Heatlh Assessment and the Nursing Process-FINAL.rtf - Health Assessment and the Nursing Process-FINAL Multiple Choice Identify the choice that best

Heatlh Assessment and the Nursing Process-FINAL.rtf -...

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Health Assessment and the Nursing Process-FINAL Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. For which person is a screening assessment indicated? a. The person who had abdominal surgery yesterday b. The person who is unaware of his high serum glucose levels c. The person who is being admitted to a long-term care facility d. The person who is beginning rehabilitation after a knee replacement ____ 2. After collecting the data, the nurse begins data analysis with which action? a. Clustering data b. Documenting subjective data c. Reporting information to other health team members d. Documenting objective information ____ 3. A male patient is very talkative and shares much information that is not relevant to his history or the reason for his admission. Which action by the nurse improves data collection in this situation? a. Terminate the interview. b. Use closed-ended questions. c. Ask the patient to stay on the subject. d. Ask another nurse to complete the interview. ____ 4. Which nurse is performing the technique of light palpation appropriately? a. Nurse A applies the bimanual technique to determine size and location of the patient’s heart. b. Nurse B uses the fingertips to feel for temperature differences on the patient’s legs. c. Nurse C places the ulnar surface of the hands on the patient’s thorax to detect vibrations. d. Nurse D depresses the patient’s abdomen approximately 4 cm to assess pulsations. ____ 5. A nurse is assessing joint function of a patient with severe rheumatoid arthritis. Which instrument/tool does the nurse use to measure the degree of flexion and extension of the patient’s knee joints? a. Calipers b. Ruler or tape measure c. Goniometer d. Doppler ____ 6. Which example below best characterizes a patient’s race? a. The language spoken in the patient’s home is Tagalog. b. The patient’s family follows a kosher diet. c. The patient and his family have blonde hair and fair skin. d. The patient’s grandparents came to the United States from Germany.
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____ 7. A patient with gout is complaining of severe, throbbing pain in the great toe. What type of pain is this patient experiencing? a. Neuropathic pain b. Somatic pain c. Referred pain d. Visceral pain ____ 8. An elderly patient was admitted with pneumonia and a fever of 104.5° F. At the time of admission he was confused, disoriented, restless, and tried to slap the nurse who started an intravenous line. His daughter stated, “Just yesterday he was perfectly fine, except for a cold. I can’t believe he is acting this way now.” Within a few days, his erratic behavior subsided and his daughter was relieved that he was “back to normal.” The nurse recognizes that this patient was exhibiting signs of which disorder? a. Dementia b. Delirium c. Panic attack d. Alcohol withdrawal ____ 9.
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  • Fall '16
  • Lori Rubio

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