12.7.0: Review Questions

Review Questions

1 .

What is the primary focus of a nursing assessment?

1. to ensure a patient is comfortable and pain free
2. to refer a patient to the most appropriate specialist
3. to systematically identify and prioritize a patient’s health comzncern
4. to prescribe appropriate medications based on a patient’s symptoms

2 .

A nurse asks a patient questions to determine the strength of their support network. These questions address what domain of a nursing assessment?

1. emotional
2. physical
3. psychosocial
4. spiritual

3 .

What action will the nurse take to use clinical reasoning while assessing a patient?

1. focus solely on medical history and current symptoms
2. follow a systematic approach that elicits significant data
3. rely primarily on the patient’s self-diagnosis and perception of illness
4. limit the assessment to what the patient finds comfortable and convenient

4 .

Addressing the physical, psychological, emotional, and spiritual dimensions of an individual patient’s needs is practicing what kind of care?

1. homeopathic
2. heuristic
3. holistic
4. hospice

5 .

What type of comprehensive assessment allows the nurse to check for abnormalities in each body system?

1. cultural/spiritual
2. head-to-toe
3. focused
4. psychosocial

6 .

What type of nursing assessment is typically conducted upon a patient’s admission to a healthcare facility?

1. emergency
2. initial
3. problem focused
4. time lapsed

7 .

How does a problem-focused assessment differ from an initial assessment?

1. It covers the patient’s complete medical history.
2. It is only conducted when a patient has an emergency.
3. It targets a specific health issue identified in the patient.
4. It involves monitoring the patient’s progress over several months.

8 .

When is a time-lapsed assessment most appropriately conducted?

1. immediately before issuing a referral to a specialist
2. immediately after the patient is admitted to the hospital
3. when the patient presents with a life-threatening condition
4. when several months have passed since the previous assessment

9 .

In emergency nursing assessment, what type of crisis refers to a critical situation where the patient’s cardiovascular and respiratory functions are severely compromised, posing an immediate threat to life or health?

1. physiological
2. psychological
3. pathological
4. prelogical

10 .

What assessment is the nurse using when evaluating progress in a patient who is newly diagnosed with type 2 diabetes and learning how to manage their blood sugars with an insulin pump and glucose checks?

1. emergency
2. initial
3. problem focused
4. ongoing

11 .

What is a primary source of data during a nursing assessment for a patient who is unable to communicate verbally?

1. medical textbooks
2. the patient’s caretakers
3. pharmaceutical guidelines
4. online medical databases

12 .

The nurse is providing care for a patient who is recovering from surgery. At 0900, the nurse needs to assess the patient’s pain level and do a wound check. As the nurse enters the room, they observe the patient trying to get out of bed unassisted, stating, “I need to use the bathroom.” The nurse notes the patient is short of breath when speaking and looks pale. What should the nurse prioritize for this patient?

1. oxygen levels
2. assisting to the bathroom
3. pain level
4. wound check

13 .

When a nurse applies general principles to draw a conclusion about a specific patient case, they are using which nursing skill?

1. palpation
2. auscultation
3. inductive reasoning
4. deductive reasoning

14 .

The nurse is assessing a patient in the emergency room who was brought in after a motor vehicle accident. What is an example of subjective patient data collected by the nurse?

1. pain level
2. heart rate
3. temperature
4. blood alcohol level

15 .

The nurse is assessing a newly admitted patient. When the nurse asks about any dietary needs, the patient states they are allergic to eggs. What step will the nurse take next?

1. tell kitchen about patient’s food allergy
2. document patient food allergy
3. notify provider of patient food allergy
4. confirm patient food allergy with family

16 .

What three skills do nurses need to transform raw data collected from their patients into meaningful, actionable information?

1. clinical judgment, clinical reasoning, critical thinking
2. initial assessment, problem-focused assessment, ongoing assessment
3. checking a patient’s airway, breathing, and circulation
4. prioritizing between physiological, psychological, and social needs

17 .

To effectively engage in critical thinking about patient data, what must the nurse be able to do?

1. Administer a wide range of medications.
2. Follow hospital protocols without deviation.
3. Accurately document vital signs in medical records.
4. Systematically analyze and evaluate patient information.

18 .

What process allows nurses to turn details collected from patient assessments into meaningful, actionable information?

1. clinical judgment
2. analyzing knowledge
3. observation
4. clinical reasoning

19 .

What step allows the nurse to think about their own experiences, actions, and decisions and learn from them?

1. conceptualizing
2. observing
3. interpreting
4. reflecting

20 .

The nurse is assessing a patient and looking at details about the person’s appearance and behavior. What skill is the nurse using?

1. evaluating
2. analyzing
3. observation
4. judgment