Which of the following is an open ended question?

Which of the following is the most basic function and therefore should be tested first in an assessment of mental status?

Which of the following is not a significant contributor to the assessment of mental status?

The nurse is preparing to percuss the abdomen of a patient. The purpose of the percussion is to assess the underlying tissue:

The nurse is reviewing percussion techniques with a newly graduated nurse. Which technique, if used by the new nurse, indicates that more review is needed? The nurse:

The nurse is teaching a class on basic assessment skills. Which of these statements is true regarding the stethoscope and its use?

The nurse is unable to palpate the right radial pulse on a patient. The best action would be to:

When performing a physical examination, safety must be considered to protect the examiner and the patient against the spread of infection. Which of these statements describes the most appropriate action the nurse should take when performing a physical examination?

Which of these statements is true regarding the use of standard precautions in the health care setting?

The nurse is preparing to assess a hospitalized patient who is experiencing significant shortness of breath. How should the nurse proceed with the assessment?

The nurse is performing a general survey. Which action is a component of the general survey?

Which patient would be most likely to present with a pulse rate that is lower than normal?

A patient's weekly blood pressure readings for 2 months have ranged between 124/84 and 136/88 mm Hg, with an average reading of 126/86 mm Hg. The nurse knows that this blood pressure falls within which blood pressure category?

The nurse should measure rectal temperatures in which of these patients?

A student is late for his appointment and has rushed across campus to the health clinic. Before assessing his vital signs, the nurse should:

The nurse will perform a palpated pressure before auscultating blood pressure. The reason for this is to:

The nurse is performing a general survey. Which finding is considered normal?

After a class on culture and ethnicity, the new graduate nurse reflects a correct understanding of the concept of ethnicity with which statement?

A man has been admitted to the observation unit for observation after being treated for a large cut on his forehead. As the nurse works through the interview, one of the standard questions has to do with alcohol, tobacco, and drug use. When the nurse asks him about tobacco use, he states, "I quit smoking after my wife died 7 years ago." However, the nurse notices an open package of cigarettes in his shirt pocket. Using confrontation, the nurse could say:

A pregnant woman states, "I just know labor will be so painful that I won't be able to stand it. I know it sounds awful, but I really dread going into labor. The nurse responds by stating, "Oh, don't worry about labor so much. I have been through it, and although it is painful there are many good medications to decrease the pain." Which statement is true regarding this response? It was a:

During the interview portion of data collection, the nurse collects _________ data.

When evaluating a patient's pain, the nurse knows that an example of acute pain would be:

A female patient does not speak English well, and the nurse needs to choose an interpreter. Which of the following would be the most appropriate choice?

The nurse is preparing to conduct a health history. Which of these statements best describes the purpose of a health history?

A patient has had arthritic pain in her hips for several years since a hip fracture. She is able to move around in her room and has not offered any complaints so far this morning. However, when asked, she states that her pain is "bad this morning" and rates it an 8 on a 0 to 10 scale. What does the nurse suspect?

When performing a physical assessment, the technique the nurse will always use first is:

A woman who has lived in the United States for a year after moving from Europe has learned to speak English and is almost finished with her college degree. She now dresses like her peers and says that her family in Europe would hardly recognize her. This nurse recognizes that this situation illustrates which concept?

When the nurse asks a 68-year-old patient to stand with feet together and arms at his side with his eyes closed, he starts to sway and moves his feet farther apart. The nurse would document this finding as a(n):

During an examination, the nurse can assess mental status by which activity?

A woman brings her 70 year old husband to the clinic for an examination. She is particularly worried because after a recent fall, he seems to have lost a great deal of his memory of recent events. Which statement reflects the nurse's best course of action? The nurse should:

The nurse is preparing to do a mental status assessment. Which statement is true regarding the mental status assessment?

A 19-year-old woman comes to the clinic at the insistence of her brother. She is wearing black combat boots and a black lace nightgown over the top of her other clothes. Her hair is dyed pink with black streaks throughout. She has several pierced holes in her nares and ears and is wearing an earring through her eyebrow and heavy black makeup. The nurse concludes:

During the history, a patient tells the nurse that "it feels like the room is spinning around me." The nurse would document this as:

A patient has been in the intensive care unit for 10 days. He has just been moved to the medical-surgical unit, and the admitting nurse is planning to perform a mental status examination on him. During the tests of cognitive function the nurse would expect that he:

The nurse places a key in the hand of a patient and he identifies it correctly. What term would the nurse use to describe this finding?

During an assessment of the cranial nerves, the nurse finds the following: asymmetry when the patient smiles or frowns, uneven lifting of eyebrows, sagging of the lower eyelids, and escape of air when the nurse presses against the right puffed cheek. This would indicate dysfunction of which of these cranial nerves?

The nurse is testing superficial reflexes on an adult patient. When stroking up the lateral side of the sole and across the ball of the foot, the nurse notices the plantar flexion of the toes. How should the nurse document this finding?