CMN 548 MODULE 1 STUDY
QUESTIONS & ANSWERS
Bickley Chapter 1 12th edition - Correct Answers -
For which of the following patients would a comprehensive health history be important?
A) A new patient with the chief complaint of "I sprained my ankle"
B) An established patient with the chief complaint of "I have an upper respiratory
infection"
C) A new patient with the chief complaint of "I am here to establish care"
D) A new patient with the chief complaint of "I cut my hand" - Correct Answers -C. A
new patient with the chief complaint of "I am here to establish care"
The components of the health history include all of the following except which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items - Correct Answers -B. Thorax and lungs
Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with
activity and relieved by rest.
A. Subjective
B. Objective - Correct Answers -A. Subjective
Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective
B) Objective - Correct Answers -B. Objective
The following information is recorded in the health history: "The patient has had
abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes.
The severity is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea and vomiting. It
is located in the midepigastric area."
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
,C) Personal and social history
D) Review of systems - Correct Answers -B. Present Illness
The following information is recorded in the health history: "The patient completed 8th
grade.
He currently lives with his wife and two children. He works on old cars on the weekend.
He
works in a glass factory during the week."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - Correct Answers -C. Personal and social history
The following information is recorded in the health history: "I feel really tired."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - Correct Answers -A. Chief Complaint
The following information is recorded in the health history: "Patient denies chest pain,
palpitations, orthopnea, and paroxysmal nocturnal dyspnea."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - Correct Answers -D. Review of Systems
The following information is best placed in which category?
"The patient has had three cesarean sections."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - Correct Answers -B. Surgeries
The following information is best placed in which category?
"The patient had a stent placed in the left anterior descending artery (LAD) in 1999."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - Correct Answers -A. Adult Illnesses
The following information is best placed in which category?
"The patient was treated for an asthma exacerbation in the hospital last year; the patient
has never been intubated."
,A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - Correct Answers -A. Adult Illnesses
Bickley Chapter 1 13th Edition - Correct Answers -
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. - Correct Answers -A. Objective
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. - Correct Answers -C. Subjective
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. - Correct Answers -A. Data Base
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.
ANS: C - Correct Answers -C. Validate the data by asking a coworker to listen to breath
sounds
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.
ANS: B - Correct Answers -B. A set of rules
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.
ANS: A - Correct Answers -A. Intuition
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.
b
.
EBP is simply the use of best practice techniques for the treatment of patients.
c
.
QUESTIONS & ANSWERS
Bickley Chapter 1 12th edition - Correct Answers -
For which of the following patients would a comprehensive health history be important?
A) A new patient with the chief complaint of "I sprained my ankle"
B) An established patient with the chief complaint of "I have an upper respiratory
infection"
C) A new patient with the chief complaint of "I am here to establish care"
D) A new patient with the chief complaint of "I cut my hand" - Correct Answers -C. A
new patient with the chief complaint of "I am here to establish care"
The components of the health history include all of the following except which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items - Correct Answers -B. Thorax and lungs
Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with
activity and relieved by rest.
A. Subjective
B. Objective - Correct Answers -A. Subjective
Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective
B) Objective - Correct Answers -B. Objective
The following information is recorded in the health history: "The patient has had
abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes.
The severity is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea and vomiting. It
is located in the midepigastric area."
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
,C) Personal and social history
D) Review of systems - Correct Answers -B. Present Illness
The following information is recorded in the health history: "The patient completed 8th
grade.
He currently lives with his wife and two children. He works on old cars on the weekend.
He
works in a glass factory during the week."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - Correct Answers -C. Personal and social history
The following information is recorded in the health history: "I feel really tired."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - Correct Answers -A. Chief Complaint
The following information is recorded in the health history: "Patient denies chest pain,
palpitations, orthopnea, and paroxysmal nocturnal dyspnea."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - Correct Answers -D. Review of Systems
The following information is best placed in which category?
"The patient has had three cesarean sections."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - Correct Answers -B. Surgeries
The following information is best placed in which category?
"The patient had a stent placed in the left anterior descending artery (LAD) in 1999."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - Correct Answers -A. Adult Illnesses
The following information is best placed in which category?
"The patient was treated for an asthma exacerbation in the hospital last year; the patient
has never been intubated."
,A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - Correct Answers -A. Adult Illnesses
Bickley Chapter 1 13th Edition - Correct Answers -
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. - Correct Answers -A. Objective
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. - Correct Answers -C. Subjective
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. - Correct Answers -A. Data Base
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.
ANS: C - Correct Answers -C. Validate the data by asking a coworker to listen to breath
sounds
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.
ANS: B - Correct Answers -B. A set of rules
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.
ANS: A - Correct Answers -A. Intuition
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.
b
.
EBP is simply the use of best practice techniques for the treatment of patients.
c
.
