Exam 5: Physical Assessment

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The nurse notes that a patient has difficulty breathing in the supine position,and the patient admits that he sleeps in a recliner at home.These are cardinal signs of ____________ disease.

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When assessing a patient,the patient complains of an uncomfortable sensation leading to an urge to scratch.The nurse notes the patient scratching frequently.The nurse should document that the patient is experiencing:

(Multiple Choice)
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During a physical assessment,the nurse listens for adventitious lung sounds.Crackles are classified as fine,medium,or coarse and are most often heard:

(Multiple Choice)
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Any disturbance of a structure or function of the body is a pathological condition.This condition is termed a(n):

(Multiple Choice)
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A patient has discoloration of an area of their mucous membrane caused by extravasation of blood into the subcutaneous tissue.The nurse should document that the patient has:

(Multiple Choice)
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The nurse is developing a nursing care plan for a newly admitted patient.The first step in developing this care plan is a:

(Multiple Choice)
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A nurse is gathering objective data when admitting a patient.Which assessment finding is considered objective data?

(Multiple Choice)
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During a physical assessment,the patient complains of difficulty in passing stools.The nurse should document that the patient is experiencing:

(Multiple Choice)
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A physician documents that a patient has a sallow complexion.The nurse understands that this means the patient has a:

(Multiple Choice)
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A nurse is gathering subjective data when admitting a patient.Which assessment finding is considered subjective data? The patient:

(Multiple Choice)
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The nurse is meeting a patient for the first time.The initial step when initiating a nurse-patient relationship is for the nurse to:

(Multiple Choice)
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The nurse assesses a patient for capillary refill.After the fingernail is compressed for 5 seconds,the refill time should be fewer than:

(Multiple Choice)
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A physician needs to assess a patient's rectal area.The nurse should place the patient in what position?

(Multiple Choice)
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During the nursing interview,several histories are taken.The history that involves data concerning habits and lifestyle patterns is called:

(Multiple Choice)
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The nurse is assessing a patient to collect subjective and objective data.These data will provide the basis for making a:

(Multiple Choice)
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During a physical assessment,the nurse notes a patient passes frequent loose liquid stools.The nurse should document that the patient is experiencing:

(Multiple Choice)
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A creamy,viscous,pale yellow or yellow-green fluid exudate that is the result of fluid remains of liquefied necrosis of tissues is known as ___________ ___________.

(Short Answer)
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When collecting data related to the present illness,the nurse must obtain detailed and comprehensive data to assist in establishing:

(Multiple Choice)
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A nursing assessment is a process of collecting data to establish a database.The information contained in the database is the basis for:

(Multiple Choice)
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Redness or inflammation of the skin or mucous membranes that is the result of dilation and congestion of superficial capillaries is known as _________________.

(Short Answer)
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