When performing a thorough physical assessment on a patient, the licensed practical nurse (LPN) begins collecting primary data. An example of primary data is that

The patient's daughter appears anxious about the patient's hospitalization.

The patient reports a history of chronic obstructive pulmonary disease.

The patient's spouse reports the patient has difficulty sleeping.

The patient's caregiver complains of feeling overwhelmed.

Answer and Explanation

The Correct Answer is B

A: The daughter's anxiety is secondary information and not directly related to the patient's health status.
B: The patient's self-reported medical history is primary data as it comes directly from the patient and provides essential information for the assessment.
C: The spouse's report of the patient's difficulty sleeping is secondary information and not directly observed or reported by the patient.
D: The caregiver's complaint is secondary information and does not provide direct insight into the patient's health status.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A: To accurately determine a pulse deficit, one nurse must listen to the apical pulse while another nurse palpates the radial pulse simultaneously to compare both pulse rates, necessitating a second person.
B: Counting the apical pulse is a part of the process but would follow after ensuring another nurse is available to check the radial pulse at the same time.

C: This action relates to checking a pulse rate generally but does not specify the need for simultaneous comparison with the apical pulse.
D: Calculation of the difference is the final step after both pulses have been counted simultaneously.

A. The patient has low blood pressure. B. The patient is short of breath. C. The patient has wound drainage. D. The patient reports feelings of fatigue.

Correct Answer is D

Explanation

A: Low blood pressure is an objective finding that can be measured directly.

B: Shortness of breath is a subjective symptom reported by the patient.
C: Wound drainage is an objective finding that can be observed directly.

D: Feelings of fatigue are subjective symptoms reported by the patient, reflecting their personal experience rather than directly observable physical signs.

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When performing a thorough physical assessment on a patient, the licensed practical nurse (LPN) begins collecting primary data. An example of primary data is that

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to assess a client for a pulse deficit. Which of the following actions should the nurse plan to take first?

Correct Answer is A

Explanation

A nurse is performing an admission assessment on a patient. When collecting objective and subjective data, the nurse identifies subjective data as

Correct Answer is D

Explanation

The nurse gives the patient the following instructions: "Focus on the far wall and now focus on my pen." The nurse is assessing the

A nurse is preparing to obtain an electronic blood pressure measurement on a client. Which of the following actions should the nurse plan to take?

A nurse is caring for a client who has an oral temperature of 39.5°C (103.1°F). Which of the following actions should the nurse take?

When performing a thorough physical assessment on a patient, the licensed practical nurse (LPN) begins collecting primary data. An example of primary data is that

While performing an admission history on a confused patient, a licensed practical nurse (LPN) assists the registered nurse (RN) by collecting secondary information about the patient. An example of secondary information would be that

A nurse performing an assessment would correctly note that an absent pulse in one or more of the extremities indicates

During the physical assessment, the nurse asks an elderly female patient if she experiences constipation. The nurse knows that

A nurse is collecting data on a client to check for orthostatic hypotension. Which of the following actions should the nurse take first?