1. Which assessment by the nurse most likely indicates that a patient is having difficulty breathing? a. 18 breaths per minute and inhaled through the mouth b. 20 breathes per minute and shallow in character c. 16 breaths per minute and deep in character d. 28 breaths per minute and noisy 2. Which should a nurse always do when taking a rectal temperature? a. Allow self-insertion ofthe thermometer. b. Position the patient on the left side. c. Use an electronic thermometer. d. Lubricate the thermometer. 3. A nurse is assessing a patient’s ideal body weight. Which significant factor should be takin intoconsideration when performing this assessment? a. Daily intake b. Body height c. Clothing size d. Food preferences 4. A nurse asks a patient’s wife specific questions about the patient’s health status before admission.When collecting this information, the nurse is seeking information from a: a. Primary source b. Tertiary sources c. Subjective source d. Secondary source 5. A nurse is preforming a physical assessment of a newly admitted patient. Which patient statementcommunicates subjective data? a. “I have sores between my toes.” b. “I dye my hair but it is really gray.” c. “My joints hurt when I get up in the morning.” d. “My left leg drags on the floor when I am walking

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