University Of Southern Mississippi > NURSING Nur 103 Health Assessment Ch 4 Practice Questions - with rationals.

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A 5-year-old boy is being admitted to the hospital to have his tonsils removed. Which information should the nurse collect before this procedure? ANS: . A 29-year-old woman tells the... nurse that she has "excruciating pain" in her back. Which would be an appropriate response by the nurse to the woman's statement? ANS: " A 59-year-old patient tells the nurse that he has ulcerative colitis. He has been having "black stools" for the last 24 hours. How would the nurse best document his reason for seeking care? ANS: A 90-year-old patient tells the nurse that he can't remember the names of the medications he is taking or for what reason he is taking them. An appropriate response from the nurse would be: . As part of the health history of a 6-year-old boy at a clinic for a sports physical, the nurse reviews his immunization record and notes that his last MMR (measles-mumps-rubella) vaccination was at 15 months of age. What recommendation should the nurse make? During an assessment of a patient's family history, the nurse constructs a genog am. Which statement best describes a genog am? During an assessment, the nurse uses the via CAGE test. The patient answers "yes" to two of the questions. What could this be ind cat ng? A female patient tells t e nurse that she has had six pregnancies, with four live births at t rm and two spontaneous abortions. Her fou children are still living. How would the nurse record this information? In obtaining a review of ystems on a "healthy" 7- year-old girl, the health care provider knows that it would be important to include the: In recording the childhood illnesses of a patient who denies having had any, which note by the nurse would be most accurate? In response to a question about stress, a 39-year-old woman tells the nurse that her husband and mother both died in the past year. Which response by the nurse is most appropriate? ANS: " In response to a question regarding use of alcohol, a patient asks the nurse why the nurse needs to know. What is the reason for needing this information? ANS: The mother of a 16-month-old toddler tells the nurse that her daughter has an earache. What would be an appropriate response? ANS: " . The nurse is asking a patient for his reason for seeking care, and asks about the signs and symptoms he is experiencing. Which of these is an example of a symptom? . The nurse is assessing a new patient who has recently immigrated to the United States. Which question is appropriate to add to the health history? The nurse is assessing a patient's headache pain. Which questions reflect one or more of the critical characteristics of symptoms that should be assessed? Select all that apply. The nurse is conducting a developmental history on a 5 - year-old child. Which questions are appropriate to sk the parents for this part of the a essment? Select ll that apply. via The nurse is incorporat ng a person's spiritual values into the health history. Which of th s questions illustrates the "community" portion of the FICA questions? The nurse is obtaining a health history on an 87- questioning would be most useful at this time? The nurse is obtaining a history from a 30- year-old male patient and is concerned about health promotion activities. Which of these questions would be appropriate to use to assess health promotion activities for this patient? 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? . The nurse is performing a review of symptoms. Which of these questions are appropriate as health promotion questions to ask during this time? The nurse is performing a review of systems on a 76-year-old patient. Which of these statements is correct for this situation? The nurse is preparing to complete a health assessment . on a 16-year-old girl whose parents have brought her to the clinic. Which instruction would be appropriate for the parents before the interview begins? CourseHero t. The nurse is preparing to conduct a health history. Which of these statements best describes the purpose of a health history? The nurse is preparing to do a functional assessment. Which statement best desc ib s the purpose of a functional assessment? The nurse is taking a family history. via Important diseases or problems to sk the patient about pecifically include: A patient is descr b ng his symptoms to the nurse. Which of these statem nts reflects a description of the setting of his symptoms? A patient tells the nur e that he is allergic to penicillin. What would be the nurse's best response to this information? A patient tells the nurse that she has had abdominal pain for the past week. What would be the best response by the nurse? The review of systems provides the nurse with: ANS: When the nurse asks for a description of who lives with a child, the method of discipline, and support system of the child, what part of the assessment is being performed? When the nurse is evaluating the reliability of a patient's responses, which of these statements would be correct? The patient: Which of these responses might the nurse . expect during a functional assessment of a patient whose leg is in a cast? Which of these statements represents subjective data the nurse obtained from the patient regarding the patient's skin? [Show More]

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