Health Assessment Final Exam Review Latest Update Questions and Verified Correct Answers Guaranteed A+ A nurse is caring for a patient with an injury to Broca's area. Which finding would the nurse expect to assess in this patient?
a.Difficulty speaking b.Receptive aphasia c.Visual disturbances
d.Emotional lability - Correct Answer:a.Difficulty speaking
A patient comes to the Emergency department (ED) complaining of chest pain. This
would be considered:
a.Secondary data b.Objective data c.Subjective data
d.Tertiary data - Correct Answer:c.Subjective data
A patient has a barrel-shaped chest. A barrel - shaped chest is characterized by:
a.Anteroposterior to transverse (lateral) diameter of 2:1 and the elevation of the ribs.b.Anteroposterior to transverse (lateral) diameter of 1:2 and an elliptic shape.c.Equal anteroposterior to transverse (lateral) diameter and the ribs being horizational.d.Anteroposterior to transverse (lateral) diameter of 3:7 and sloping backwards of the ribs - Correct Answer:c.Equal anteroposterior to transverse (lateral) diameter and the ribs being horizational.
A patient is clenching the jaw closed to avoid taking a prescribed oral medication. The nurse can use this observation to confirm the patient is demonstrating motor function of which cranial nerve?
a.Facial b.Glossopharyngeal c.Trigeminal
d.Vagus - Correct Answer:c.Trigeminal
A patient is complaining of "shortness of breath with movements" and this complaint is validated by the nurse objectively. How would the nurse best document these findings?
a.Patient complains of "shortness of breath". No DOE observed.b.Patient complains of mild "shortness of breath". + DOE noted by this RN.c.Patient reports "shortness of breath with movements". + DOE observed by this RN. 1 / 2
d.Patient reports "shortness of breath at rest". DOE was not noted by this RN. - Correct Answer:c.Patient reports "shortness of breath with movements". + DOE observed by this RN.
A patient with a history of depression and manic episodes acknowledges suicidal thinking over the past week and verbalized a plan. What are you most concerned about initially in caring for this patient?
a.Mental health b.Mental status c.Neurologic function
d.Safety - Correct Answer:d.Safety
A patient with a recent head injury is admitted to the emergency department. The patient appears to be dazed. The nurse asks the patient, "Do you know where you are?" Which of the following parameters is the nurse assessing?
a.Attention b.Memory c.Orientation
d.Mood and affect - Correct Answer:c.Orientation
A patient's patellar reflex is normal for the right side but diminished on the left. Using the scale for grading reflexes, how should the nurse document this finding?
a.Right knee+4; Left knee +3 b.Right knee +1; Left knee 0 c.Right knee +2; Left knee +1
d.Right knee +3; Left knee +2 - Correct Answer:c.Right knee +2; Left knee +1
A risk factor for melanoma is:
a.Brown eyes b.Darkly pigmented skin c.Use of sunscreen products d.Skin that freckles or burns before tanning - Correct Answer:d.Skin that freckles or burns before tanning
An elderly patient is admitted to the hospital. While performing a skin assessment, the nurse discovers bruises in various stages of healing all over the patient's body. Why is it important for the nurse to promptly document and report these findings?
a.The patient may have been abused.b.The patient is elderly.c.The patient may have peripheral vascular disease.
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