Nokea
The nurse is meeting a patient for the first time. What is the first thing the nurse will do to initiate a nurse-patient relationship?
- A. Appear interested.
- B. Introduce herself/himself.
- C. Provide support.
- D. Communicate trust.
Correct Answer: B
Rationale: The first step in a nurse-patient relationship is for the nurse to introduce herself/himself.
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Listening for bowel sounds should be done over all four quadrants of the abdomen using the diaphragm of the stethoscope. What is the normal rate of bowel sounds per minute?
- A. 2 to 10
- B. 3 to 20
- C. 4 to 32
- D. 5 to 40
Correct Answer: C
Rationale: The normal rate of bowel sounds per minute is 4 to 32.
The nurse is preparing to perform a physical assessment. What essential supplies should this nurse gather?
- A. Flashlight
- B. Gloves
- C. Red pen
- D. Thermometer
- E. Scissors
Correct Answer: A,B,D,E
Rationale: Items essential to the nurse's assessment are a penlight or flashlight, a stethoscope, a blood pressure cuff, a thermometer, gloves, gait belt, watch with second hand, scissors, black pen, and a tongue blade.
Signs that are perceived by an examiner and can be seen ____ measured or felt are known as objective data.
Correct Answer: heard
Rationale: Objective data is a sign that can be seen, heard, measured, or felt by the examiner.
The nurse assesses a patient for capillary refill after the fingernail is compressed for 5 seconds. What should the nurse expect the refill time to be?
- A. 1 second
- B. 2 seconds
- C. 3 seconds
- D. 4 seconds
Correct Answer: C
Rationale: Capillary refill should take fewer than 3 seconds.
Cultural beliefs and personal characteristics determine ____ behavior in individuals and families. More than half of all health problems are the result of behavior and lifestyle.
Correct Answer: health
Rationale: Cultural beliefs and personal characteristics determine health behavior in individuals and families. More than half of all health problems are the result of behavior and lifestyle.