Providing a safe and comfortable environment, applying critical thinking, and identifying cues presented by the patient is

an element of only objective data collection

the responsibility of trained family members or next of kin

concerned with collecting only subjective data

The professional responsibilities of trained healthcare providers

Answer and Explanation

The Correct Answer is D

A. Providing a safe and comfortable environment and applying critical thinking involves both objective and subjective data collection, not just one type.

B. While family members can contribute to patient care, the professional responsibilities of providing a safe environment and critical thinking in assessments fall to trained healthcare providers.

C. This process encompasses both subjective and objective data, as critical thinking requires integrating multiple types of information.

D. The actions described are essential professional responsibilities of trained healthcare providers, who must ensure a safe environment, apply critical thinking, and identify patient cues effectively.

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Correct Answer is A

Explanation

A. Assessing visual acuity directly tests cranial nerve II (the optic nerve), which is responsible for vision.

B. Eliciting the gag reflex tests cranial nerves IX (glossopharyngeal) and X (vagus), not cranial nerve II.

C. Checking for pupillary response to light primarily assesses the function of cranial nerve II but is more associated with cranial nerve III (oculomotor) since it involves the constriction of the pupil. While relevant, it is not the best standalone action for assessing cranial nerve II specifically.

D. Observing for facial symmetry is associated with cranial nerve VII (facial nerve), not cranial nerve II.

A. Right Upper Quadrant B. Right Lower Quadrant C. Left Upper Quadrant D. Left Lower Quadrant

Correct Answer is C

Explanation

A. The right upper quadrant is typically associated with gallbladder or liver issues, not duodenal ulcers.

B. The right lower quadrant is primarily associated with appendicitis or other conditions involving the appendix.

C. The left upper quadrant is where the duodenum is located, making it the appropriate area to assess for pain related to a duodenal ulcer.

D. The left lower quadrant is often associated with conditions affecting the sigmoid colon or left ovary but not typically with duodenal ulcers.

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Providing a safe and comfortable environment, applying critical thinking, and identifying cues presented by the patient is

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which action should the nurse take to assess cranial nerve II?

Correct Answer is A

Explanation

A patient with a history of duodenal ulcer is admitted to the emergency department with reports of pain. The nurse should assess for this pain by palpating in which abdominal quadrant?

Correct Answer is C

Explanation

A nurse is preparing to administer hydrocortisone 100 mg IM daily to a client. Available is hydrocortisone 250 mg/2 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth number. Use a leading zero if it applies. Do not use a trailing zero.)

Which reproductive health issue causes breast pain beginning a few days before menstruation and subsides when menstruation begins?

A nurse is caring for a client who recently had a stroke. Which alteration in neurologic function should the nurse expect?

The nurse reviews the arterial blood gas results of a client and notes the following: pH 7.45, [normal range: 7.35-7.45] Paco2 of 30 mm Hg (30 mmol/L), [normal range: 35-45] HCO3- of 20 mEq/L (20 mmol/L), [normal range: 22-26] Which condition would the nurse analyze these results to indicate?

A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as which adventitious breath sounds?

A nurse is preparing to administer valproic acid 400 mg PO bid for migraine headaches. Available is valproic acid 250 mg/5mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

To determine the quality and intensity of a cardiac murmur, the nurse would take which action?

A nurse is assessing a client for manifestations of pain. Which finding is a subjective indicator of pain?