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NR 509 / NR509 Advanced Physical Assessment
Week 1 Midterm Exam
Questions with Verified Answers - Chamberlain
Consist of 100 multiple choices Questions with Answers
- After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his pulse is 58 beats per minute. These types of data would be. A. Objective B. Reflective C. Subjective D. Introspective Ans>> Objective
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- A patient tells the nurse that he is very nervous, is nauseated and feels hot. These types of data would be A. Objective B. Reflective C. Subjective D. Introspective Ans>> Subjective
- The patients record, laboratory studies, objective data, and subjective data combine to form the A. Data base B. Admitting data C. Financial Statement D. Discharge Summary Ans>> Data base
- When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next action should be to
4 / B. The nursing process C. Clinical knowledge D. Diagnostic reasoning Ans>> Intuition
- The nurse is reviewing information about EBP. Which statement best re- flects EBP? A. EBP relies on tradition for support of best practices B. EBP is simply the use of best practice techniques for the treatment of patients C. EBP emphasizes the use of best evidence with the clinicians experience D. The patients own preferences are not important with EBP. Ans>> EBP empha- sizes the use of best evidence with the clinicians experience
- The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first-level priority problem A. Patient with postoperative pain B. Newly diagnosed patient with diabetes who needs diabetic teaching
5 / C. Individual with a small laceration on the sole of the foot D. Individual with shortness of breath and respiratory distress Ans>> Individual with shortness of breath and respiratory distress
- When considering priority settings of problems, the nurse keeps in mind that second-level priority problems include which of these aspects? A. Low self-esteem B. Lack of knowledge C. Abnormal laboratory values D. Severely abnormal vital signs Ans>> Abnormal laboratory values
- Which critical thinking skill helps see relationships among the data? A. Validation B. Clustering related cues C. Identifying gaps in data D. Distinguishing relevant from irrelevant Ans>> Clustering related cues
- The nurse knows that developing appropriate nursing interventions
7 / prioritize these problems A. Breathing, pain, and sleep B. Breathing, sleep and pain C. Sleep, breathing and pain D. Sleep, pain and breathing Ans>> Breathing, pain, and sleep
- Which of these would be formulated by a nurse using diagnostic reason- ing? A. Nursing diagnosis B. Medical diagnosis C. Diagnostic hypothesis D. Diagnostic assessment Ans>> Diagnostic hypothesis
- Barriers to EBP include: A. Nurses lack research skills in evaluating the quality of research studies B. Lack of significant research studies C. Insufficient clinical skills of nurses D. Inadequate physical assessment skills Ans>> Nurses lack research skills in eval- uating the quality of research
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- What step of the nursing process includes data collection by health history, physical examination and interview? A. Planning B. Diagnosis C. Evaluation D. Assessment Ans>> Assessment
- During a staff meeting, nurses discuss the problems with accessing re- search studies to incorporate evidence-based clinical decision making into their practice. Which suggestion by the nurse manager would best help these problems? A. Forma committee to conduct research studies B. Post published research studies on the units bulletin boards
10 / health care practitioners Ans>> Prevention places the emphasis on the link between health and personal behavior
- The nurse is performing a physical assessment on a newly admitted patient. An example of objective information obtained during the physical assessment includes the A. Patients history of allergies B. Patients use of medications at home C. Last menstrual period 1 month ago D. 2.5 cm scar on the right lower forearm Ans>> 2.5 cm scar on the right lower forearm
- A visiting nurse is making an initial home visit for a patient who has many chronic health problems. Which type of data base is most appropriate to collect in this setting? A. A follow-up data base to evaluate changes at appropriate intervals B. An episodic data base because of the continuing, complex medical prob- lems of this patient C. A complete health data base because of the nurses primary responsibility for monitoring the patients health D. An emergency data base because of the need to collect information
11 / and make accurate diagnoses rapidly Ans>> A complete health data base because of the nurses primary responsibility for monitoring the patients health
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- A patient is brought by ambulance to the ED with multiple traumas received in an automobile accident. He is alert and cooperative, but his injuries are quite severe. How would the nurse proceed with data collection? A. Collect history information first, then perform a physical examination and institute life-saving measures B. Simultaneously ask history questions while performing the examination and initiating life-saving measures C. Collect all information on the history form, including social support pat- terns, strengths, and coping patterns D. Perform life-saving measures and delay asking any history questions until the patient is transferred to the ICU. Ans>> Simultaneously ask history questions while performing the examination and initiating life-saving measures
- A 42-year-old patient of Asian descent is being seen at the clinic for an initial examination. The nurses knowns that including cultural information in his health assessment is important to: A. Identify the cause of his illness B. Make accurate disease diagnoses C. Provide cultural health rights for the individual D. Provide culturally sensitive and appropriate care
14 / Ans>> Provide culturally sensi- tive and appropriate care
16 / A. Has little experience with a specified population and uses rules to guide performance B. Has an intuitive grasp of a clinical situation and quickly identifies the accurate solution C. Sees actions in the context of daily plans for patients D. Understands a patient situation as a whole rather than a list of tasks and recognizes the long-term goals for the patient Ans>> Understands a patient situation as a whole rather than a list of tasks and recognizes the long-term goals for the patient
- A nurse is reviewing data collected after an assessment. Of the data listed below, which would be considered related cues that would be clustered together during data analysis? Select all that apply A. Inspiratory wheezes noted in left lower lobe B. Hypoactive bowel sounds C. Nonproductive cough D. Edema +2 noted on the left hand E. Patient reports dyspnea upon exertion F. Rate of respirations 16 breaths per minute: A, C, E, F
- Put the following situations in order according to the level of priority A. A patient newly diagnosed with type 2 DM does not know how to check his own blood glucose levels with a glucometer
17 / B. A teenager who was stung by a bee during soccer match is having trouble breathing C. An older adult with a urinary tract infection is also showing signs of confusion and agitation
1. First-level priority problem 2. Second-level priority problem 3. Third-level priority problem: 1.B 2.C
- A
- The nurse is conducting an interview what a woman who has recently learned that she is pregnant and who has come to the clinic today to being prenatal care. The woman states that she and her husband are excited about the pregnancy, but have a few questions. She looks nervously at her hands during the interview and sighs loudly. Considering the concept of communica- tion, which statement does the nurse know to be most accurate? The woman is: A. Excited about her pregnancy but nervous about the labor B. exhibiting verbal and nonverbal behaviors that do not match C. Excited about her pregnancy, but her husband is not in this is
19 / personal space Ans>> Reduces noise by turning off televisions and radios
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- In an interview, the nurse may find it necessary to take notes to aid his or her memory later. Which statement is true regarding notetaking A. Note taking may impede the nurses observation of the patients nonverbal behaviors B. Note taking allows the patient to continue at his or her own pace as the nurse records what is said C. Note taking allows the nurse to shift attention away from the patient result- ing in an increased comfort level D. Note taking allows a nurse to break eye contact with the patient which may increase his or her level of comfort Ans>> Note taking may impede the nurses observation of the patients nonverbal behaviors
- The nurse asks, I would like to ask you some questions about your health and your usual daily activities so that we can better plan your stay here. This question is found at the Phase of the interview process. A. Summary B. Closing C. Body D. Opening or introduction Ans>> Opening or introduction
