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Worksheets3160 Exam 1 Review part 2
Total questions: 27
Worksheet time: 16mins
A patient reports to you that she has never had a history of smoking or drinking alcohol. How should you document this?
Patient denies any substance abuse
Patient denies any history of tobacco or alcohol
Patient states that alcohol "gives me an upset stomach"
Patient states she doesn't "touch that stuff"
You are interviewing a patient with abdominal pain. What should you include in the initial interview phase?
"I want to address all of your concerns during this time."
"Do you take any medication for your pain?"
"are you in any pain right now?"
"When did you last see your PCP?"
What type of database/assessment would you use if a patient is being seen for the 1st time?
A complete database.
A focused database.
A follow-up database.
Emergency database.
You are a new nurse auscultating a patient's heart sounds, but you are not sure if you hear a murmur. You should:
Ask your preceptor to listen behind you and confirm
Trust your gut and document the murmur
Assess the patient's EKG, then document the findings
Notify the provider
What patient is MOST likely to misinterpret the education you provide them?
A patient with high health literacy
A patient with low health literacy or language barriers
A patient who is well-educated
A patient with good communication skills
Which patient is at highest risk d/t their family history?
A patient with an uncle who had congestive heart failure
A patient with a mother who had a heart attack
A patient with a grandmother who had breast cancer
A patient with a sister who has ezcema
You are conducting an interview on a Spanish speaking patient. What should you ask the interpreter to say?
"Why are you smoking cigarettes?"
"Would you like family in the room?"
"I have been to Mexico several times"
Which of the following is a 2nd level priority?
Dyspnea
Chest pain
Hypotension
Risk for falls
You MUST see physical proof of abuse in order to report it.
True
False
You are interviewing a patient who is scheduled to have surgery in 1 hr. Which finding requires notifying the HCP?
The patient has a history of hypotension
The patient smells like alcohol and is slurring his words
The patient reports taking a pre-op anxiety medication before arriving
The patient appears anxious
Education about performing self-breast exams is MOST appropriate for which patient?
A 9 year old female with a grandmother who had breast cancer
a 24 year old female with an aunt who had breast cancer
A 32 year old female with a mother who had breast cancer
a 20 year old male
A patient is being admitted due to abdominal pain. How should you document her stated reason for being seen?
The patient was screaming due to abdominal pain
the patient states "it feels like my stomach is ripping"
The patient is being admitted for a bowel obstruction
The patient stated it feels like someone is stabbing her in the stomach
You are palpating the abdomen of a patient with an abdominal mass. You should use what technique?
indirect percussion
direct percussion
palmar
bimanual
During your general survey, you notice the patient is sitting in this position. This most likely indicates:
difficulty breathing
abdominal pain
chest pain
potential abuse
What part of the hand best assesses crepitus?
fingertips
ulnar side
back of hand
palm
While performing a complete assessment on your patient, they suddenly report a new onset of chest pain. You should:
finish your complete assessment
ask the patient about their family history of cardiac history
move to a focused cardiac assessment
assess the patient's cranial nerves
Which best describes the belief of health protection?
believing something you wear protects you form illness
believing that health is dependent on the balance of good and evil
believing that there are four humours of the body
believing that there are hot and cold illnesses
What part of the hand best assesses vibrations?
fingertips
the ulnar side
back of the hand
palm
I will be familiar with the different types of injuries/wounds.
true
false
Put the following steps of an attention span check in order. Ask the patient to: Drink, put water on table, pick up water, switch hands holding the water.
All of the following cause changes in older adults' response to alcohol consumption EXCEPT:
decreased kidney function
decreased muscle mass
increased metabolism
polypharmacy
Withdrawal/Abstinence syndrome can occur when abruptly stopping addictive substances like: (SATA)
alcohol
barbituates
antihypertensives
benzodiazepines
You should always assess mental status BEFORE assessing a patient's neuro/sensory status.
True
False
I am going to read the GAD screening tool for anxiety and the PHQ for depression when I study.
True
False
What is at-risk drinking?
Drinking one drink every day
abstaining from alcohol during the week and drinking socially on the weekends
having one or more days of "heavy drinking"
Taking 2 shots of whiskey at a party
Cocaine can cause which of the following symptoms? (SATA)
tachycardia
pupil constriction
dilated pupils
restlessness/agitation
Which of the following can be used to test new/recent memory? (SATA)
a 24 hour diet recall
asking the patient to state four unrelated words given to them earlier
asking the patient to describe information about their childhood
asking the patient to state the month their wedding was in 20 years ago
