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NR 509 / NR509 Advanced Physical Assessment
Week 1 to Week 4 Midterm Exam
Questions with Verified Answers - Chamberlain
Each exam Consist of 100 multiple choices Questions with Answers
TABLE OF CONTENTS
NR 509 Week 1 Midterm Exam…………………..
NR 509 Week 2 Midterm Exam…………………..
NR 509 Week 3 Midterm Exam…………………..
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NR 509 Week 4 Midterm Exam…………………..
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
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- When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next action should be to A. Immediately notify the patients physician B. Document the sound exactly as it was heard. C. Validate the data by asking a coworker to listen to breath sounds D. Assess it again in 20 minutes to note whether the sound is still present Ans>> Validate the data by asking a coworker to listen to breath sounds
- The nurse is conducting a class for new graduate nurses. During the teach- ing session, the nurse should keep in mind that novice nurses, without a background of skills and experience from which to draw, are more likely to make their decisions using: A. Intuition B. A set of rules C. Articles in journals D. Advice from supervisors Ans>> A set of rules.
- Expert nurses learn to attend to a pattern of assessment data and act
5 / without consciously labeling it. These responses are referred to as: A. Intuition 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
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- The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the diagnosis A. Nursing B. Medical C. Admission D. Collaborative Ans>> Nursing
- The nursing process is a sequential method of problem solving that nurses use and includes which steps? A. Assessment, treatment, planning, evaluation, discharge, and follow-up B. Admission, assessment, diagnosis, treatment and discharge planning C. Admission, diagnosis, treatment, evaluation and discharge planning D. Assessment, diagnosis, outcome identification, planning, implementation, and evaluation Ans>> Assessment, diagnosis, outcome identification, planning, imple- mentation, and evaluation
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- A newly admitted patient is in acute pain, has not been sleeping well lately, and is having difficulty breathing. How should the nurse 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
10 / C. Encourage the nurse to visit the library to review studies D. Teach the nurses how to conduct electronic searchers for research studies- Ans>> Teach the nurses how to conduct electronic searchers for research studies
- When reviewing the concepts of health, the nurse recalls that the compo- nents of holistic health include which of these? A. Disease originates from the external environment B. The individual human is a closed system C. Nurses are responsible for a patients health state D. Holistic health views the mind, body, and spirit as interdependent Ans>> Holistic health views the mind, body, and spirit as interdependent
- The nurse recognizes that the concept of prevention in describing health is essential because A. Disease can be prevented by treating the external environment B. The majority of deaths among Americans under age 65 years are not preventable C. Prevention places the emphasis on the link between health and personal behavior D. The means to prevention is through treatment provided by primary
11 / 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
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- Which situation is most appropriate during which the nurse performs a focused or problem-centered history? A. Patient is admitted to a long-term care facility B. Patient has a sudden and severe shortness of breath C. Patient is admitted to the hospital for surgery the following day D. Patient in an outpatient clinic has cold and influenza-like symptoms Ans>> Patient in an outpatient clinic has cold and influenza-like symptoms
- A patient is in the clinic to have her blood pressure checked. She has been coming to the clinic weekly since she changed medications 2 months ago.The nurse should: A. Collect a follow-up data base and then check her blood pressure B. Ask her to read her health record and indicate any changes since her last visit C. Check only her blood pressure because her complete health history was documented 2 months ago D. Obtain a complete health history before checking her blood pressure be- cause much of her history information may have changed Ans>> Collect a follow-up data base and then check her blood pressure
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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
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- In the health promotion model, the focus of the health professional in- cludes: A. Changing the patients perceptions of disease B. Identifying biomedical model interventions C. Identifying negative health acts of the consumer D. Helping the consumer choose a healthier lifestyle Ans>> Helping the consumer choose a healthier lifestyle
- The nurse has implemented several planned interventions to address the nurses diagnosis of acute pain. Which would be the next appropriate action? A. Establish priorities B. Identify expected outcomes C. Evaluate the individuals condition, and compare actual outcomes with expected outcomes D. Interpret data, and then identify clusters of cues and make inferences Ans>> Evaluate the individuals condition, and compare actual outcomes with expected outcomes
- Which statement best describes a proficient nurse? A proficient nurse is one who:
17 / 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
19 / upsetting to her D. Not excited about her pregnancy but believes the nurse will negatively respond to her if she states this. Ans>> exhibiting verbal and nonverbal behaviors that do not match
- Receiving is a part of the communication process. which receiver is most likely to misinterpret a message sent by a Health care professional? A. Well-adjusted adolescent who came in B. Recovering alcoholic who came in for a basic physical exam C. Man whose wife has just been diagnosed with lung cancer D. Man with a hearing impairment who uses sign language to communicate and who has an interpreter with him Ans>> Man whose wife has just been diagnosed with lung cancer
- The nurse makes which adjustment in the physical environment to pro- mote success of an interview? A. Reduces noise by turning off televisions and radios B. Reduces the distance between the interviewer and patient to 2 feet or less C. Provides a dim light that makes the room cozy and helps the patient relax D. Arrange is sitting across a desk or table to allow the patient some
20 / personal space Ans>> Reduces noise by turning off televisions and radios
