When performing an initial assessment on a patient, which piece of information is of highest priority?

date of previous diagnostic tests

where the patient is living

treatment for previous illnesses

any allergies to medications

Answer and Explanation

The Correct Answer is D

A.   The date of previous diagnostic tests may be important, but it is secondary to immediate safety concerns like allergies.
B.   Information about the patient's living situation can be useful for discharge planning but is not the most urgent piece of information.
C.   Previous treatment for illnesses is important but does not supersede immediate health threats like allergies.
D.   Knowing any allergies to medications is critical to avoid potentially harmful reactions. This is a priority when beginning care, as it informs medication administration and treatment options.

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Correct Answer is A

Explanation

A. Pushing the soles of the feet against the nurse's hands is a standard test to assess the strength of the lower extremities. It provides a clear indication of muscular strength and motor function.
B. Wiggling toes helps assess for sensation but does not evaluate overall strength or motor function in the lower extremities.
C. Pulling both feet up to stretch the Achilles tendons is not an appropriate method for assessing lower extremity strength.
D. Standing independently does not evaluate strength comprehensively and is more related to balance and coordination.

A. After palpating the abdomen B. Prior to percussing the abdomen C. After checking for kidney tenderness D. Prior to inspecting the abdomen

Correct Answer is B

Explanation

A. Palpation may alter bowel sounds, making auscultation after palpation less accurate.
B. Auscultation should be performed before percussion or palpation to prevent interference with the sounds.
C. Checking for kidney tenderness is important but does not affect the timing of auscultating bowel sounds.
D. Inspection should be done before auscultation to assess for any obvious abnormalities before listening for bowel sounds.

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When performing an initial assessment on a patient, which piece of information is of highest priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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