Nur 643 Advanced Health Assessment Final -Exam 1 answers.pdf file:///C:/Users/HP/Desktop/SSSSSSS/Nur%20643%20Advanced%20
NUR 643 Health Assessment Final Exam 1 Answers
1. A 29-year-old woman tells the nurse that she has "excruciating pain" in her back.
Which would be the nurse's appropriate response to the woman's statement?
Select one:
a. How would you say the pain affects your ability to do your daily activities?
b. I've had back pain myself, and it can be excruciating.
c. The pain must be terrible.You probably pinched a nerve.
d. How does your family react to your pain?: a. How would you say the pain affects your
ability to do your daily activities?
2. When percussing over the liver of a patient, the nurse notices a dull sound. The nurse
should:
Select one:
a. Consider this a normal finding
b. Palpate this area for an underlying mass
c. Reposition the hands, and attempt to percuss in this area again
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d. Consider this finding as abnormal, and refer the patient for additional
treatment: a. Consider this a normal finding
3. The nurse is performing a general survey. Which action is a component of the general
survey?
Select one:
a. Measuring the patient's temperature, pulse, respirations, and blood pres- sure
b. Observing specific body systems while performing the physical assess- ment
c. Observing the patient's body stature and nutritional status
d. Interpreting the subjective information the patient has reported: c.Observing the patient's
body stature and nutritional status
4. The nurse is assessing the vital signs of a 20-year-old male marathon runner and
documents the following vital signs: temperature-36° C; pulse-48 beats per minute;
respirations-14 breaths per minute; blood pressure-104/68 mm Hg. Which statement is
true concerning these results?
Select one:
a. On the basis of these readings, the patient should return to the clinic in 1 week
b. These are normal vital signs for a healthy, athletic adult
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c. The patient's pulse rate is not normal—his physician should be notified
d. The patient is experiencing tachycardia: b. These are normal vital signs for a healthy,
athletic adult Correct
5. The review of systems provides the nurse with:
Select one:
a. Information regarding health promotion practices
b. Physical findings related to each system
c. Information necessary for the nurse to diagnose the patient's medical problem
d. An opportunity to teach the patient medical terms: b.Physical findings related to each
system
6. Which technique is correct when the nurse is assessing the radial pulse of a patient?
The pulse is counted for:
Select one:
a. 2 full minutes to detect any variation in amplitude
b. 10 seconds and then multiplied by 6, if the patient has no history of cardiac
abnormalities
c. 1 minute, if the rhythm is irregular
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