ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 4 : Interviewing and Physical Assessment Questions
Question 1 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 2 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.
Question 3 of 5
The client is being interviewed by the nurse and is asked what symptoms they have had to bring them to the clinic. Which of the following data collected is considered subjective?
Correct Answer: B
Rationale: Subjective data are statements clients make about what they feel. The other data are objective because they are facts that are obtained through observation.
Question 4 of 5
The client arrives at the clinic reports 'coughing, a sore throat, and running a fever for 2 days.' What are these feelings of discomfort called?
Correct Answer: C
Rationale: When clients report nausea, pain, fear, bloating, or other feelings of discomfort, they are providing subjective data. These feelings of discomfort are classed as symptoms. Signs are objective data that are abnormal, and objective data is what the nurses obtain through observation, physical examination, and diagnostic testing. Clinical signs are the same as signs.
Question 5 of 5
The nurse is caring for a client who has been admitted to the hospital with abdominal pain and is suspected to have appendicitis. What data obtained is considered objective data?
Correct Answer: A
Rationale: Objective data are facts obtained through observation, physical examination, and diagnostic testing. When assessing blood pressure or heart rate, or examining results from urinalysis, the nurse is obtaining objective data. The other answers are examples of subjective data.