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Clinical Assessment Tools in Adult Nursing

Total questions: 11

Worksheet time: 6mins

Name
Class
Date
1.

What does the Braden scale assess in adult nursing?

a)

It assesses skin integrity in terms of likelihood of an individual developing a pressure ulcer or is supported by the observation of skin moisture levels and response to mild pressure being applied.

b)

It measures the level of pain experienced by patients with chronic illnesses.

c)

It evaluates the nutritional status of elderly patients.

d)

It determines the risk of falls in hospitalized patients.

2.

What does the Bristol stool scale assess in adult nursing?

a)

It assesses health in relation to stool type, using 7 types of stools or is supported by the collection of faecal samples and observations of individual bowel movements.

b)

It measures blood pressure levels in patients with gastrointestinal disorders.

c)

It evaluates the nutritional content of a patient's diet based on daily intake.

d)

It determines the presence of urinary tract infections through stool analysis.

3.

What does the malnutrition screening tool (MST) assess in adult nursing?

a)

It assesses individuals who are malnourished, at risk of malnutrition, or obese, supported by height and weight measurements to calculate BMI.

b)

It measures only the hydration status of patients using urine output.

c)

It evaluates the risk of pressure ulcers based on skin integrity.

d)

It determines the level of physical activity in adults through step counts.

4.

What does the Waterlow score assess in adult nursing?

a)

It assesses risk of the development of a pressure sore in the individual, supported by observation of the skin, monitoring mobility and continence levels.

b)

It assesses the risk of developing diabetes in adults, based on blood sugar and lifestyle factors.

c)

It measures the level of pain experienced by a patient using a visual analogue scale.

d)

It evaluates the nutritional status of a patient using BMI and dietary intake.

5.

What does an oral health assessment determine in adult nursing?

a)

It assesses whether an individual has oral health problems and needs to be referred for dental treatment.

b)

It determines the nutritional status of the patient.

c)

It evaluates the patient's mental health condition.

d)

It measures the patient's blood pressure.

6.

What does a wound assessment determine in adult nursing?

a)

It assesses the state of a wound to prescribe appropriate treatment, supported by skin integrity assessment.

b)

It determines the nutritional status of the patient.

c)

It evaluates the patient’s pain tolerance only.

d)

It measures the patient’s blood pressure and heart rate.

7.

What does continence assessment determine in adult nursing?

a)

It assesses the causes of, and factors contributing to, urinary and faecal symptoms, supported by appropriate dietary planning.

b)

It determines the need for surgical intervention in all patients.

c)

It only measures the volume of urine output.

d)

It focuses solely on psychological factors without considering physical symptoms.

8.

What does fluid balance assessment interpret in adult nursing?

a)

It assesses and interprets fluid and electrolyte balance, supported by fluid intake and output monitoring.

b)

It only measures blood pressure changes in patients.

c)

It focuses solely on monitoring heart rate fluctuations.

d)

It is used to diagnose respiratory disorders exclusively.

9.

What does nutrition assessment identify in adult nursing?

a)

It assesses and identifies individuals who are at nutritional risk, supported by food chart and physiological measurements (for example BMI, weight).

b)

It determines the level of physical activity only, without considering dietary intake.

c)

It focuses solely on psychological well-being, ignoring physical health indicators.

d)

It is used to diagnose infectious diseases in adults.

10.

What does pain assessment determine in adult nursing?

a)

It assesses pain levels to diagnose and determine suitable treatment, supported by a range of pain assessment tools.

b)

It only measures blood pressure and heart rate in patients.

c)

It determines the nutritional status of the patient.

d)

It is used solely to monitor medication side effects.

11.

What does mobility assessment determine in adult nursing?

a)

It assesses an individual’s physical function to determine appropriate handling and mobility aids, supported by use of appropriate moving and handling techniques.

b)

It determines the nutritional requirements of the patient.

c)

It evaluates the patient’s mental health status only.

d)

It measures the effectiveness of medication administration.