Assessment Chapter 1 questions
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. - ANSA
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. - ANSC
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. - ANSA
, 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. - ANSC
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. - ANSB
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. - ANSA
The nurse is reviewing information about evidence-based practice (EBP). Which statement best
reflects EBP?