Health Assessment Quiz 1

The nurse is preparing to meet a client and perform a comprehensive health assessment. Which of the following actions should the nurse perform first?

• Obtain basic biographic data.

• Review the client's medical record

• Consult clinical resources explaining the client's diagnosis.

• Validate information with the client

The nurse is collecting data from a client who has recently been diagnosed with hypertension. The nurse is collecting subjective and objective data. Which of the following would the nurse categorize as objective data?

• Family history

• Appearance

• Occupation

• History of present health concern

The nursing process is a sequential method of problem solving that includes which five steps?

• Assessment, treatment, evaluation, discharge, follow-up

• Admission, assessment, diagnosis, treatment, discharge planning

• Admission, diagnosis, treatment, evaluation, discharge planning

• Assessment, diagnosis, planning, implementation, evaluation

The nurse has completed the review of systems component of the client's health history. Which assessment finding should the nurse document under the review of systems?

• High school diploma plus 2 years of college

• Caregiver reliable source of information

• Menopause at age 53

• Lungs clear to auscultation bilaterally

The nurse is using the mnemonic COLDSPA to assess a client's complaint of lower abdominal pain. The nurse asks the client to rate the pain on a scale of 0 to 10. The nurse is assessing which aspect of the complaint?

• Character

• Onset

• Severity

• Pattern

Answer explanation

See page 18

Which of the following would the nurse identify as an example of a closed-ended question or statement?

• . "Tell me about your relationship with your children."

• "Tell me what you eat in a normal day."

• "Are you allergic to any medications?"

• D. "What is your typical day like?"

A patient tells the nurse that he is allergic to penicillin. What would be the nurse’s best response to this information?

• “Are you allergic to any other drugs?”

• “How often have you received penicillin?”

• “I’ll write your allergy on your chart so you won’t receive any.”

• “Please describe what happens to you when you take penicillin.”

After a medical emergency in the clinic, the nurse enters the exam room. The client states, Well! I was getting ready to leave. My schedule is very busy and I don't have time to waste waiting until you have the time to see me! Which response by the nurse would be most appropriate?

• Our schedule is very busy also. We got to you as soon as we could.

• No one is forcing you to be here, and you are free to leave at any time

• Would you like to report your complaints to someone in management?

• You're certainly justified in being upset, but I am ready to begin your exam and answer your qestions

The nurse is assessing for kidney tenderness in a client who has presented with complaints of dysuria and back pain. What assessment technique should the nurse utilize?

• Deep palpation

• Indirect percussion

• Light palpation

• Bimanual palpation

A young adult client has come to the clinic for her scheduled gynecological examination. The nurse is implementing actions to help reduce a client's anxiety during the physical exam. Which of the following would be most appropriate?

• Explain the procedure being done and why

• Providing a comfortable, cool room temperature

• Arranging exam equipment on a bedside tray table

• Explaining why standard precautions are being used