The nurse who has been assigned to a client on the second shift is assessing a client to evaluate the outcomes identified in the care plan. This nurse is conducting which type of assessment?

Problem-oriented assessment

Follow-up history

Comprehensive assessment

Emergency history

Answer and Explanation

The Correct Answer is B

A. Problem-oriented assessment: This focuses on specific issues or symptoms rather than evaluating outcomes of an established care plan.

B. Follow-up history: This type of assessment is conducted to evaluate the effectiveness of interventions and monitor progress towards outcomes identified in the care plan.

C. Comprehensive assessment: This involves a thorough evaluation of the client’s overall health status and history, not specifically focused on evaluating outcomes.

D. Emergency history: This is conducted in urgent situations to quickly assess and address immediate issues, not for evaluating outcomes of a care plan.

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Correct Answer is C

Explanation

A. Wheezes: Wheezes are high-pitched sounds usually associated with airway constriction, such as in asthma, not specifically lobar pneumonia.

B. Rhonchi: Rhonchi are low-pitched, snoring sounds associated with secretions in the airways and may be present in pneumonia but are not the most characteristic finding.

C. Coarse crackles (rales): Coarse crackles or rales are bubbling, crackling sounds heard when air moves through fluid in the airways, which is typical in pneumonia due to the presence of alveolar fluid.

D. No sound: Absence of sound is not expected in pneumonia; adventitious sounds like crackles are usually present.

A. Technician B. Secretary C. Nurse D. Physician

Correct Answer is C

Explanation

A. Technician: Technicians generally perform specific tasks or tests rather than collecting comprehensive subjective data.

B. Secretary: A secretary's role is administrative and does not involve direct patient assessment or data collection.

C. Nurse: Nurses are typically responsible for collecting subjective data from clients during the initial comprehensive assessment, including patient history and current health concerns.

D. Physician: While physicians review and interpret data, they often rely on nurses to collect detailed subjective information during initial assessments.

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The nurse who has been assigned to a client on the second shift is assessing a client to evaluate the outcomes identified in the care plan. This nurse is conducting which type of assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A senior patient is being admitted due to lobar pneumonia to the med-surgical floor. When auscultating, the nurse would expect to listen to which of the following adventitious breath sounds?

Correct Answer is C

Explanation

Which individual typically would be responsible for collecting the subjective data on a client during the initial comprehensive assessment?

Correct Answer is C

Explanation

Cranial nerves involved in eye movements are:

Before completing the physical examination, the nurse determines that the client is awake, alert, and oriented. This information would be important for which part of the general survey?

The nurse suspects an older adult client has congestive heart failure. Which of the following did the nurse most likely assess in the client?

The nurse is planning to inspect a client's apical heart impulses. What should the nurse do to ensure an accurate assessment of this organ?

The nurse is preparing to auscultate the lung sounds of a young adult. Which sound will the nurse expect to hear over most of the client's lungs?

A nurse provides prevention strategies to a group of clients who are identified as at risk for hypertension. Which strategies should the nurse include? (Select all that apply.)

Cranial nerves involved in eye movements are:

The nurse is asking the client about the health of her parents, siblings, and grandparents. This is part of the health history and is done for what reason?