A 52-year-old patient presents with malaise, fatigue, chest congestion, and a chronic cough. While collecting assessment data, an important question to ask is

When did these symptoms start?"

What is your occupation?"

Do you have a headache?"

Do you have any abdominal pain?"

Answer and Explanation

The Correct Answer is B

A.   While understanding the onset of symptoms is important, the patient's occupation might provide more insight into potential environmental or work-related exposures that could explain the symptoms, such as chronic exposure to irritants or pollutants.

B.   The occupation is highly relevant, as it may help identify occupational hazards, such as exposure to chemicals, dust, or other respiratory irritants, which could be contributing to the symptoms.
C.   Although a headache could be related to fatigue or other symptoms, it is not the most relevant question in this case.
D.   Abdominal pain is less likely to be the focus when the primary symptoms are chest congestion and a cough, which suggest respiratory involvement.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Pulse deficit refers to the difference between the apical and radial pulse, not a silence between sounds during blood pressure measurement.
B. Diastolic refers to the phase of the blood pressure cycle when the heart is at rest, not to a silent period.
C. An auscultatory gap is a period of silence between the systolic and diastolic sounds heard when taking blood pressure. It can be indicative of arterial stiffness or other vascular issues.
D. Widened pulse pressure refers to the difference between systolic and diastolic pressures, not a silence during auscultation.

A. check the patient's record to determine his baseline blood pressure. B. notify the charge nurse of the hypotension. C. check medications that might be the cause of the irregularity. D. notify the doctor of the bradycardia.

Correct Answer is A

Explanation

A. This is because the patient's blood pressure of 98/66 mm Hg, while on the lower side, may be normal for them. It's important to compare it to their baseline to determine if there has been a significant change.
B. The blood pressure is within a normal range for an adult, so immediate notification of hypotension is not required.
C. This can be done after determining if there is a significant change from the baseline.
D. The pulse is not bradycardic (it is within a normal range), so there is no immediate need to notify the doctor regarding bradycardia.

View Question and Answer

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

A 52-year-old patient presents with malaise, fatigue, chest congestion, and a chronic cough. While collecting assessment data, an important question to ask is

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

If a silence is heard between sounds when auscultating blood pressure, it is termed a(n)

Correct Answer is C

Explanation

A 45-year-old patient who is alert and oriented has a blood pressure of 98/66 mm Hg, radial pulse of 76 beats/min (irregular), and respirations of 18 breaths/min (regular). The best nursing intervention is to:

Correct Answer is A

Explanation

Regarding the blood pressure in children, the diastolic pressure is assessed by the auscultation of a:

To correctly determine the strength of a patient's lower extremities during a neurological examination, the nurse asks the patient to:

The nurse taking a blood pressure should:

When caring for a victim with a gunshot wound to the abdomen who has lost a significant amount of blood, the nurse would anticipate the vital signs to reflect:

A 52-year-old patient presents with malaise, fatigue, chest congestion, and a chronic cough. While collecting assessment data, an important question to ask is

A nurse is checking a client's bowel sounds. At which of the following times should the nurse auscultate the client's abdomen?

A critically ill patient has faster and deeper, then slower, respirations. These are followed by a period of no breathing for 21 seconds with continuation of this cycle. This respiratory pattern is

When educating a patient about the warning signs of cancer, the nurse includes which of the following? (Select all that apply.)