In the focused-assessment example for new shortness of breath, which findings are specifically listed? Select all that apply.
04 Foundations of Patient Assessment Online Quiz Questions
Use this free practice quiz with 20 questions to review 04 Foundations of Patient Assessment, test your knowledge, and prepare for your next test or exam.
Which details support clear, factual documentation of an assessment and follow-through? Select all that apply.
- A
The time and actual measurements with units
- B
Relevant patient statements, in quotation marks when useful
- C
Whom you notified and when, instructions received, actions taken, and the patient’s response
- D
An assumed diagnosis that has not been established
- E
An action that is planned but has not yet occurred
A patient’s numeric pain rating alone provides a complete pain assessment, so no further questions are needed.
- A
True
- B
False
A patient can be deteriorating even if one of their vital signs is within a typical reference range.
- A
True
- B
False
In the PQRSTU pain-assessment prompts, what does R ask you to assess? Enter the paired concept in the format X/Y.
According to the typical adult resting reference range in the material, what is the upper boundary for pulse? Enter your answer as a number in beats per minute.
In SBAR, the R component is .
When comparing both legs for new swelling, assess their size, color, warmth, tenderness, and .
A patient develops difficulty breathing and is becoming less responsive. Describe the immediate steps you should take, including how you should reassess and escalate the concern.
It is acceptable to document an action before carrying it out, as long as you intend to complete it.
- A
True
- B
False
During a focused assessment, what category of information includes what the patient reports?
In the PQRSTU pain-assessment prompts, which letter asks what the patient thinks may be causing the pain?
A patient's temperature is being recorded. Since readings can vary by route, what should you do when documenting the result?
- A
Record only the temperature value because route does not affect readings.
- B
Document the measurement route along with the temperature.
- C
Convert the value to a different temperature scale and omit the route.
- D
Repeat the measurement using a different route without documenting either route.
A patient's blood-pressure reading is unexpected, but the patient appears stable. What is the best next step?
- A
Accept the reading without checking technique because a single measurement is conclusive.
- B
Use a smaller cuff to confirm the result and keep the patient's arm below heart level.
- C
Check cuff fit and positioning, then repeat the reading when safe using correct technique.
- D
Wait until the next scheduled observation before checking the reading again.
A patient develops new swelling in one leg. Which focused assessment approach is most appropriate?
- A
Compare both legs for size, color, warmth, tenderness, and edema, then report concerning findings promptly.
- B
Measure only the swollen leg and defer reporting until the next routine assessment.
- C
Ask about pain but avoid inspecting or comparing the legs.
- D
Record that swelling is present without assessing other relevant findings.
While reporting a patient's new condition using SBAR, which component should include current findings, how they differ from baseline, and your concern without an unsupported diagnosis?
- A
Background: report the patient's history and recent events only.
- B
Assessment: report current findings, changes from baseline, and your concern without an unsupported diagnosis.
- C
Recommendation/request: provide the patient's baseline and omit what response is needed.
- D
Situation: give a detailed history without stating the immediate concern.
A pulse-oximeter reading does not fit the patient's observed condition. What is the most appropriate response?
- A
Treat the displayed number as definitive and disregard the patient's symptoms.
- B
Change the oxygen flow without checking the patient or following local procedure.
- C
Check the probe and signal, reassess the patient, and follow local procedure.
- D
Assume the reading is accurate if the device is turned on.
A patient develops new, worsening difficulty breathing during a routine assessment. What should you do first?
- A
Stay with the patient if the situation appears urgent, call for help, and activate the facility's urgent-response process.
- B
Complete every routine assessment step before contacting anyone.
- C
Wait for the next scheduled observation to see whether the symptoms continue.
- D
Document the symptoms first and escalate only if a vital sign is outside its reference range.
You are documenting care and have planned an action that has not yet been carried out. Which documentation practice is appropriate?
- A
Record planned actions as completed if they are likely to occur.
- B
Document only the final outcome and omit actions taken.
- C
Wait until the end of the shift to record all observations, regardless of policy.
- D
Document actions after they occur, along with relevant findings and the patient's response.
You are preparing to measure a patient's blood pressure. Which setup best supports a reliable reading?
- A
Use whichever cuff is available, with the patient's arm hanging at their side.
- B
Use a correctly fitting cuff, position the patient comfortably, and keep the arm at heart level.
- C
Place the cuff over clothing and raise the arm above the patient's head.
- D
Ask the patient to stand and hold the arm unsupported during the measurement.