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NUR 203 EXAM 1 QUESTIONS AND VERIFIED DETAILED ANSWERS 100% PASS
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NUR 203 EXAM 1 QUESTIONS AND VERIFIED DETAILED ANSWERS100% PASS 2024-2025
The nurse is performing a health assessment on client. Which of the following would be
most important for the nurse to do? - Answer Interpret the information about the client in
context
Data that nurses collect during a physical assessment vary depending on a patient's -
Answer acuity, health history, and current symptoms
Following a teaching session about the steps of the nursing process for a group of
students, the instructor knows the teaching was effective when the students select
which step as most critical? -Answer Assessment- If data collection is incomplete or
inaccurate, inappropriate nursing judgments may result that negatively impact the other
steps of the process.
A client is admitted to the health care agency with a family history of diabetes mellitus.
The nursing health data collection for this client would focus on which of these areas?
Answer Physiologic, psychological, sociocultural, developmental, and spiritual data
A 26-year-old male nurse is conducting an assessment on a newly admitted 14-year-old
girl to the pediatric unit. The nurse knows that an effective assessment model that
provides the patient with greater privacy is? head to toe
The nurse conducts a health assessment. To what will the data collected from the
patient serve as a foundation? nursing process
medical examination and nursing assessment - Answer ME- treatment of disease
process
NP- human response to the disease
, The nurse is asked to assess a stage of broken skin in an older adult client residing in a
long-term care facility. The assessment of the area of broken skin over the sacrum
reveals a breakdown of the skin with erythema and a small amount of serosanguineous
drainage. There is a blister appearance to the area. The nurse would interpret this
finding as indicating which stage of pressure ulcer? -Answer stage 2
Secondary Skin Lesion - Answer forms from primary lesion or alteration in primary
lesion
ex. keloid
ABCDE's of melanoma - Answer asymmetrical?
boarders irregular?
changes in color?
diameter >6mm
evolution
What clinical manifestation can the nurse expect to find in a patient with edema? -
Answer Decreased skin mobility
During physical examination, the nurse would expect which area of the body to
demonstrate central cyanosis in a patient having an acute asthmatic episode? - Answer
Oral mucosa
Lichenification - Answer thickening and roughening of skin and accentuated markings
of skin
what accessory structures are in the dermis layer of skin? - Answer blood vessels,
nerves, sebaceous glands, lymphatic vessels, hair follicles, and sweat glands
Phases of pressure ulcers - Answer I: skin intact but firm with erythema
II: ulceration of dermis
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