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Assessing

CHAPTER 12

PRACTICING FOR NCLEX

MULTIPLE CHOICE QUESTIONS

Circle the letter that corresponds to the best

answer for each question.

1.Data that can be observed by one person and

verified by another person observing the same

patient are known as:

a.Subjective data

b.Covert data

c.Symptomatic data

d.Objective data

2.During which of the following phases of the

nurse–patient interview does the nurse gather

all the information needed to form the subjec-

tive database?

a.Preparatory phase

b.Introduction

c.Working phase

d.Termination

3.Which of the following nurse–patient

positioning facilitates an easy exchange of

information?

a.If the patient is in bed, the nurse stands at

the foot of the bed.

b.If both the nurse and patient are seated,

their chairs are at right angles to each

other, 1 foot apart.

c.If the patient is in bed, the nurse sits in a

chair placed at a 45-degree angle to the bed.

d.If the patient is in bed, the nurse stands at

the side of the bed.

4.Which of the following sources of patient data

is usually the primary and best source?

a.Patient

b.Support people

c.Patient records

d.Reports of diagnostic studies

5.Mrs. Smith is admitted to the hospital with

complaints of left-sided weakness and difficulty

speaking. Which of the following assessments

contains the data that best represent a nursing

assessment?

a.Neurologic examination reveals partial

paralysis and aphasic speech.

b.Brain scan shows evidence of a clot in the

middle cerebral artery.

c.Patient is unable to communicate basic

needs and cannot perform hygiene measures

with left hand.

d.Left-sided weakness and speech deficit indi-

cate probable stroke.

6.Mr. Martin is an energetic 80-year-old, admit-

ted to the hospital with complaints of

difficulty urinating, bloody urine, and burning

on urination. In assessing Mr. Martin, which

of the following is a priority?

a.Assessing only the urinary system

b.Focusing on altered patterns of elimination

common in the elderly

c.Obtaining a detailed assessment of the

patient’s sexual history

d.Conducting a thorough systems review to

validate data on the patient’s record

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