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Test Bank for Fundamentals of Nursing 9th Edition by Patricia A. Potter RN MSN PhD FAAN (Author) (All Chapters covered ) (Complete Guide) (Graded A+) $10.39
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Test Bank for Fundamentals of Nursing 9th Edition by Patricia A. Potter RN MSN PhD FAAN (Author) (All Chapters covered ) (Complete Guide) (Graded A+)
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Test Bank for Fundamentals of Nursing 9th Edition by Patricia A. Potter RN MSN PhD FAAN (Author) (All Chapters covered ) (Complete Guide) (Graded A+)

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  • January 30, 2025
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  • 2024/2025
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The Nursing Test Banks - Fundamentals
Potter 9th Edition
1. nursing test banks - During data collection the nurse may validate data by which
method? (Select all that apply)

A) - Comparing cues to normal function

B) - Referring to textbooks, journals, and research reports

C) - Checking consistency of cues

D) - Clarifying the patient's statements

E) - Seeking consensus with colleagues about inferences

Ans: - A, B, C, D, E

- Feedback:

- These methods of validating data and inferences are necessary before cues are
clustered and analyzed for identification of nursing diagnoses.

2. - When making an inference from the cues obtained during an assessment, it is
important for the nurse to keep what in mind?

A) - Validate inferences with the patient

B) - Do not share inferences with the patient

C) - Document all inferences

D) - Avoid making any inferences

Ans: - A

- Feedback:

- The nurse should validate inferences made from assessment data in order to ensure
accuracy. Incorrect cues and inferences lead to the development of inappropriate
nursing diagnoses and patient plans of care.

,3. - While performing the nursing history the nurse notes that the patient states he is
having very little pain, but is grimacing and holding his arm throughout the history
taking. This observation takes place during which phase of the nursing history?

A) - Preparatory

B) - Introductory

C) - Maintenance

D) - Concluding

Ans: - C

- Feedback:

- Watching the patient to determine if nonverbal cues match their verbal communication
typically occurs during the maintenance, or working, phase of the interview.

4. - The home care nurse is preparing to perform a nursing history on a newly assigned
adult patient with a venous stasis ulcer. Which statement by the nurse is most
accurate?

A) - "When I perform the nursing history I will need to ask your family to leave the
room."

B) - "I would like to schedule a time for me to perform a nursing history. It will take
around 30 to 60 minutes."

C) - "I will perform a physical assessment while I am obtaining the nursing history."

D) - "I will leave a form with you to complete the nursing history information I need."

Ans: - B

- Feedback:

- Nurses are responsible for completing nursing histories, and it usually takes
approximately 30 to 60 minutes to obtain data such as history of present illness, past
medical history, support network, and other pertinent data. The physical is performed
separately. Family members can offer valuable information as long as the patient gives
permission for them to remain present during the history taking.

5. - The RN is admitting a patient to a medical unit. The nurse delegates the
measurement of the vital signs to unlicensed assistive personnel (UAP) while she
collects data. After completing the admission process, the patient complains of a severe

, headache so the nurse reassesses the vital signs to find the patient's blood pressure
extremely elevated. Whose responsibility is the accuracy of the blood pressure
measurement?

A) - The company that made the blood pressure equipment

B) - The nurse

C) - The UAP

D) - The charge nurse

Ans: - B

- Feedback:

- While the nurse may delegate duties to UAP, the professional RN is ultimately
responsible for the completeness and accuracy of the information. Since this was part of
the admission assessment it would be advisable for the nurse to have measured the
vital signs herself.

6. - A novice nurse is using the assessment technique of auscultation. What
assessment finding can the nurse obtain with this method?

A) - Size of the liver

B) - Presence of peristalsis

C) - Pupil reaction

D) - Skin temperature

Ans: - B

- Feedback:

- Peristalsis (bowel sounds) are assessed by auscultation with a stethoscope. The size
of the liver is determined with percussion, inspection yields pupil size, and skin
temperature is assessed through palpation.

7. - Which of the following are examples of objective data?

A) - Patient describing his pain

B) - Laboratory results

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