Health Assessment Practice Questions

Health Assessment Practice QuestionsKristin Clephane MSN, RN, CPN

The nurse enters a patients room and asks, How are things today? The nurse has employed:A: An open-ended questionB: A focused questionC: ProbingD: Paraphrasing

A2

A trusting relationship with a patient can be fostered by:A: Introducing yourself and stating your role.B: Identifying the patient by room number.C: Stopping to see the patient every 5-7 minutes.D: Making up answers when one does not know the answer.

A3

The patient asks, What is an IVAC thermometer? The nurse replies It involves heat-sensitive probe being inserted into you sublingual area or rectal orifice. Heat transmitted proceeds via an electrical system to a control center that interprets the temperature and displays it. This reply is:A: One-way communicationB: Active listeningC: Unnecessary use of jargonD: Displaying sensitivity

C4

A patient states I dont seem to be getting my strength back. The nurse replies Dont worry. You are coming along just fine. This is an example of:A: ProbingB: False reassuranceC: DisagreeingD: Active listening

B5

After completing an initial assessment on a patient, the nurse has charted that his respirations are 14 and his pulse is 58. This type of data would be:A. objective.B reflective.C. subjective.D. introspective.

A6

A patient tells the nurse that he is very nervous, that he is nauseated, and that he feels hot. This type of data would be:A. objective.B. reflective.C. subjective.D. introspective

C7

The patients record, laboratory studies, objective data, and subjective data combine to form the:1. database.2. admitting data.3. financial statement.4. discharge summary.

A8

When listening to a patients breath sounds, the nurse is unsure about a sound that is heard. The nurse should:notify the patients physician immediately. document the sound exactly as it was heard. validate the data by asking a coworker to listen to the breath sounds.assess again in 20 minutes to note whether the sound is still present.

C9

Critical thinking in the expert nurse is greatly enhanced by opportunities to:apply theory in real situations.work with physicians to provide patient care. follow physician orders in providing patient care. develop nursing diagnoses for commonly occurring illnesses.

A10

Which of the following is an example of a first-level priority problem?A patient with postoperative painA newly diagnosed diabetic who needs diabetic teachingAn individual with a small laceration on the sole of the footAn individual with shortness of breath and respiratory distress

D11

Second-level priority problems include which of the following?Low self-esteemLack of knowledgeAbnormal laboratory valuesSeverely abnormal vital signs

Second-level priority problems are those that require prompt intervention to forestall further deterioration (e.g., mental status change, acute pain, abnormal laboratory values, or risks to safety or security).

C : answer12

The nursing process is a sequential method of problem solving that includes which five steps?Assessment, treatment, evaluation, discharge, follow-upAdmission, assessment, diagnosis, treatment, discharge planningAdmission, diagnosis, treatment, evaluation, discharge planningAssessment, diagnosis, planning, implementation, evaluation

D13

A newly admitted patient is in acute pain, has not been sleeping well lately, and is having difficulty breathing. How should the nurse prioritize these problems?Breathing, pain, sleepBreathing, sleep, painSleep, breathing, painSleep, pain, breathing

A14

Which statement illustrates the biomedical model of Western traditional views?Health is viewed as the absence of disease.Optimal health is viewed as high-level wellness.Health and disease are considered a cyclical process.The treatment of disease is nursings primary focus.

A15

An example of objective information obtained during the physical assessment includes the:patients history of allergies.patients use of medications at home.last menstrual period 1 month ago.2 5 cm scar present on the right lower forearm.

D16

Which situation is most appropriate for an episodic history?A patients admission to a long-term care facilityA patient has sudden, severe shortness of breathA patients admission to the hospital for surgery the following dayA patient in an outpatient clinic has cold and flu-like symptoms

In an episodic or problem-centered database, the nurse collects a mini database, smaller in scope than the completed database. It concerns mainly one problem, one cue complex, or one body system.

Answer: D17

A 42-year-old Asian patient is being seen at the clinic for an initial examination. The nurse knows that it is important to include cultural information in his health assessment to:identify the cause of his illness.make accurate disease diagnoses.provide cultural health rights for the individual.provide culturally sensitive and appropriate care.

D18

When obtaining a BP, the RN palpates the radial artery while simultaneously pumping BP cuff in order to determine:The maximum amount of pain patient can endureThe lowest amount of pressure in the radial artery needed to occlude the pulseThe highest amount of pressure in the radial artery needed to occlude the pulseThe amount of pressure needed to determine BP cuff size

C19

The nurse would term the patient what if a bluish color is seen in the lips and nose during assessment. ErythemaPallorCyanosisAshen

C20

A healthy BMI is between what two numbers?10-1519-2520-2415-25

B21

The nurses notes upon obtaining a radial pulse that the pulse is normal in force, this would be charted as:1+2+3+4+

B22

Upon counting respirations, if no variations are noted in the depth, regularity, or quality of respirations, the nurse would count these by:Staying in position after counting pulse and continuing to count RR for 30 seconds and multiplying by 2Staying in position after counting pulse and counting RR for 15 seconds and multiplying by 4

A23

The nurse records a HR of 45 in a 45 yr. old man, this would be noted as:TachycardiaBradycardiaIrregular forceDecreased depth

B24

The nurse recognizes which of the following to NOT be a risk factor for hypertensionSmokingAlcohol consumptionStressDeep breathing exercises

D25

When obtaining a BP, the nurse listens for which of the following Korotkoff sounds to determine BP systolic and diastolic readings?I,IVI,VII,IVI,III

B26

The nurse employs the use of a pain scale for an individual that is cognitively impaired by using the scale with black and white expressions that the patient will point to. This is the _____scale:Numeric Rating ScaleFace slant scaleFaces scaleBrief pain inventory scale

C27

Which would be an appropriate question to ask a patient to determine the quality of pain he is having?When did your pain start?When does it get better?Have you taken any medications for this pain?What does you pain feel like?

D28

A patients turgor is assessed to determine:Pain levelSkin thicknessHydration statusSkin texture

C29

Resonant percussion sound is evident for abnormal lung tissueTrueFalse

B30

Inspection follows palpationTrueFalse

B31

Palpation confirms or denies pieces of the assessment you noted in inspectionTrueFalse

A32

How many centimeters is this: 0.3mm3 cm0.3 cm0.03cm0.003cm

C33

A 45 year old woman has an assessment and history indicative of physical abuse, your obligation as an RN is what?Report it to authoritiesReport it to her visitorsExplore reasons why she may be causing this to happenAssess using the AAS scale to further determine how recent and serious the abuse is

D34

Participant LeadersPointsParticipantPointsParticipant