Trivium Patient Assessment and Evaluation 2

Question 1

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?

Accepted Answer

Radiation of pain to the left arm

Answer

Pain radiating to the left arm is a classic sign of myocardial infarction and requires immediate emergency response.

Question 2

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?

Accepted Answer

Patient requires partial assistance with dressing

Answer

Accurate documentation reflects the specific level of assistance needed, noting partial dependence for lower body dressing.

Question 3

A resident's skin is assessed and appears pale, cool, and clammy. Which condition does this presentation most suggest?

Accepted Answer

Shock or circulatory compromise

Answer

Pale, cool, clammy skin is a classic sign of shock indicating poor peripheral perfusion.

Question 4

During orientation assessment, a patient correctly states their name and location but believes it is 1995. Which aspect of orientation is impaired?

Accepted Answer

Time

Answer

Inability to correctly identify the current year indicates impairment in orientation to time.

Question 5

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:

Accepted Answer

Dehydration or urinary tract infection

Answer

Dark amber, strong-smelling urine is a sign of dehydration or possible urinary tract infection requiring evaluation.

(Trivium) Trivium Health Care Exam Practice Test

(Trivium) Trivium Health Care Exam Practice Test

Trivium Patient Assessment and Evaluation 2