Nokea
When performing a nursing physical assessment the nurse uses a head-to-toe approach. Where will the nurse begin when using this method?
- A. Skin assessment
- B. Neurologic assessment
- C. Circulatory assessment
- D. Respiratory assessment
Correct Answer: B
Rationale: When performing a head-to-toe assessment, the nurse begins with a neurologic assessment.
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When admitting a patient to the hospital the nurse notes the patient has mild sunburn. How should the nurse document this finding?
- A. Dyspnea
- B. Cyanosis
- C. Erythema
- D. Ecchymosis
Correct Answer: C
Rationale: Erythema is redness or inflammation of the skin or mucous membranes that is the result of dilation and congestion of superficial capillaries; erythema is seen in mild sunburn.
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.
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.
A circulatory condition in which the myocardium contracts steadily but at a rate of less than 60 contractions per minute is known as ____.
Correct Answer: bradycardia
Rationale: Bradycardia is a circulatory condition in which the myocardium contracts steadily but at a rate of less than 60 contractions per minute.
A nurse is gathering subjective data when admitting a patient. Which assessment finding reported by the patient is considered subjective data?
- A. Complains of pruritus.
- B. Is experiencing erythema.
- C. Appears to be experiencing pruritus.
- D. Has a generalized rash.
Correct Answer: A
Rationale: Symptoms are subjective indications of illness that are perceived by the patient. Examples of symptoms are pain, nausea, vertigo, pruritus, diplopia, numbness, and anxiety. The nurse is unaware of symptoms unless the patient describes the sensation. Symptoms are referred to as subjective data. Pruritus is the only subjective assessment finding. All other options are examples of objective data.