Evidence-based Practice & Assessment (Healthy People 2030) 1. Which component of the SBAR communication tool is used to describe the patient’s current condition? A. Situation B. Ba... Evidence-based Practice & Assessment (Healthy People 2030) 1. Which component of the SBAR communication tool is used to describe the patient’s current condition? A. Situation B. Background C. Assessment D. Recommendation 2. Which of the following techniques is correct when palpating for temperature? A. Using the fingertips B. Using the dorsal surface of the hand C. Using the palmar surface D. Using the ulnar surface of the hand 3. When performing auscultation, which part of the stethoscope is used to listen to high-pitched sounds such as breath sounds? A. Bell B. Diaphragm C. Tubing D. Earpieces 4. SOAP documentation is primarily used for which aspect of patient care? A. Communicating with family members B. Documenting subjective and objective findings C. Sharing the patient's discharge plan D. Performing a physical examination 5. Which is an example of objective data collected during a health assessment? A. Patient reporting nausea B. Blood pressure of 120/80 mmHg C. Patient stating they feel dizzy D. Complaint of a headache 6. What is the primary goal of the Healthy People 2030 initiative? A. To increase health insurance coverage B. To improve health literacy among children C. To achieve health equity and eliminate health disparities D. To reduce healthcare-associated infections 7. When caring for a patient with limited English proficiency, the nurse should first: A. Use hand gestures to explain care. B. Speak more slowly and loudly. C. Arrange for a professional interpreter. D. Ask the family to translate. 8. Which concept refers to the ability to effectively care for patients from diverse cultural backgrounds? A. Cultural competence B. Cultural assimilation C. Cultural sensitivity D. Cultural relativism 9. Select all that apply: When performing a cultural assessment, which areas should the nurse explore? A. Language preferences B. Health beliefs and practices C. Genetic predisposition D. Religious practices E. Patient’s insurance coverage 10. Which question is an example of an open-ended question in a patient interview? A. "How many days have you had a fever?" B. "Are you experiencing any pain right now?" C. "Can you tell me more about how you've been feeling?" D. "Do you have any allergies to medications?" 11. The nurse uses which of the following techniques to demonstrate empathy during a patient interview? A. Offering solutions B. Making eye contact C. Validating the patient's feelings D. Asking close-ended questions 12. Which component is NOT part of a complete health history? A. Chief complaint B. Review of systems C. Dietary recall D. Past medical history 13. In the review of systems (ROS), which statement from the patient would be considered subjective data? A. "I get dizzy when I stand up too fast." B. "My pulse rate is 85 beats per minute." C. "I had a fever of 101.5°F yesterday." D. "My blood pressure reading was 140/90 mmHg last week." 14. Which communication technique helps avoid communication traps during a patient interview? A. Giving reassurance B. Interrupting when necessary C. Active listening D. Providing quick answers 15. Which type of question would the nurse use to explore details about a patient's recent illness? A. Open-ended B. Closed-ended C. Leading D. Confrontational 16. Which of the following is NOT included in a general survey? A. Stature B. Posture C. Weight D. Nutritional status 17. What is considered a normal BMI range for adults? A. 10 to 18 B. 18.5 to 24.9 C. 25 to 29.9 D. 30 to 35 18. In older adults, which of the following changes in posture is most commonly observed? A. Hyperextension of the spine B. Scoliosis C. Kyphosis D. Lordosis 19. Which blood pressure reading would be considered prehypertension according to current guidelines? A. 110/70 mmHg B. 130/85 mmHg C. 150/100 mmHg D. 180/120 mmHg 20. Select all that apply: Which of the following can cause a falsely high blood pressure reading? A. Using a cuff that is too small B. Taking the blood pressure immediately after exercise C. Patient sitting with feet flat on the floor D. Using a cuff that is too large 21. Which site is most commonly used for measuring an adult’s pulse? A. Brachial B. Radial C. Carotid D. Femoral 22. Which pain scale is most appropriate to assess pain in a nonverbal adult? A. Numeric Rating Scale (NRS) B. Wong-Baker Faces Scale C. FLACC Scale D. Verbal Descriptor Scale 23. Which of the following statements describes acute pain? A. Lasts for 6 months or longer B. Often results in emotional distress C. Has a sudden onset and usually subsides when the injury heals D. Is unresponsive to treatment 24. Pain that results from injury to nerves or the central nervous system is classified as: A. Somatic pain B. Visceral pain C. Neuropathic pain D. Referred pain 25. Select all that apply: Which of the following are functions of the skin? A. Protection B. Temperature regulation C. Synthesis of Vitamin D D. Oxygenation 26. What is the term for a flat, circumscribed, non-palpable skin lesion less than 1 cm in diameter? A. Papule B. Macule C. Vesicle D. Plaque 27. In a dark-skinned patient, cyanosis is best assessed by examining the: A. Fingernails B. Lips and oral mucosa C. Chest and abdomen D. Soles of the feet 28. Select all that apply: Which of the following lymph nodes are commonly assessed during a head and neck examination? A. Preauricular B. Axillary C. Submental D. Occipital E. Inguinal 29. When assessing the thyroid gland, the nurse should ask the patient to: A. Hold their breath B. Swallow C. Yawn D. Flex the neck 30. Convert 500 mL to liters. A. 0.05 L B. 0.5 L C. 5 L D. 50 L 31. How many milliliters are in 2 teaspoons of medication? A. 2 mL B. 5 mL C. 10 mL D. 15 mL
Understand the Problem
The question is a series of multiple-choice questions related to nursing assessments and practices, specifically focusing on topics within Healthy People 2030, cultural assessment, interview techniques, general surveys, vital signs, pain assessment, and skin evaluations. It is assessing knowledge and application of these nursing concepts and practices.
Answer
["A. Situation","B. Using the dorsal surface of the hand","B. Diaphragm","B. Documenting subjective and objective findings","B. Blood pressure of 120\/80 mmHg","C. To achieve health equity and eliminate health disparities","C. Arrange for a professional interpreter","A. Cultural competence","A. Language preferences, B. Health beliefs and practices, D. Religious practices","C. Can you tell me more about how you've been feeling?","C. Validating the patient's feelings","C. Dietary recall","A. I get dizzy when I stand up too fast","C. Active listening","A. Open-ended","D. Nutritional status","B. 18.5 to 24.9","C. Kyphosis","B. 130\/85 mmHg","A. Using a cuff that is too small, B. Taking the blood pressure immediately after exercise","B. Radial","C. FLACC Scale","C. Has a sudden onset and usually subsides when the injury heals","C. Neuropathic pain","A. Protection, B. Temperature regulation, C. Synthesis of Vitamin D","B. Macule","B. Lips and oral mucosa","A. Preauricular, C. Submental, D. Occipital","B. Swallow","B. 0.5 L","C. 10 mL"]
["The final answer is 'A. Situation'.","The final answer is 'B. Using the dorsal surface of the hand'.","The final answer is 'B. Diaphragm'.","The final answer is 'B. Documenting subjective and objective findings'.","The final answer is 'B. Blood pressure of 120/80 mmHg'.","The final answer is 'C. To achieve health equity and eliminate health disparities'.","The final answer is 'C. Arrange for a professional interpreter'.","The final answer is 'A. Cultural competence'.","The final answers are 'A. Language preferences', 'B. Health beliefs and practices', and 'D. Religious practices'.","The final answer is 'C. Can you tell me more about how you've been feeling?'.","The final answer is 'C. Validating the patient's feelings'.","The final answer is 'C. Dietary recall'.","The final answer is 'A. I get dizzy when I stand up too fast.'.","The final answer is 'C. Active listening.'","The final answer is 'A. Open-ended.'","The final answer is 'D. Nutritional status.'","The final answer is 'B. 18.5 to 24.9.'","The final answer is 'C. Kyphosis.'","The final answer is 'B. 130/85 mmHg.'","The final answers are 'A. Using a cuff that is too small' and 'B. Taking the blood pressure immediately after exercise.'","The final answer is 'B. Radial.'","The final answer is 'C. FLACC Scale.'","The final answer is 'C. Has a sudden onset and usually subsides when the injury heals.'","The final answer is 'C. Neuropathic pain.'","The final answers are 'A. Protection', 'B. Temperature regulation', and 'C. Synthesis of Vitamin D.'","The final answer is 'B. Macule.'","The final answer is 'B. Lips and oral mucosa.'","The final answers are 'A. Preauricular', 'C. Submental', and 'D. Occipital.'","The final answer is 'B. Swallow.'","The final answer is 'B. 0.5 L.'","The final answer is 'C. 10 mL.'"]
Answer for screen readers
["The final answer is 'A. Situation'.","The final answer is 'B. Using the dorsal surface of the hand'.","The final answer is 'B. Diaphragm'.","The final answer is 'B. Documenting subjective and objective findings'.","The final answer is 'B. Blood pressure of 120/80 mmHg'.","The final answer is 'C. To achieve health equity and eliminate health disparities'.","The final answer is 'C. Arrange for a professional interpreter'.","The final answer is 'A. Cultural competence'.","The final answers are 'A. Language preferences', 'B. Health beliefs and practices', and 'D. Religious practices'.","The final answer is 'C. Can you tell me more about how you've been feeling?'.","The final answer is 'C. Validating the patient's feelings'.","The final answer is 'C. Dietary recall'.","The final answer is 'A. I get dizzy when I stand up too fast.'.","The final answer is 'C. Active listening.'","The final answer is 'A. Open-ended.'","The final answer is 'D. Nutritional status.'","The final answer is 'B. 18.5 to 24.9.'","The final answer is 'C. Kyphosis.'","The final answer is 'B. 130/85 mmHg.'","The final answers are 'A. Using a cuff that is too small' and 'B. Taking the blood pressure immediately after exercise.'","The final answer is 'B. Radial.'","The final answer is 'C. FLACC Scale.'","The final answer is 'C. Has a sudden onset and usually subsides when the injury heals.'","The final answer is 'C. Neuropathic pain.'","The final answers are 'A. Protection', 'B. Temperature regulation', and 'C. Synthesis of Vitamin D.'","The final answer is 'B. Macule.'","The final answer is 'B. Lips and oral mucosa.'","The final answers are 'A. Preauricular', 'C. Submental', and 'D. Occipital.'","The final answer is 'B. Swallow.'","The final answer is 'B. 0.5 L.'","The final answer is 'C. 10 mL.'"]
More Information
Each answer corresponds to best practices and guidelines as per the domain of nursing and health assessments.
Sources
- Evidence-based Practice & Assessment - Healthy People 2030 - example.com
- Nursing Communication Techniques - SBAR - example.com
- Physical Examination Techniques - example.com
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