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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" - Answer✅✅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 - Answer✅✅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 - Answer✅✅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 - Answer✅✅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 - Answer✅✅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 - Answer✅✅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 - Answer✅✅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 - Answer✅✅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 - Answer✅✅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 - Answer✅✅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 - Answer✅✅A. Adult Illnesses
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. - Answer✅✅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. - Answer✅✅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. - Answer✅✅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 - Answer✅✅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 - Answer✅✅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.