NURS1543 Test 1 Actual Exam Questions with Correct

pg. 1 NURS1543 Test 1/ Actual Exam Questions with Correct Verified Answers / Latest Update / – Rated A+.

Subjective Data - ANSWER - what the person says about himself or herself during history taking

Objective Data - ANSWER - what the health professional observes by inspecting, palpating, percussing, and auscultating during the physical examination

Database - ANSWER - Subjective data + Objective data + record + lab results + diagnostic tests

Diagnostic Reasoning - ANSWER - process of analyzing health data and drawing conclusions. Made up of

• parts: (a) attending to initially available cues; (b) formulating diagnostic hypotheses; (c) gathering data

relative to the tentative hypotheses; and (d) evaluating each hypothesis with the new data collected

Nursing Process - ANSWER - Systematic method of planning and providing patient care organized around a series of phrases that integrate evidence-informed practice and critical thinking.

• phases of the nursing process - ANSWER - 1. Assessment
• Nursing Diagnosis
• Planning
• Implementation
• Evaluation

First-level priority problems - ANSWER - emergent, life-threatening, and immediate, such as establishing an airway or supporting breathing

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pg. 2 Second-level priority problems - ANSWER - those that are next in urgency requiring your prompt intervention to forestall further deterioration. (mental status change, acute pain, acute urinary elimination problem, untreated medical problems, abnormal lab test results)

Third-level priority problems - ANSWER - those that are important to the patient's health but can be addressed after more urgent health problems are addressed. (Knowledge deficit, altered family processes, and low self esteem)

Collaborative problems - ANSWER - approach to treatment involves multiple disciplines

Evidence-informed practice - ANSWER - a paradigm and life-long problem solving approach to clinical decision-making that involves the conscientious use of the best available evidence (including a systematic search for and critical appraisal of the most relevant evidence to answer a clinical question) with one's own clinical expertise and patient values and preferences to improve outcomes for individuals, groups, communities, and systems

Biomedical model of health - ANSWER - Predominant model of the Canadian health care system, health is the absence of disease.Health and disease are viewed as two ends of a continuum. Disease is assumed to be caused by specific agents or pathogens. Thus the biomedical focus is the diagnosis and treatment of those pathogens and the curing of disease.

Behavioural Model of Health - ANSWER - health care extends beyond treating disease to include secondary and primary preventions, with emphasis on changing behaviours and lifestyles

•The nurse is taking a comprehensive health history on a new client. The nurse knows that a complete

description of the present illness is necessary:

a)To assess if the client is a reliable historian b)To obtain primary data c)To obtain demographic data d)To establish an accurate diagnosis - ANSWER - b)To obtain primary data

•The nurse is admitting is assessing a new client. What would be the best type of assessment to perform? 2 / 4

pg. 3 • a)A focused assessment b)A comprehensive assessment c)An acute assessment d)Symptomatic assessment - ANSWER - b)A comprehensive assessment

•The nurse is conducting an environmental assessment on a 52 year old male client who works in a chemical processing plant. What would this environmental assessment include?a)History of pulmonary thrombosis b)Family history c)Type of exposure d)Summary of work history - ANSWER - c)Type of exposure

•The nurse has completed the initial assessment on the client. The nurse documents some of the assessment findings: Temp 36.9◦C, P 68, Bp 123/75, and Respirations 14. This data is best described as: a)Covert data b)Normal data c)Objective data d)Subjective data - ANSWER - c)Objective data

•The nurse is required to do a health history and physical assessment on a client who does not speak English. What is the best strategy?• a)Find someone who can translate from a staff member b)Use non-verbal communication while interviewing & the physical c)Provide the client with written information as needed d)Ask a bilingual family member to translate during the interview - ANSWER - a)Find someone who can translate from a staff member

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pg. 4 •Pain that originate from ligaments, tendons, bones, blood vessels and nerves is categorized as: a.Acute pain b.Visceral pain c.Radiating pain d.Somatic pain - ANSWER - d.Somatic pain

•Which question would be most appropriate for a nurse while assessing the onset of a client's pain?a)"Can you describe the pain?" b)"When did you first notice the pain?" c)"How long does the pain last?" d)"Where is the pain located" - ANSWER - b)"When did you first notice the pain?"

•In addition to pain intensity what is another basic element of a pain assessment?a)Quality b)Focused goal c)History d)Preferred assessment tool - ANSWER - a)Quality

•The nurse taking care of a 5 year old child who just came out of surgery for repair of a broken leg. What is the most appropriate the child's pain what is the most appropriate pain assessment tool for th nurse to use?a)Numeric scale b)FACES pain Scale c)Visual Analog Scale d)Faces, legs, activity, cry, - ANSWER - b)FACES pain Scale

•The nurse observes an adult client dressed warmly in pants, a jacket, and a long sleeved shirt on a very hot summer day. This observation (Select all that Apply)

a)This is part of the general survey

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