Health Assessment Final Exam: Review
Questions
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 fin...
Health Assessment Final Exam: Review
Questions
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. Ans- 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 Ans- a. Inspecting
The four areas to consider during the general survey include:
a. Dress, medical history, nonverbal behavior, and mobility.
b.Ethnicity, gender, age, and socioeconomic status.
c.Physical appearance, gender, ethnicity, and medical history.
d.Physical appearance, body structure, mobility, and behavior. Ans- 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. Ans- d.A chief compliant.
Normal cervical lymph nodes are:
a.Smaller than 1 cm
b.Warm and red
c.Fixed
d.Firm Ans- a.Smaller than 1 cm
The first step to cultural competency by a nurse is to:
a.Identify the meaning of health to the patient.
b.Understand their own heritage and its basis in cultural values.
c.Develop a frame of reference to traditional health care practices.
d.Understand how a health care delivery system works. Ans- b.Understand their own heritage and its
basis in cultural values.
The nurse is conducting a physical assessment of a new patient. What data does the nurse collect that
are measurable?
a.Objective
b.Effective
c.Subjective
d.Affective Ans- a.Objective
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