A patient asks why a health assessment needs to be done. What should the nurse respond to this patient? "It determines your health status, risk factors and educational needs to develop a plan of care."
Data collection occurs where in the nursing process? Assessment
What is one-way nurses use crit...
NUR 230 FINAL EXAM QUESTIONS AND
ANSWERS
A patient asks why a health assessment needs to be done. What should the nurse
respond to this patient? ✅"It determines your health status, risk factors and
educational needs to develop a plan of care."
Data collection occurs where in the nursing process? ✅Assessment
What is one-way nurses use critical thinking in regard to the nursing process?
✅Critical thinking helps nurses work through the analysis, develop alternatives, and
implement the best
interventions
The nurse is planning to interview a patient who is being treated for depression. When
the nurse enters the examination
room, the patient is sitting on the table with shoulders slumped. The nurse should plan
to approach this patient by: ✅expressing interest in a neutral manner.
What intervention should the nurse implement to regain control of the interview process
when the patient, reporting
abdominal pain monopolizes the conversation with unrelated information? ✅Politely
direct the interview in order to ask about the characteristics of the pain.
Which type of question is asked first by the nurse in order to attain a full description of
the patient's symptoms and to
generate and test diagnostic hypotheses? ✅open-ended questions to encourage the
patient to tell his or her story
Safety must be considered at all times to protect the examiner and the patient against
the spread of infection. Which
statement describes the nurse's appropriate action when performing a physical
examination? ✅Wash hands before and after every physical patient encounter
When preparing to examine a 4-year-old child the nurse needs to consider which action
as appropriate for this age
group? ✅Give the child feedback and reassurance during the examination
Which statement is accurate regarding the inspection phase of the physical
assessment? Inspection: ✅takes time and reveals a surprising amount of information.
A 20-year-old construction worker is brought to the emergency department with
symptoms of heat stroke causing signs
, of delirium. The nurse completes which of the following assessments first? ✅Level of
consciousness and cognitive abilities
A 22-year-old woman comes to the clinic at the insistence of her brother. She is wearing
black combat boots and a
black lace nightgown over the top of her other clothes. Her hair is dyed pink with black
streaks throughout. The nurse
concludes she: ✅more information should be gathered to decide whether her dress is
appropriate.
A group of students is reviewing material about assessing mental status. The students
demonstrated understanding of
the material when they identify which of the following as a cognitive ability to be
assessed? Select all that apply. ✅Orientation and thought process
A 62-year-old patient tells the nurse that they started having fainting spells. After
palpating the radial pulse, 13
pulsations are counted in 15 seconds. The nurse determines that the patient has a
pulse rate of 52, with a regularly
irregular rhythm. What is the most appropriate action for the nurse to take at this time?
✅Palpate the pulse for a full minute and note whether there is a pattern to the
irregularity
A patient arrives at the emergency department by ambulance after an accident while
playing softball. The patient's left leg is swollen and deformed. The patient describes the
pain as a 9 on a 10-point scale. When the nurse assesses the patient's blood pressure,
what result would the nurse expect to find? ✅The blood pressure is elevated
During a physical, the nurse assesses vital signs of a 20-year-old marathon runner.
Results include a temperature of 97.4°F, pulse of 58 beats per minute, regular; and
respirations of 16 per minute; and blood pressure - 98/68. Which statement is true
based on these results? ✅These results are normal for a healthy, athletic adult
A nurse asks a patient to rate their pain on a scale of 0 to 10, with 0 being no pain and
10 being worst pain. What characteristic of pain is the nurse assessing? ✅Intensity
A patient has had arthritic pain in her hips for several years due to a hip fracture. Nurse
notes that the patient is able to ambulate without difficulty and has not commented that
they are in pain. However, when completing a pain assessment, the patient states that
the pain is "bad this morning" and rates it at an 8 on a 1 to 10 scale. The nurse suspects
that the patient: ✅has experienced chronic pain for years and has adapted to it.
Acute pain can be differentiated from chronic pain because acute pain ✅is associated
with a recent onset of illness or injury with a duration of less than 6 months, whereas
chronic pain persists longer than 6 months.
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