1. The nurse is collecting data during an initial assessment. What can be
seen, heard, measured, or felt and is objective?
a. Symptom
b. Observation
c. Sign
d. Assessment - ANSWER ANS: C
A sign can be seen, heard, measured, or felt.
2. As part of an assessment, the nurse asks the patient for subjective
information related to the present illness. What are the subjective
findings perceived by the patient?
a. Assessments
b. Symptoms
c. Signs
d. Observations - ANSWER ANS: B
Symptoms are subjective indications of illness that are perceived by the
patient.
3. Any disturbance of a structure or function of the body is a pathologic
condition. What is the term for this condition?
a. Injury
b. Condition
c. Disease
d. Pathology - ANSWER ANS: C
A disease is any disturbance of a structure or function of the body.
4. The nurse is assessing a patient for collection of subjective and
objective data. What will this data provide the basis for making?
a. Care plan
b. Medical diagnosis
c. Nursing assessment
d. Nursing diagnosis - ANSWER ANS: D
Nurses rely on assessment of signs and symptoms to formulate a
nursing diagnosis.
5. The nurse is discussing the origin of diabetes with a diabetic patient.
What will the nurse discuss as the most appropriate explanation for the
cause of this disease?
a. Pituitary
b. Adrenals
c. Pancreas
d. Thyroid - ANSWER ANS: C
Diabetes mellitus results from dysfunction of the pancreas.
6. There are four categories of factors that increase an individual's
vulnerability to develop a disease: genetic, physiological, age, and
lifestyle. What is the term for these factors?
a. Risk factors
b. Causative factors
c. Etiologic factors
d. Hazardous factors - ANSWER ANS: A
Risk factors are placed into four categories.
7. When discussing diabetes with a patient, the nurse describes this
disease as falling into which group in terms of duration?
a. Acute
b. Organic
c. Chronic
d. Functional - ANSWER ANS: C
Diabetes mellitus is an example of a chronic disease.
8. What is the term used to describe a disease where there has been a
partial or complete disappearance of clinical and subjective
characteristics of the disease?
a. Acute
b. Functional
c. Chronic
d. Remission - ANSWER ANS: D
Remission means there has been partial or complete disappearance of
the clinical and subjective characteristics.
9. What type of disease results in a structural change in an organ that
interferes with its functioning?
a. Functional disease
b. Organic disease
c. Acute disease
d. Chronic disease - ANSWER ANS: B
An organic disease results in a structural change in an organ.
, 10. The signs and symptoms of both infection and inflammation include
erythema, edema, and pain. What is considered the major difference
between infection and inflammation?
a. Inflammation is a result of bacteria.
b. Inflammation is a protective response.
c. Inflammation is a disease process.
d. Inflammation produces tissue damage. - ANSWER ANS: B
Inflammation is a protective response.
11. A nursing assessment is a process of collecting data to establish a
database. The information contained in the database is a basis for:
a. a complete physical examination.
b. a medical assessment.
c. an individualized plan of care.
d. writing nursing orders. - ANSWER ANS: C
The information contained in the database is the basis for an
individualized plan of care.
12. The nurse is meeting a patient for the first time. What is the first thing
the nurse will do to initiate a nurse-patient relationship?
a. Appear interested
b. Introduce herself/himself
c. Provide support
d. Communicate trust - ANSWER ANS: B
The first step in a nurse-patient relationship is for the nurse to introduce
herself/himself.
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