Patient Assessment and Evaluation Flashcards
7 cards from real TRIVIUM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Assessment and Evaluation flashcards as text
A patient reports pain rated 8/10 that is burning in character and radiates down the left arm. Which assessment finding most urgently requires immediate reporting?
Answer: Radiation of pain to the left arm
Pain radiating to the left arm is a classic sign of myocardial infarction and requires immediate emergency response.
When performing a functional assessment, a CNA observes that a patient can dress the upper body independently but needs assistance with lower body dressing. How should this be documented?
Answer: Patient requires partial assistance with dressing
Accurate documentation reflects the specific level of assistance needed, noting partial dependence for lower body dressing.
A resident's skin is assessed and appears pale, cool, and clammy. Which condition does this presentation most suggest?
Answer: Shock or circulatory compromise
Pale, cool, clammy skin is a classic sign of shock indicating poor peripheral perfusion.
During orientation assessment, a patient correctly states their name and location but believes it is 1995. Which aspect of orientation is impaired?
Answer: Time
Inability to correctly identify the current year indicates impairment in orientation to time.
A nurse aide notices a patient's urine is dark amber and has a strong odor. This observation should be reported because it may indicate:
Answer: Dehydration or urinary tract infection
Dark amber, strong-smelling urine is a sign of dehydration or possible urinary tract infection requiring evaluation.
Which of the following best describes the purpose of a baseline assessment in patient care?
Answer: To establish normal values for comparison with future assessments
A baseline assessment establishes the patient's initial status so future changes can be accurately identified.
When assessing a patient's respiratory status, which finding should be reported immediately to the nurse?
Answer: Use of accessory muscles during breathing
Use of accessory muscles indicates respiratory distress and requires immediate nursing evaluation.