An abnormal condition in which a person must sit or stand to breathe deeply or comfortably is called:

apnea

orthopnea

tachypnea

dyspnea

Answer and Explanation

The Correct Answer is B

A. Apnea- Apnea is the absence of breathing, typically seen in conditions like sleep apnea or respiratory arrest.

B. Orthopnea – Orthopnea refers to difficulty breathing when lying flat, which improves when sitting or standing. It is commonly seen in conditions like heart failure and chronic lung disease.

C. Tachypnea – Tachypnea is an increased respiratory rate, often caused by fever, anxiety, or metabolic acidosis.

D. Dyspnea – Dyspnea is the general term for difficulty breathing, which can occur in various conditions but does not specify the need to sit or stand for relief.

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Correct Answer is D

Explanation

A. Infection. – Infection refers to the invasion of body tissues by microorganisms, while inflammation is the body’s response to injury or infection.

B. Ecchymosis. – Ecchymosis refers to bruising caused by blood leakage under the skin, not a protective response.

C. Erythema. – Erythema is redness of the skin due to increased blood flow, which is a symptom of inflammation but not the process itself.

D. Inflammation. – Inflammation is the body’s protective response to injury, infection, or irritation. It involves increased blood flow, immune cell activation, and chemical mediators to promote healing.

A. skin assessment B. neurological assessment C. respiratory assessment D. circulatory assessment

Correct Answer is B

Explanation

A. Skin assessment. – While skin assessment is important, it is not the first step in a head-to-toe physical examination.

B. Neurological assessment. – The neurological assessment is performed first because it establishes baseline cognitive function, level of consciousness, and cranial nerve responses, which are essential for assessing overall patient status.

C. Respiratory assessment. – The respiratory system is assessed after neurological status has been established.

D. Circulatory assessment. – While circulation is vital, it is typically evaluated after neurological and respiratory assessments.

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An abnormal condition in which a person must sit or stand to breathe deeply or comfortably is called:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The protective response of body tissues to irritation, injury or pathogens is:

Correct Answer is D

Explanation

When performing the nursing physical assessment, the nurse uses head-to-toe organization. When using this method, the nurse begins with a:

Correct Answer is B

Explanation

When performing a physical examination of the patient, the nurse uses a technique that is particularly useful in identifying areas of tenderness. This technique is:

A nursing assessment is a process of collecting data to establish a database. The information contained in the database is the basis for:

An abnormally slow heart rate, below 60 beats per minute is called:

Free flow or withdrawal of fluids from a wound or a cavity is termed:

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

The nurse has been assigned to care for a 62 year-old man. After introducing herself to the patient and explaining that she will be performing a nursing assessment, what is the first area to be assessed after taking vital signs?

Discoloration of an area of the skin or mucous membranes caused by extravasation of blood into subcutaneous tissue is termed:

When the color of the sclera is yellow due to bilirubin that infiltrates all tissues of the body it is called: