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Which statement best represents the Assessment component of SBAR communication?
Which statement best represents the Assessment component of SBAR communication?
A nurse is caring for a patient who has recently been diagnosed with terminal cancer. The patient expresses feelings of sadness and asks the nurse, "Why is this happening to me?" Which of the following responses by the nurse best demonstrates the use of therapeutic communication?
A nurse is caring for a patient who has recently been diagnosed with terminal cancer. The patient expresses feelings of sadness and asks the nurse, "Why is this happening to me?" Which of the following responses by the nurse best demonstrates the use of therapeutic communication?
A nurse is preparing to communicate a patient's condition to a physician using the SBAR (Situation, Background, Assessment, Recommendation) format. Which of the following is the appropriate order and content of the SBAR communication?
A nurse is preparing to communicate a patient's condition to a physician using the SBAR (Situation, Background, Assessment, Recommendation) format. Which of the following is the appropriate order and content of the SBAR communication?
The nurse is assessing an older adult patient and recognizes that risk factors for impaired cognition in this patient may include _______ and _______.
Answer Options:
- Diabetes mellitus
- Adequate sleep
- History of stroke
- Frequent intellectual stimulation
The nurse is assessing an older adult patient and recognizes that risk factors for impaired cognition in this patient may include _______ and _______. Answer Options:
- Diabetes mellitus
- Adequate sleep
- History of stroke
- Frequent intellectual stimulation
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A 54-year-old patient with a history of hypertension and diabetes is admitted to the hospital following a stroke. The nurse is assessing the patient's cognitive function. Which of the following findings would the nurse recognize as manifestations of impaired cognition? (Select all that apply.)
A. Inability to remember the names of common objects (e.g., a pen or a chair).B. Frequent agitation and restlessness.
C. Difficulty following conversations or understanding speech.
D. Expressing confusion about the time of day and location.
E. Consistently completing tasks independently without assistance.
F. Making poor decisions, such as attempting to leave the hospital without assistance.
A 54-year-old patient with a history of hypertension and diabetes is admitted to the hospital following a stroke. The nurse is assessing the patient's cognitive function. Which of the following findings would the nurse recognize as manifestations of impaired cognition? (Select all that apply.)
A. Inability to remember the names of common objects (e.g., a pen or a chair).B. Frequent agitation and restlessness. C. Difficulty following conversations or understanding speech. D. Expressing confusion about the time of day and location. E. Consistently completing tasks independently without assistance. F. Making poor decisions, such as attempting to leave the hospital without assistance.
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A nurse is providing an SBAR to the patient's provider. Which of the following information would the nurse include as part of the Recommendation component of SBAR?
A nurse is providing an SBAR to the patient's provider. Which of the following information would the nurse include as part of the Recommendation component of SBAR?
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A nurse is caring for a client following a myocardial infarction. The client tells the nurse that she does not think she can remain on a low-cholesterol diet. Which of the following responses should the nurse make?
A nurse is caring for a client following a myocardial infarction. The client tells the nurse that she does not think she can remain on a low-cholesterol diet. Which of the following responses should the nurse make?
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A nurse is caring for a client who has a new diagnosis of breast cancer. The client becomes quiet and withdrawn and says to the nurse, "What do you think people will say about me when I'm gone?" Which of the following responses should the nurse make?
A nurse is caring for a client who has a new diagnosis of breast cancer. The client becomes quiet and withdrawn and says to the nurse, "What do you think people will say about me when I'm gone?" Which of the following responses should the nurse make?
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During a health assessment, a nurse is gathering a health history from a 45-year-old patient. Which of the following statements made by the patient should the nurse identify as a potential abnormal finding?
During a health assessment, a nurse is gathering a health history from a 45-year-old patient. Which of the following statements made by the patient should the nurse identify as a potential abnormal finding?
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A community health nurse is planning a health promotion program targeting various age groups within the community. Which of the following interventions is most appropriate as a primary health promotion strategy for the older adult population?
A community health nurse is planning a health promotion program targeting various age groups within the community. Which of the following interventions is most appropriate as a primary health promotion strategy for the older adult population?
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Which of the following findings in a comprehensive physical exam are considered normal? (Select all that apply).
A) The patient’s pupils are equal, round, and reactive to light and accommodation (PERRLA).
B) The patient has a heart rate of 120 beats per minute (bpm) at rest, with a regular rhythm.
C) The patient's breath sounds are clear bilaterally without wheezing, crackles, or rhonchi.
D) The patient’s abdominal inspection reveals visible peristalsis and a firm, distended abdomen.
E) The patient’s blood pressure is 118/75 mmHg, which is within the normal range.
F) The patient has a respiratory rate of 8 breaths per minute with shallow breathing.
Which of the following findings in a comprehensive physical exam are considered normal? (Select all that apply).
A) The patient’s pupils are equal, round, and reactive to light and accommodation (PERRLA). B) The patient has a heart rate of 120 beats per minute (bpm) at rest, with a regular rhythm. C) The patient's breath sounds are clear bilaterally without wheezing, crackles, or rhonchi. D) The patient’s abdominal inspection reveals visible peristalsis and a firm, distended abdomen. E) The patient’s blood pressure is 118/75 mmHg, which is within the normal range. F) The patient has a respiratory rate of 8 breaths per minute with shallow breathing.
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Which of the following statements accurately describes the process of sleep and its physiological benefits? Select all that apply.
A) The circadian rhythm regulates the sleep-wake cycle, synchronizing with environmental cues such as light and temperature.
B) Sleep-wake homeostasis helps the body maintain alertness and prevents sleep by controlling the release of melatonin.
C) REM sleep is characterized by rapid eye movement, low muscle tone, and increased heart rate, making it the stage of sleep most associated with dreaming.
D) During Stage 3 (NREM), the body undergoes tissue repair, and the immune system strengthens.
E) Sleep spindles and K-complexes in Stage 2 (NREM) sleep are involved in memory consolidation and maintaining sleep.
F) Delta waves are characteristic of Stage 1 (NREM) sleep, which is the deepest stage of sleep, necessary for immune function and muscle repair.
Which of the following statements accurately describes the process of sleep and its physiological benefits? Select all that apply. A) The circadian rhythm regulates the sleep-wake cycle, synchronizing with environmental cues such as light and temperature. B) Sleep-wake homeostasis helps the body maintain alertness and prevents sleep by controlling the release of melatonin. C) REM sleep is characterized by rapid eye movement, low muscle tone, and increased heart rate, making it the stage of sleep most associated with dreaming. D) During Stage 3 (NREM), the body undergoes tissue repair, and the immune system strengthens. E) Sleep spindles and K-complexes in Stage 2 (NREM) sleep are involved in memory consolidation and maintaining sleep. F) Delta waves are characteristic of Stage 1 (NREM) sleep, which is the deepest stage of sleep, necessary for immune function and muscle repair.
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The nurse is performing a general survey on a newly admitted patient. Which of the following combinations of findings should the nurse recognize as abnormal and requiring immediate follow-up? (Select all that apply)
A) A patient with a respiratory rate of 18 breaths per minute, exhibiting no signs of distress, a body temperature of 98.6°F (37°C), and a steady gait.
B) A patient with a BMI of 32, pale skin, a heart rate of 110 bpm, and reports feeling dizzy upon standing. The patient also has 2+ pitting edema in both lower extremities.
C) A patient with a blood pressure of 110/70 mmHg, a heart rate of 62 bpm, normal capillary refill of 2 seconds, and difficulty recalling their name and the date.
D) A patient with a BMI of 24, a temperature of 99.2°F (37.3°C), a respiratory rate of 22 breaths per minute, and visible bruising on the forearms and thighs in various stages of healing.
The nurse is performing a general survey on a newly admitted patient. Which of the following combinations of findings should the nurse recognize as abnormal and requiring immediate follow-up? (Select all that apply) A) A patient with a respiratory rate of 18 breaths per minute, exhibiting no signs of distress, a body temperature of 98.6°F (37°C), and a steady gait. B) A patient with a BMI of 32, pale skin, a heart rate of 110 bpm, and reports feeling dizzy upon standing. The patient also has 2+ pitting edema in both lower extremities. C) A patient with a blood pressure of 110/70 mmHg, a heart rate of 62 bpm, normal capillary refill of 2 seconds, and difficulty recalling their name and the date. D) A patient with a BMI of 24, a temperature of 99.2°F (37.3°C), a respiratory rate of 22 breaths per minute, and visible bruising on the forearms and thighs in various stages of healing.
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The nurse is assessing a patient's coping strategies during a period of significant stress. Match the following coping responses with whether they are adaptive or maladaptive.
The nurse is assessing a patient's coping strategies during a period of significant stress. Match the following coping responses with whether they are adaptive or maladaptive.
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The nurse is assessing a patient's coping strategies during a period of significant stress. Match the following coping responses with whether they are adaptive or maladaptive
The nurse is assessing a patient's coping strategies during a period of significant stress. Match the following coping responses with whether they are adaptive or maladaptive
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The nurse is assessing a patient's coping strategies during a period of significant stress. Match the following coping responses with whether they are adaptive or maladaptive
The nurse is assessing a patient's coping strategies during a period of significant stress. Match the following coping responses with whether they are adaptive or maladaptive
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The nurse is assessing a patient's coping strategies during a period of significant stress. Match the following coping responses with whether they are adaptive or maladaptive.
The nurse is assessing a patient's coping strategies during a period of significant stress. Match the following coping responses with whether they are adaptive or maladaptive.
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The nurse is conducting a general survey during a routine health assessment of a 60-year-old client. Which of the following abnormal findings would require the nurse to initiate immediate follow-up actions?
The nurse is conducting a general survey during a routine health assessment of a 60-year-old client. Which of the following abnormal findings would require the nurse to initiate immediate follow-up actions?
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A nurse is assessing a client who recently lost their job. Which of the following findings indicates the client may be at risk for altered coping?
A nurse is assessing a client who recently lost their job. Which of the following findings indicates the client may be at risk for altered coping?
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A nurse is performing a Romberg test on a patient who has been experiencing dizziness and balance issues. The patient stands with feet together, arms at their sides, and eyes closed. The patient begins to sway significantly and falls to one side. What is the most appropriate nursing action?
A nurse is performing a Romberg test on a patient who has been experiencing dizziness and balance issues. The patient stands with feet together, arms at their sides, and eyes closed. The patient begins to sway significantly and falls to one side. What is the most appropriate nursing action?
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A nurse is caring for a Hispanic patient who prefers to use traditional herbal remedies in addition to prescribed medications. Which response by the nurse demonstrates cultural sensitivity
A nurse is caring for a Hispanic patient who prefers to use traditional herbal remedies in addition to prescribed medications. Which response by the nurse demonstrates cultural sensitivity
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A nurse is caring for a 45-year-old patient who was admitted for respiratory distress. The patient’s vital signs are as follows:
• Temperature: 99.0°F (37.2°C)
• Heart rate: 120 beats per minute
• Respiratory rate: 30 breaths per minute
• Blood pressure: 138/88 mmHg
What is the most appropriate nursing action based on these findings?
A nurse is caring for a 45-year-old patient who was admitted for respiratory distress. The patient’s vital signs are as follows: • Temperature: 99.0°F (37.2°C) • Heart rate: 120 beats per minute • Respiratory rate: 30 breaths per minute • Blood pressure: 138/88 mmHg What is the most appropriate nursing action based on these findings?
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A 70-year-old patient is recovering from a hip replacement surgery. The nurse notes the following vital signs:
• Temperature: 99.1°F (37.3°C)
• Heart rate: 52 beats per minute
• Respiratory rate: 16 breaths per minute
• Blood pressure: 120/72 mmHg
Which of the following is the most appropriate action for the nurse?
A 70-year-old patient is recovering from a hip replacement surgery. The nurse notes the following vital signs: • Temperature: 99.1°F (37.3°C) • Heart rate: 52 beats per minute • Respiratory rate: 16 breaths per minute • Blood pressure: 120/72 mmHg Which of the following is the most appropriate action for the nurse?
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A nurse is assessing a 60-year-old male patient who is post-cardiac surgery. The following vital signs are recorded:
• Temperature: 100.2°F (37.9°C)
• Heart rate: 88 beats per minute
• Respiratory rate: 18 breaths per minute
• Blood pressure: 110/68 mmHg
What is the most appropriate next action by the nurse?
A nurse is assessing a 60-year-old male patient who is post-cardiac surgery. The following vital signs are recorded: • Temperature: 100.2°F (37.9°C) • Heart rate: 88 beats per minute • Respiratory rate: 18 breaths per minute • Blood pressure: 110/68 mmHg What is the most appropriate next action by the nurse?
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(Select All That Apply): A nurse is educating a pregnant patient on how to increase folate intake to prevent neural tube defects. Which of the following foods should the nurse recommend as the best sources of folate during pregnancy?
A) Fortified breakfast cereals
B) Fresh orange juice
C) Lean meats
D) Dark leafy greens
E) Whole grain breads
(Select All That Apply): A nurse is educating a pregnant patient on how to increase folate intake to prevent neural tube defects. Which of the following foods should the nurse recommend as the best sources of folate during pregnancy? A) Fortified breakfast cereals B) Fresh orange juice C) Lean meats D) Dark leafy greens E) Whole grain breads
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A nurse is providing dietary teaching to a patient with chronic kidney disease (CKD) who is on hemodialysis. The nurse explains that certain nutrients need to be restricted. Which of the following foods should the nurse instruct the patient to limit?
A nurse is providing dietary teaching to a patient with chronic kidney disease (CKD) who is on hemodialysis. The nurse explains that certain nutrients need to be restricted. Which of the following foods should the nurse instruct the patient to limit?
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(Matching): Match the following nutrition-related conditions with the appropriate dietary recommendation:
- Iron-deficiency anemia
- Chronic kidney disease (CKD)
- Celiac disease
- Type 2 diabetes
A) Follow a gluten-free diet
B) Increase iron-rich foods, such as red meat, beans, and fortified cereals
C) Limit protein intake to reduce kidney strain
D) Focus on complex carbohydrates, such as whole grains and vegetables, and limit sugar intake
(Matching): Match the following nutrition-related conditions with the appropriate dietary recommendation:
- Iron-deficiency anemia
- Chronic kidney disease (CKD)
- Celiac disease
- Type 2 diabetes
A) Follow a gluten-free diet B) Increase iron-rich foods, such as red meat, beans, and fortified cereals C) Limit protein intake to reduce kidney strain D) Focus on complex carbohydrates, such as whole grains and vegetables, and limit sugar intake
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A nurse helping to develop an in-service about cultural competence is reviewing a list of health beliefs provided by members of a local cultural group. The nurse should recognize that this list provides which of the following types of information?
A nurse helping to develop an in-service about cultural competence is reviewing a list of health beliefs provided by members of a local cultural group. The nurse should recognize that this list provides which of the following types of information?
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Which expected breath sounds are heard over the largest portions of the lungs and are soft-sounding like wind blowing through trees?
Which expected breath sounds are heard over the largest portions of the lungs and are soft-sounding like wind blowing through trees?
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A nurse is caring for a patient who has been undergoing chemotherapy for cancer. The patient reports experiencing numbness and tingling in their fingers and toes. Which of the following conditions is most likely contributing to these symptoms?
A nurse is caring for a patient who has been undergoing chemotherapy for cancer. The patient reports experiencing numbness and tingling in their fingers and toes. Which of the following conditions is most likely contributing to these symptoms?
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A nurse is preparing to conduct a cultural assessment of a patient. Which question best allows the nurse to assess the patient’s cultural health beliefs
A nurse is preparing to conduct a cultural assessment of a patient. Which question best allows the nurse to assess the patient’s cultural health beliefs
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A nurse is assessing a 35 year old female in the emergency department. The following vitals are recorded 15 minutes after administering IV morphine. Which of the following findings should the nurse be most concerned about and require immediate follow up?
A nurse is assessing a 35 year old female in the emergency department. The following vitals are recorded 15 minutes after administering IV morphine. Which of the following findings should the nurse be most concerned about and require immediate follow up?
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A nurse is caring for a client who has been prescribed total parenteral nutrition (TPN) feedings. The nurse should ensure that the tubing should be changed every ___.
A nurse is caring for a client who has been prescribed total parenteral nutrition (TPN) feedings. The nurse should ensure that the tubing should be changed every ___.
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A nurse is caring for a client with an increased cardiac afterload. Which of the following findings should the nurse expect?
A nurse is caring for a client with an increased cardiac afterload. Which of the following findings should the nurse expect?
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A nurse is caring for a client who is diagnosed with anxiety disorder. Which of the following interventions should the nurse include in the client's care plan? (Select All That Apply)
A: Encourage the client to engage in deep breathing exercises when having anxiety
B: Taking medication as prescribed like Benzodiazepines
C: Educate the client on relaxation techniques like relief of pain and muscle tension
D: Allow the client to pace alone until physically tired when the client has anxiety
A nurse is caring for a client who is diagnosed with anxiety disorder. Which of the following interventions should the nurse include in the client's care plan? (Select All That Apply) A: Encourage the client to engage in deep breathing exercises when having anxiety B: Taking medication as prescribed like Benzodiazepines C: Educate the client on relaxation techniques like relief of pain and muscle tension D: Allow the client to pace alone until physically tired when the client has anxiety
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A nurse is assessing a patient's abdomen. Which of the following findings requires further investigation?
A nurse is assessing a patient's abdomen. Which of the following findings requires further investigation?
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A patient with anxiety disorder is prescribed lorazepam. Which statement by the patient indicates a need for further teaching?
A patient with anxiety disorder is prescribed lorazepam. Which statement by the patient indicates a need for further teaching?
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A nursing student is doing an assessment of the skin on a 20 year old female. Which of the following may the nurse expect during a skin assessment? (Select all that apply.)
- Acne
- Diaphoresis
- Cyanosis
- Capillary refill less than two seconds
- Hyperpigmentation
A nursing student is doing an assessment of the skin on a 20 year old female. Which of the following may the nurse expect during a skin assessment? (Select all that apply.)
- Acne
- Diaphoresis
- Cyanosis
- Capillary refill less than two seconds
- Hyperpigmentation
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A nursing student has been recently diagnosed with generalized anxiety disorder. What symptoms would you expect for a patient with moderate anxiety? (Select all that apply.)
- Insomnia
- Increased heart rate
- Anorexia
- Irritability
- Edema
A nursing student has been recently diagnosed with generalized anxiety disorder. What symptoms would you expect for a patient with moderate anxiety? (Select all that apply.)
- Insomnia
- Increased heart rate
- Anorexia
- Irritability
- Edema
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A nurse is assessing a client who presents with numbness, tingling, and weakness in the lower extremities. Upon further examination, the nurse notes decreased sensation to light touch, absent deep tendon reflexes in the legs, and diminished muscle strength in the lower limbs. Which of the following conditions is most likely contributing to these abnormal findings?
A nurse is assessing a client who presents with numbness, tingling, and weakness in the lower extremities. Upon further examination, the nurse notes decreased sensation to light touch, absent deep tendon reflexes in the legs, and diminished muscle strength in the lower limbs. Which of the following conditions is most likely contributing to these abnormal findings?
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Study Notes
SBAR Assessment Component
- The assessment component in SBAR describes the patient's condition.
- It focuses on the current patient situation and potential issues.
- It should include observable findings and relevant data.
- Example: "This patient's blood pressure is elevated and may require intervention."
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Description
This quiz focuses on the assessment component of the SBAR communication tool in healthcare. It emphasizes understanding the current patient situation, including observable findings and relevant data for effective communication. Test your knowledge on describing patient's conditions clearly and succinctly.
