HA Exam 1 Review

Which of the following is not an appropriate assessment question to ask the patient during an assessment?

When palpating a pt.'s radial pulse, the nurse assesses it to be diminished and weak. Which score should be documented?

During a physical exam, the nurse listens to the heart sounds to detect any ab. variations. Which tech. is this?

A nurse is reviewing their pt's record. Which does the nurse recognize as accurate documentation?

A pt. reports the health status of living parents, sib. & dec. grandparents. What should the nurse do with this info?

A pt. of Asian decent is noted to have no body odor & very little sweat. What is an appropriate action by the nurse?

Pain is subjective data

The nurse notices several small freckles, non-elevated & borderless. What skin lesion best describes this finding?

The nurse notices a pt.'s nails are curved at a 180° angle. The nurse's priority assessment is what?

Which shape is a standard illustration to represent a dec. female relative on a genogram?

What is the best way to gauge a 8 year olds pain?

When performing a comp. asses. with a pt. w/ abd. pain, the nurse should focus on which area when covering past med. hx?

A comprehensive health history includes which of the following components? SATA

If using too small of a BP cuff, what blood pressure reading will the nurse most likely obtain?

You are preparing to peform an exam on a pt. of Jewish religion. What accommodation should be made?

SATA when assessing suspicious lesions

Pt.'s BP reads 201/134. Baseline is 130's systolic. What is the priority action of the nurse?

After assessing a series of pt.'s at a community health clinic, which findings would require validation & reassessment?

Which skin color would be identified as abnormal for a dark-skinned patient?

Using the Glasgow Coma Scale, which would be the score of a pt. who is in a coma?