Next Assessment and Evaluation 3

Question 1

A nurse is conducting a head-to-toe assessment and auscultates crackles in the lung bases bilaterally. This finding is MOST consistent with which condition?

Accepted Answer

Pulmonary edema or fluid accumulation

Answer

Bilateral basilar crackles are a classic sign of fluid accumulation in the lungs, commonly seen in pulmonary edema or heart failure.

Question 2

When assessing a patient's abdomen, what is the correct order of techniques?

Accepted Answer

Inspection, auscultation, percussion, palpation

Answer

For abdominal assessment, auscultation is performed before palpation and percussion to avoid altering bowel sounds.

Question 3

A nurse is reassessing a patient 1 hour after administering a diuretic for fluid overload. Which finding best indicates the intervention was effective?

Accepted Answer

Urine output of 200 mL in the past hour

Answer

Increased urine output after diuretic administration indicates the medication is effectively removing excess fluid.

Question 4

A nurse reviews a patient's chart before the shift assessment. This is an example of which type of data source?

Accepted Answer

Secondary source

Answer

Secondary data sources include medical records, lab results, and reports from other healthcare providers, as opposed to primary data collected directly from the patient.

Question 5

During evaluation, a nurse determines that a patient's goal was NOT met. What is the most appropriate next action?

Accepted Answer

Revise the plan of care to address barriers to goal achievement

Answer

When a goal is not met, the nurse must reassess and revise the plan of care to identify and address the reasons for failure.

(Next) National Exit Test Practice Test

(Next) National Exit Test Practice Test

Next Assessment and Evaluation 3