Chapter 03 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

Chapter 03 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.1)The nurse is reading the client’s medical history, and learns that the client has a history of alopecia,exophthalmos, and right leg paresthesia. When performing a thorough assessment, the nurseconfirms that the client has which of the following?1)A)Hair loss, protruding eyes, and reduced sensation in the right legB)Facial hair, deeply sunken eyes, and an abnormal sensation in the right legC)Hair loss, exceptionally clear vision, and more sensation than normal in the right legD)Hair loss, protruding eyes, and an abnormal sensation in the right legAnswer:DExplanation:A)Alopecia is hair loss, exophthalmos is protruding eyes, and paresthesia is anabnormal sensation such as burning, pain, or an electric shock.Cognitive Level: KnowledgeClient Need: Physiological AssessmentNursing Process: AssessmentB)Alopecia is hair loss, exophthalmos is protruding eyes, and paresthesia is anabnormal sensation such as burning, pain, or an electric shock.Cognitive Level: KnowledgeClient Need: Physiological AssessmentNursing Process: AssessmentC)Alopecia is hair loss, exophthalmos is protruding eyes, and paresthesia is anabnormal sensation such as burning, pain, or an electric shock.Cognitive Level: KnowledgeClient Need: Physiological AssessmentNursing Process: AssessmentD)Alopecia is hair loss, exophthalmos is protruding eyes, and paresthesia is anabnormal sensation such as burning, pain, or an electric shock.Cognitive Level: KnowledgeClient Need: Physiological AssessmentNursing Process: AssessmentObjective:Learning Outcome 3-1: Define the key terms used in the skills of health assessment.1
2)The nurse is examining the client’s eyes and vision, and notes the client is unable to see itemsclearly that are close up. The nurse documents this as:2)A)Myopia.B)Hyperopia.C)Presbyopia.D)Astigmatism.Answer:CExplanation:A)Presbyopia is the loss of elasticity of the lens and the ability to see close objects.Myopia is nearsightedness, hyperopia is farsightedness, and astigmatism is anuneven curvature of the cornea preventing horizontal and vertical rays fromfocusing on the retina often seen in conjunction with myopia and hyperopia.Cognitive Level: ApplicationClient Need: Physiological IntegrityNursing Process: AssessmentB)Presbyopia is the loss of elasticity of the lens and the ability to see close objects.Myopia is nearsightedness, hyperopia is farsightedness, and astigmatism is anuneven curvature of the cornea preventing horizontal and vertical rays fromfocusing on the retina often seen in conjunction with myopia and hyperopia.Cognitive Level: ApplicationClient Need: Physiological IntegrityNursing Process: AssessmentC)Presbyopia is the loss of elasticity of the lens and the ability to see close objects.Myopia is nearsightedness, hyperopia is farsightedness, and astigmatism is anuneven curvature of the cornea preventing horizontal and vertical rays fromfocusing on the retina often seen in conjunction with myopia and hyperopia.Cognitive Level: ApplicationClient Need: Physiological IntegrityNursing Process: AssessmentD)Presbyopia is the loss of elasticity of the lens and the ability to see close objects.Myopia is nearsightedness, hyperopia is farsightedness, and astigmatism is anuneven curvature of the cornea preventing horizontal and vertical rays fromfocusing on the retina often seen in conjunction with myopia and hyperopia.Cognitive Level: ApplicationClient Need: Physiological IntegrityNursing Process: AssessmentObjective:Learning Outcome 3-1: Define the key terms used in the skills of health assessment.2
3)The nurse percusses a client’s lung and hears a dull sound throughout the left lung, causing thenurse to suspect:3)A)Emphysema.B)Pneumothorax.C)Pneumonia.D)Hyperinflation of the lung.Answer:BExplanation:A)A lung that is air-filled would normally return a resonant sound, so the dull soundwould lead the nurse to suspect a collapsed lung or pneumothorax. Emphysemaand hyperinflation would produce a resonant sound. Pneumonia might return adull sound over the fluid-filled area, but the remainder of the lung would beresonant.Cognitive Level: ApplicationClient Need: Physiological IntegrityNursing Process: AssessmentB)A lung that is air-filled would normally return a resonant sound, so the dull soundwould lead the nurse to suspect a collapsed lung or pneumothorax. Emphysemaand hyperinflation would produce a resonant sound. Pneumonia might return adull sound over the fluid-filled area, but the remainder of the lung would beresonant.Cognitive Level: ApplicationClient Need: Physiological IntegrityNursing Process: AssessmentC)A lung that is air-filled would normally return a resonant sound, so the dull soundwould lead the nurse to suspect a collapsed lung or pneumothorax. Emphysemaand hyperinflation would produce a resonant sound. Pneumonia might return adull sound over the fluid-filled area, but the remainder of the lung would beresonant.Cognitive Level: ApplicationClient Need: Physiological IntegrityNursing Process: AssessmentD)A lung that is air-filled would normally return a resonant sound, so the dull soundwould lead the nurse to suspect a collapsed lung or pneumothorax. Emphysemaand hyperinflation would produce a resonant sound. Pneumonia might return adull sound over the fluid-filled area, but the remainder of the lung would beresonant.Cognitive Level: ApplicationClient Need: Physiological IntegrityNursing Process: AssessmentObjective:Learning Outcome 3-1: Define the key terms used in the skills of health assessment.3
4)The components of a health history include all of the following except:4)A)Health promotionB)Biographic data.C)Chief complaint.D)Patterns of health care.Answer:AExplanation:A)The components of a health history are biographic data, chief complaint, history ofpresent illness, past history, family history, lifestyle, social data, psychological data,and patterns of health care. After gathering this history, the nurse is able todetermine what health promotion teaching is required by the client, but it is notpart of the health history.Cognitive Level: KnowledgeClient Need: Health Promotion and MaintenanceNursing Process: AssessmentB)The components of a health history are biographic data, chief complaint, history ofpresent illness, past history, family history, lifestyle, social data, psychological data,and patterns of health care. After gathering this history, the nurse is able todetermine what health promotion teaching is required by the client, but it is notpart of the health history.Cognitive Level: KnowledgeClient Need: Health Promotion and MaintenanceNursing Process: AssessmentC)The components of a health history are biographic data, chief complaint, history ofpresent illness, past history, family history, lifestyle, social data, psychological data,and patterns of health care. After gathering this history, the nurse is able todetermine what health promotion teaching is required by the client, but it is notpart of the health history.Cognitive Level: KnowledgeClient Need: Health Promotion and MaintenanceNursing Process: AssessmentD)The components of a health history are biographic data, chief complaint, history ofpresent illness, past history, family history, lifestyle, social data, psychological data,and patterns of health care. After gathering this history, the nurse is able todetermine what health promotion teaching is required by the client, but it is notpart of the health history.Cognitive Level: KnowledgeClient Need: Health Promotion and MaintenanceNursing Process: Assessmen