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

head-to-toe assessment

focused assessment

complete assessment

system-by-system assessment

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is A

Explanation

A. Is a protective response – Inflammation is a natural immune response that helps contain injury and promote healing, regardless of infection.

B. Is a disease process – Inflammation itself is not a disease; it is a response to injury, infection, or irritation.

C. Produces tissue damage – While excessive or chronic inflammation can cause tissue damage, inflammation itself is not inherently destructive.

D. Is a result of bacteria – Inflammation can be caused by bacteria, viruses, trauma, or autoimmune conditions, not just bacterial infection.

A. tachycardia B. tachypnea C. Bradycardia D. Apnea

Correct Answer is C

Explanation

A. Tachycardia. – Tachycardia refers to a heart rate above 100 beats per minute, not a slow heart rate.

B. Tachypnea. – Tachypnea describes rapid breathing, not a slow heart rate.

C. Bradycardia. – Bradycardia is a heart rate below 60 beats per minute. It may be normal in athletes but can indicate conduction abnormalities or medication effects in other individuals.

D. Apnea. – Apnea is the absence of breathing, not a slow heart rate.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Although the signs and symptoms of both infection and inflammation include erythema, edema, and pain, the major difference is that inflammation:

Correct Answer is A

Explanation

An abnormally slow heart rate, below 60 beats per minute is called:

Correct Answer is C

Explanation

When performing a physical examination of the patient, the nurse uses a technique that is particularly useful in identifying areas of tenderness. This technique is:

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:

A nurse is collecting data from a patient who has dehydration. Which findings should the nurse expect?

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The term used to describe a disease where there has been a partial or complete disappearance of clinical and subjective characteristics of the disease is:

When the color of the sclera is yellow due to bilirubin that infiltrates all tissues of the body it is called:

Fluid, cells or other substances that have been slowly discharged from body cells or blood vessels, through small pores or breaks in the cell membrane are called: