While conducting an assessment of the patient, the nurse recognizes that after verifying biographical data, the initial step is:

the nursing health history

a body systems review

the present illness

a focused review

Answer and Explanation

The Correct Answer is A

A. The nursing health history – The nursing health history is the first step after collecting biographical data. It includes the chief complaint, past medical history, and social factors affecting health.

B. A body systems review – A body systems review (ROS) is done later in the assessment to gather additional information on each organ system.

C. The present illness – The present illness is part of the nursing health history but is not the first step after verifying biographical data.

D. A focused review – A focused review targets specific concerns rather than serving as the initial step in a comprehensive assessment.

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Correct Answer is B

Explanation

A. Head-to-toe assessment – A head-to-toe assessment is a comprehensive evaluation of all body systems and is not appropriate for an urgent complaint.

B. Focused assessment – A focused assessment is used for specific complaints, such as severe abdominal pain, to quickly gather relevant information.

C. Complete assessment –. A complete assessment includes a full health history and physical examination, which is unnecessary in an acute situation.

D. System-by-system assessment – A system-by-system assessment is detailed and comprehensive but may be too broad for addressing an immediate concern.

A. nursing assessment B. nursing interview C. health history D. review of systems

Correct Answer is D

Explanation

A. Nursing assessment – A nursing assessment is the broader process of gathering patient information, including subjective and objective data, but does not specifically refer to a body system review.

B. Nursing interview – A nursing interview is a method used to gather subjective data from the patient, but it does not systematically review all body systems.

C. Health history – A health history includes past medical conditions, surgeries, and family history but does not systematically assess all body systems.

D. Review of systems – The review of systems (ROS) is a structured approach where the nurse systematically collects data about normal function and any changes in each body system.

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While conducting an assessment of the patient, the nurse recognizes that after verifying biographical data, the initial step is:

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Naxlex Comprehensive Predictor Exams

You answer Ms. B's call light just after lunch. She complains of severe abdominal pain. What type of assessment should you perform?

Correct Answer is B

Explanation

The nurse uses a systematic method for collecting data on all body systems including normal functioning and any noted changes. This system is:

Correct Answer is D

Explanation

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

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