mitc
20
qumc

Assessing the respiratory system includes which of the following questions?
Is there a cough? Is it productive or nonproductive? If it is productive, what color and consistency is the sputum?
Correct. These questions apply to the respiratory system.
Has there been a change in bowel pattern or the color or consistency of stools?
Incorrect. These questions apply to the digestive system.
What is the appearance of the urine?
Incorrect. This question applies to the urinary system.

Assessing the nervous system includes which of the following questions?
Is there any numbness or tingling?
Correct. This question applies to the nervous system.
Is there any discomfort with movement?
Incorrect. This question applies to the musculoskeletal system.
What is the respiratory rate and rhythm?
Incorrect. This question applies to the respiratory system.

Assessing the urinary system includes which of the following questions?
Does the patient have nocturia?
Correct. Nocturia is getting up at night to urinate.
Has there been any sudden change in weight and appetite?
Incorrect. This question applies to the digestive system.
Is the gait normal or altered?
Incorrect. Gait is the manner of walking and is related to the musculoskeletal system.

Performing a psychosocial assessment includes which of the following questions?
What are the emotional responses?
Correct. Emotional responses are related to the psychosocial assessment.
What are the vital signs?
Incorrect. Vital signs are part of the circulatory system assessment.
Is the patient experiencing dyspnea?
Incorrect. Dyspnea, or difficulty in breathing, is part of the respiratory assessment.

If you note that the patient is experiencing orthopnea, which system is being assessed?
respiratory
Correct. Orthopnea is when the patient breathes more easily in a sitting or standing position.
nervous
Incorrect. Orthopnea is when the patient breathes more easily in a sitting or standing position.
endocrine
Incorrect. Orthopnea is when the patient breathes more easily in a sitting or standing position.

Which of the following readings would indicate a pulse deficit?
apical 110, radial 96
Correct. A pulse deficit is when the apical rate is higher than the radial rate.
apical 96, radial 96
Incorrect. No pulse deficit exists, as both readings are identical.
apical 96, radial 110
Incorrect. It is not possible for the radial rate to exceed the apical rate.

Which of the following guidelines is most appropriate when weighing patients?
Weigh them first thing in the morning, after they empty their bladder and before they eat or drink.
Correct. This approach produces the most consistent results.
Weigh them right before bedtime and after they empty their bladder.
Incorrect. Weighing in the evening results in less consistency.
Weigh them any time, as long as they empty their bladder and have not had anything to eat or drink for 2 hours.
Incorrect. Weighing in the morning is the most consistent approach.

Why is hypertension called the "silent killer"?
There are few, if any, symptoms of hypertension, but if left untreated, it can cause many life-threatening conditions.
Correct. Hypertension has few symptoms, but if left untreated, it can lead to deadly conditions.
It comes on suddenly and kills quickly.
Incorrect. Hypertension is usually present a long time before it leads to life-threatening conditions.
It is very difficult to diagnose.
Incorrect. Hypertension is easy to diagnose with a blood pressure reading.

Which of the following is the best definition for a pulse point?
where an artery can be felt on the surface of the body
Correct. A pulse point can be felt on the body when an artery comes close to the skin and passes over a hard surface.
where a vein can be felt on the surface of the body
Incorrect. Veins do not have pulsations that can be felt.
where the heart can be felt by placing the hand on the chest
Incorrect. A pulse point can be felt on the body when an artery comes close to the skin and passes over a hard surface.

A pain assessment rating of 5 before pain medication and a 3 afterwards would indicate that:
the patient's pain level decreased after taking the pain medication
Correct. The lower the number, the less the pain.
the patient's pain level increased after taking the pain medication
Incorrect. The lower the number, the less the pain.
this is not a valid rating
Incorrect. It is a valid rating and indicates that the patient has experienced some relief from pain.

