NURS 310 GSS Exam 1 Review Questions & Answer Key with Rationales
1. The nurse is performing a physical assessment on a newly admitted patient. An example of objective information obtained during the physical assessment includes the:
A. Patient’s history of allergies
B. Patient’s use o...
1. The nurse is performing a physical assessment on a newly admitted patient.
An example ofobjective information obtained during the physical assessment
includes the:
A. Patient’s history of allergies
B. Patient’s use of medications at home
C. Last menstrual period 1 month ago
D. 2x5 cm scar on the right lower forearm
Explanation: A scar is observed directly by the nurse. All of the other data points
are (most likely) told to the nurse by the patient.
2. A patient's weekly blood pressure for two months ranged between
124/84mmHg and 136/88mmHg, with an average of 126/86mmHg. The
nurse knows that this blood pressurefalls within which category?
A. Normal
B. Stage 1 HTN
C. Prehypertension
D. Stage 2 HTN
Explanation: Prehypertension BP readings are systolic of 120 to 139mmHg or
diastolic of 50 to 89mmHg.
3. A patient is brought by ambulance to the emergency department with multiple
traumas received in an automobile accident. He is alert and cooperative, but his
,injuries are quite severe. How would the nurse proceed with data collection?
A. Collect history information first, then perform the physical examination and
institute life-savingmeasures
B. Simultaneously ask history questions while performing the examination and
initiatinglife-saving measures
C. Cellect all information on the history form, including social support patterns,
strengths, and
, coping patterns
D. Perform life-saving measures and delay asking any history questions until
the patient is transferred to the intensive care unit
Explanation: The emergency database calls for a rapid collection of the database,
often concurrently compiled with life-saving measures. The other responses are
not appropriate for the situation. Even in emergent situations, some information
is essential to get from the patient ifat all possible, in order to administer safe care
(identity, allergies, medications, etc.)
4. The nurse is performing a general survey. Which action is a component of
the generalsurvey?
A. Observing the patient’s body stature and nutritional status
B. Observing specific body systems while performing the physical assessment
C. Interpreting the subjective information the patient has reported
D. Measuring the patients temp., pulse, RR, & BP
Explanation: The general survey is a study of the whole person that includes
observing the patients physical appearance, body structure, mobility, and behavior.
5. You’re examining a 54yo male patient in the emergency department. Patient
was admitted after a short attack of severe chest pain (8/10 on pain scale) and
reveals that it began while he was mowing the lawn. Patient is 5’9 and weighs
218lbs. Patient states that he’s had chest pain before but never this bad, he
always assumed it was just heartburn. Patient has a BP of 144/86,HR of 106, RR
28, temperature 99.1. What information is subjective?
What happened. Severity of the pain. Pretty much any and all PQRST or
OLDCART.
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