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QUESTIONS [SCORE A] WITH CORRECT AND
VERIFIED ANSWERS 2025
a 90-year-old patient tells the nurse that he can't remember the names of the medications he is taking or for what reason he is taking them. an appropriate response from the nurse would be: a. "can you tell me what they look like?" b. "don't worry about it. you are only taking two medications." c. "how long have you been taking each of the pills?" d. "would you have your family bring in your medications?"
- correct answers would you have your family bring in your medications?" the nurse is preparing to complete a health assessment on a 16-year-old girl whose parents have brought her to the clinic. which instruction would be appropriate for the parents before the interview begins? a. "please stay during the interview; you can answer for her if she does not know the answer." b. "it would be helpful to interview the three of you together." c. "while i interview your daughter, will you please stay in the room and complete these family health history questionnaires?" d. "while i interview your daughter, will you step out to the waiting room and complete these family health history questionnaires?"
- correct answers while i interview your daughter, will you step out to the waiting room and complete these family health history questionnaires?"
QUESTIONS [SCORE A] WITH CORRECT AND
VERIFIED ANSWERS 2025
the nurse is conducting an interview with a woman who has recently learned that she is pregnant and who has come to the clinic today to begin 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 communication, the nurse knows that which statement is most accurate? the woman is: a. excited about her pregnancy but nervous about labor. b. exhibiting verbal and nonverbal behavior that does not match. c. excited about her pregnancy but her husband is not and this is upsetting her. d. not excited about her pregnancy but believes the nurse will respond negatively to her if she states this.
- correct answers exhibiting verbal and nonverbal behavior that does not match. the nurse makes which adjustment in the physical environment in order to promote the success of an interview? a. reduces noise by turning off television and radios. b. reduces the distance between the interviewer and the patient to 2 feet or less. c. provides a dim light that makes a room cozier and will help the patient relax. d. arranges seating across a desk or table to allow the patient some personal space. - correct answers reduces noise by turning off television and radios. during an interview, the nurse states, "you mentioned shortness of breath. tell me more about that." which verbal skill is used with this statement? a. reflection b. facilitation c. direct questions
QUESTIONS [SCORE A] WITH CORRECT AND
VERIFIED ANSWERS 2025
during an interview, a parent of a hospitalized child is sitting in an open position. as the interviewer begins to discuss his son's treatment, however, he suddenly crosses his arms against his chest and crosses his legs. this would suggest that the parent is: a. just changing positions. b. more comfortable in this position. c. tired and needs a break from the interview. d. uncomfortable talking about his son's treatments.
- correct answers uncomfortable talking about his son's treatments. the nurse is interviewing a patient who has a hearing impairment. what techniques would be most beneficial in communicating with this patient? a. determine the communication method he prefers. b. avoid using facial and hand gestures because most hearing impaired people find this degrading. c. request a sign language interpreter before meeting with him to help facilitate the communication. d. speak loudly and with exaggerated facial movement when talking with him because this helps with lip readings.
- correct answers determine the communication method he prefers. during a follow up visit, the nurse discovers that a patient has not been taking his insulin on a regular basis. the nurse asks, "why haven't you taken your insulin?" which statement is an appropriate evaluation of this question? a. it may put the patient on the defensive. b. it is an innocent search for information.
QUESTIONS [SCORE A] WITH CORRECT AND
VERIFIED ANSWERS 2025
c. it would have been better to discuss this with his wife. d. it is the best way to discover the reasons for his behavior.
- correct answers it may put the patient on the defensive. the nurse is conducting an interview in an outpatient clinic and is using a computer to record data. which is the best use of the computer in this situation? select all that apply. a. collect the patient's data as the patient states it. b. enter all the data as the patient states it. c. ask the patient to wait as the nurse enters data. d. type the data into the computer after the narrative has all been explored. e. allow the patient to see the monitor during typing.
- correct answers a. collect the patient's data as the patient states it. d. type the data into the computer after the narrative has all been explored. e. allow the patient to see the monitor during typing. the nurse is reviewing information about evidence-based practice (ebp). which statement best reflects ebp? a. ebp relies on tradition for support of best practices. b. ebp is simply the use of best practice technique for treatment of patients. c. ebp emphasizes the use of best evidence with the clinician's experience. d. the patient's own preferences are not important with ebp. –
QUESTIONS [SCORE A] WITH CORRECT AND
VERIFIED ANSWERS 2025
d. the means to prevention is through treatment provided by primary health care. - correct answers prevention places emphasis on the link between health and personal behavior. a visiting nurse is making an initial home visit for a patient who has many chronic medical problems. which type of data base is most appropriate to collect in this setting? a. a follow-up database to evaluate changes at appropriate intervals. b. an episodic database because of the continuing, complex medical problems of this patient. c. a complete health database because of the nurse's primary responsibility for monitoring the patient's health. d. an emergency database because of the need to rapidly collect information and make accurate diagnoses.
- correct answers a complete health database because of the nurse's primary responsibility for monitoring the patient's health. which situation is most appropriate for the nurse to perform a focused or problem- centered history? a. a patient's admission to a long-term care facility. b. a patient has sudden, severe shortness of breath. c. a patient's admission to the hospital for surgery the following day. d. a patient in an outpatient clinic has cold and flu-like symptoms.
- correct answers a patient in an outpatient clinic has cold and flu-like symptoms. the nurse is preparing to assess a patient's abdomen by palpation. how should the nurse proceed?
QUESTIONS [SCORE A] WITH CORRECT AND
VERIFIED ANSWERS 2025
a. avoid palpation of reported "tender" areas because this may cause the patient pain. b. quickly palpate a tender area to avoid any discomfort that they patient may experience. c. begin the assessment with deep palpation, encouraging the patient to relax and take deep breaths. d. start with light palpation to detect surface characteristics and to accustom the patient to being touched.
- correct answers start with light palpation to detect surface characteristics and to accustom the patient to being touched. the nurse is preparing to conduct a health history. which of these statements best describes the purpose of a health history? a. to provide an opportunity for interaction between patient and nurse. b. to provide a form for obtaining the patient's biographic information. c. to document the normal and abnormal findings of a physical assesment. d. to provide a database of subjective information about the patient's past and current health.
- correct answers to provide a database of subjective information about the patient's past and current health. a patient tells the nurse that he is allergic to penicillin. what would be the nurse's best response for this information? a. "are you allergic to any other drugs?" b. "how often have you received penicillin?" c. "i'll write your allergy on your chart so you won't receive any penicillin."
QUESTIONS [SCORE A] WITH CORRECT AND
VERIFIED ANSWERS 2025
the nurse is preparing to percuss the abdomen of a patient. the purpose of the percussion is to assess the underlying tissue: a. turgor b. texture c. density d. consistency - correct answers density the nurse is preparing to use a stethoscope for auscultation. which statement is true regarding the diaphragm of the stethoscope? the diphragm: a. is used to listen for high-pitched sounds. b. is used to listen for low-pitched sounds. c. should be held lightly against the patient's skin to block out low-pitched sounds. d. should be held lightly against the person's skin to listen for extra heart sounds and murmurs. - correct answers is used to listen for high-pitched sounds. the nurse will use which technique of assessment to determine the presence of crepitus, swelling, and pulsations? a. palpation b. inspection c. percussion d. auscultation - correct answers palpation the nurse is preparing to perform a physical assessment. the correct action by the nurse is reflected by which statement? the nurse: a. performs the examination from the left side of the bed.
QUESTIONS [SCORE A] WITH CORRECT AND
VERIFIED ANSWERS 2025
b. examines the tender or painful areas first to help relieve the patient's anxiety. c. follows the same examination sequence regardless of the patient's age or condition. d. organizes the assessment so that the patient does not change positions too often. - correct answers organizes the assessment so that the patient does not change positions too often. a 6-month old infant has been brought to the well-child clinic for a check-up. she is currently sleeping. what should the nurse do first when you beginning the examination? a. auscultate the lungs and heart while the infant is still sleeping. b. examine the infant's hips because the procedure is uncomfortable. c. begin with the assessment of the eye and continue with the remainder of the examination in a head-to-toe approach. d. wake the infant before beginning any portion of the examination to obtain the most accurate assessment of the body systems. - correct answers auscultate the lungs and heart while the infant is still sleeping. a 2-year-old child has been brought to the clinic for a well-child check-up. the best way for the nurse to begin the assessment is reflected by which statement? a. ask the parent to place the child on the examining table. b. have the parent remove all of the child's clothing before the examination. c. allow the child to keep a security object such as toy or blanket during the examination. d. initially focus interactions on the child, essentially "ignoring" the parent until the child's trust has been obtained. - correct answers allow the child to keep a security object such as toy or blanket during the examination.
QUESTIONS [SCORE A] WITH CORRECT AND
VERIFIED ANSWERS 2025
d. provide feedback that his body is developing normally and discuss the wide variation among teenagers on the rate of growth and development. - correct answers provide feedback that his body is developing normally and discuss the wide variation among teenagers on the rate of growth and development. when examining an aging adult, the nurse should use which technique? a. avoid touching the patient too much. b. attempt to perform the entire physical examination during one visit. c. speak loudly and slowly because most aging adults have hearing deficits. d. arrange the sequence to allow as few position changes as possible. - correct answers arrange the sequence to allow as few position changes as possible. when assessing an older adult, the nurse keeps in mind which vital sign changes occur with aging? a. increase in pulse rate b. increase in systolic blood pressure c. increase in body temperature d. decrease in diastolic pressure - correct answers increase in systolic blood pressure when assessing the force, or strength of a pulse, the nurse recalls it: a. is usually recorded on a 0-to-2 point scale. b. demonstrates elasticity of the vessel wall. c. is a reflection of the heart's stroke volume. d. reflects the blood volume in the arteries during diastole. - correct answers is a reflection of the heart's stroke volume.
QUESTIONS [SCORE A] WITH CORRECT AND
VERIFIED ANSWERS 2025
the nurse notices a colleague is preparing to check the blood pressure of a patient who is obese by using a standard-sized blood pressure cuff. the nurse should expect the reading to: a. yield a falsely low blood pressure. b. yield a falsely high blood pressure. c. be the same regardless of cuff size. d. vary as a result of the technique of the person performing the assessment. - correct answers yield a falsely high blood pressure. which statement indicates the nurse understands the pain experienced by an elderly person? a. "older persons must learn to tolerate pain." b. "pain is normal process of aging and is to be expected." c. "pain indicates pathology or injury and is not a normal process of aging." d. "older individuals perceive pain to a lesser degree than do younger individuals." - correct answers pain indicates pathology or injury and is not a normal process of aging." a patient states the pain medication is "not working" and rates his postoperative pain at a 10 on a 1 to 10 scale. which of these assessment findings indicates an acute pain response to poorly controlled pain? a. confusion b. hyperventilation c. increased blood pressure and pulse d. depression - correct answers increased blood pressure and pulse
QUESTIONS [SCORE A] WITH CORRECT AND
VERIFIED ANSWERS 2025
b. the faces pain scale-revised (fps-r) can be used to assess pain in infants. c. a procedure that induces pain in adults will also induce pain in the infant. d. infants feel pain less than adults do. - correct answers a procedure that induces pain in adults will also induce pain in the infant. during an assessment, the nurse notices that a patient is handling a small charm that is tied to a leather strip around his neck. which action by the nurse is appropriate? a. ask the patient about the item and its significance. b. ask the patient to lock the item with other valuables in the hospital's safe. c. tell the patient that a family member should take the valuable home. d. no action is necessary. - correct answers ask the patient about the item and its significance. the nurse manager is explaining culturally competent care during a staff meeting. which statement accurately describes the concept of culturally competent care? "the caregiver: a. is able to speak the patient's native language." b. possesses some basic knowledge of the patient's cultural background." c. applies the proper background knowledge of a patient's cultural background to provide the best possible health care." d. understands and attends to the total context of the patient's situation." - correct answers understands and attends to the total context of the patient's situation." when providing culturally competent care, nurses must incorporate cultural assessments into their health assessments. which statement is most appropriate when initiating an assessment with an elderly american indian patient? a. are you of the christian faith?
QUESTIONS [SCORE A] WITH CORRECT AND
VERIFIED ANSWERS 2025
b. do you want to see a medicine man? c. how often do you seek help from medical providers? d. what cultural or spiritual beliefs are important to you? - correct answers what cultural or spiritual beliefs are important to you? during an assessment, the nurse asks a female patient, "how many alcoholic drinks do you have a week?" which answer by the patient would indicate "at risk" drinking? a. "i may have one or two drinks a week." b. "i usually have three or four drinks a week." c. "i'll have a glass or two of wine every now and then." d. "i have seven or eight drinks a week, but i never get drunk." - correct answers i have seven or eight drinks a week, but i never get drunk." the nurse is reviewing aspects of substance abuse in preparation for a seminar. which of these statements illustrates the concept of "tolerance" to an illicit substance? the person: a. has a physiologic dependence on a substance. b. requires an increased amount of the substance to produce the same effect. c. requires daily use of the substance in order to function, and is unable to stop using it. d. experiences a syndrome of physiologic symptoms if the substance is not used. - correct answers requires an increased amount of the substance to produce the same effect. as a mandatory reporter of elder abuse, which of these must be present before a nurse notifies the authorities? a. statements from the victim.
QUESTIONS [SCORE A] WITH CORRECT AND
VERIFIED ANSWERS 2025
d. walking e. toileting f. grocery shopping - correct answers b. preparing a meal c. balancing a checkbook f. grocery shopping an 85 year old man has been hospitalized after a fall at home, and his 86 year old wife is at his bedside. she tells the nurse that she is his primary care giver. the nurse should assess the caregiver for signs of possible caregiver burnout, such as: a. depression b. weight gain c. hypertension d. social phobias - correct answers depression the nurse is bathing an 80 year old man and notices that his skin is wrinkled, thin, lax, and dry. this finding would be related to which factor? a. increased vascularity of the skin in the elderly. b. increased numbers of sweat and sebaceous glands in the elderly. c. an increase in elastin and a descrease in subcutaneous fat in the elderly. d. an increased loss of elastin and a decrease in subcutaneous fat in th elderly. - correct answers an increased loss of elastin and a decrease in subcutaneous fat in th elderly. a 22 year old woman comes to the clinic because of a severe sunburn and states, "i was just out in the sun for a couple of minutes." the nurse begins a medication review with her, paying special attention to which medication class?
QUESTIONS [SCORE A] WITH CORRECT AND
VERIFIED ANSWERS 2025
a. nonsteroidal anti-inflammatory drugs for pain b. tetracyclines for acne c. proton pump inhibitors d. thyroid replacement hormone for hypothyroidism - correct answers tetracyclines for acne a patients tell the nurse that he has noticed that one of his moles has started to burn and bleed. when assessing his skin, the nurse would pay special attention to the danger signs for pigmented lesions and would be concerned with which additional finding? a. color variation b. border regularity c. symmetry of lesions d. diameter less than 6 mm - correct answers color variation a 42 year old female patient complains that she has noticed several small, slightly raised, bright red dots on her chest. on examination, the nurse expects that the spots are probably: a. anasarca b. scleroderma c. cherry angiomas d. latent myeloma - correct answers cherry angiomas a 35 year old pregnant woman comes to the clinic for a monthly appointment. during the assessment, the nurse notices that she has a brown patch of hyperpigmentation on her face. the nurse continues the skin assessment aware that another finding may be:
