Select the type of assessment which is performed continuously throughout nurse-patient contact:

focused

body systems

subjective

complete

Answer and Explanation

The Correct Answer is A

A. Focused: A focused assessment is ongoing and directed at specific problems based on the patient’s condition (e.g., assessing pain, circulation, or respiratory status frequently).

B. Body systems: Body systems assessments are structured assessments that evaluate a particular system (e.g., cardiovascular, respiratory) rather than continuous monitoring.

C. Subjective: Subjective assessment includes patient-reported symptoms but does not define the type of continuous assessment nurses perform.

D. Complete: A complete (or comprehensive) assessment is done at admission, not continuously.

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Correct Answer is D

Explanation

A. Physician's Order Sheet: While the physician orders narcotics, administration is not documented here.

B. Narcotic Administration Sheet: The Narcotic Administration Sheet is specifically for controlled substances, ensuring proper tracking and preventing misuse.

C. Care Plan: The care plan outlines patient goals and interventions, not medication administration.

D. MAR (Medication Administration Record) and Narcotic Administration Sheet: The MAR (Medication Administration Record) documents all medications given to the patient. The Narcotic Administration Sheet is required for controlled substances to comply with regulations.

A. patient's vital signs are B/P 120/80, P 88 and R 18 B. non-responsive patient C. disoriented patient D. critically patient ill

Correct Answer is A

Explanation

A. Patient’s vital signs are B/P 120/80, P 88, and R 18: Stable, normal vital signs do not indicate an immediate need for a focused assessment unless there is a complaint or concern.

B. Non-responsive patient: A focused neurological and airway assessment is required for an unresponsive patient.

C. Disoriented patient: Disorientation may indicate neurological issues, infection, or metabolic imbalance, requiring a focused mental status and neurological assessment.

D. Critically ill patient: Critically ill patients require frequent focused assessments based on their condition (e.g., respiratory, cardiac, or neurological).

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Select the type of assessment which is performed continuously throughout nurse-patient contact:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

On what form/forms should the nurse chart when administering a narcotic?

Correct Answer is D

Explanation

A focused assessment should be done by the nurse in all of the following situations EXCEPT:

Correct Answer is A

Explanation

Which of the following statements is correct about abbreviations?

The patient is confined to bed rest. This contributes to immobility of the patient. How should bed rest be indicated on the nursing care plan?

A patient with edema has a problem of fluid overload. The nurse is developing a care plan and selecting interventions that will assist the patient in reducing the fluid. An important consideration when developing the care plan is to:

To what does objective data refer when assessing a patient?

In which step of the nursing process do nurses look at outcomes?

Which of the following assists the nurse in the identification of nursing diagnoses?

Identify the person responsible for analyzing and interpreting data to arrive at a nursing diagnosis:

Clarify the primary purpose of nursing orders: