A nursing assessment is a process of collecting data to establish a database. The information contained in the database is the basis for:

a complete physical examination

a medical assessment

writing nursing orders

an individualized plan of care

Answer and Explanation

The Correct Answer is D

A. A complete physical examination – While a physical examination is part of data collection, the primary goal of a nursing assessment is to guide nursing care rather than conduct a full medical examination.

B. A medical assessment – Medical assessments are conducted by physicians to diagnose diseases, while nursing assessments focus on holistic patient care.

C. Writing nursing orders – Nursing orders are based on the care plan but do not encompass the entire purpose of the assessment.

D. An individualized plan of care – The primary purpose of a nursing assessment is to collect data to create a care plan tailored to the patient's specific needs.

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Correct Answer is B

Explanation

A. Pruritus. – Pruritus refers to itching, not redness or inflammation.

B. Erythema. – Erythema describes redness of the skin or mucous membranes due to capillary dilation, commonly seen in infections, sunburn, or allergic reactions.

C. Turgor. – Turgor refers to skin elasticity and is used to assess hydration status. It does not indicate redness or inflammation.

D. Exudate. – Exudate refers to fluid drainage from wounds or infections, not skin redness.

A. urine output B. body temperature C. blood glucose D. digestive enzymes

Correct Answer is B

Explanation

A. Urine output – Febrile states do not affect urine output directly.

B. Body temperature – "Febrile" refers to an elevated body temperature (fever), which typically occurs due to infection or inflammation.

C. Blood glucose – Febrile states can be associated with metabolic changes, but febrile itself does not refer to blood glucose.

D. Digestive enzymes – Digestive enzyme levels are not linked to febrile states.

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A nursing assessment is a process of collecting data to establish a database. The information contained in the database is the basis for:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Redness or inflammation of the skin or mucous membranes resulting from dilation and congestion of superficial capillaries is termed:

Correct Answer is B

Explanation

Febrile is an abnormal elevation of:

Correct Answer is B

Explanation

Fluid, cells or other substances that have been slowly discharged from body cells or blood vessels, through small pores or breaks in the cell membrane are called:

As the assessment continues the nurse notes an abnormal swishing sound with auscultation of the carotid artery. The term for this sound is:

An abnormally slow heart rate, below 60 beats per minute is called:

The nurse is meeting a patient for the first time. The initial step in initiating a nurse-patient relationship is for the nurse to:

When the color of the sclera is yellow due to bilirubin that infiltrates all tissues of the body it is called:

An abnormal condition in which a person must sit or stand to breathe deeply or comfortably is called:

A nursing assessment is a process of collecting data to establish a database. The information contained in the database is the basis for:

The term used to describe a disease where there has been a partial or complete disappearance of clinical and subjective characteristics of the disease is: