While conducting an assessment of the patient, the nurse recognizes that after verifying biographical data, the initial step is:
the nursing health history
a body systems review
the present illness
a focused review
The Correct Answer is A
A. The nursing health history – The nursing health history is the first step after collecting biographical data. It includes the chief complaint, past medical history, and social factors affecting health.
B. A body systems review – A body systems review (ROS) is done later in the assessment to gather additional information on each organ system.
C. The present illness – The present illness is part of the nursing health history but is not the first step after verifying biographical data.
D. A focused review – A focused review targets specific concerns rather than serving as the initial step in a comprehensive assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Edema – Edema is the accumulation of fluid in tissues, not the flow or withdrawal of fluids.
B. Exudate –Exudate is a fluid that escapes from blood vessels due to inflammation or injury, but it does not specifically refer to the free flow of fluid.
C. Purulent – Purulent refers to thick, pus-containing fluid, which indicates infection but does not describe fluid drainage in general.
D. Drainage – Drainage refers to the free flow or withdrawal of fluids from a wound, cavity, or tube, including blood, pus, or serous fluid.
Correct Answer is A
Explanation
A. Bruit – A bruit is an abnormal swishing sound heard over an artery due to turbulent blood flow, often caused by atherosclerosis or narrowing of the vessel.
B. Crackle – Crackles are abnormal lung sounds caused by fluid in the alveoli, not vascular turbulence.
C. Thrill – A thrill is a palpable vibration over a blood vessel or heart valve, indicating turbulent blood flow but is felt rather than heard.
D. Wheeze – A wheeze is a high-pitched respiratory sound caused by narrowed airways, not vascular abnormalities.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.