Comprehensive Assessment Questions With Rationales Study Guide Rated A+

13. A nurse is planning care for a patient who has intolerance to activity. Which is the FIRST assessment that should be made by the nurse? 1. Range of motion 2. Pattern of vital signs 3. Inspect on functional health patterns 4. Influence on the other family members {Ans: Answer: 2 Rationale: Activity intolerance is related to the inability to maintain adequate oxygenation to body cells., which is associated with respiratory and cardiovascular problems. Obtaining the vital signs (e.g pulse, respirations, and blood pressure) will provide valuable information about these systems.}4. Which method of examination is being used when the nurse's hands are used to assess the temperature of a patient's skin? 1. Palpation 2. Inspection 3. Percussion 4. Observation {Ans: Answer: 1 Rationale: Gross temperature assessments (e.g. cold, cool, warm, hot) can be obtained by palpation. Palpation is the examination of the body using the sense of touch. Sensory nerves in the fingers transmit messages through the spinal cord to the cerbral cortex where they are interpreted by the nurse.}15. Which usually is UNRELATED to a physical nursing assessment? 1. Posture and gait 2. Balance and strength 3. Hygiene and grooming 4. Blood and urine values