HA Lec Review

A client’s health history includes all information, except:

Nurse Graciella understands that she must watch out for signs of acrocyanosis. What is acrocyanosis?

Upon assessment of the Obstetrician, she says, “The cervix is soft to palpate”. You expect what sign?

Prior to entering a patient’s room for interview, what must the nurse do first?

The neonate’s umbilical cord at birth contains:

The activities that helps attain the goals & objectives of the nurse are performed in which part of the nursing process?

What serum electrolyte helps make bones strong and healthy, helps facilitate nerve-to-nerve communication?

Dysuria refers to:

What type of documentation system has an advantage in transferring of information to members of the health team?

As a nurse, the planning step of the nursing process includes which of the following activities?

The following are characteristics of the nursing process, except:

Mrs. Cruz is currently pregnant to a triplet, & already has a 4-year old boy and a 2-year old girl, what is her gravida?

Nausea and vomiting are examples of what type of sign of pregnancy?

The most accurate diagnostic indicator of the client’s kidney function is which of the following?

It is a discoloration of the skin resulting from bleeding underneath, typically caused by bruising.

Aiming to establish a database is what activity of the assessment phase?

It provides information on the patient’s health status from birth to present. What is this called?

Non-verbal responses are important aspects that a nurse must possess. These are examples of what kind of nursing skill?

Which among the ff is the LEAST appropriate nsg action when starting an interview with a 25-year-old for consult?

A temporary loss of consciousness usually related to insufficient blood flow to the brain causing patient to pass out.

Patient comes to the clinic w/ complaints of vomiting & body weakness. The nurse takes his VS. This is an example of:

Performing a health assessment after admission of a client to establish a complete database is what type of assessment?

A nurse wants to determine the timing of a patient's abdominal pain. Which of the following is the LEAST appropriate?

During ROS interview, what should the nurse do in order to confirm the subjective response made by the patient?

Among the 5 indicators of APGAR scoring, which describes the effectivity of the newborn’s gas exchange inside the lungs?

In what phase of the nursing process does the nurse prioritize patient’s needs?

All are benefits of the Nursing Process, except:

What type of interview question directs clients to answer questions & provides them w/ less opportunity to decide?

What guidelines should the nurse remember before starting the interview process of ROS?

Laboratory test results are examples of what data? Choose those that apply.

It is a brief, spontaneous statement in person’s own words that comprises a symptom and its duration.

It is the passage of black, tarry stools.

The purposes of evaluation include all, except:

When formulating a NSG diagnosis, the nurse knows that the 3 components of NSG diagnosis are the ff, except:

Which outcome criterion would be most appropriate for a patient w/ nursing diagnosis of “Ineffective airway clearance”?

What type of data includes the nurse’s observation and assessment findings from the client?

A nursing technique where the nurse will apply a physical force to create a sound to assess what’s underneath is?

A patient forgot her last menstrual period, what method must be used to determine the age of gestation?

If a patient came in due to an accident or incident, the nurse must document the following, except:

Biographical data contains basic information of the patient. The following are included in biographical data, except:

The nurse understands that the Last Menstrual Period (LMP) pertains to:

It is a dynamic process through this process we convey a thought or feeling to someone else.

Patient Jane hasn’t had menstruation for the past 3 months, Nurse Jerome notes that this condition is called:

What type of planning involves constant updating of the client’s plan of care?

The phase of diagnostic procedures that focuses on client teaching and preparation is the:

Which of the following statements about nursing care plan is true?

Change of shift reports are also known as:

The following are types of subjective data, except:

A mother of a 3-year-old is interviewed for the health history of the child. The mother is what source of data?

“Mr. Johnson, do you have problems after taking your medications?”. What type of interview question is this?