Prelim Quiz 1 Flashcards
The nurse is looking at the information
collected during the health interview in an
effort to cluster or group the data together.
The nurse is demonstrating which phase of
the nursing process?
Diagnosis
Physical assessment is being performed to Ethann by Nurse Rusco. During the abdominal examination, Rusco should perform the four physical examination techniques in which sequence?
Auscultation immediately after inspection then percussion and palpation
. Which of the following is an OBJECTIVE data?
a. Dizziness
b. Cyanosis
c. Chest Pain
d. Anxiety
b. Cyanosis
Which is a primary source of data?
a. Diagnostic procedures
b. Significant other
c. Medical record
d. Personal interview
d. Personal interview
The Registered Nurse (RN) has received her
client assignment for the day shift. After
making the initial rounds and assessing the
clients, which client would the RN develop a
care plan FIRST?
a. A client scheduled for physical therapy at
10am.
b. A client who just had her lunch.
c. A client who has a fever, is sweating, and
restless.
d. A client who just had an appendectomy and
has just received pain medication.
c. A client who has a fever, is sweating, and restless.
The patient’s past health history includes the following, EXCEPT: a. Records of immunization b. Chronic illnesses c. Reason for seeking health care d. Previous hospitalization
c. Reasons for seeking health care
After conducting the health interview, the
nurse begins to measure the client’s vital
signs. The nurse is collecting:
a. Subjective data
b. Secondary data
c. Objective data
d. Constant data
c. Objective data
She is the first one to coin the term “NURSING PROCESS.” She introduced three (3) steps of nursing process which are: Observation, Administration and Validation. a. Ningtingale b. Hall c. Rogers d. Johnson
b. Hall
Nursing interventions... a. Depend on the tasks delegated by the nursing supervisor b. An act of taking care of the sick c. Activities that promote the achievement of the desired patient outcome d. A sequence of prioritized tasks that describe a nurse's job
c. Activities that promote the achievement of the desired patient outcome
During which phase of an interview where the nurse listens, observes cues and use critical thinking to interpret and validate information received from the client. a. Introductory Phase b. Closing Phase c. Working Phase d. Summary Phase
c. Working Phase
Raven has come to the nursing clinic for a
comprehensive health assessment. Which
statement would be the best way to end the
history interview?
a. “What brought you to the clinic today?”
b. “Would you describe your overall health as
good?”
c. “Is there anything else you would like to tell
me?”
d. “Do you understand what is happening?”
c. “Is there anything else you would like to tell me?”
Once a nurse assesses a client’s condition and identifies appropriate nursing diagnoses, a: a. List of priorities is determined. b. Physical assessment begins. c. Review of the assessment is conducted with other team members. d. Plan is developed for nursing care
d. Plan is developed for nursing care
Nurse Sean is documenting the findings from a health assessment. Which of the following demonstrates the documentation of subjective information? a. BP 110/70 b. Abdomen soft and nontender upon palpation c. Symmetrical breasts d. "It hurts when I raise my arm"
d. “It hurts when I raise my arm”
At a clinic, the nurse is interviewing a client
and asking about his lifestyle, social support,
and normal activities of daily living. This
assessment is an example of:
a. Diseases management assessment
b. Musculoskeletal assessment
c. Health assessment
d. Risk assessment
c. Health assessment
The planning step of the nursing process
includes which of the following activities?
a. Assessing and diagnosing
b. Performing nursing actions and
documenting them
c. Setting goals and selecting interventions
d. Evaluating goal achievement
c. Setting goals and selecting interventions
