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WorksheetsNursing Assessment and Documentation
Total questions: 16
Worksheet time: 12mins
Name
Class
Date
1.
A nurse is assessing the skin of an older adult patient. Which findings are considered normal age-related variations? Select all that apply.
a)
Decreased skin turgor
b)
Senile lentigines
c)
cherry angiomas
d)
diaphoresis
e)
Thin, brittle hair
2.
When beginning a nursing history, the patient’s spouse is present. What is the nurse’s priority action?
a)
Ask the spouse to leave the room
b)
Thank the spouse for being present
c)
Ask the spouse if they want to remain
d)
Ask the patient if they would like the spouse to stay
3.
Which findings are considered subjective data? (Select all that apply)
a)
Patient reports nausea
b)
Ankle edema noted
c)
Patient states feeling nervous
d)
Patient reports tingling
4.
A patient is drowsy but awakens to verbal stimulation. How should the nurse document this level of consciousness?
a)
Awake and alert
b)
Lethargic
c)
Stuporous
d)
Comatose
5.
Which assessment technique is performed first when assessing the abdomen?
a)
Palpation
b)
Percussion
c)
Auscultation
d)
Inspection
6.
Which findings were obtained using palpation? (Select all that apply)
a)
Bounding radial pulses
b)
Skin warm and dry
c)
Respiratory rate 24
d)
RLQ abdominal tenderness
7.
Which finding suggests dehydration in an older adult?
a)
Skin fold returns quickly
b)
Skin fold returns slowly
c)
Skin is warm
d)
Skin is pink
8.
Which actions are appropriate when auscultating lung sounds? (Select all that apply)
a)
Ask patient to breathe through nose
b)
Use diaphragm of stethoscope
c)
Follow a systematic pattern
d)
Auscultate over clothing
9.
Which area is auscultated first when assessing heart sounds?
a)
Mitral
b)
Tricuspid
c)
Aortic
d)
Erb’s point
10.
Which findings may indicate peripheral vascular disease? (Select all that apply)
a)
Pale, cool skin
b)
Bounding pedal pulses
c)
Shiny, hairless legs
d)
Brown skin discoloration
11.
A nurse notes a shuffling gait. What should the nurse assess next?
a)
Muscle strength and tone
b)
Cranial nerves
c)
Bowel sounds
d)
Skin turgor
12.
Which finding is obtained by inspection?
a)
Skin temperature
b)
Pulse strength
c)
Skin color
d)
Abdominal tenderness
13.
Normal capillary refill time is:
a)
Less than 2 seconds
b)
Less than 3 seconds
c)
Less than 5 seconds
d)
More than 5 seconds
14.
Which assessment finding is abnormal?
a)
Nails convex with 160-degree angle
b)
Pink nail beds
c)
Clubbing of fingernails
d)
Smooth nail texture
15.
Which assessment should be performed last during a painful abdominal exam?
a)
Inspection
b)
Auscultation
c)
Percussion
d)
Palpation of painful area
16.
Which data would be documented as objective?
a)
Patient states pain is 8/10
b)
Patient reports nausea
c)
Blood pressure 150/90
d)
Patient feels dizzy
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