Unit 2 Quiz NSG111

Which test on a CBC affects blood clotting? A) platelets B) hematocrit C) white blood cells D) hemoglobin

A

After performing a dressing change, the nurse documents that the incision was well approximated w/ purulent drainage present. Which phase of the nursing process is demonstrated in this documentation? A) Intervention B) Evaluation C) Planning D) Assessment

A)

The nurse has made an error in documentation. What is the accepted method of correcting errors in a handwritten nurse's note? A) use white out to remove the incorrect entry, then document the correct info. B) Draw a single line through the incorrect entry, followed by your initials, then document the correct information. C) Draw a single line through the incorrect entry, followed by the word "error", then document the correct information. D) thoroughly obliterate the incorrect entry, then document the correct information.

B

The nurse is inspecting a postoperative incision site for infection. What type of assessment is the nurse performing? A) time-lapsed B) focused C) general D) complete

B

What is the correct order of assessment for adults? A) Auscultation, inspection, palpation, percussion B) Inspection, palpation, percussion, auscultation C) Palpation, auscultation, inspection, percussion D) Percussion, palpation, auscultation, inspection

B

What's essential in using charting by exception (CBE) as the documentation method? A) Charting in black ink only. B) All nurses and healthcare workers (HCW) use identical definitions of normal data. C) Consistent documentation forms. D) This method does not have any essential requirements.

B

When auscultating breath sounds, apical pulse, or bowel sounds, it is appropriate for the nurse to listen over the client's gown to protect the client's privacy? A) true B) false

B

When documenting client care, the nurse is aware to use abbreviations conscientiously and safely. What is included in the conscientious and safe use of abbreviations? A) ensuring the abbreviations are understandable to client's who may seek access to their health records. B) limiting abbreviations to those approved by the institution C) use only those abbreviations that are defined in full in another location in the client's medical record D) using only abbreviations whose meaning is self-evident to educated health professionals

B

Which assessment technique is used in assessing the client's radial pulse? A) inspection B) palpation C) percussion D) auscultation

B

Which condition may present with absent or diminished breath sounds? A) early CHF B) COPD C) pneumonia D) pleurisy

B

Which is true of wheezes? A) mild wheezing is heard on inspiration B) occurs as air passes through narrow airways C) can only be heard with a stethoscope D) are always monophonic

B

The nurse is assessing a newly admitted client. Which finding would the nurse immediately report to the healthcare provider (HCP)? A) auscultation of S1 & S2 when counting apical pulse B) decreased muscle strength in both arms C) auscultation of a bruit over the right carotid artery D) auscultation of vesicular breath sounds over the lung bases

C

What is the best assessment of strength prior to getting a patient out of bed? A) instruct the patient to lift both arms as you press down with resistance. B) assess pulse rate & BP prior to getting the patient out of bed C) instruct the patient to lift each leg as you press down with resistance D) dangle the patient on the side of the bed for a few minutes prior to weight bearing

C

Which assessment finding is collected using light palpation? A) thrill B) liver size C) tenderness D) renal colic

C

Which best describes bronchovesicular breath sounds? A) soft, breezy sounds B) high-pitched squeaking sound C) heard distal to the manubrium D) fine crackling sound heard on inspiration

C

Which condition is associated with clubbed nails? A) normal finding with aging B) increased cholesterol C) chronic hypoxia D) hypertension

C

Which is not a focus of nursing assessment? A) physical response to illness B) client's functional abilities C) disease pathology D) client's coping to stress

C

Which is true of adventitious breath sounds? A) always heard on both inspiration and expiration B) heard primarily on inspiration C) abnormal sounds heard over normal breath sounds D) soft, breezy, low-pitched sounds

C

Which nurses' note includes judgmental language? A) 0800 Dried stool on left buttock. B) 0800 Male family member at bedside states, "you witches never take care of my mother." C) 0800 Found lying in stool. Night shift never turns the patients. D) 0800 Family member at bedside swearing loudly at the nursing staff.

C)

The nurse palpates a grating sensation over the temporomandibular joint during movement. What is this grating sensation called? A) inflammation B) arthritis C) fremitus D) crepitus

D

Which assessment is not included in the general survey? A) skin color B) posture C) hygiene practices D) tenderness

D

Which health screening is expected for women between 45-54 years of age? A) annual fecal occult blood test (FOBT) B) skin inspection by dermatologist every 3 years C) annual colonoscopy D) annual mammograms

D

Which is a normal assessment finding during assessment of skin and nails? A) skin moist to touch B) skin turgor > 3 seconds C) dry scaly skin over bilateral lower extremities D) capillary refill <2 seconds

D

Which provides the best description of vesicular breath sounds? A) loud, harsh sounds B) inspiratory phase is shorter than expiratory phase C) heard over the major airways D) soft, low pitched sounds

D

The nurse is documenting about a client's ambulation attempt. Which is the best documentation of this attempt? A) Ambulated in hall with assistance. B) Ambulated 15 ft w/ assistance. Skin color cyanotic w/ ambulation. C) Ambulated to the nurses' station w/ assistance. Verbalized SOB w/ ambulation. D) Ambulated 15 ft w/ stand-by attempt, RR 26, 02 Sat 92% during ambulation

D)