Nokea
When discussing diabetes with a patient the nurse describes this disease as falling into which group in terms of duration?
- A. Acute
- B. Organic
- C. Chronic
- D. Functional
Correct Answer: C
Rationale: Diabetes mellitus is an example of a chronic disease.
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The patient should be assessed as soon as possible after admission. Who performs this initial assessment?
- A. Health care provider
- B. Charge nurse
- C. LPN/LVN
- D. RN
Correct Answer: D
Rationale: The initial assessment is done by the registered nurse.
A health care provider documents that a patient has a scleral icterus. How does the nurse describe the color of the patient's sclera?
- A. Red
- B. Blue
- C. Green
- D. Yellow
Correct Answer: D
Rationale: Scleral icterus means the color of the sclera is yellow. The jaundice is due to coloring of the sclera with bilirubin that infiltrates all tissues of the body.
When assessing a patient the patient complains of an uncomfortable sensation leading to an urge to scratch. The nurse notes the patient scratches frequently. How should the nurse document this finding?
- A. Dyspnea
- B. Cyanosis
- C. Jaundice
- D. Pruritus
Correct Answer: D
Rationale: Pruritus is a symptom of itching and an uncomfortable sensation leading to an urge to scratch. Some causes are allergy, infection, jaundice, elevated serum urea, and skin irritation.
What is the term used to describe a disease where there has been a partial or complete disappearance of clinical and subjective characteristics of the disease?
- A. Acute
- B. Functional
- C. Chronic
- D. Remission
Correct Answer: D
Rationale: Remission means there has been partial or complete disappearance of the clinical and subjective characteristics.
A nurse is gathering objective data when admitting a patient. Which assessment finding reported by the patient is considered objective?
- A. Complains of nausea
- B. States "I hurt all over."
- C. Complains of feeling anxious
- D. Appears to be anxious
Correct Answer: D
Rationale: Objective data can be seen, heard, measured, or felt by the examiner. It is information that is observable and measurable and can be verified by more than one person. Anxiety is the only objective assessment finding. All other options are examples of subjective data.