Health Assessment Final Exam Review Questions for Nurses, Exams of Nursing

Download Health Assessment Final Exam Review Questions for Nurses and more Exams Nursing in PDF only on Docsity! Health Assessment Final Exam: Review Questions with correct 2024 An elderly patient is admitted to the hospital. While performing a skin assessment, the nurse discovers bruises in various stages of healing all over the patient's body. Why is it important for the nurse to promptly document and report these findings? a.The patient may have been abused. b.The patient is elderly. c.The patient may have peripheral vascular disease. d.The patient may have a cognitive deficit. - Correct Answers ✅a. The patient may have been abused When the nurse observes the patient for general characteristics including age, gender, and level of alertness, what aspect of assessment are you performing? a.Inspecting b.Interviewing c.Palpating d.Ausculating - Correct Answers ✅a. Inspecting The four areas to consider during the general survey include: a. Dress, medical history, nonverbal behavior, and mobility. Health Assessment Final Exam: Review Questions with correct 2024 b.Ethnicity, gender, age, and socioeconomic status. c.Physical appearance, gender, ethnicity, and medical history. d.Physical appearance, body structure, mobility, and behavior. - Correct Answers ✅d. Physical appearance, body structure, mobility, and behavior. When reading the patient's medical record, the nurse sees the following notation: Patient states, "I have had a cold for about a week, and I am having difficulty breathing." This is an example of: a.A past health history. b.A review of systems. c.A functioning assessment. d.A chief compliant. - Correct Answers ✅d.A chief compliant. Normal cervical lymph nodes are: a.Smaller than 1 cm b.Warm and red c.Fixed d.Firm - Correct Answers ✅a.Smaller than 1 cm Health Assessment Final Exam: Review Questions with correct 2024 a.Brown eyes b.Darkly pigmented skin c.Use of sunscreen products d.Skin that freckles or burns before tanning - Correct Answers ✅d.Skin that freckles or burns before tanning What is the nurse assessing when asking the patient, "What things seem to make it better?" a.Relieving/exacerbating factors b.Functional goal c.Pain goal d.Duration - Correct Answers ✅a.Relieving/exacerbating factors The nurse examines the nail beds of a patient. Which findings indicates a normal angle? a.160 degrees b.100 degrees c.60 degrees d.180 degrees - Correct Answers ✅a.160 degrees Health Assessment Final Exam: Review Questions with correct 2024 The nurse notes the appearance of freckles while assessing a patient's skin. What is the appropriate term to use when documenting this finding? a.Macules b.Vesicles c.Bulla d.Patches - Correct Answers ✅a.Macules To assess for early jaundiced, the nurse should assess: a.The lips b.The sclera and hard palate c.All visible skin surfaces d.The nail beds - Correct Answers ✅b.The sclera and hard palate While assessing a patient for allergies, the patient states being allergic to penicillin. Which response is best? a."Please describe what happens to you when you take penicillin?" b."How often have you received penicillin? Health Assessment Final Exam: Review Questions with correct 2024 c."I'll write your allergy on your chart so you will not receive any." d."Are you allergic to any other drugs?" - Correct Answers ✅a."Please describe what happens to you when you take penicillin?" A patient comes to the Emergency department (ED) complaining of chest pain. This would be considered: a.Secondary data b.Objective data c.Subjective data d.Tertiary data - Correct Answers ✅c.Subjective data The nurse is conducting an interview in the room of a newly admitted patient. Because the nurse is expecting a phone call, the nurse stands near the door. Which would have been a more appropriate approach? a.Use this approach given the circumstances. b.Arrange for a time free of interruptions after the initial physical examination is complete. c.Have someone else answer the phone so their full attention was focused on the patient. d.Arrange to have someone notify them when the call came, thus allowing the nurse to sit on the side of the bed. - Correct Answers Health Assessment Final Exam: Review Questions with correct 2024 The nurse is preparing to complete an assessment of a patient's posterior thorax. Which of the following should be included in this examination? a.Auscultation of lung sounds b.Auscultation of the apical impulse c.Palpation of the subclavicular lymph nodes. d.Perform the Romberg test - Correct Answers ✅a.Auscultation of lung sounds A patient with a recent head injury is admitted to the emergency department. The patient appears to be dazed. The nurse asks the patient, "Do you know where you are?" Which of the following parameters is the nurse assessing? a.Attention b.Memory c.Orientation d.Mood and affect - Correct Answers ✅c.Orientation To elicit the plantar response (Babinski response), the nurse should: a.Present a noxious odor to the person and ask to identify the scent. Health Assessment Final Exam: Review Questions with correct 2024 b.Observe the person walking heel to toe. c.Stroke the lateral aspect of the sole of the foot, starting with heel and then across the ball. d.Gently tap the Achilles tendon with the thicker part of the reflex hammer. - Correct Answers ✅c.Stroke the lateral aspect of the sole of the foot, starting with heel and then across the ball. The nurse is examining the movements of a patient's eyes through each of the 6 cardinal gazes. Which crainal nerves are being assessed by the nurse? a.Abducens nerve b.Facial nerve c. Hypoglossal nerve d.Oculomotor nerve e.Trochlear nerve - Correct Answers ✅a.Abducens nerve d.Oculomotor nerve e.Trochlear nerve Your patient has a productive cough and is expectorating yellow mucous at times. Which breath sound would the nurse expect to auscultate due to the presence of mucous in this patient's respiratory tract? Health Assessment Final Exam: Review Questions with correct 2024 a.Absent b.Crackles c.Stridor d.Rhonchi - Correct Answers ✅d.Rhonchi When the nurse is assessing the motor function of cranial nerve VII as part of the neurological examination, what should the nurse instruct the patient to do? a.Clench the teeth b.Smell coffee beans c.Smile d.Cover one eye - Correct Answers ✅c.Smile A patient's patellar reflex is normal for the right side but diminished on the left. Using the scale for grading reflexes, how should the nurse document this finding? a.Right knee+4; Left knee +3 b.Right knee +1; Left knee 0 c.Right knee +2; Left knee +1 Health Assessment Final Exam: Review Questions with correct 2024 Which of the following is considered an 'adventitious' type of breath sounds? a.Bronchial b.Bronchovesicular c.Vesicular d.Wheeze - Correct Answers ✅d.Wheeze While conducting a mental status history, the nurse notes that the patient is articulate, makes spontaneous comments, and speaks at a normal rate. For which section of the mental health assessment is this information most important? a.Thoughts and perception b.Mood c.Appearance and behavior d.Speech and language - Correct Answers ✅d.Speech and language Which of the following assessments best confirms the approach to check for symmetric chest expansion? Health Assessment Final Exam: Review Questions with correct 2024 a.Placing hands on the posterior chest wall with thumbs at the level of T10 and then sliding the hands up to pinch a small fold of skin between the thumbs. b.Inspection of the shape and configuration of the chest wall. c.Placing the palmer surface of the fingers of one hand against the chest and having the person repeat the words "ninety- nine". d.Tapping with your fingers on multiple areas of the chest anteriorly and posteriorly. - Correct Answers ✅a.Placing hands on the posterior chest wall with thumbs at the level of T10 and then sliding the hands up to pinch a small fold of skin between the thumbs. A nurse is caring for a patient with an injury to Broca's area. Which finding would the nurse expect to assess in this patient? a.Difficulty speaking b.Receptive aphasia c.Visual disturbances d.Emotional lability - Correct Answers ✅a.Difficulty speaking Fine crackles are best detected by: a.Palpation b.Auscultation Health Assessment Final Exam: Review Questions with correct 2024 c.Observation d.Percussion - Correct Answers ✅b.Auscultation Which muscles are tested for muscle strength when the nurse assesses the function of cranial nerve XI (spinal accessory nerve)? Select all that apply. a.Biceps b.Quadriceps c.Sternomastoid d.Trapezius - Correct Answers ✅c.Sternomastoid d.Trapezius A patient is complaining of "shortness of breath with movements" and this complaint is validated by the nurse objectively. How would the nurse best document these findings? a.Patient complains of "shortness of breath". No DOE observed. b.Patient complains of mild "shortness of breath". + DOE noted by this RN. c.Patient reports "shortness of breath with movements". + DOE observed by this RN.