Nursing Assessment
Nursing is just not about taking care of the patients in recovery beds by feeding them and administering medication, there is much more to it. This nursing assessment will help you as a nurse to better understand different nursing concepts.
- 1.Critical thinking
- A.
Is a step by step linear process
- B.
Is a multidimensional thinking process
- C.
Is not required when making sound diagnostic reasoning and clinical judgement
- D.
Does not grow
- 2.Collecting a small database concerning one problem, cue complex, or body system is which type of data collecting?
- A.
Complete Database
- B.
Episodic Database
- C.
Follow-Up Database
- D.
Emergency Database
- 3.Health Inequity
- A.
Is the inequalities in heath that are unnecessary and avoidable and differences that are considered unfair and unjust.
- B.
Is a generic term used to designate differences, variations, and disparities in the health status of individual and groups.
- C.
Health inequality and health inequity are the same
- D.
Example include the higher incidence of deaths in the prime of life for women in Canada compared with men, largely due to breast and other cancers
- 4.Which of these are considered open ended questions?
- A.
Have you ever had pain in the eye?
- B.
From a scale of 1 to 10, 1 being the weakest and 10 being the strongest, how much would you rate your pain?
- C.
Is it okay if I touch you?
- D.
How have you been getting along?
- 5.Ms. B is at the clinic today and the nurse is explaining what a heart attack is. The nurse says "A myocardial infarction can be serious and is caused by a blood clot that blocks one of the coronary arteries. This can lead to a rupture of a vulnerable atherosclerotic plaque. This is an example of which type of interviewing traps
- A.
Providing false assurance or reassurance
- B.
Giving unwanted advice
- C.
Using professional Jargon
- D.
Interrupting
- 6.When interviewing Mr.C, a 89 year old man from Greece who doesn't understand English, it is important to
- A.
Make sure you speak louder
- B.
Make sure to exaggerate your lip movement for better understanding
- C.
Find an interpreter or speak slowly
- D.
Make sure you do not use hand gestures because this can invade their personal space
- 7.The mnemonic PQRSTU stands for
- A.
Provocative or palliative, quality or quantity, region or radiation, severity scale, timing, and understanding patient's perception
- B.
Past health, quality of health, requirement of health, standard of health, Teaching of health, and understanding of health
- C.
Palpating, questioning, reasoning, signaling, teaching, and understanding
- D.
None of the above
- 8.Knowing clients family history
- A.
May be of genetic significance for the data collection
- B.
May tell a clients prolonged contact with any communicable disease
- C.
May indicate effect of a family members illness on the client
- D.
All of the above
- 9.Bathing, dressing, toileting, eating are examples of
- A.
Instrumental activities of daily living
- B.
Activities that patient needs full assistance in performing
- C.
Activities of daily living
- D.
Activities that patient needs no assistance in performing
- 10.Client verbally reports pain at a level of 8 or 9 when it becomes sharp is an example of
- A.
Subjective data
- B.
Objective data
- C.
Data clustering
- D.
Data analysis and interpreting
- 11.When documenting
- A.
Other health care provider may document for you
- B.
Do not generalize or form judgements through written communication
- C.
Do not be descriptive. Time is wasted on documentation for writing everything seen, heard, felt or smelled.
- D.
It is okay not to record assessment during your next shift
- 12.Failure to consider conflicting cues, using an insufficient number of cues, using unreliable or invalid cues are which source of diagnostic error?
- A.
Collecting
- B.
Interpreting
- C.
Clustering
- D.
Labelling
- 13.Resonant is a type of sound that can be heard while percussing. What are some of its characteristics.
- A.
A dead stop of sound, absolute dullness, very short duration and can be heard over bones
- B.
A muffled thud, short in duration, and can be heard over the liver
- C.
Clear and hollow sound, moderate in duration and can be heard over normal lung tissue
- D.
Musical and drumlike, sustained longest duration, and can be heard over stomach
- 14.Which of these are false regarding common errors in taking blood pressure measurements
- A.
Using a large cuff for thin clients
- B.
Taking blood pressure when the client wakes up
- C.
Asking client to support own arm
- D.
If failing to record measurement, take it again right away
- 15.When feeling for client pulse, take into account the
- A.
Age, gender, ethnocultural background and weight
- B.
Amount of stress, weight, exercise and emotions
- C.
Physical appearance, body structure, behaviour and mobility
- D.
Rate, rhythm, force and elasticity
- 16.Maximum pressure felt on the artery during left ventricular contraction is the
- A.
Systolic pressure
- B.
Diastolic pressure
- C.
Pulse pressure
- D.
Mean arterial pressure
- 17.Mr. D, a client that is on bed rest, reports having pain on the bony prominences of his spine. Further inspection shows that a lesion has formulated on Mr. D's spine. This pain is considered_________ and if unresolved for a longer period a time such as 6 months, the pain can be classified as__________
- A.
Nociceptive pain, acute pain
- B.
Nociceptive pain, persistent pain
- C.
Neuropathic pain, acute pain
- D.
Neuropathic, persistent pain
- 18.Which of these statements are true about pain?
- A.
Pain should be considered a normal part of aging
- B.
Older adults will often deny having pain for fear of dependency
- C.
Pain in neonates and infants cannot be assessed
- D.
Psychological changes that take place that may indicate the presence of pain includes sweating, increase blood pressure and heart rate, vomiting and nausea
- 19.The pain assesment tool that ask the patient to choose a number that rates the level of pain, with 0 being no pain and the highest anchor 10 indicating the worst pain is
- A.
The short-form McGill pain questionnaire
- B.
The brief pain inventory
- C.
Numeric rating scale
- D.
Descriptor scale
- 20.What is the order of the Nociception phase
- A.
Perception, transmission, transduction, modulation
- B.
Transmission, perception, modulation, transduction
- C.
Transduction, transmission, perception, modulation
- D.
Transduction, modulation, perception, transmission
- 21.Which of these demonstrate the highest risk for suicide
- A.
Ms. E who had prior suicide attempt and is now in a rehabilitation centre
- B.
Mr. F jokingly tells his friend that he was wants to shoot himself with his fathers pistol because there is so much to deal with in life. The next day Mr. F had ran away from home and left his family a letter saying he is giving up
- C.
Mr. G who is recovering from a traumatic brain injury from a car crash that has killed his wife
- D.
Holly, an 8 year old girl is giving away all her toys to the orphanage
- 22.The awareness of the objective world in relation to the self is
- A.
Perception
- B.
Orientation
- C.
Attention
- D.
Consciousness
- 23.Some behaviour to look at when assessing the mental health status of the patient is looking at
- A.
Level of Consciousness, speech, mood and affect, and facial expression
- B.
Grooming hygiene, dress, body movement, and posture
- C.
Attention span, recent memory, and remote memory
- D.
Orientation, posture, facial expression, attention span
- 24.Which of the following is not part of the MiniMental State Examination?
- A.
Time orientation
- B.
Place orientation
- C.
Registration of five words
- D.
Reading
- 25.Which layer of the skin contains adipose tissue, provide insulation for temperature control and aids in protection by its soft cushioning effect
- A.
Both the dermis and subcutaneous layer
- B.
Dermis layer
- C.
Epidermis layer
- D.
Subcutaneous layer
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