ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 4 : Interviewing and Physical Assessment Questions
Question 1 of 5
Questions about current and past use of prescription medications would probably be part of which of the following?
Correct Answer: A
Rationale: The client's past health history includes identifying childhood diseases and prior hospitalizations. History of present illness is gathered when the nurse asks the client to describe all present problems, including the onset, frequency, and duration of symptoms. A chief complaint is the current reason the client is seeking care. A functional assessment determines how well the client can perform activities of daily living.
Question 2 of 5
The nurse identifies jaundice in an assigned client. Which assessment technique is the nurse using?
Correct Answer: A
Rationale: Inspection is the systematic and thorough observation of the client and specific areas of the body. Palpation is assessing the characteristics of an organ or body part by touching and feeling it with the hands or fingertips. Auscultation involves listening with a stethoscope for normal and abnormal sounds generated by organs and structures such as the heart, lungs, and intestines. Percussion is tapping a portion of the body to determine whether there is tenderness or to elicit sounds that vary according to the density of underlying structures.
Question 3 of 5
The nurse is preparing to interview a client. Which of the following is a variable involved in determining the length of the interview?
Correct Answer: B
Rationale: The length of the interview depends on variables such as the severity of the client's condition, level of discomfort, ability to cooperate, age, and mental state. Financial status, social status, and relationships are not variables involved in determining the length of the interview.
Question 4 of 5
The nurse is admitting a client to the medical unit with a diagnosis of chronic obstructive pulmonary disease (COPD). When should the nurse perform the assessment of the client?
Correct Answer: A
Rationale: The nurse performs assessment when the client is first admitted to the healthcare system. Waiting until the client has received medication, seen a physician, and within 24-hours of initial interview will delay the assessment and can delay appropriate care and treatment.
Question 5 of 5
The nurse provides a comprehensive initial assessment on a newly admitted client. What is the benefit to establishing this database from the client?
Correct Answer: D
Rationale: Findings from this comprehensive initial assessment establish a database that gives all team members relevant client information and becomes a yardstick for measuring effectiveness of care. The physician will make the determination about what unit the client will require according to the acuity of care. The physician will determine what medications are best for the client. The information obtained will not be conclusive, and further assessment of the client's condition and information will be obtained during the hospital stay.