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

The burning quality of the pain

Answer

The pain intensity rating of 8/10

Answer

The patient's ability to verbalize symptoms

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

Patient is dependent for all dressing

Answer

Patient is independent with dressing

Answer

Patient refuses to dress independently

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

Fever or infection

Answer

Dehydration

Answer

Normal variation in skin tone

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

Person

Answer

Place

Answer

Situation

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

Normal kidney function

Answer

Adequate fluid intake

Answer

A reaction to a new food

Question 6

Which of the following best describes the purpose of a baseline assessment in patient care?

Accepted Answer

To establish normal values for comparison with future assessments

Answer

To determine if a patient needs surgery

Answer

To document the patient's insurance information

Answer

To determine the patient's discharge date

Question 7

When assessing a patient's respiratory status, which finding should be reported immediately to the nurse?

Accepted Answer

Use of accessory muscles during breathing

Answer

Respiratory rate of 16 breaths per minute

Answer

Breathing that is quiet and unlabored

Answer

Chest rise that is equal bilaterally