advanced health assessment test bank

Question 1 of 37

Which of the following are considered second-level priority problems?

A. Low self-esteem.

B. Lack of knowledge.

C. Abnormal laboratory values.

D. Severely abnormal vital signs.

Correct Answer:

Rationale:

Question 2 of 37

Which of the following statements about nursing diagnoses is true? Nursing diagnoses:

A. evaluate the etiology of disease.

B. are a process based on medical diagnosis.

C. evaluate the response of the whole person to actual or potential health problems.

D. focus on the function and malfunction of a specific organ system in response to disease.

Correct Answer:

Rationale:

Question 3 of 37

The nurse has implemented several planned interventions to address the nursing diagnosis of acute pain. Which of the following would be the next appropriate action?

A. Establishing priorities

B. Identifying expected outcomes

C. Evaluating the individual's condition and comparing actual outcomes with expected outcomes

D. Interpreting data, identifying clusters of cues, and making inferences

Correct Answer:

Rationale:

Question 4 of 37

Which of the following statements represents subjective data about the patient's skin?

A. Skin dry in appearance

B. No obvious lesions

C. Denies colour change

D. Lesion noted lateral aspect right arm

Correct Answer:

Rationale:

Question 5 of 37

The nurse is obtaining the health history of an 87-year-old woman. Which of the following areas of questioning would be most useful at this time?

A. Obstetrical history

B. Childhood illnesses

C. General health for the past 20 years

D. Current health promotion activities

Correct Answer:

Rationale:

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