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NURS 623 : HEALTH ASSESSMENT : MODULE 2 TEST QUESTIONS WITH COMPLETE SOLUTIONS, Exams of Nursing

Virginia Commonwealth University (VCU)Nursing

NURS 623 : HEALTH ASSESSMENT : MODULE 2 TEST QUESTIONS WITH COMPLETE SOLUTIONS

Typology: Exams

2024/2025

Available from 06/21/2025

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NURS 623 : HEALTH ASSESSMENT : MODULE 2 TEST
QUESTIONS WITH COMPLETE SOLUTIONS
a patient presents with a 6-day history of rapid weight gain. The most likely explanation
is: -- Answer ✔✔ Accumulation of body fluids
what are the parameters of orthostatic BP? -- Answer ✔✔ 1. Systolic drops more than
20 mm of mercury
OR
2. Diastolic drops more than 10 mm of mercury
what is the ideal oral temp? -- Answer ✔✔ 37 degrees Celsius or 98.6 degrees
Fahrenheit
how does rectal temp differ from oral temp? -- Answer ✔✔ .5C degrees or 1F degree
greater than oral
how does axillary differ from oral temp? -- Answer ✔✔ .5C degree or 1F degree less
than oral
in order for a person to be A&O x3 what do you need to also have? -- Answer ✔✔
some degree of memory and attention
pf3
pf4
pf5

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NURS 623 : HEALTH ASSESSMENT : MODULE 2 TEST

QUESTIONS WITH COMPLETE SOLUTIONS

a patient presents with a 6-day history of rapid weight gain. The most likely explanation is: -- Answer ✔✔ Accumulation of body fluids what are the parameters of orthostatic BP? -- Answer ✔✔ 1. Systolic drops more than 20 mm of mercury OR

  1. Diastolic drops more than 10 mm of mercury what is the ideal oral temp? -- Answer ✔✔ 37 degrees Celsius or 98.6 degrees Fahrenheit how does rectal temp differ from oral temp? -- Answer ✔✔ .5C degrees or 1F degree greater than oral how does axillary differ from oral temp? -- Answer ✔✔ .5C degree or 1F degree less than oral in order for a person to be A&O x3 what do you need to also have? -- Answer ✔✔ some degree of memory and attention

what is the observable mood of a patient? -- Answer ✔✔ affect define dysthymic -- Answer ✔✔ depressed what is an example when you would see hesitancies in speech? -- Answer ✔✔ patients with aphasia from strokes what is an example when you would see monotone inflections -- Answer ✔✔ schizophrenia or severe depression when words or phrases are substituted for the word a person cannot remember (eg. "the thing you block out your writing with" for eraser) -- Answer ✔✔ circumlocutions when words are malformed, wrong, or invented -- Answer ✔✔ paraphasias speech characterized by indirection and delay due to the patient's excessive use of details that have no connection to the point -- Answer ✔✔ circumstantiality speech in which a person shifts topics with no apparent relation between topics -- Answer ✔✔ Derailment accelerated change of topics in a very fast but generally coherent manner -- Answer ✔✔ flight of ideas invented or distorted words -- Answer ✔✔ neologisms speech that is incomprehensible because it is illogical -- Answer ✔✔ incoherence

a subjective external stimuli the patient hears or sees that others do not hear or see and that the patient may not recognize as false -- Answer ✔✔ hallucinations What is a quick standardized method to assess mental status -- Answer ✔✔ MMSE (Mini Mental State Examination) What is the maximum score someone can get on the MMSE? -- Answer ✔✔ 30 If a patient has a cognitive impairment if they score less than what on the MMSE? -- Answer ✔✔ 23 what do you do if someone score less than a 23 on the MMSE? -- Answer ✔✔ you need to follow up (can't just leave it at that) fatigue can be classified in what two ways? -- Answer ✔✔ 1. physiological/psychological

  1. acute/chronic fatigue that is the result of normal activities that lead to overwork or exhaustion -- Answer ✔✔ physiological fatigue fatigue that is often related to a stressful event -- Answer ✔✔ psychological fatigue most cases of fatigue in school age children are related to what? -- Answer ✔✔ acute infection 5 most common drugs that cause fatigue -- Answer ✔✔ 1. antihypertensive drugs
  2. cardiovascular medication
  3. psychotropic medications
  4. opiates
  1. many OTC drugs What are the five steps for the SAFE-T tool? -- Answer ✔✔ 1. Identify Risk Factors
  2. Identify Protective Factors
  3. Conduct Suicide Inquiry
  4. Determine Risk Level/Intervention
  5. Document what does SAFE-T stand for? -- Answer ✔✔ Suicide Assessment Five-Step Evaluation and Triage how do you assess for abstract thinking? -- Answer ✔✔ ask for interprettion of a proveb if BMI is above 25, what 8 additional risk factor should you assess for? -- Answer ✔✔ 1. Hypertension
  6. high LDL cholesterol
  7. Low HDL cholesterol
  8. High triglycerides
  9. High blood glucose
  10. Family hisory of premature heart disease
  11. Physical inactivity
  12. Cigarette smoking what are the guidelines for width and length for selecting a blood pressure cuff -- Answer ✔✔ 1. Width: 40% of upper arm circumference
  13. lengthL 80% of upper arm circumference normal BP -- Answer ✔✔ Systolic: <