Deck 29: Bedside Assessment of the Hospitalized Patient

Question 1

When assessing a patient's general appearance,the nurse will include which of the following assessments?

A)Is the patient's muscle strength equal in both arms?
B)Is ptosis or facial droop present?
C)Does the patient respond appropriately to questions?
D)Are the pupils equal in reaction and size?

Answer 1

Does the patient respond appropriately to questions?

Question 2

The nurse is assessing the IV infusion at the beginning of the shift.Which of the following should be included in the assessment of the infusion? (Select all that apply. )

A)The proper IV solution is infusing,according to physician's orders.
B)Infusion is occurring at the proper rate,according to physician's orders.
C)The infusion solution and rate are proper,according to the nurse's own assessment of the patient's needs.

Answer 2

The proper IV solution is infusing,according to physician's orders.
Infusion is occurring at the proper rate,according to physician's orders.
The infusion solution and rate are proper,according to the nurse's own assessment of the patient's needs.

Question 3

The nurse has administered a pain medication to a patient by IV infusion.The nurse should reassess the patient's response to the pain medication within:

A)5 minutes.
B)15 minutes.
C)30 minutes.
D)60 minutes.

Answer 3

15 minutes.

Question 4

During a morning assessment,the nurse notes that a patient's urine output is below the expected amount.What should be done next?

A)An order for a Foley catheter should be obtained.
B)An order for a straight catheter should be obtained.
C)Perform a bladder scan test.
D)Refer the patient to a urologist.

Question 5

At the beginning of rounds,when the nurse enters the room,what should be done first?

A)Check the intravenous (IV)infusion site for swelling or redness.
B)Check the infusion pump settings for accuracy.
C)Make eye contact with the patient,and introduce himself or herself as the patient's nurse.
D)Offer the patient something to drink.

Question 6

During an assessment,the nurse is unable to palpate pulses in the left lower leg.The nurse should:

A)document that the pulses are not palpable.
B)reassess the pulses in 1 hour.
C)have the patient turn to the side,and then palpate for the pulses again.
D)use a Doppler device to assess the pulses.

Question 7

What should the nurse assess before entering the patient's room on morning rounds?

A)Posted conditions,such as isolation precautions
B)The patient's input and output chart from the previous shift
C)The patient's general appearance
D)The presence of any visitors in the room

Question 8

When assessing the neurological system of a hospitalized patient during morning rounds,the nurse will include which of the following assessments?

A)Blood pressure
B)The patient's rating of pain on a 1 to 10 scale
C)The patient's verbal response
D)The patient's personal hygiene level

Question 9

During an assessment of a hospitalized patient,the nurse pinches a fold of skin under the clavicle or on the forearm to note:

A)mobility and turgor.
B)the patient's response to pain.
C)the percentage of the patient's fat-to-muscle ratio.
D)the presence of edema.

Question 10

Which statement reflects the assessment of a patient in the hospital setting?

A)The patient will need a brief assessment at least every 4 hours.
B)The patient will need a consistent,specialized exam at least every 8 hours that focuses on certain parameters.
C)The patient will need a complete head-to-toe physical examination every 24 hours.
D)Most patients require a minimal examination during each shift,unless they are in critical condition.