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WorksheetsHealth Assessment Exam 1 Review
Total questions: 20
Worksheet time: 11mins
What is the purpose of a nursing assessment?
To diagnose a disease.
To give information to the doctor.
To assess a person's overall health and nursing needs.
To assess vital signs.
What is subjective data?
Concrete, measurable information
Information that may not be true is subjective
Medical history
Information provided by the patient, family, or caregiver
Which is an example of subjective data?
I have pain in my arm.
Blood pressure is 124/64
Blood glucose level is 320
Weight is 210
According to the biomedical model, a narrow definition of health is:
an optimal functioning of mind, body, and spirit within the environment.
the absence of disease.
the response of the whole person to actual or potential problems.
prevention of disease.
What type of data base is most appropriate when a rapid collection of data is required and often compiled concurrently with life-saving measures?
Episodic
Follow-up
Emergency
Complete
An example of subjective data is:
decreased range of motion.
crepitation in the left knee joint.
left knee has been swollen and hot for the past 3 days.
arthritis.
What type of database is most appropriate for an individual who was JUST admitted to a long-term care facility?
Complete
Focused
Follow-up
Emergency
A patient admitted to the hospital with asthma has the following problems identified based on an admission health history and physical assessment. Which problem is a first-level priority?
Ineffective self-health management
Risk for infection
Impaired gas exchange
Readiness for enhanced spiritual well-being
Nonproductive messages that interrupt therapeutic care include: SATA
Providing false assurance
Sitting at eye level while interviewing
Using professional jargon
Using avoidance language
Your patient discloses to you that he is feeling quite anxious about an upcoming surgery. He says that he isn't sure he wants to get the surgery. Which of the following statements, if made by the interviewer, would be an appropriate response?
"I know just how you feel."
"If I were you, I would have the surgery."
"Okay, no problem, I will cancel your surgery."
"Tell me what is making you feel anxious."
Mr. Mosley has shortness of breath that has persisted for the past 10 days; it is worse with activity and relieved by rest. What type of data is this?
Subjective
Objective
The nurse is administering an pain medication t to a patient in an inpatient health setting. Of which level of priorities is this an example?
1st Level
2nd Level
3rd Level
During an interview an elderly patient tells the nurse that she has periodic problems keeping her balance. The nurse asks her what she is doing when the episodes occur. Which area of a pain assessment is the nurse pursuing with this question?
Severity
Frequency
Aggravating factors
Location
Pulse oximetry is used to:
Detect pulsation in the veins.
Estimate the oxygen saturation of arterial blood.
Determine hemoglobin percentages of the blood.
Estimate the saturation of oxygen in the alveoli.
The nurse is obtaining a patient's blood pressure and suspects that the reading is a false high reading. What leads the nurse to confirm this suspicion?
Using a cuff that is too small
Having the examiner's eyes looking down at the meniscus
Deflating the cuff too rapidly
Using a cuff that is too large
The nurse is assessing for objective findings are associated with the patients pain level. Which findings are commonly associated with acute pain? SATA
An elevated blood pressure
An elevated heart rate
Diaphoresis
The patient states a pain level of 8 out of 10
A patient's blood pressure is 118/86 mm Hg. He asks the nurse, "So, is my blood pressure healthy?" The nurse's best reply is:
"Your blood pressure is normal."
"Your blood pressure is elevated."
"Your blood pressure qualifies you with Stage 1 hypertension."
"Your blood pressure is low."
The nurse is performing a functional assessment on an 82-year-old patient who recently had a stroke. Which of these questions would be most important to ask?
"Do you wear glasses?"
"Are you able to dress yourself?"
"Do you have any thyroid problems?"
"How many times a day do you have a bowel movement?"
A 70-year-old man has a blood pressure of 150/90 mm Hg in a lying position, 130/80 mm Hg in a sitting position, and 100/60 mm Hg in a standing position. How should the nurse evaluate these findings?
These readings are a normal response and attributable to changes in the patient's position.
The change in blood pressure readings is called orthostatic hypotension.
The blood pressure reading in the lying position is within normal limits.
The change in blood pressure readings is considered within normal limits for the patient's age.
The nurse is assessing the vital signs of a 3-year-old patient who appears to have an irregular respiratory pattern. How should the nurse assess this child's respirations?
Respirations should be counted for 1 full minute, noticing rate and rhythm.
Child's pulse and respirations should be simultaneously checked for 30 seconds.
Child's respirations should be checked for a minimum of 5 minutes to identify any variations in his or her respiratory pattern.
Patient's respirations should be counted for 15 seconds and then multiplied by 4 to obtain the number of respirations per minute.
