It is the responsibility of the nurse to perform a quick focused assessment of the patient upon:

the beginning of each shift.

admission to the unit.

discharge.

the patient's wakening in the morning.

Answer and Explanation

The Correct Answer is A

A.   Performing a quick focused assessment at the beginning of each shift allows the nurse to identify any immediate needs or changes in the patient's condition, ensuring timely and appropriate care. This practice helps in maintaining continuity of care and promptly addressing any issues that may arise during the shift.
B.   While a comprehensive assessment is typically performed upon admission to the unit, a quick focused assessment is not specifically required at this time. The initial comprehensive assessment will cover all necessary information.
C.   At discharge, the focus is on providing discharge instructions and ensuring the patient understands their care plan after leaving the facility. A quick focused assessment is not typically performed at this time.
D.   While it is important to check on the patient in the morning, a quick focused assessment is not specifically required at this time. The beginning of each shift is a more critical time to perform this assessment to ensure continuity of care.

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Correct Answer is D

Explanation

A. A stronger pulse is typically associated with increased stroke volume or cardiac output.
B. Bradycardia is not directly related to a reduced stroke volume; pulse rate may not necessarily decrease.
C. An irregular pulse is more associated with arrhythmias or other cardiac conditions, not a reduction in stroke volume.
D. A weaker pulse is expected with a reduced stroke volume, as less blood is being pumped with each heartbeat, leading to a diminished pulse.

A. Within the expected reference range B. Elevated blood pressure C. Hypertension stage 1 D. Hypertension stage 2

Correct Answer is B

Explanation

A. A blood pressure of 124/84 mm Hg is slightly elevated and falls into the "elevated blood pressure" category.
B. Elevated blood pressure (120-129 systolic and less than 80 diastolic) is considered a risk factor for developing hypertension.
C. Hypertension stage 1 begins at 130/80 mm Hg, not at 124/84 mm Hg.
D. Hypertension stage 2 requires a reading of 140/90 mm Hg or higher.

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It is the responsibility of the nurse to perform a quick focused assessment of the patient upon:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse anticipates that if the stroke volume of a patient is reduced, the pulse will be:

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client who has a family history of hypertension. The nurse should inform the client that his blood pressure reading of 124/84 mm Hg places him in which of the following categories?

Correct Answer is B

Explanation

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