SIM437PE Baccalaureat Generalist Quiz - A nurse assesses a patient

SIM437PE Baccalaureat Generalist quiz

Question 1

A nurse assesses a patient in a mental health clinic. Which of the following questions should the nurse ask to assess the patient’s perceptions?

a.“Do you think other people are watching you?”

 b.“What do you do when you no longer have any medication to take?”

 c.“What year did you graduate from high school?”

Question 2

A nurse working in a clinic assesses a patient who has chronic pain. Which of the following questions should the nurse ask to assess the patient’s quality of pain?

a.“What does the pain feel like?”

 b.“What make the pain worse?”

 c.“How often do you have pain?”

Question 3

A nurse assesses a toddler for the presence of pain. Which of the following responses should the nurse expect?

a.The toddler will try to be brave when having pain

 b.The toddler will respond to reasoning when explaining why she is in pain.

 c.The toddler may think the pain is a type of punishment.

Question 4

A nurse obtains a health history from a patient. Which of the following subjective data should the nurse include in the review of systems?

a.“My mother died following a heart attack.”

 b.“I was hospitalized for pneumonia 2 years ago.”

 c.“I wear sunscreen during my outdoor activities."

Question 5

A nurse obtains a health history from a patient. The patient tells the nurse that she is having trouble coping with her diagnosis of asthma? Which of the following responses should the nurse make?

a.“You should tell your doctor about this problem.”

 b.“Tell me what is worrying you.”

 c.“Most people who have asthma live a normal life.”

Question 6

A nurse plans cares for a patient who has limited English proficiency (LEP.) Which of the following actions should the nurse plan to take?

a.Enhance spoken words with gestures when talking to the patient. 

 b.Use medical jargon to increase the patient’s understanding.

 c.Assume the patient understands the information when she nods.

Question 7

A nurse cares for a patient in the emergency department and determines the need for an interpreter to complete a nursing history. Which action of the following actions should the nurse take?

a.Use metaphors when addressing sensitive subjects.

 b.Choose an interpreter of the same gender as the patient.

 c.Direct the questions to the interpreter.

Question 8

A nurse performs an abdominal assessment on a patient. Which of the following sequences of assessment should the nurse use?

a.Inspection, auscultation, percussion, palpation

 b.Palpation, auscultation, percussion, inspection

 c.Inspection, percussion, palpation, auscultation

Question 9

A nurse in the emergency department assesses an adolescent following a bicycle crash. Which of the following assessments should the nurse perform to assess the function of the adolescent’s cranial nerve XI?

a.Watch the adolescent as he frowns, lifts his eyebrows and puffs his cheeks.

 b.Palpate the adolescent’s temporal muscles while he clenches his teeth. 

 c.Apply resistance to the adolescent’s shoulders as he shrugs.

Question 10

A nurse plans care for a patient who has heart failure. Which of the following steps of the nursing process should the nurse use to determine if the patient is meeting his goals?

a.Analysis

 b.Implementation

 c.Evaluation

Question 11

A nurse receives change of shift report for a patient who has diabetes mellitus. Which of the following findings should the nurse identify as the priority?

a.Severe allergy to penicillin

 b.White blood cell count 13,000 mm3

 c.Report of right calf pain.

Question 12

A nurse enters a patient’s room to begin an exam. Which of the following actions should the nurse take first?

a.Draw the curtain around the patient’s bed.

 b.Perform hand hygiene.

 c.Identify the patient.

Question 13

A nurse prepares to use the SBAR communication tool when communicating with the health care provider about a patient following a recent admission for status asthmaticus. Which of the following information should the nurse include when communicating the situation?

a.The patient’s most recent arterial blood gases (ABGs) results.  

b.The patient’s past history of asthma.

 c.A request to initiate pulmonary function tests for the patient.

Question 14

A nurse auscultates a patient’s lung sounds and hears discontinuous popping sounds during inspiration. Which of the following terms should the nurse document when recording these findings in the patient’s medical record?

a.Stridor

 b.Crackles

 c.Wheezes

Question 15

A nurse auscultates a patient’s heart sounds and hears a low frequency sound right before S1. The nurse should document this finding as which of the following in the patient’s medical record?

a.Ventricular gallop

 b.Ejection click

 c.Atrial gallop

Question 16

A nurse develops a care plan for a patient who has a BMI of 30. Which of the following should the nurse include as a SMART goal?

a.The patient will reduce daily fat intake to 20% of total calories.

 b.The patient will exercise for 30 minutes.

 c.The patient will eat healthy meals.

Question 17

A nurse plans a client education program for a community center. Which of the following should the nurse include when discussing adapting to altered health and function?

a.The significance of following safe sex practices

 b.The importance of routine physical examinations

 c.The availability of community resources

Question 18

A nurse devlops a teaching plan for a patient who has a new diagnosis of asthma. Which of the following should the nurse include when using the cognitive domain of learning?

a.How to use a motored-dose inhaler

 b.How to respond to an acute asthma attack

 c.How to accept life-style changes

Question 19

A nurse interviews an older adult patient who has heart failure to determine her learning needs. Which of the following questions should the nurse ask to determine the patient’s learning style? 

a.“Where do you find health information?”

 b.“What concerns you about having heart failure?”

 c.“Do you follow any health practices specific to your culture?” 

Question 20

A nurse auscultates a patient’s heart sounds. Which of the following characteristics is the nurse assessing when determining the amplitude?  

a.The loudness or softness of the sound

 b.The number of vibrations of the sound per second

 c.How long the sound lasts