Question 1

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

Accepted Answer

Assessing whether the patient responds appropriately to questions is a component of assessment of the patient's general appearance.The other answers reflect components of the neurological system examination.

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. )

Accepted Answer

Verify that the proper IV solution is hanging and is flowing at the proper rate according to the physician's orders and your 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:

Accepted Answer

If pain medication is given,note the patient's response in 15 minutes for IV administration and in 60 minutes for oral administration.

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?

Accepted Answer

If urine output is below the expected value,perform a bladder scan according to agency policy to check for retention.

Question 5

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

Accepted Answer

When entering a patient's room,the nurse should make direct eye contact,without allowing distraction by IV pumps and other equipment,and introduce himself or herself as the patient's nurse.

Question 6

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

Accepted Answer

Be prepared to assess pulses in the lower extremities by Doppler measurement if they cannot be detected by palpation.

Question 7

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

Accepted Answer

On the way to the room,assess the presence of conditions such as isolation precautions,latex allergies,or fall precautions.

Question 8

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

Accepted Answer

Assessment of a patient's verbal response is part of the neurological system assessment.Blood pressure and pain rating are measurements,and personal hygiene is assessed under general appearance.

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:

Accepted Answer

Pinch up a fold of skin under the clavicle or on the forearm to note mobility and turgor.

Question 10

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

Accepted Answer

In a hospital setting,the patient does not require a complete head-to-toe physical examination during every 24-hour stay.The patient does require a consistent specialized exam at least every 8 hours that focuses on certain parameters.

Quiz 29: Bedside Assessment of the Hospitalized Patient