Chapter 12 NCLEX Review Questions With complete solutions

an estimated time frame to complete the assessment d. standing at the foot of the bed to get the best look at the patient and his and her responses e. preparation of the room for the least amount of distractions so the patient can remain focused to questions offered by the nurse -ANSWER- a. introduction of the nurse to the patient, which includes the title (LPN/LVN) and purpose of visit b. explanation of what the nurse will need to accomplish (i.e., vital signs, body system review) during the time with the patient c. an estimated time frame to complete the assessment e. preparation of the room for the least amount of distractions so the patient can remain focused to questions offered by the nurse A patient has been admitted with acute bronchitis. When performing a lung assessment, the nurse is best able to auscultate the lower lobes by listening to what location on the body? a. posterior b. anterior c. lateral d. superior -ANSWER- a. posterior A 90-year-old patient is having difficulty answering the nurse's questions while completing the patient history. What should the nurse keep in mind about caring for older adults? a. all older adults age at the same rate b. the nurse should write down all of the questions and have the patient's family complete the information c. the nurse should sit down at eye level with the patient and allow a longer period to answer each question d. the nurse should talk more loudly and raise the pitch of the voice -ANSWER- c. the nurse should sit down at eye level with the patient and allow a longer period to answer each question The nurse documents which finding while assessing a patient with heart failure where it is noted that the lower extremities have deep indentations that remain for 30 seconds when pressed? a. non-pitting edema b. 2+ pitting edema c. 3+ pitting edema d. 4+ pitting edema -ANSWER- c. 3+ pitting edema The patient reports severe abdominal pain when answering the call light. What type of assessment should the nurse perform? a. head-to-toe assessment b. focused assessment c. system-by-system assessment d. complete assessment -ANSWER- b. focused assessment An elderly