clinical method

1. Which of the following is the primary purpose of a general patient examination? A) To confirm a diagnosis B) To establish a therapeutic relationship C) To collect data for diagnosis and treatment planning D) To provide patient education Answer: C Rationale: The primary purpose of a general ...

1. Which of the following is the first step in the nursing process? A. Diagnosis B. Assessment C. Planning D. Implementation Answer: B. Assessment Rationale: The nursing process begins with assessment, which involves collecting, analyzing, and validating data. ________________________________...

1. A nurse is caring for a terminally ill patient who expresses a wish to die. What is the most appropriate nursing response? A. "You shouldn't feel that way; there is still hope." B. "It's normal to feel overwhelmed; let's talk about it." C. "You need to focus on the posi...

Question 1 A nurse is teaching a group of women about breast self-examination (BSE). What is the best time for a woman to perform BSE? A) After menstruation B) Before menstruation C) During menstruation D) Any time of the month Answer: A) After menstruation Rationale: Performing BSE after men...

Growth and Development 1. A nurse is assessing a 2-year-old child. Which developmental milestone should the nurse expect to observe? o A) Hops on one foot o B) Can stack six blocks o C) Can say full sentences o D) Is able to jump in place o Answer: B) Can stack six blocks Rationale: At 2 year...

1. Which of the following is a normal physiological change associated with aging? o A) Decreased blood pressure o B) Increased muscle mass o C) Decreased lung capacity o D) Increased metabolism Answer: C) Decreased lung capacity Rationale: Aging typically results in decreased lung capacity due...

1. A nurse is performing a mental status examination (MSE) on a patient. Which of the following components should the nurse assess first? A) Mood B) Appearance C) Speech D) Thought process Answer: B) Appearance Rationale: The first component of the mental status examination is assessing the pa...

1. A patient arrives in the emergency department with chest pain radiating to the left arm. What is the nurse's priority intervention? a) Obtain a 12-lead ECG b) Administer nitroglycerin c) Start an IV line d) Assess vital signs Answer: a) Obtain a 12-lead ECG Rationale: The priority in a p...

1. A patient presents with a fever of 103°F (39.4°C). The nurse should assess for which of the following? A) Blood pressure B) Respiratory rate C) Level of consciousness D) All of the above Answer: D) All of the above Rationale: The nurse should assess all vital signs and neurological status...

1. A nurse is assessing a client’s pain. Which of the following is the most reliable indicator of the existence and intensity of pain? A. Vital signs B. The client’s self-report C. The presence of grimacing D. Physician’s assessment Answer: B - The client’s self-report Rationale: The c...

1. A client with chronic obstructive pulmonary disease (COPD) presents with shortness of breath. What is the nurse's priority action? • A. Administer a bronchodilator • B. Position the client supine • C. Apply 6 L/min oxygen via nasal cannula • D. Encourage deep breathing exercises A...

Question 1 A nurse is teaching a patient about hypertension. Which of the following statements by the patient indicates a need for further teaching? A. "I will monitor my blood pressure regularly." B. "I can stop taking my medication once my blood pressure is normal." C. "I should...

1. Which of the following is a function of the gastrointestinal (GI) system? A. Hormone regulation B. Nutrient absorption C. Oxygen transport D. Blood filtration Answer: B. Nutrient absorption Rationale: The primary function of the GI system is to break down food and absorb nutrients. Hormone ...

1. A patient presents with acute pain in the right knee after a fall. What is the nurse's priority assessment? A. Skin integrity B. Range of motion C. Circulation D. Muscle strength Answer: C. Circulation Rationale: Assessing circulation is crucial to rule out any vascular injury, which cou...