Textbook of Basic Nursing (Lippincott's Practical Nursing) Tenth Edition by Caroline Bunker Rosdahl, Mary T. Kowalski
Textbook of Basic Nursing (Lippincott's Practical Nursing) Tenth Edition by Caroline Bunker Rosdahl, Mary T. Kowalski
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Chapter 34- Nursing Assessment
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The nurse educator is reviewing with a group of nursing students the rationale for performing a nursing assessment. What would be the best responses by the nursing students for the rationale for performing a nursing assessment?
1. Identify a client’s health status 2. Identify risk factors 3. Identify actual problems 4. Identify assessment questions on a structured format |
|
| A) | 1, 2, 3 | |
| B) | 1, 2, 4 | |
| C) | 1, 3, 4 | |
| D) | 2, 3, 4 | |
| 2. | During the nursing assessment, the client complains of severe chest pressure following a motor vehicle accident. Which is the most appropriate action for the nurse to take at this point in the care of the client? | |
| A) | Determine whether the client has the necessary strength to cope with the issues related to the chest pressure. | |
| B) | Base assessment questions to ask the client about the chest pressure on a predefined format. | |
| C) | Disregard any possible family cardiac risk factors and concentrate on the client’s complaint of chest pressure. | |
| D) | Limit revealing the extent of the other medical problems related to the motor vehicle accident from the client. | |
| 3. | The nurse is collecting information for the admission database on a client admitted to the surgical unit. The client is very quiet, diaphoretic, pale and restless. The client says to the nurse “get out of my room and leave me alone.” Based on this information, which is an example of subjective data? | |
| A) | Restless | |
| B) | “Get out of my room and leave me alone” | |
| C) | Very quiet | |
| D) | Diaphoretic and pale | |
| 4. | A client arrives at the primary care provider’s office with an open area on the lower leg after banging the leg into the car door. Which information about the client’s condition should the nurse identify as objective data? | |
| A) | Client is anxious | |
| B) | Size, location, and color of the wound | |
| C) | Client complaint of pain in the lower leg | |
| D) | Client complaint of urinary frequency | |
| 5. | A client arrives at a local community healthcare center complaining of pain near the chest area. While recording the patient’s condition, what information should the nurse classify as objective data? | |
| A) | Client’s blood pressure | |
| B) | Complains of nausea | |
| C) | Upset about brother’s death | |
| D) | Client’s frame of mind | |
Answer Key
| 1. | A |
| 2. | A |
| 3. | B |
| 4. | B |
| 5. | A |
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