The patient was admitted with a complaint of abdominal pain. Later the nurse observed the patient demonstrating dyspnea. This change in condition required an assessment called:

systemic

specialized

individualized

Focused

Answer and Explanation

The Correct Answer is D

A. Systemic – A systemic assessment is a head-to-toe examination that evaluates all body systems. The patient’s condition change requires a more targeted approach.

B. Specialized – A specialized assessment refers to an in-depth evaluation of a specific condition, usually performed by a specialist.

C. Individualized – While all assessments should be individualized, this term does not specifically describe the type of assessment needed in response to a sudden change in condition.

D. Focused – A focused assessment is performed when there is a specific change in the patient’s condition, such as new-onset dyspnea. It concentrates on the affected system (e.g., respiratory system) to determine the underlying cause.

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Correct Answer is C

Explanation

A. Past health history. – Past health history focuses on previous medical conditions, surgeries, and treatments, not current lifestyle habits.

B. Environmental history. – Environmental history pertains to exposure to environmental factors such as occupational hazards or pollutants, not lifestyle habits.

C. Psychosocial history. – Psychosocial history includes information about the patient’s lifestyle, habits (e.g., smoking, alcohol use), social relationships, stress levels, and coping mechanisms.

D. Family history. – Family history focuses on genetic and hereditary diseases present in the patient’s family, not personal habits and lifestyle.

A. After palpating the abdomen B. After checking for kidney tenderness C. Before percussing the abdomen D. Before inspecting the abdomen.

Correct Answer is C

Explanation

A. After palpating the abdomen – Palpation may alter bowel sounds by stimulating peristalsis, leading to inaccurate findings.

B. After checking for kidney tenderness – Checking for kidney tenderness (costovertebral angle tenderness) is unrelated to bowel auscultation and should not precede it.

C. Before percussing the abdomen – Auscultation should be done before percussion and palpation to avoid artificially stimulating bowel sounds.

D. Before inspecting the abdomen – Inspection should always come before auscultation to visually assess the abdomen for distension, symmetry, and discoloration before listening.

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The patient was admitted with a complaint of abdominal pain. Later the nurse observed the patient demonstrating dyspnea. This change in condition required an assessment called:

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Naxlex Comprehensive Predictor Exams

During the nursing interview, several histories are taken. The history that involves data concerning habits and lifestyle patterns is called:

Correct Answer is C

Explanation

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

Correct Answer is C

Explanation

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