The protective response of body tissues to irritation, injury or pathogens is:

infection

ecchymosis

erythema

Inflammation

Answer and Explanation

The Correct Answer is D

A. Infection. – Infection refers to the invasion of body tissues by microorganisms, while inflammation is the body’s response to injury or infection.

B. Ecchymosis. – Ecchymosis refers to bruising caused by blood leakage under the skin, not a protective response.

C. Erythema. – Erythema is redness of the skin due to increased blood flow, which is a symptom of inflammation but not the process itself.

D. Inflammation. – Inflammation is the body’s protective response to injury, infection, or irritation. It involves increased blood flow, immune cell activation, and chemical mediators to promote healing.

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Correct Answer is A

Explanation

A. Region – In the PQRST pain assessment method, R stands for Region (location of pain). It helps determine where the patient feels discomfort and whether it radiates.

B. Recent – "Recent" does not correspond to any category in the PQRST system.

C. Random – "Random" is not a part of the PQRST framework.

D. Result – The PQRST method does not include "Result"; instead, it focuses on the characteristics of pain.

A. systemic B. specialized C. individualized D. Focused

Correct Answer is D

Explanation

A. Systemic – A systemic assessment is a head-to-toe examination that evaluates all body systems. The patient’s condition change requires a more targeted approach.

B. Specialized – A specialized assessment refers to an in-depth evaluation of a specific condition, usually performed by a specialist.

C. Individualized – While all assessments should be individualized, this term does not specifically describe the type of assessment needed in response to a sudden change in condition.

D. Focused – A focused assessment is performed when there is a specific change in the patient’s condition, such as new-onset dyspnea. It concentrates on the affected system (e.g., respiratory system) to determine the underlying cause.

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The protective response of body tissues to irritation, injury or pathogens is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is obtaining a history of the patient's present illness. The PQRST system is being used for the interview. In this system the R is:

Correct Answer is A

Explanation

The patient was admitted with a complaint of abdominal pain. Later the nurse observed the patient demonstrating dyspnea. This change in condition required an assessment called:

Correct Answer is D

Explanation

When performing a physical examination of the patient, the nurse uses a technique that is particularly useful in identifying areas of tenderness. This technique is:

Febrile is an abnormal elevation of:

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Discoloration of an area of the skin or mucous membranes caused by extravasation of blood into subcutaneous tissue is termed:

An abnormal accumulation of fluid in the interstitial spaces is described as:

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