyBtheBnewBgraduateBnurseBrequiresBth
eBpreceptorBtoBintervene?



a.B"IBwillBuseBtheBinformationBfromBmyBassessmentBtoBfigureBoutBifByourBantihypertensiveBmedicati
onBisBworkingBeffectively."

b.B"NursingBassessmentBdataBareBusedBonlyBtoBprovideBinformationBaboutBtheBeffectivenessBofByo
urBmedicalBcare."

c.B"NursesBuseBdataBfromBtheirBpatient'sBphysicalBassessmentBtoBdetermineBaBpatient'sBeducationa
lBneeds."

d.B"InformationBgainedBfromBphysicalBassessmentBhelpsBnursesBbetterBunderstandBtheirBpatients'B
emotionalBneeds."B-BCORRECTBANSWER-
b.B"NursingBassessmentBdataBareBusedBonlyBtoBprovideBinformationBaboutBtheBeffectivenessBofByo
urBmedicalBcare."



NursingBassessmentBdataBareBusedBtoBevaluateBtheBeffectivenessBofBallBaspectsBofBaBpatient'sBcare,
BnotBjustBtheBpatient'sBmedicalBcare.BAssessmentBdataBhelpBtoBevaluateBtheBeffectivenessBofBmedic


ationsBandBtoBdetermineBaBpatient'sBhealthBcareBneeds,BincludingBtheBneedBforBpatientBeducation.B
NursesBalsoBuseBassessmentBdataBtoBidentifyBpatients'BpsychosocialBandBculturalBneeds.

HavingBmisplacedBhisBstethoscope,BaBnurseBborrowsBaBcolleague'sBstethoscope.BHeBnextBentersBth
eBpatient'sBroomBandBidentifiesBhimself,BwashesBhisBhandsBwithBsoap,BandBstatesBtheBpurposeBofBh

,isBvisit.BHeBperformsBproperBidentificationBofBtheBpatientBbeforeBheBauscultatesBherBlungs.BWhichBc
riticalBhealthBassessmentBstepBwasBnotBperformed?



a.BRunningBwarmBwaterBoverBstethoscopeBforBpatientBcomfort

b.BCleaningBstethoscopeBwithBBetadine

c.BUsingBalcohol-basedBhandBdisinfectant

d.BCleaningBstethoscopeBwithBalcoholB-BCORRECTBANSWER-d.BCleaningBstethoscopeBwithBalcohol



BacteriaBandBvirusesBcanBbeBtransferredBfromBpatientBtoBpatientBwhenBaBstethoscopeBthatBisBnotBcl
eanBisBused.BTheBstethoscopeBshouldBbeBcleanedBbeforeBuseBonBeachBpatient.BRunningBwaterBover
BtheBstethoscopeBdoesBnotBkillBbacteria.BBetadineBisBanBinappropriateBcleaningBsolutionBandBmayBd


amageBtheBequipment.BHandBsanitizerBisBnotBanBapprovedBcleaningBproduct.

WhichBisBtheBbestBexaminationBpositionBforBaBcompleteBgeriatricBphysicalBexaminationBonBaBweakB
patientBwithBbilateralBbasilarBpneumonia?



a.BProneBposition

b.BSims'Bposition

c.BSupineBposition

d.BLateralBrecumbentB-BCORRECTBANSWER-c.BSupineBposition



ThisBisBtheBmostBnormallyBrelaxedBposition.BItBwillBnotBcompromiseBtheBpatient'sBbreathingBbecaus
eBitBisBlikelyBcompromisedBwithBpneumonia.BIfBtheBpatientBbecomesBshortBofBbreathBeasily,BraiseBth
eBheadBofBtheBbed.BThisBpositionBwouldBbeBeasiestBforBanBelderlyBweakBpersonBtoBgetBintoBpositionB
forBanBexamination.BLateralBrecumbentBandBproneBpositionsBcauseBrespiratoryBdifficultyBforBanyBp
atientBwithBrespiratoryBdifficulties.BSims'BpositionBisBusedBforBassessmentBofBtheBrectumBandBtheBv
agina.

DuringBanBannualBgynecologicalBexamination,BaBcollegeBstudentBdiscussesBherBupcomingBcollegeBb
reakBatBaBtropicalBlocation.BAfterBtheBstudentBreceivesBanBoralBcontraceptiveBprescription,BtheBnurs
eBidentifiesBtheBimportanceBofBskinBcancerBpreventionBeducationBbyBdiscussingBwhichBevidence-
basedBpreventionBhealthBtopic?

, a.BApplyingBwater-basedBsunscreenBonlyBbeforeBswimming

b.BUsingBtanningBbedBdailyBforB7BdaysBbeforeBcollegeBbreakBtrip

c.BApplyingBbroad-spectrumBsunscreenBofBSPFB5

d.BTakingBextraBprecautionsBinBtheBsunBsecondaryBtoBtheBprescriptionB-BCORRECTBANSWER-
d.BTakingBextraBprecautionsBinBtheBsunBsecondaryBtoBtheBprescription



OralBcontraceptivesBcanBmakeBtheBskinBmoreBsensitiveBtoBtheBsun.BForBthisBreason,BtheBpatientBsho
uldBbeBeducatedBaboutBtheBneedBforBsunBprotectionBsuchBasBwide-brimmedBhats,BuseBofBbroad-
spectrumBsunscreenBofBSPFB15BorBgreater,BnotBtanningBduringBmidday,BandBnotBusingBtanningBbeds
.BBroad-
spectrumBsunscreensBshouldBbeBappliedB15BminutesBbeforeBgoingBintoBtheBsunBandBafterBswimmin
gBorBperspiring.BTanningBparlors,Bsunlamps,Betc.,BshouldBbeBavoided.BSunscreensBwithBSPFBofB15Bor
BgreaterBshouldBbeBused.



ABheadBandBneckBphysicalBexaminationBisBcompletedBonBaB50-year-
oldBfemaleBpatient.BAllBphysicalBfindingsBareBnormalBexceptBforBfineBbrittleBhair.BBasedBonBtheBphys
icalBfindings,BwhichBofBtheBfollowingBlaboratoryBtestsBwouldBtheBnurseBexpectBtoBbeBordered?



a.BLiverBfunctionBtest

b.BLeadBlevel

c.BThyroid-stimulatingBhormoneBtest

d.BCompleteBbloodBcountB-BCORRECTBANSWER-c.BThyroid-stimulatingBhormoneBtest



ThyroidBdiseaseBcanBmakeBhairBthinBandBbrittle.BLiverBfunctionBtestingBisBindicatedBforBaBpatientBwh
oBhasBjaundice.BLeadBlevelsBandBaBCBCBareBnotBindicatedBforBtheBpresenceBofBbrittleBhair.

ABfebrileBpreschool-agedBchildBpresentsBtoBtheBafter-
hoursBclinic.BVaricellaBisBdiagnosedBonBtheBbasisBofBtheBillnessBhistoryBandBtheBpresenceBofBsmall,Bc
ircumscribedBskinBlesionsBfilledBwithBserousBfluid.BTheBnurseBdocumentsBtheBvaricellarBlesionsBasB
whichBtypeBofBskinBlesion?

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